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VT AI Mental Health Services Act

An Act Relating to Regulating the Use of Artificial Intelligence in the Provision of Mental Health Services (H.816)

Prohibits offering or advertising mental health services where AI provides therapeutic judgment, diagnosis, treatment, or communication. Allows AI for administrative, operational, documentation, and quality improvement functions. Requires mental health professionals to maintain clinical responsibility and obtain patient consent for AI recording or transcription of therapeutic communications.

Jurisdiction

Vermont

Enacted

Pending

Effective

TBD

Enforcement

Vermont Consumer Protection authorities

Received favorable committee report with amendment March 13, 2026. Advancing to House floor.

Vermont Legislature

Why It Matters

Draws a clear line prohibiting AI from performing core therapeutic functions in mental health, while permitting administrative AI use. Companion to HB 814 which takes a broader healthcare AI approach.

Recent Developments

Received favorable committee report with amendment on March 13, 2026. Sponsored by Rep. Daisy Berbeco.

At a Glance

Applies to

Mental Health AppAI Companion

Harms addressed

Who Must Comply

  • AI system providers offering mental health services in Vermont
  • Mental health professionals using AI tools
  • Entities advertising AI-powered mental health services

Safety Provisions

  • Prohibits AI from providing therapeutic judgment, diagnosis, or treatment
  • Prohibits AI from direct therapeutic communication with patients
  • Mental health professionals must maintain clinical responsibility over all therapeutic decisions
  • Patient consent required for AI recording or transcription of identifiable therapeutic communications
  • AI permitted only for administrative, operational, documentation, and quality improvement functions

Exemptions

Administrative AI Use

AI used for administrative tasks, operational functions, documentation, and quality improvement is permitted

  • • No therapeutic judgment
  • • No diagnosis or treatment
  • • No direct therapeutic communication

Compliance & Enforcement

Penalties

Violations treated under Vermont Consumer Protection Act

View on map

Vermont

Focus Areas

Mental health & crisis

Cite This

APA

Vermont. (n.d.). An Act Relating to Regulating the Use of Artificial Intelligence in the Provision of Mental Health Services (H.816).

Related Regulations

Proposed US-VT

VT AI Healthcare & Neurological Rights Act

Regulates AI chatbots acting as stand-ins for mental health professionals, requires disclosure of generative AI use in healthcare settings, restricts health insurers from using AI to deny care without licensed human review, and establishes neurological rights protections for brain-computer interface data.

Enacted US-VT

VT AADC

Vermont design code structured to be more litigation-resistant: focuses on data processing harms rather than content-based restrictions. AG rulemaking authority begins July 2025.

Enacted US-TN

TN AI Mental Health Prohibition

Prohibits any individual or entity that develops or deploys AI from advertising or representing that the AI is or is able to act as a mental health professional or is capable of providing therapy services.

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.

Proposed US-CA

CA SB 867

Proposes a 4-year moratorium on the sale and manufacturing of toys with AI chatbot capabilities for children under 12. During the moratorium, a task force would develop safety standards with input from technologists, parents, and ethicists.

Proposed US-MO

MO AI Mental Health Prohibition

Prohibits any individual or entity that develops or deploys AI from advertising or representing that the AI is or is able to act as a mental health professional or is capable of providing therapy services. Violations treated as unlawful practice under the Missouri Merchandising Practices Act.

Last updated March 27, 2026. Verify against primary sources before relying on this information.