North Carolina: AI health lawsYour state
5 entries on the map: 3 in force and 2 bills in the legislature.
North Carolina's rules in force are medical board guidance and an insurance bulletin, with two bills pending.
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The medical board's position statement on medical records, amended in January 2026, says a licensee who uses AI accepts responsibility for responding to its recommendations, should document the reasons for departing from one and must verify AI-drafted notes. Its telemedicine statement says accepting an AI tool's suggested diagnosis or plan is the treating practitioner's discretion. Bulletin 24-B-19, since Dec. 18, 2024, tells insurers AI-supported claim and coverage decisions must meet unfair trade practice laws, with no duty on physicians. H 565, passed by the House April 30, 2025, and in Senate Rules, would bar an AI algorithm as the sole basis for a utilization review denial and require providers to attest yearly that their AI coding, billing or documentation tools are not designed to upcode. S 963, filed in April 2026, would require state licensing of chatbots dealing substantially with health information.
Payer and utilization review AI
Bulletin 24-B-19, The Use of Artificial Intelligence Systems in Insurance
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H 565, Limit Use of AI Medicaid/Commercial Insurance (An Act to Limit the Use of Artificial Intelligence in Healthcare Billing and Claims Submission)
Patient disclosure of AI use
Also relevant here: S 963, AI Chatbots-Licensing, Safety, & Privacy (under mental health AI).
Clinical decision and chatbot limits
NCMB Position Statement 3.2.1, Medical Records: Documentation, Electronic Health Records, Access, and Retention (artificial intelligence provisions, amended January 2026)
NCMB Position Statement 5.1.4, Telemedicine (artificial intelligence provision)
Also relevant here: H 565, Limit Use of AI Medicaid/Commercial Insurance (An Act to Limit the Use of Artificial Intelligence in Healthcare Billing and Claims Submission) (under payer and utilization review AI); S 963, AI Chatbots-Licensing, Safety, & Privacy (under mental health AI).
Mental health AI
S 963, AI Chatbots-Licensing, Safety, & Privacy
Data and privacy
Also relevant here: S 963, AI Chatbots-Licensing, Safety, & Privacy (under mental health AI).
What applies to me in North Carolina: physician, practice owner, hospital.
Federal law also applies in every state: see federal law and policy.
Calendar of dates laws take effect (North Carolina): subscribe or download the .ics file.
General information, not legal advice. The whole map is available as data at /law-map/laws.json.