restrict the use of artificial intelligence in therapy and psychotherapy services and to provide a penalty therefor.
HB 1144 would restrict how artificial intelligence (AI) can be used in therapy and psychotherapy services in South Dakota. Licensed therapists (including psychologists, social workers, counselors, and marriage and family therapists) would be prohibited from using AI to make treatment decisions, interact directly with clients during sessions, generate treatment plans without review, or detect emotions - except for specific administrative tasks like scheduling, billing, or anonymized data analysis. The bill requires written client consent for AI recording of sessions, with strict rules against obtaining consent through vague agreements or deceptive tactics. Violations could result in civil penalties of up to $10,000 per incident, with therapists retaining full responsibility for all AI-assisted interactions.
Bill status
died
1 of 4 stages cleared
Introduction
Jan 2026
Committee Review
Floor Vote
Governor
Introduced Jan 27, 2026
Last action Feb 2, 2026
Floor votes
How they voted
No floor votes recorded yet.
Full legislative history
Actions timeline
Total actions
2
Key actions
0
Committee
0
1 primary · 0 co-sponsors
Sponsors
Role
Legislator
Party
State
District
P
Taylor Rehfeldt
RRepublican
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