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California-2023-AB3030-Enrolled
<!DOCTYPE html><html><title>California-2023-AB3030-Enrolled</title><body><div id="bill_all" align="justify"><div id="about"><br clear="all"/><div align="center"><table style="border-collapse: collapse" cellSpacing="0" align="center" role="presentation"><tbody><tr><td align="center"><span style=" text-transform: uppercase; font-size: 1em"> Enrolled </span> <span style="text-transform: uppercase">September 05, 2024</span><br/></td></tr></tbody><tbody><tr><td align="center"><span style=" text-transform: uppercase; font-size: 1em"> Passed IN </span><span style=" text-transform: uppercase; font-size: 1em"> Senate </span> <span style="text-transform: uppercase">August 30, 2024</span><br/></td></tr></tbody><tbody><tr><td align="center"><span style=" text-transform: uppercase; font-size: 1em"> Passed IN </span><span style=" text-transform: uppercase; font-size: 1em"> Assembly </span> <span style="text-transform: uppercase">August 31, 2024</span><br/></td></tr></tbody><tbody><tr><td align="center"><span style=" text-transform: uppercase; font-size: 1em"> Amended IN </span><span style=" text-transform: uppercase; font-size: 1em"> Senate </span> <span style="text-transform: uppercase">August 15, 2024</span><br/></td></tr></tbody><tbody><tr><td align="center"><span style=" text-transform: uppercase; font-size: 1em"> Amended IN </span><span style=" text-transform: uppercase; font-size: 1em"> Senate </span> <span style="text-transform: uppercase">June 27, 2024</span><br/></td></tr></tbody><tbody><tr><td align="center"><span style=" text-transform: uppercase; font-size: 1em"> Amended IN </span><span style=" text-transform: uppercase; font-size: 1em"> Senate </span> <span style="text-transform: uppercase">June 18, 2024</span><br/></td></tr></tbody><tbody><tr><td align="center"><span style=" text-transform: uppercase; font-size: 1em"> Amended IN </span><span style=" text-transform: uppercase; font-size: 1em"> Assembly </span> <span style="text-transform: uppercase">April 25, 2024</span><br/></td></tr></tbody><tbody><tr><td align="center"><span style=" text-transform: uppercase; font-size: 1em"> Amended IN </span><span style=" text-transform: uppercase; font-size: 1em"> Assembly </span> <span style="text-transform: uppercase">April 11, 2024</span><br/></td></tr></tbody><tbody><tr><td align="center"><span style=" text-transform: uppercase; font-size: 1em"> Amended IN </span><span style=" text-transform: uppercase; font-size: 1em"> Assembly </span> <span style="text-transform: uppercase">March 21, 2024</span><br/></td></tr></tbody><tbody><tr><td align="center"/></tr></tbody></table></div><br clear="all"/><div align="center"><font size="3" style="FONT-FAMILY: MinionPC, Arial Unicode MS"> CALIFORNIA LEGISLATURE— 2023–2024 REGULAR SESSION</font></div><br clear="all"/><span id="bill_house_num"><div style="float: left; width:50%; font-weight: bold; "><span style="text-transform: uppercase; text-align:left;width:50%;"><b> Assembly Bill </b></span></div><div style="float:right; width:50%; text-align:right;"><span style="text-transform: uppercase;"><b>No. 3030</b></span></div></span><hr/><br clear="all"/><div align="center"><table style="border-collapse: collapse" cellSpacing="0" align="center" role="presentation"><tbody><tr><td id="bill_authors" align="center"><span style="font-weight:bold;">Introduced by Assembly Member Calderon<br/>(Coauthor: Senator Rubio)<br/></span></td></tr><tr><td id="bill_intro_date" align="center" class="textcenter"><br/>February 16, 2024</td></tr></tbody></table></div><hr/><br clear="all"/><div id="title"><span style="font-weight:normal;font-size:0.9em;">An act to add Chapter 2.13 (commencing with Section 1339.75) to Division 2 of the Health and Safety Code, relating to health care services.</span></div><br clear="all"/><br clear="all"/><div align="center"><h2>LEGISLATIVE COUNSEL'S DIGEST</h2></div><br/><div style="margin:0 0 1em 0"><span id="subject">AB 3030, Calderon. Health care services: artificial intelligence.</span></div><div><span id="digesttext"><div style="margin:0 0 1em 0;">Existing law provides for the licensure and regulation of health facilities and clinics by the State Department of Public Health. Existing law, the Medical Practice Act, establishes the Medical Board of California for the licensing, regulation, and discipline of physicians and surgeons. Existing law, the Osteopathic Act, enacted by an initiative measure, establishes the Osteopathic Medical Board of California for the licensing and regulation of osteopathic physicians and surgeons. </div><div style="margin:0 0 1em 0;">This bill would require a health facility, clinic, physician’s office, or office of a group practice that uses generative artificial intelligence to generate written or verbal patient communications pertaining to patient clinical information, as defined, to ensure that those communications include both (1) a disclaimer that indicates to the patient that a communication was generated by generative artificial intelligence, as specified, and (2) clear instructions describing how a patient may contact a human health care provider, employee, or other appropriate person. The bill would exempt from this requirement a communication read and reviewed by a human licensed or certified health care provider. Under the bill, a violation of these provisions by a physician would be subject to the jurisdiction of the Medical Board of California or Osteopathic Medical Board of California, as appropriate.