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Care AI policy infrastructure / Updated 2026-05-20

Care AI Policy Map

A United States heat map of policy signals that shape non-clinical caregiving AI: companion chatbots, mental-health chatbots, AI therapy boundaries, consumer health data, healthcare AI disclosure, and high-risk AI governance.

Caregiving AI sits between ordinary chatbot law, health-data rules, companion safety, and therapy regulation. The map makes that split visible so the case for a national caregiving AI standard is concrete.

InvisibleBench relationship-risk context

state signals tier 3+

18

enacted or scheduled

12

federal context signals

6

linked source records

38

State heat map

Where regulation is moving

Hover a state for the quick read. Click or focus a state to keep the full source list in the detail panel.

No targeted rule captured
Adjacent proposal
Direct proposal
Binding adjacent rule
Direct enacted or scheduled rule

Scope

50 states plus DC; federal context below.

Publication rule

Official source preferred; tracker items are labeled.

Boundary

Research map only. Not legal advice.

Standard gap

The laws are close to the issue, but not the whole standard.

State bills are converging on disclosure, minors, self-harm, therapy boundaries, and sensitive data. Caregiving AI needs those controls plus longitudinal relationship safety under family stress, class constraints, and real care decisions.

01

Identity clarity

Recurring AI/not-human disclosure and resistance to identity ambiguity.

DisclosureCompanion Chatbot
02

Crisis response

Self-harm detection, crisis referrals, escalation protocol, and public reporting.

Crisis SafetyMental Health Chatbot
03

Relationship boundaries

Controls for dependency cues, manipulative engagement, minors, and simulated intimacy.

Minor SafetyCompanion Chatbot
04

Data and oversight

Consumer health data limits, health AI transparency, impact assessment, and human review.

Consumer Health DataHealthcare AiHigh Risk AiData Governance

Federal context

No single federal care AI standard yet.

Federal signals are split across chatbot/minor bills, health IT transparency, HIPAA cybersecurity, and sensitive data rules. That fragmentation is the policy argument for a national caregiving AI standard.

ProposedDirect care-adjacent

S.2714 CHAT Act

Federal proposal targeting companion AI chatbots used by minors, including restrictions on access and harmful dialogue.

ProposedDirect care-adjacent

S.3062 GUARD Act

Federal proposal defining AI companions and focusing on minors, non-human disclosure, age verification, and sexual-content harms.

ProposedDirect care-adjacent

H.R.6489 SAFE BOTs Act

Federal proposal including chatbot crisis-resource disclosures and a four-year longitudinal study of chatbot mental-health risks and benefits for minors.

Enactedadjacent

ONC HTI-1 algorithm transparency rule

Final rule updates health IT certification and includes algorithm transparency requirements for certified health IT.

Proposedcontext

HIPAA Security Rule cybersecurity NPRM

Proposed federal rule to strengthen cybersecurity requirements for electronic protected health information.

Enactedcontext

DOJ sensitive personal data final rule

Final rule restricting certain transactions involving U.S. sensitive personal data and government-related data with countries of concern.

Method

Wide scrub, curated publication.

Civic discovery

36 raw civic signals were fetched on 2026-05-20T04:01:09Z. Raw results are treated as discovery, then normalized before publication.

Official-source bias

Published entries prefer state legislature, agency, Federal Register, Congress.gov, or official bill text. Tracker sources are marked where the official source is still being resolved.

Caregiving scope

The map is about non-clinical caregiving AI. Clinical, therapeutic, and health-data rules are included when they shape expectations for support systems used by vulnerable people over time.

Update posture

This is designed as a monitored policy layer. New civic sweeps should feed a review queue before the public map changes tier or status.