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HB26-1195 • 2026

Psychotherapy Artificial Intelligence Restrictions

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 c

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Enacted

This bill passed the Legislature and reached final enactment based on the latest official action.

Sponsor
Rep. J. Mabrey, Rep. G. Rydin, Sen. J. Amabile, Sen. K. Mullica, Rep. J. Bacon, Rep. A. Boesenecker, Rep. B. Bradley, Rep. K. Brown, Rep. S. Camacho, Rep. C. Clifford, Rep. M. Duran, Rep. R. English, Rep. L. Feret, Rep. A. Flanell, Rep. L. García, Rep. E. Hamrick, Rep. J. Jackson, Rep. J. Joseph, Rep. S. Lieder, Rep. M. Lindsay, Rep. M. Lukens, Rep. T. Mauro, Rep. J. McCluskie, Rep. K. McCormick, Rep. K. Nguyen, Rep. A. Paschal, Rep. E. Sirota, Rep. L. Smith, Rep. K. Stewart, Rep. R. Stewart, Rep. T. Story, Rep. B. Titone, Rep. E. Velasco, Rep. Y. Zokaie, Sen. A. Benavidez, Sen. J. Coleman, Sen. L. Cutter, Sen. T. Exum, Sen. J. Gonzales, Sen. N. Hinrichsen, Sen. I. Jodeh, Sen. C. Kipp, Sen. C. Kolker, Sen. J. Marchman, Sen. R. Rodriguez, Sen. K. Wallace
Last action
2026-06-03
Official status
Governor Signed
Effective date
Not listed

Plain English Breakdown

The official summary does not specify an effective date for this law.

Rules for Using AI in Psychotherapy

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

What This Bill 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 Names or Affects

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

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.

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.

Amendments

These notes stay tied to the official amendment files and metadata from the legislature.

L.002

HOU Health & Human Services

Passed [*]

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

  • It adds a rule stating that activities meant to promote overall well-being are not considered therapy if they do not diagnose or treat specific mental health issues.
  • It updates the list of allowed non-therapy tools to include coaching, guided meditation, journaling, goal setting, and safety planning.
  • The amendment text only shows changes to numbering and definitions without providing the full context of what 'therapeutic communication' originally included.
  • It is unclear exactly which specific AI features are now allowed versus prohibited because the original bill's detailed rules were not provided.
L.003

HOU Health & Human Services

Passed [*]

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

  • The law will not take effect until August 12, 2026, unless it is approved by voters earlier.
  • Voters have ninety days after the legislature ends to sign a petition asking for a public vote on this bill.
  • If a valid petition is filed, the new rules cannot start until they are voted on in November 2026 and won't begin until election results are officially declared.
  • The amendment only changes when the law starts; it does not explain what specific actions therapists can or cannot do with AI.
  • The text assumes a specific date for the end of the legislative session (May 13, 2026) to calculate the start date.
L.001

HOU Health & Human Services

Passed [*]

Plain English: 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.

  • Removes the word 'ANONYMIZED' so that patient information does not have to be stripped of identifying details before being processed by AI systems.
  • Adds a new rule stating that using an artificial intelligence system must comply with all applicable state and federal privacy and security laws, including HIPAA.
  • Updates numbering in the text to match the addition of this new requirement.
  • The amendment only provides specific line edits and does not include the full context of how these changes affect other parts of the bill's definitions or enforcement rules.
L.013

HOU Health & Human Services

Passed [*]

Plain English: 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.

  • Adds a specific rule prohibiting AI systems from gathering mental health details like mood ratings, medication logs, sleep tracking, or intake questionnaires.
  • Requires that any data collected must be kept private in a way that makes users feel it is as safe and confidential as information shared with a human therapist.
  • States that therapists cannot be held legally responsible if an AI system breaks down due to errors made by the company that built or deployed the software.
  • The amendment text does not define exactly what 'applicable consumer protection law' means for holding developers liable.
  • It is unclear how regulators will measure if a user's belief about data safety meets the new standard of being comparable to therapist-client confidentiality.
L.011

SEN Health & Human Services

Passed [*]

Plain English: 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.

