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KY AI Therapy Restrictions

Kentucky AI Therapy Restrictions Act (HB 455)

Bars licensed mental health professionals from using AI to diagnose or deliver therapy, and prohibits AI from making independent therapeutic decisions or generating treatment plans without licensed therapist review.

Jurisdiction

Kentucky

Enacted

Pending

Effective

TBD

Enforcement

Professional licensing boards

Passed House 88-7 on February 24, 2026 (crossed over to Senate, referred to Committee on Committees) but no further Senate action was recorded. Kentucky's 2026 regular session was a short even-year session that adjourned mid-April; the bill did not advance to a floor vote before adjournment. Not explicitly confirmed as died via a sine die statement — inferred from the stalled action history and the session's end.

Kentucky Legislature

Why It Matters

Establishes clear boundaries between AI tools and licensed mental health practice, prohibiting AI from substituting for professional therapeutic judgment while allowing administrative use.

Recent Developments

No Senate action recorded after the 2026-02-24 committee referral; treated as having died with the 2026 session's adjournment.

At a Glance

Applies to

Mental Health AppGeneral ChatbotHealthcare AI

Harms addressed

Who Must Comply

  • Licensed mental health professionals (psychologists, social workers, counselors)
  • AI system developers and deployers in therapeutic contexts

Safety Provisions

  • Prohibits AI from making independent therapeutic decisions
  • Prohibits AI from generating treatment plans without licensed therapist review
  • Requires written patient consent if AI is used for session recording or transcription
  • AI may be used for administrative/clerical tasks with explicit consent

Exemptions

Administrative Use Exemption

AI may be used for administrative and clerical tasks (scheduling, notes, records) with explicit patient consent

  • • Explicit patient consent obtained
  • • AI not used for diagnosis or therapy

Religious Counseling Exemption

Religious counseling, peer support, and self-help materials are exempt

  • • Not licensed mental health professional

Compliance & Enforcement

Penalties

Professional licensing sanctions (unprofessional conduct)

View on map

Kentucky

Focus Areas

Mental health & crisis

Cite This

APA

Kentucky. (n.d.). Kentucky AI Therapy Restrictions Act (HB 455).

Related Regulations

In Effect US-KY

KY AI Governance Act

Establishes AI Governance Committee within state government to develop policies for responsible AI use. Creates framework for state agency AI deployment including risk assessment, transparency, and accountability measures. Committee advises on AI procurement and implementation.

Enacted US-IA

IA SF 2417

Establishes requirements and guidelines for conversational AI services including AI disclosure to minors, prohibition on sexually explicit content for minors, prevention of deceptive human-like interactions, and parental controls for children under 13.

Enacted US-CO

CO AI Healthcare Act

Regulates mental health companion chatbots and AI use in healthcare utilization review. Declares AI providers engage in unauthorized practice of psychotherapy if their chatbot misrepresents credentials, uses reserved professional titles, delivers unsupervised psychotherapy, or fails to disclose it is not human. Separately requires AI-driven insurance utilization review to consider individual clinical circumstances rather than solely group data.

Enacted US-IL

IL HB 5511

Requires covered operators of online platforms to apply protective default settings to users they know to be minors, including limits on algorithmic feeds, a 10 p.m. to 7 a.m. notification curfew and no autoplay by default on addictive social media platforms, and establishes a device-level age-bracket signal that Internet-enabled device manufacturers must provide and operators must request. Announced by the Governor as the Children's Social Media Safety Act, the title of the bill as introduced. Enforced by the Attorney General.

Enacted US-NJ

NJ Kids Code

Codifies a New Jersey Age-Appropriate Design Code requiring covered online service providers to design services likely to be accessed by minors around minors' safety and wellbeing, including high-privacy defaults, limits on engagement-maximising design features, and data protection impact assessments. Enforced by the Attorney General with a private right of action for minors and their parents.

Pending US-MA

MA S.3164

Would create General Laws chapter 93M requiring covered operators of social media platforms to apply protective default settings to users they determine to be minors, including disabling addictive algorithmic feeds, overnight notifications, autoplay and infinite scroll, and limiting precise geolocation sharing and account visibility. The Attorney General would set age-assurance regulations and hold exclusive enforcement authority.

Last updated August 2, 2026. Verify against primary sources before relying on this information.