TX SB 1188 (AI in Health Records)
Texas Senate Bill 1188 — Artificial Intelligence and Electronic Health Records
Texas · Tex. S.B. 1188, 89th Leg., R.S. (2025); Tex. Health & Safety Code ch. 183, Secs. 183.005, 183.011
- Status
- In effect
- Took effect
- September 1, 2025
- Applies to
- Health care practitioners using AI for diagnostic purposes and covered entities that handle electronic health records / protected health information.
- Enforced by
- Texas Attorney General
Texas allows health care practitioners to use artificial intelligence for diagnostic purposes, including treatment recommendations, as long as they stay within the scope of their license and follow applicable law. When a practitioner uses AI in that diagnostic role, they must tell the patient they are doing so. The attorney general can sue to stop violations and seek civil penalties, which increase sharply for knowing or intentional conduct and for misusing protected health information for financial gain. The broader law also adds security, access, and U.S. data-storage requirements for electronic health records.
Who is protected: Patients of Texas health care practitioners, including patients whose protected health information is processed by covered entities.
Legal detail
S.B. 1188 (89th Leg., R.S.) adds Chapter 183 to the Texas Health and Safety Code; Sec. 183.005 permits practitioner use of AI for diagnostic purposes subject to scope-of-license limits and mandatory patient disclosure, and Sec. 183.011 authorizes AG injunctive relief plus tiered civil penalties.
Key facts
| Jurisdiction | Texas |
|---|---|
| Level | State |
| Strength | Limited |
| Enacted | June 20, 2025 |
| Citation | Tex. S.B. 1188, 89th Leg., R.S. (2025); Tex. Health & Safety Code ch. 183, Secs. 183.005, 183.011 |
| Private right of action | No, agency enforcement only |
| Penalties | Injunctive relief plus civil penalties of up to $5,000 per negligent violation per year, up to $25,000 per knowing or intentional violation per year, and up to $250,000 for a violation in which a covered entity knowingly or intentionally used protected health information for financial gain. |
| Topics | healthcare AI · AI disclosure and transparency |
| Bill text | Texas Legislature Online — S.B. 1188, Enrolled Bill Text, 89th Legislature (R.S.) |
More AI rules in Texas
- TX TDI Bulletin B-0003-26 (AI in insurance) · In effect
- Texas Gov. Abbott data center grid-connection audit freeze · In effect
- Texas HB 3512 government AI training mandate (2025) · In effect
- Texas TWDB data center water reporting penalties (2026) · In effect
- Texas Abbott halt on state funding for Flock cameras (2026) · In effect
- Texas AG data center water-reporting investigation (2026) · In effect
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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