IA, US · AI law tracker

HSB 766 — IA, US

HSB 766 is an AI governance legislation from IA, currently introduced. Iowa HSB 766 proposes to license entities operating AI-augmented and autonomous clinical services [1]. AIGI tracks 1 primary-source update on this bill; the most recent was published on 2026-03-18.

Status & timeline

Regulatory stage
introduced
Bill status
introduced
Authority / governing body
Iowa Legislature
Chamber
house
Document type
legislation

Next deadline: No fixed deadline — effective upon passage and enactment

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Full obligation matrix

ActorObligationDeadlineSource
AAASPBe licensed pursuant to this chapter to operate clinical AI services.
AAASPDesignate a natural person as a responsible official who is authorized to bind the AAASP for compliance and administrative matters.
AAASPDesignate a licensed physician and surgeon or osteopathic physician and surgeon as a medical director to provide clinical oversight.
Licensed health care provider or user of Advisory AIReview, contextualize, and determine whether and how to act upon the suggestion for each patient encounter.

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Enforcement risk score

25
/ 100

Announced regulation; enforcement footprint still forming.

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Role-based compliance checklist

  • compliance_officer Monitor HSB 766's progress through the Iowa Legislature.
  • general_counsel Analyze potential future licensure requirements for clinical AI services in Iowa.
  • chief_ai_officer Prepare for potential requirements to designate a responsible official and medical director for AI services.

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Vendor impact assessment

Vendor risk class
high
Procurement categories
healthcare_ai

Vendors providing or developing clinical AI services for deployment in Iowa will need to anticipate and potentially align their product design, governance, and operational processes with future state licensure and oversight requirements for Artificial Intelligence Augmented and Autonomous Service Providers (AAASPs), including explicit definitions for different AI types and adverse event reporting.

Sample vendor questions

  1. Are your clinical AI services designed to meet future Iowa licensure requirements for AAASPs?
  2. Do your clinical AI services have features supporting human oversight, especially for advisory AI as defined by Iowa law?
  3. How do you track and report adverse events associated with your clinical AI services?
  4. What governance structures do you have in place for designating responsible officials and medical directors for your AI offerings?
  5. Can your AI system differentiate between advisory, fully autonomous, and informational AI as defined in this bill?

Intelligence briefs (1)

Frequently asked questions

What is HSB 766?
Iowa House Study Bill 766 introduces a framework for the licensure of artificial intelligence augmented and autonomous service providers (AAASPs) [1]. The bill proposes the creation of a “board of autonomous medical practice” to oversee these entities and defines its composition [2]. It also establishes various AI categories within clinical services, including “advisory AI,” “fully autonomous AI,” and “clinical AI service” [3]. Primary source →
Why does HSB 766 matter?
This introduces a state-level licensure regime specific to AI deployers in healthcare, impacting regulatory oversight and operational models. Primary source →
Who does HSB 766 affect?
Organizations deploying or developing clinical AI services in Iowa are directly within scope. This includes entities that provide software systems, algorithmic models, or automated services that perform, support, or materially influence functions constituting medical or clinical practice. Healthcare providers, technology companies, and AI developers offering services within Iowa may be affected, particularly those involved in diagnosis, treatment, triage, or prescribing functions. Primary source →
What are the key dates for HSB 766?
No fixed deadline — effective upon passage and enactment Primary source →
What is the current status of HSB 766?
As of the last published update, HSB 766 is at the "introduced" stage, with bill status "introduced". Primary source →
Where can I find the primary source for HSB 766?
The primary source for the most recent update is at https://www.legis.iowa.gov/publications/search/document?fq=id:1603310&q=artificial+intelligence. AIGI publishes the full citation chain plus every approved brief on this bill. Primary source →

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