88R14274 EAS-F
 
  By: Jetton H.B. No. 4695
 
 
 
A BILL TO BE ENTITLED
 
AN ACT
  relating to the provision of artificial intelligence mental health
  services.
         BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
         SECTION 1.  Subtitle E, Title 7, Health and Safety Code, is
  amended by adding Chapter 616 to read as follows:
  CHAPTER 616.  PROVISION OF ARTIFICIAL INTELLIGENCE MENTAL HEALTH
  SERVICES
         Sec. 616.001.  DEFINITIONS. In this chapter:
               (1)  "Artificial intelligence mental health services"
  means the use of artificial intelligence technology to provide
  counseling, therapy, or other mental health services.
               (2)  "Artificial intelligence technology" means
  computer software that is designed to simulate human intelligence
  through machine learning and perform tasks that would normally
  require human involvement.
               (3)  "Licensed mental health professional" means an
  individual licensed by this state to provide counseling, therapy,
  or other mental health services, including:
                     (A)  a physician licensed under Subtitle B, Title
  3, Occupations Code, who specializes in psychiatry;
                     (B)  a psychologist licensed under Chapter 501,
  Occupations Code;
                     (C)  a marriage and family therapist licensed
  under Chapter 502, Occupations Code;
                     (D)  a licensed professional counselor licensed
  under Chapter 503, Occupations Code; and
                     (E)  a social worker licensed under Chapter 505,
  Occupations Code.
         Sec. 616.002.  REQUIREMENTS FOR ARTIFICIAL INTELLIGENCE
  MENTAL HEALTH SERVICES. (a)  A person may not provide artificial
  intelligence mental health services to another person in this state
  unless:
               (1)  the artificial intelligence technology
  application through which the services are provided is an
  application approved by the commission under Section 616.003; and
               (2)  the person providing the services is a licensed
  mental health professional or a person that makes a licensed mental
  health professional available at all times to each person who
  receives services through the artificial intelligence technology.
         (b)  The licensed mental health professional described by
  Subsection (a) must:
               (1)  be available to review the progress of a person
  receiving the services;
               (2)  be available to communicate directly with a person
  receiving the services if needed; and
               (3)  intervene in the provision of artificial
  intelligence mental health services if the person receiving
  services is:
                     (A)  threatening harm to self or others; or
                     (B)  reporting abuse or neglect of a child.
         (c)  A person who offers artificial intelligence mental
  health services shall:
               (1)  clearly advise all persons who may use the
  services that the services would be provided through artificial
  intelligence technology; and
               (2)  obtain a person's informed consent before the
  person receives artificial intelligence mental health services.
         Sec. 616.003.  TESTING AND APPROVAL REQUIRED. (a)  
  Notwithstanding Section 616.002, a licensed mental health
  professional may provide artificial intelligence mental health
  services only to a person who has agreed to receive the services for
  purposes of testing an artificial intelligence technology as
  indicated by the person's signing a specialized informed consent
  document that demonstrates that the person understands the nature
  of the testing and agrees to:
               (1)  receive artificial intelligence mental health
  services that are in active development and have not been
  demonstrated to be both competent and safe; and
               (2)  release the artificial intelligence mental health
  services provider from all liability associated with the artificial
  intelligence mental health services provided during testing.
         (b)  An artificial intelligence technology application may
  not be considered to have completed its testing until the results of
  testing demonstrate that the application shows competency and
  safety in the application's provision of artificial intelligence
  mental health services.
         (c)  Following a request for approval of an artificial
  intelligence technology application to provide mental health
  services, the commission shall evaluate the results of the
  application's testing and issue an order approving or disapproving
  of the application's use in providing artificial intelligence
  mental health services in this state.
         (d)  The commission shall make publicly available on its
  Internet website the results of each artificial intelligence
  technology application's testing that has been submitted to the
  commission with a request for approval.
         Sec. 616.004.  ETHICS AND STANDARDS FOR ARTIFICIAL
  INTELLIGENCE MENTAL HEALTH SERVICES. (a)  The provision of
  artificial intelligence mental health services must be guided by
  the ethical principles and standards that apply to a licensed
  mental health professional in this state in providing the services
  without the use of an artificial intelligence technology.
         (b)  A person who provides artificial intelligence mental
  health services may not discriminate against an individual on the
  basis of race, ethnicity, gender, sexual orientation, or any other
  characteristic.
         Sec. 616.005.  STATE REGULATORY AUTHORITY; DISCIPLINARY
  ACTION.  (a)  The appropriate state regulatory authority for the
  provision of counseling, therapy, or other mental health services
  must recognize as authorized by this state the artificial
  intelligence mental health services that are provided through an
  artificial intelligence technology that has been approved under
  this chapter.
         (b)  A person providing artificial intelligence mental
  health services must comply with the standards regarding
  professional ethics to which a licensed mental health professional
  providing the service would be held for providing the service
  without the use of an artificial intelligence technology.
         (c)  A person who provides artificial intelligence mental
  health services and who violates a provision of a professional
  licensing statute that would be applicable to a licensed mental
  health professional providing the service is subject to
  disciplinary action as provided by that licensing statute
  regardless of whether the person is licensed under that statute.
         Sec. 616.006.  REPORTING. A person who provides artificial
  intelligence mental health services shall maintain records of the
  person's provision of the services in the same manner required by
  the professional licensing statute that would be applicable to a
  licensed mental health professional providing the service.
         Sec. 616.007.  RULES. The executive commissioner shall
  adopt rules necessary to implement this chapter.
         SECTION 2.  This Act takes effect September 1, 2023.