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States screened 793 AI health bills in three and a half years. Only 28 even mentioned mental health, and not one protects the transcript an AI makes of your worst night. Meanwhile, $14.2 billion in venture money poured into digital health in 2025 alone. Here is who holds your therapy data today, and who should.
Patients are mostly fine with an AI scribe writing the note. What they refuse is handing the recording to a for-profit company: 25.4% willing, versus 80.2% for research groups, across 117,905 people. The scribe works. The rules around it barely exist. Here is what to ask before you say yes.
In 2025 and 2026, a wave of state laws settled a question the field had been arguing for years: AI can do the paperwork, but a licensed human owns the care. Illinois, Nevada, and Maine wrote nearly identical lines, and they match what clinicians have wanted all along.
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