TX Healthcare AI Law
Texas Healthcare AI and Electronic Health Record Law - SB 1188
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.
Jurisdiction
Texas
Enacted
Jun 20, 2025
Effective
Sep 1, 2025
Enforcement
Texas Medical Board; Texas Health and Human Services Commission
Signed by Governor Abbott on June 20, 2025. Effective September 1, 2025 (AI provisions); January 1, 2026 (data localization).
Texas LegislatureWhy It Matters
First state law requiring patient disclosure of AI use in healthcare. Data localization requirement affects all healthcare AI vendors. High compliance burden.
Recent Developments
Signed June 20, 2025. AI provisions effective Sept 1, 2025. Data localization effective Jan 1, 2026. First state to mandate healthcare AI disclosure and EHR data localization.
At a Glance
Applies to
Harms addressed
Who Must Comply
- Healthcare practitioners in Texas using AI for diagnostics
- Healthcare entities managing EHRs
- Third-party vendors and cloud service providers
- AI healthcare platforms
Safety Provisions
- Practitioners must review all AI-generated medical records
- Must disclose AI use to patients for diagnosis/treatment
- AI use must be within practitioner's scope of license
- EHR data localization (US-only storage for Texas patient data)
- Applies to vendors, cloud providers, subcontractors
Compliance & Enforcement
Key Dates
Jan 1, 2026
EHR data localization requirement takes effect (all Texas patient EHRs must be physically stored in US)
Penalties
$250K; $5K/violation
View on map
Texas
Focus Areas
Compliance Help
Healthcare practitioners using AI for diagnosis must review all AI-generated records and disclose AI use to patients. All Texas patient EHRs must be physically stored in the United States.
See how NOPE helpsCite This
APA
Texas. (2025). Texas Healthcare AI and Electronic Health Record Law - SB 1188.
Related Regulations
TX TRAIGA
Comprehensive AI governance with prohibited uses approach. Bans AI that incites self-harm/suicide, exploits children, or intentionally discriminates. Government entities have additional disclosure requirements. First-in-nation AI regulatory sandbox program.
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.
TX AI Catfishing Law
Establishes civil liability for online impersonation using AI. Person liable if they knowingly and with intent to harm, defraud, intimidate, or threaten use AI to impersonate another's name, voice, signature, photograph, or likeness. Civil remedies include injunctive relief, actual damages, exemplary damages ($500+ minimum), costs, and attorney's fees. Satire and parody exempted.
NY RAISE Act
Requires large AI developers of frontier models operating in New York to create safety protocols, report critical incidents within 72 hours, conduct annual reviews, and undergo independent audits. Creates dedicated DFS office funded by developer fees.
CT SB 1295
Creates COMPLETE BAN on targeted advertising to under-18s regardless of consent. Requires AI impact assessments. Connecticut issued first CTDPA fine ($85,000) in 2025.
Colorado AI Act
First comprehensive US state law regulating high-risk AI systems. Modeled partly on EU AI Act with developer and deployer obligations for consequential decisions.
Last updated January 23, 2026. Verify against primary sources before relying on this information.