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Read. Follow. Verify.Idaho establishes licensure framework, Board of Autonomous Medical Practice, and regulatory sandbox for artificial intelligence medical services
Last action · March 25, 2026: Reported Printed and Referred to Business
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What This Bill Proposed
Idaho creates a new class of health care provider for artificial intelligence systems and establishes the Board of Autonomous Medical Practice to regulate clinical AI services effective July 1, 2026. The legislation defines operational autonomy tiers, sets up a provisional framework, establishes professional duties of loyalty, and directs state insurance and health agencies to develop reimbursement standards.
The measure introduces state-level licensing for software and automated medical systems, establishing specific legal liabilities, mandatory data retention rules, and clinical practice standards for software providers operating within Idaho.
- State legislatures are increasingly examining regulatory frameworks for artificial intelligence applications in clinical settings to address patient safety, liability, and software integration. context
Who It Would Have Affected
Groups the bill's text would have affected, as described in the record. Being affected is not a position for or against it.
Artificial intelligence augmented and autonomous service providers
Entities operating clinical AI services must obtain state licensure, comply with data retention and transparency mandates, and maintain professional liability insurance and surety bonds.
Licensed human health care providers
Providers retain independent professional judgment and supervisory roles when interacting with advisory or supervised clinical AI services, without changes to their human scope of practice.
Patients receiving clinical AI services
Patients receive explicit disclosures regarding the use of AI systems, gain access to designated high-need care pathways, and retain rights to request human review or alternative care.
Health insurance carriers
Carriers are subject to upcoming Department of Insurance rules clarifying provider type recognition, billing mechanisms, and network inclusion standards for licensed AAASPs.
Key Facts
- Establishes Chapter 60, Title 54, Idaho Code, known as the 'AI Medical Services Act,' taking effect on July 1, 2026.
- Creates the Board of Autonomous Medical Practice consisting of eleven voting members appointed by the governor within the division of occupational and professional licenses.
- Defines 'artificial intelligence augmented and autonomous service provider' (AAASP) as a corporate or legal entity licensed by the board to operate clinical AI services.
- Establishes base license classes including Class A (state clinical service), Class B (federal device reciprocity service), and Class C (therapeutic and support service), alongside autonomy modifiers ranging from voluntary/exempt to fully autonomous.
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- Requires all initial AAASP licenses to be provisional for a period of up to two years operating within a regulatory sandbox.
- Mandates that AAASPs operating under modifier L2 or L3 be bound by a professional duty of loyalty to the patient, prohibiting paid commercial advertisements within clinical spaces and unlawful steering to affiliates.
- Requires every AAASP to maintain an immutable clinical logic snapshot for every deployed version of its algorithm for a period of two years for audit purposes.
- Mandates that applicants submit proof of professional liability insurance, state and federal criminal background checks for key personnel, and a surety bond of at least $50,000 payable to the state consumer protection fund.
- Requires every applicant to submit an approved wind-down and continuity plan designating a successor data custodian and requiring data transfer within 72 hours in a triggering event.
- Directs the Department of Insurance to issue formal guidance, bulletins, or rules no later than July 1, 2027, clarifying the application of insurance codes to licensed AAASPs.
Frequently Asked Questions
What is an AI-augmented and autonomous service provider (AAASP)?
Are all artificial intelligence systems required to obtain an AAASP license?
What disclosures must be made to patients before receiving care from an autonomous AI provider?
What else do you want to know?
News Coverage
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Votes, people, money & the original sourceWhere This Stands
This bill did not become law - Died at adjournment · in House committee.
Procedural history
2 actions- Mar 25, 2026CommitteeReported Printed and Referred to Business
- Mar 25, 2026IntroducedIntroduced, read first time, referred to JRA for Printing
Version history
Only one version on file - nothing to compare yet. As later stages (committee substitute, engrossed, enrolled) are captured, the redline appears here.
View official text →Lobbying Activity
No state lobbying filings in our records match this bill. Federal lobbying reports (LDA) cover Congress, so they are not listed on state bills.
Full breakdown
Who this bill affects and the strongest case for and against it, written only from the bill’s own text.
Discoveries
Patterns POLISCOPE noticed across the record. These are observations to investigate, not conclusions.
Creation of Non-Human Health Care Provider Class
The bill creates a novel legal classification permitting corporate and software entities to be recognized as health care providers under state law for privacy and credentialing purposes.
Connected Entities
Sources
legislature.idaho.gov
Analysis Score
0–100- Significance20Lowered because this bill did not pass (its text scored 85)
- Controversy60Intensity of disagreement among stakeholders
- Entertainment10Compellingness for a non-policy-wonk reader
- Buzz75Current news / social attention level
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