The proposed "AI Medical Services Act" establishes a regulatory framework for the use of artificial intelligence (AI) in healthcare within Idaho. It introduces the concept of "artificial intelligence augmented and autonomous service providers" (AAASPs) and outlines their licensure and operational categories, which include advisory, fully autonomous, and supervised autonomous roles. The act emphasizes patient safety and ethical oversight, requiring AAASPs to disclose their use of AI in clinical decisions and prioritize patient welfare over financial interests. A newly formed Board of Autonomous Medical Practice will oversee the licensing process, monitor compliance, and ensure that AI services adhere to state and federal regulations.

Additionally, the legislation mandates that by July 1, 2027, the Department of Insurance must provide guidance on how the insurance code applies to AAASPs, ensuring they are recognized as eligible providers for reimbursement under health plans. The bill also includes provisions for a regulatory sandbox for provisional licensing, ethical oversight requirements, and mandates for maintaining clinical logic snapshots of AI algorithms. It clarifies that the development of AI models is not restricted as long as they are not marketed as clinical services, and it establishes that AI-enabled healthcare services are presumed authorized unless specific safety risks are identified. The act is set to take effect on July 1, 2026.