Hawaii: AI health lawsYour state
2 entries on the map: 2 in force.
Hawaii's rules on AI in health care apply to AI companion operators and insurers, not physicians, and a physician using AI in a patient interaction has no state disclosure requirement beyond general professional and consumer protection law.
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SB 3001, in force since July 14, 2026, bars operators from causing an AI companion to represent that it is designed to provide professional mental or behavioral health care, requires disclosure that a companion is AI when a reasonable person would think it human, and requires protocols that make reasonable efforts to refer users who raise suicidal ideation or self-harm to crisis services. Commissioner's Memorandum 2025-13A, in effect since Dec. 10, 2025, expects insurers to govern, test and document the AI they use in decisions affecting consumers. Two 2026 bills died in committee: HB 1787 and SB 2768, which would have required a licensed provider's independent review before any AI-assisted adverse utilization review action, and SB 2281, which would have required providers to disclose AI in patient interactions.
Payer and utilization review AI
Commissioner's Memorandum 2025-13A, The Use of Artificial Intelligence Systems in Insurance
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Patient disclosure of AI use
Also relevant here: SB 3001, Artificial Intelligence Disclosure and Safety Act (under clinical decision and chatbot limits).
Clinical decision and chatbot limits
SB 3001, Artificial Intelligence Disclosure and Safety Act
Mental health AI
Also relevant here: SB 3001, Artificial Intelligence Disclosure and Safety Act (under clinical decision and chatbot limits).
Nothing in this category was found in the review of Nov. 4, 2026: data and privacy.
Failed or withdrawn bills (2)
HB 1787 and SB 2768, Relating to Health Care (artificial intelligence in utilization review)
SB 2281 SD1, Relating to the Use of Artificial Intelligence in Health Care
What applies to me in Hawaii: physician, practice owner, hospital.
Federal law also applies in every state: see federal law and policy.
Calendar of dates laws take effect (Hawaii): subscribe or download the .ics file.
General information, not legal advice. The whole map is available as data at /law-map/laws.json.