  • Adds 'liability' as a specific topic in the bill's list of prohibited uses.
  • Defines 'synchronous' as live, two-way conversations between a client and a therapist that happen at the same time.
  • Clarifies that watching or reviewing an interaction after it is over does not count as synchronous therapy.
  • Allows AI tools for patient navigation, safety planning, or wellness if they do not diagnose mental health issues and clearly state they are not a replacement for clinical care.
  • The amendment text provided only shows specific edits to pages of the bill and does not include the full context of how liability rules will be written.
  • It is unclear from this short excerpt exactly what penalties or legal responsibilities apply under the new 'liability' section.
L.012

SEN Health & Human Services

Passed [*]

Plain English: 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.

  • Mental health providers must give new patients a written notice explaining the laws that limit how they can use artificial intelligence in therapy sessions.
  • Breaking the rule about AI interactions will be treated as an unfair or deceptive business practice, which adds legal consequences for violations.
  • The bill now includes 'patient navigation' alongside coaching and directories as examples of services that are not considered psychotherapy if they follow specific safety rules.
  • The amendment text does not explain the exact penalties or fines associated with being found guilty of an unfair trade practice.
  • Some technical details about how to format the written notice for clients are missing from this summary because the full bill language is needed.
L.009

Second Reading

Passed [**]

Plain English: 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.

  • Therapists can now use AI systems to help with scheduling, billing, writing general messages, organizing records, and tracking client progress trends.
  • AI is allowed to record or transcribe therapy sessions only if the therapist gets a clear written agreement from the client explaining exactly how the AI will be used.
  • Clients must not lose their right to receive therapy services if they refuse to let an AI system record or transcribe their session.
  • Therapists are strictly forbidden from letting an AI interact with clients in any way that involves giving emotional support, advice, or treatment without the therapist being present and interacting at the same time.
  • The provided text cuts off mid-sentence while listing prohibited uses of AI, so some specific restrictions may be missing.
  • The amendment does not explain how therapists must handle data privacy beyond stating they must follow existing state and federal laws like HIPAA.
L.016

Second Reading

Passed [**]

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

  • It removes the first three lines from page 1 of the Health and Human Services Committee Report dated May 6, 2026.
  • It replaces those removed lines with instructions to delete the word 'AND' on page 5, line 25 of the reengrossed bill.
  • The amendment text only describes changes to a committee report and does not explain what specific rules about artificial intelligence in therapy would actually change.
  • Because the full content of the original report is missing, it is unclear if this amendment makes any real-world difference or just fixes a writing error.

Bill History

  1. 2026-06-03 Governor

    Governor Signed

  2. 2026-06-02 Governor

    Sent to the Governor

  3. 2026-06-02 Senate

    Signed by the President of the Senate

  4. 2026-06-02 House

    Signed by the Speaker of the House

  5. 2026-05-12 House

    House Considered Senate Amendments - Result was to Concur - Repass

  6. 2026-05-11 Senate

    Senate Third Reading Passed - No Amendments

  7. 2026-05-08 Senate

    Senate Second Reading Special Order - Passed with Amendments - Committee, Floor

  8. 2026-05-06 Senate

    Senate Committee on Health & Human Services Refer Amended to Senate Committee of the Whole

  9. 2026-04-29 Senate

    Introduced In Senate - Assigned to Health & Human Services

  10. 2026-04-16 House

    House Third Reading Passed - No Amendments

  11. 2026-04-14 House

    House Third Reading Laid Over Daily - No Amendments

  12. 2026-04-13 House

    House Second Reading Special Order - Passed with Amendments - Committee, Floor

  13. 2026-03-25 House

    House Second Reading Special Order - Laid Over Daily - No Amendments

  14. 2026-03-09 House

    House Second Reading Laid Over Daily - No Amendments

  15. 2026-03-04 House

    House Committee on Health & Human Services Refer Amended to House Committee of the Whole

  16. 2026-02-11 House

    Introduced In House - Assigned to Health & Human Services

Official Summary Text

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.)