01 / Welcome
Welcome to our first MHAIP Brief!
MHAIP is launching at a moment of real urgency and uncertainty in the space of AI mental health policy. Mental health care is changing dramatically, driven by the rapid and widespread adoption of AI in mental health support. As a clinician, I have seen firsthand the shifts over the last three years in how people seek support, how clinicians practice, and the impacts of AI on mental health, especially for vulnerable populations. A recent study by Ryan McBain and colleagues, published in JAMA Network Open, found that 13.1% of U.S. youth have used generative AI for mental health advice, and among 18–21-year-olds, the rate reaches 22.2%. This is happening even as we are still figuring out what safety guardrails these tools require.
Considering publicly documented harms to both adults and children, including suicide, it is no surprise that states are eager to regulate this area. This year alone, states have passed a wave of new laws attempting to regulate the use of AI for mental health, whether in clinical practice or in consumer-facing products. The resulting regulation, though, is often neither supported by evidence nor grounded in how people actually use these tools.
MHAIP exists to close this gap. We conduct research and consult with communities to understand how AI is affecting mental health and how to design better safeguards. Our work helps policymakers protect patients and consumers, helps clinicians make sense of this fast-changing field, and gives communities a resource for understanding these regulations. Throughout, our aim is to keep the most vulnerable users safe.
There is important and urgent work ahead, and I'm glad to have you here at the start.
02 / Policy Watch
Just in the last two months, four states have passed laws regulating AI in mental health. Some regulate technology, while others focus on AI's use in clinical practice. What regulators agree on is that AI for mental health carries risk. Where they disagree is on what exactly to regulate. This is reflected in the divergent regulatory approaches. Here are some of the laws passed this quarter.
S 1297, the Conversational AI Safety Act
Signed March 2026
Effective July 1, 2027
Idaho's Conversational AI Safety Act regulates any public-facing “conversational AI service” that simulates human interaction, including general-purpose tools like ChatGPT and Claude. It requires three things of operators—both developers and deployers: disclosure when users might not realize they're interacting with AI, a crisis protocol that refers users expressing suicidal ideation to mental health support services, and a prohibition on AI providing professional mental care.
It also includes minor-specific provisions: routine AI disclosures, a ban on addictive unpredictable-reward design, and safeguards against sexual content, simulated emotional dependence, and adult-minor romantic role-play. Interestingly, the law does not require age verification; minor provisions kick in when the operator already knows, or is reasonably certain, that it is speaking with a minor.
Read the law ↗SB 1580
Signed April 2026
Effective July 1, 2026
Tennessee took the narrowest path among the states, regulating only the marketing of AI tools, and nothing else. A person who develops or deploys an AI system can't advertise or represent to the public that the system is a qualified mental health professional. The law borrows the definition of “qualified mental health professional” from Tennessee's mental health code, which covers licensed psychiatrists, psychologists, social workers, and marital and family therapists.
Read the law ↗LD 2082 / HP 1397
Signed April 2026
Enforced now
Maine's law reaffirms that psychotherapy is a protected professional activity by prohibiting AI systems from offering services that would constitute professional mental health practice. The law allows clinicians to use AI in clinical practice only for administrative and supplementary support, such as scheduling, billing, logistics, and drafting notes. All AI output must be reviewed by the therapist.
AI may not make independent therapeutic decisions, directly engage in any therapeutic communication with a client, or generate treatment plans without the clinician's review and approval. This law is similar to other laws governing clinicians' use of AI, but it stands out for including narrow exceptions for IRB-approved research and for AI interventions authorized or reimbursed by CMS.
Read the law ↗LB 525, the Conversational Artificial Intelligence Safety Act
Signed April 2026
AI provisions operative July 1, 2027
Nebraska's law mirrors Idaho's, regulating conversational AI tools and asking operators to meet three baseline requirements: disclose when a user is talking to AI, adopt a protocol that refers users expressing suicidal ideation or self-harm to crisis services, and refrain from representing that the service provides professional mental or behavioral health care.
As in Idaho, the focus is on protections for minors, which include routine AI disclosures—at the start of a session and every three hours after—a ban on rewards designed to keep minors engaged, and required safeguards against sexual content, simulated emotional dependence, romantic or sexual innuendo, and adult-minor romantic role-play, plus parental account controls for younger users. Like Idaho, the law includes no age-verification requirement, meaning the minor provisions only kick in when the system is aware of or certain that the user is a minor.
Read the law ↗03 / News from MHAIP
Supporting Bipartisan Senate Legislation on AI and Older Americans
On June 29, MHAIP joined a bipartisan coalition supporting the Aging with Artificial Intelligence Act, introduced by Senators Mark Kelly (D-AZ), Rick Scott (R-FL), and Roger Marshall (R-KS). The bill directs the National Academies and the National Institute on Aging to study how AI tools are affecting older Americans, including their impact on social isolation, health advice, scams, and overreliance.
Older adults are already using AI tools in their daily lives, including for mental health support, yet they remain among the most overlooked groups in conversations about AI safety. As I noted in the bill's press release, we still know very little about how older adults use these tools or what safeguards they need to use them safely, and research like this will contribute to better AI policy, especially for vulnerable populations.
MHAIP is proud to stand alongside the American Psychological Association, the American Medical Association, AARP, the National Council on Aging, and the Alliance for Secure AI in supporting it.
Read Senator Kelly's press release ↗