</div></span></div><span class="hidden"><h2>Digest Key</h2></span><span id="vote"> Vote: <span style=" text-transform: lowercase">MAJORITY</span> </span><span id="appropriation"> Appropriation: <span style=" text-transform: lowercase">NO</span> </span><span id="fiscalcommittee"> Fiscal Committee: <span style=" text-transform: lowercase">YES</span> </span><span id="localprogram"> Local Program: <span style=" text-transform: lowercase">NO</span> </span></div><hr/><span class="hidden"><h2>Bill Text</h2></span><div id="bill"><div style=" text-transform: uppercase"><h2 style=" text-align: left;">The people of the State of California do enact as follows:</h2><br/></div><div id="s10.4377997621135895"><div style="margin:0 0 1em 0" class="ActionLine"><h3 style="font-weight:bold; display:inline;">SECTION 1.</h3> Chapter 2.13 (commencing with Section 1339.75) is added to Division 2 of the Health and Safety Code, to read:</div><div><div><div id="id_240752E4-F179-4EE2-920A-4DD6764FC62D"><div><h5 style="text-align:left;"> CHAPTER 2.13. Artificial Intelligence in Health Care Services</h5></div></div><div><p><div style="margin:0 0 1em 0;"><h6 style="display:inline;">1339.75.</h6> (a) A health facility, clinic, physician’s office, or office of a group practice that uses generative artificial intelligence to generate written or verbal patient communications pertaining to patient clinical information shall ensure that those communications include both of the following:</div><div style="margin:0 0 1em 0;margin-left: 1em;">(1) A disclaimer that indicates to the patient that the communication was generated by generative artificial intelligence.</div><div style="margin:0 0 1em 0;margin-left: 2.5em;">(A) For written communications involving physical and digital media, including letters, emails, and other occasional messages, the disclaimer shall appear prominently at the beginning of each communication.</div><div style="margin:0 0 1em 0;margin-left: 2.5em;">(B) For written communications involving continuous online interactions, including chat-based telehealth, the disclaimer shall be prominently displayed throughout the interaction.</div><div style="margin:0 0 1em 0;margin-left: 2.5em;">(C) For audio communications, the disclaimer shall be provided verbally at the start and the end of the interaction.</div><div style="margin:0 0 1em 0;margin-left: 2.5em;">(D) For video communications, the disclaimer shall be prominently displayed throughout the interaction.</div><div style="margin:0 0 1em 0;margin-left: 1em;">(2) Clear instructions describing how a patient may contact a human health care provider, employee of the health facility, clinic, physician’s office, or office of a group provider, or other appropriate person.</div><div style="margin:0 0 1em 0;">(b) If a communication is generated by generative artificial intelligence and read and reviewed by a human licensed or certified health care provider, the requirements of subdivision (a) do not apply.</div><div style="margin:0 0 1em 0;">(c) For purposes of this section, the following definitions apply:</div><div style="margin:0 0 1em 0;margin-left: 1em;">(1) “Artificial intelligence” means an engineered or machine-based system that varies in its level of autonomy and that can, for explicit or implicit objectives, infer from the input it receives how to generate outputs that can influence physical or virtual environments.</div><div style="margin:0 0 1em 0;margin-left: 1em;">(2) “Clinic” has the same meaning as defined in Section 1200.</div><div style="margin:0 0 1em 0;margin-left: 1em;">(3) “Generative artificial intelligence” means artificial intelligence that can generate derived synthetic content, including images, videos, audio, text, and other digital content.</div><div style="margin:0 0 1em 0;margin-left: 1em;">(4) “Health care provider” means a person licensed or certified pursuant to Division 2 (commencing with Section 500) of the Business and Professions Code.</div><div style="margin:0 0 1em 0;margin-left: 1em;">(5) “Health facility” has the same meaning as defined in Section 1250.</div><div style="margin:0 0 1em 0;margin-left: 1em;">(6) “Office of a group practice” means an office or offices in which two or more physicians are legally organized as a partnership, professional corporation, or not-for-profit corporation licensed according to subdivision (a) of Section 1204.</div><div style="margin:0 0 1em 0;margin-left: 1em;">(7) “Patient clinical information” means information relating to the health status of a patient. This information does not include administrative matters, including, but not limited to, appointment scheduling, billing, or other clerical or business matters.</div><div style="margin:0 0 1em 0;margin-left: 1em;">(8) “Physician’s office” means an office of a physician in solo practice.</div><div style="margin:0 0 1em 0;">(d) (1) A violation of this section by a licensed health facility is subject to the enforcement mechanisms described in Article 3 (commencing with Section 1275) of Chapter 2.</div><div style="margin:0 0 1em 0;margin-left: 1em;">(2) A violation of this section by a licensed clinic is subject to the enforcement mechanisms described in Article 3 (commencing with Section 1225) of Chapter 1.</div><div style="margin:0 0 1em 0;margin-left: 1em;">(3) A violation of this section by a physician is subject to the jurisdiction of the Medical Board of California or the Osteopathic Medical Board of California, as appropriate.</div></p></div></div></div></div></div></div></body></html>