MA S2632

Requires therapy and psychotherapy services in Massachusetts to be conducted by licensed professionals, prohibiting AI-only mental health treatment including internet-based AI therapy platforms

Permits licensed therapists to use AI only for administrative tasks (scheduling, billing) and supplementary support (record-keeping, data analysis), but prohibits AI from making therapeutic decisions, directly communicating with clients, detecting emotions, or generating treatment plans without human review

Mandates written informed consent from patients before AI can be used to record or transcribe therapy sessions, with consent requirements excluding general terms-of-use agreements or deceptive practices

Prohibits health insurers from using AI to deny, delay, or modify healthcare services based on medical necessity—such determinations must be made by licensed physicians or healthcare professionals reviewing individual patient circumstances

Establishes civil penalties up to $10,000 per violation for therapy-related infractions enforced by the Division of Occupational Licensure, and allows insured individuals to sue insurers for AI-related violations with damages up to $5,000 per violation plus punitive damages and attorney's fees