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Colorado2026Enacted

HB26-1195

Rules for Using AI in Psychotherapy

Last scannedAug 24, 2026, 8:22 AM

In one sentence

This law stops therapists from letting artificial intelligence talk to clients or make treatment plans without the therapist watching and approving everything.

What it does

  • Prohibits AI systems from interacting with clients unless a licensed professional is present during the real-time conversation.
  • Stops AI systems from creating therapy recommendations or treatment plans unless a human professional reviews and approves them first.
  • Requires therapists to tell clients at their first meeting about these rules regarding artificial intelligence.
  • Allows therapists to use AI for administrative tasks if they check all results before using them.
  • Requires written permission from clients before recording or transcribing therapy sessions with an AI system.

Who it affects

  • Licensed professionals who provide psychotherapy services in the state
  • Clients receiving mental health care and counseling

Limits and unknowns

  • The law does not apply to tools used only for education, training, simulations, or research programs.
  • Self-help apps and meditation guides are allowed if they clearly state they do not treat mental health disorders.
  • Therapists cannot be held legally responsible if an AI system fails due to a mistake made by the developer.

Plain language

Terms to know

Regulated professional
A person who is legally allowed to provide psychotherapy services in the state.
Synchronous, real-time interaction
When a therapist, an AI system, and a client are all connected at the same time during communication.
Unfair or deceptive trade practice
A business action that tricks people by falsely claiming an AI provides professional therapy services or protects data like a real therapist does.

Official record

Sources

Validated

Official summary

The act prohibits individuals lawfully permitted to provide psychotherapy services in the state (regulated professionals) from allowing an artificial intelligence system (AI system) to interact with clients in any form of therapeutic communication without synchronous, real-time interaction between the regulated professional, the AI system, and the client, or generate therapeutic recommendations or treatment plans without review and approval by the regulated professional. Except for educational, administrative, simulation, or training purposes or as part of a research program, a regulated professional shall not use an AI system to provide, direct, or guide psychotherapy, clinical intervention, counseling, diagnosis, treatment planning, or other activity that constitutes the practice of psychotherapy with an individual or group unless the use satisfies the conditions specified in the act. At initial client contact, a regulated professional shall inform clients of the prohibitions regarding use of AI systems in the practice of psychotherapy. Regulated professionals may be disciplined by the appropriate licensing board in the department of regulatory agencies for violations of this act. The act allows regulated professionals to use an AI system to assist in providing administrative support or supplementary support, as these terms are defined in the act, for psychotherapy services if the regulated professional maintains responsibility for reviewing any outputs of the AI system used to provide administrative support or supplementary support. If a client's therapeutic session will be recorded or transcribed through the use of an AI system, the regulated professional must disclose in advance the use of an AI system and the purposes for its use, and obtain written, informed consent from the client. The act does not prohibit a regulated professional from using an AI system within accredited or approved educational, instructional, or professional training programs, so long as the AI system is used solely for educational, administrative, simulation, or training purposes and is not deployed, marketed, or represented as a tool for use with clients, patients, or the public. Further, a regulated professional may be involved in the development, testing, or evaluation of an AI system solely for research purposes under the oversight of a federally registered institutional review board, so long as the AI system is not offered to consumers or used outside of the research setting. The act does not apply to regulated professionals who use or recommend the use of technology in the state that does not diagnose or treat mental health disorders, clearly discloses that the technology is not a substitute for clinical care, and: Provides self-help, therapeutic homework, coaching, patient navigation, guided meditation, journaling, or other tools specified in the act; or Is regulated by the federal food and drug administration. Except as provided in the act, the act also makes it an unfair or deceptive trade practice under the 'Colorado Consumer Protection Act' for an individual, corporation, or entity (person) to use any term, letter, or phrase in the use of an AI system in a manner that: Indicates or implies that the AI system's outputs are provided by, endorsed by, or equivalent to services provided by a regulated professional; Represents that the AI system provides psychotherapy services; or Represents that a user's data is confidential in a manner that would lead a reasonable user to believe that the privacy of their data is protected in a manner similar to therapist-client confidentiality. The act does not impose liability on a regulated professional for defects in or failures of an AI system that are attributable to the developer or deployer of the AI system. Further, under conditions specified in the act, nothing in the act prohibits a person from developing, testing, or evaluating an AI system solely for research purposes or using an AI system in educational, instructional, or training programs. In addition, it is not an unfair or deceptive trade practice for a person to use a technology that does not diagnose or treat mental health disorders, clearly discloses that the technology is not a substitute for clinical care, and: Provides self-help, therapeutic homework, coaching, patient navigation, guided meditation, journaling, or other tools specified in the act; or Is regulated by the federal food and drug administration. (Note: This summary applies to this bill as enacted.)

Official activity

Bill history

  1. Governor SignedGovernor
  2. Sent to the GovernorGovernor
  3. Signed by the President of the SenateSenate
  4. Signed by the Speaker of the HouseHouse
  5. House Considered Senate Amendments - Result was to Concur - RepassHouse
  6. Senate Third Reading Passed - No AmendmentsSenate
  7. Senate Second Reading Special Order - Passed with Amendments - Committee, FloorSenate
  8. Senate Committee on Health & Human Services Refer Amended to Senate Committee of the WholeSenate
  9. Introduced In Senate - Assigned to Health & Human ServicesSenate
  10. House Third Reading Passed - No AmendmentsHouse
  11. House Third Reading Laid Over Daily - No AmendmentsHouse
  12. House Second Reading Special Order - Passed with Amendments - Committee, FloorHouse
  13. House Second Reading Special Order - Laid Over Daily - No AmendmentsHouse
  14. House Second Reading Laid Over Daily - No AmendmentsHouse
  15. House Committee on Health & Human Services Refer Amended to House Committee of the WholeHouse
  16. Introduced In House - Assigned to Health & Human ServicesHouse

Changes

Amendments

8 stored

L.002

This amendment clarifies that general wellness advice and tools do not count as 'therapeutic communication' under the new AI restrictions for mental health professionals.

L.003

This amendment sets a specific start date for the new AI rules in psychotherapy and explains how voters can delay or stop them.

L.001

This amendment updates the bill to require that any artificial intelligence used in psychotherapy must follow state and federal privacy laws, while also removing a requirement for data to be anonymized.

L.013

This amendment updates the bill to specifically ban AI from collecting mental health data, clarifies that user privacy must match therapist-client confidentiality standards, and protects therapists from being blamed for technical failures caused by AI developers.

L.011

This amendment adds a new section on liability, defines what counts as real-time therapy interactions, and clarifies which non-clinical AI tools are allowed to be used.

L.012

This amendment requires mental health professionals to give clients written warnings about AI rules, adds penalties for breaking those rules, and clarifies which non-clinical wellness tools are allowed.

L.009

This amendment creates new rules allowing therapists to use AI for office tasks and session notes only if they get written permission from clients and keep full control over the therapy.

L.016

This amendment changes how a previous committee report about an AI therapy bill is written by removing specific text.