FSMB AI Guidance
Federation of State Medical Boards — Navigating the Responsible and Ethical Incorporation of AI into Clinical Practice
United States · FSMB Policy (Apr. 26, 2024)
- Status
- In effect
- Took effect
- April 26, 2024
- Applies to
- Voluntary; framework for U.S. state medical boards to adopt
- Enforced by
- State medical boards (varies)
FSMB adopted a national framework guiding all U.S. state medical boards on what physicians must do when using AI: maintain transparency with patients, ensure AI tools are appropriate to use, supervise AI outputs, and protect patient privacy. States are adopting it as the model framework.
Who is protected: Patients treated by U.S. physicians using AI clinical tools
Legal detail
Federation of State Medical Boards, 'Navigating the Responsible and Ethical Incorporation of AI into Clinical Practice' (adopted April 26, 2024). Recommends state medical boards adopt regulations covering physician competence in AI, informed consent, patient transparency, supervision of AI tools, and accountability for AI-assisted clinical decisions.
Key facts
| Jurisdiction | United States |
|---|---|
| Level | Federal |
| Strength | Limited |
| Enacted | April 26, 2024 |
| Citation | FSMB Policy (Apr. 26, 2024) |
| Private right of action | No, agency enforcement only |
| Penalties | Medical license discipline as adopted state-by-state |
| Topics | healthcare AI · automated decision-making · consumer protection |
| Agency page | FSMB — Navigating the Responsible and Ethical Incorporation of AI into Clinical Practice |
More AI rules in United States
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- NAIC AI Evaluation Tool Pilot (12 states, 2026) · Proposed / pending
- FTC Proposed Policy Statement — AI Accuracy (July 2026) · Proposed / pending
Related healthcare AI rules elsewhere
- Missouri AI Therapy Chatbot Ban (SB 1019) · In effect
- PA v. Character.AI (Fake Psychiatrist Chatbot) · Blocked / in litigation
- RI Therapy Chatbot Ban (2026) · In effect
- RI AI Companion Self-Harm Safety (2026) · Enacted (not yet in effect)
- California AB 489 (AI healthcare chatbot misrepresentation ban) · In effect
- AZ HB 2175 (AI Insurance Denial — Physician Review) · In effect
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