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CA SB 903

California SB 903 (Mental Health Professionals: Artificial Intelligence)

Would bar the use of AI to record or transcribe psychotherapy sessions, or to triage/screen a person for psychotherapy, without the patient's informed consent; prohibit advertising or offering psychotherapy services through companion chatbots (including claiming a chatbot is a therapist); and bar AI from making independent therapeutic decisions.

Jurisdiction

California

Enacted

Pending

Effective

TBD

Enforcement

Relevant healthcare professional licensing boards (remedies via Business and Professions Code section 125.5)

Passed the Senate May 19, 2026 (39-0); received in the Assembly and referred to the Committees on Business & Professions and Privacy & Consumer Protection as of May 26, 2026. Not yet enacted.

California Legislative Information

Why It Matters

Targets AI standing in for licensed psychotherapy and the marketing of companion chatbots as therapists - directly adjacent to AI mental-health and companion safety.

Recent Developments

Passed the Senate 39-0 on May 19, 2026; referred to Assembly policy committees on May 26, 2026.

At a Glance

Applies to

Mental Health AppAI CompanionCharacter Chatbot

Who Must Comply

  • Licensed mental health professionals using AI in their practice
  • Entities offering psychotherapy-style companion chatbots to California users

Safety Provisions

  • No AI recording/transcription of psychotherapy communications or AI triage/screening without prior disclosure and the patient's informed consent
  • Prohibits advertising or purporting to offer psychotherapy services through companion chatbots, including claiming a chatbot is a therapist
  • Prohibits AI from making independent therapeutic decisions
  • AI handling of patient records must comply with the Confidentiality of Medical Information Act; bars sharing/selling/training on psychotherapy data inconsistent with law

Compliance & Enforcement

Penalties

Enforced by the applicable licensing board through remedies authorized by law (injunctions or restraining orders, disciplinary action against licensees); no statutory per-violation amount specified in the bill.

View on map

California

Focus Areas

Mental health & crisis
Algorithmic accountability

Cite This

APA

California. (n.d.). California SB 903 (Mental Health Professionals: Artificial Intelligence).

Related Regulations

Enacted US-CA

CA SB 942

Requires large GenAI providers (1M+ monthly users) to provide free AI detection tools, embed latent disclosures (watermarks/metadata) in AI-generated content, and offer optional manifest (visible) disclosures to users.

In Effect US-CA

CA SB 53

First US frontier AI transparency law. Requires large AI developers (>$500M revenue) to publish governance frameworks, submit quarterly risk reports, and report critical safety incidents. Applies to models trained with >10^26 FLOP.

In Effect US-TX

TX Healthcare AI Law

Requires healthcare practitioners using AI for diagnosis to review all AI-generated records and disclose AI use to patients. Mandates EHR data localization (Texas patient data must be physically stored in US). Applies to covered entities and third-party vendors.

Enacted US-ME

ME LD 2082

Prohibits providing, advertising, or offering therapy or psychotherapy services to the public - including via internet-based AI - unless delivered by a Maine-licensed professional. Permits AI only for administrative or supplementary support under the licensed professional's full responsibility, with written disclosure and informed consent where sessions are recorded or transcribed.

Pending US-LA

LA Healthcare AI Act

Regulates use of artificial intelligence by healthcare providers in Louisiana. Permits AI for administrative tasks but prohibits AI from making treatment/diagnosis decisions without licensed professional review, directly interacting with patients on treatment matters, or generating therapeutic recommendations without professional approval.

Enacted US-IL

IL SB 315

Frontier-model AI safety law requiring large AI developers to publish and annually update catastrophic-risk frameworks, undergo independent third-party safety audits, report safety incidents to the state, and protect whistleblowers. Would be the first US law mandating independent third-party audits of frontier AI developers.

Last updated June 20, 2026. Verify against primary sources before relying on this information.