HealthTech January 21, 2026
Matt Fiedler

California’s SB 243 and AB 489 require guardrails for conversational artificial intelligence: continuous disclosure, self-harm interventions and prohibitions on misleading medical authority.

The rise of artificial intelligence in 2025 was historic by any measure, and its widespread adoption has forced debate and policy to come together quickly to help with safe, fair use and governance. As we enter a new year, AI regulation in the U.S. is no longer an abstract debate. It has become operational reality.

Until now, discussions around AI governance have lived in white papers, statements of principle and future-facing roadmaps. However, on Jan. 1, California moved that conversation into production. Two new state laws are now in effect, and both focus on a deceptively simple question:...

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Topics: AI (Artificial Intelligence), Govt Agencies, Patient / Consumer, Provider, States, Technology
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