Policy

The pathway to regulated AI doctors

Doctors need a license to treat patients. AI doctors should too. We’re working with lawmakers to create one. This is our proposed framework, not current law. The linked New Hampshire working draft has not been introduced as a bill.

Four levels of license

An AI doctor moves up a level only after it proves it’s safe.

  1. 1 Advice with a doctor A licensed clinician makes every decision.
  2. 2 Supervised care Simple, listed tasks with a doctor overseeing.
  3. 3 Independent care A small set of conditions, proven safe first.
  4. 4 Expanded care New conditions added one at a time.

Your rights as a patient

You know who’s helping you You’re told what the AI can do, what it can’t, and how to reach a person.
You decide Independent AI care needs your permission. You can say no any time.
You can ask for a person A human can review any decision about your care.
You get your records Ask for a full copy of your record whenever you want.
No ads in your care Recommendations can’t be paid for or secretly steered.
You can report problems File a complaint directly with the state.

Someone is always accountable

The company is responsible Held to the same standard of care as a licensed professional.
Updates are reviewed High-risk changes need state approval before they go live. Other material changes need notice and a change-impact assessment. Urgent safety or security patches can go live immediately and must be reported within 72 hours.
72h Problems are reported fast Serious reportable events go to the state within 72 hours, or within 24 hours if they present ongoing imminent danger.
Limits on autonomous careThe draft excludes these from autonomous authority unless separately authorized by statute.
  • Prescribe controlled substances
  • Perform surgery
  • Order involuntary treatment
  • Provide emergency stabilization on their own