104TH GENERAL ASSEMBLY State of Illinois 2025 and 2026 SB2259 Introduced 2/7/2025, by Sen. Laura Fine SYNOPSIS AS INTRODUCED: 225 ILCS 60/67 new Amends the Medical Practice Act of 1987. Defines terms. Provides that a health facility, clinic, physician's office, or office of a group practice that uses generative artificial intelligence to generate written or verbal patient communications pertaining to patient clinical information shall ensure that the communications meet certain criteria. Provides that a communication that is generated by generative artificial intelligence and read and reviewed by a human licensed or certified health care provider is not subject to the amendatory provisions. Provides that a violation of the amendatory provisions by a licensed health facility or a licensed clinic is subject to penalties as implemented by the Department of Financial and Professional Regulation by rule. Provides that a violation of the amendatory provisions by a physician is subject to penalties as determined by the Illinois State Medical Board. LRB104 09338 AAS 19396 b A BILL FOR 104TH GENERAL ASSEMBLY State of Illinois 2025 and 2026 SB2259 Introduced 2/7/2025, by Sen. Laura Fine SYNOPSIS AS INTRODUCED: 225 ILCS 60/67 new 225 ILCS 60/67 new Amends the Medical Practice Act of 1987. Defines terms. Provides that a health facility, clinic, physician's office, or office of a group practice that uses generative artificial intelligence to generate written or verbal patient communications pertaining to patient clinical information shall ensure that the communications meet certain criteria. Provides that a communication that is generated by generative artificial intelligence and read and reviewed by a human licensed or certified health care provider is not subject to the amendatory provisions. Provides that a violation of the amendatory provisions by a licensed health facility or a licensed clinic is subject to penalties as implemented by the Department of Financial and Professional Regulation by rule. Provides that a violation of the amendatory provisions by a physician is subject to penalties as determined by the Illinois State Medical Board. LRB104 09338 AAS 19396 b LRB104 09338 AAS 19396 b A BILL FOR 104TH GENERAL ASSEMBLY State of Illinois 2025 and 2026 SB2259 Introduced 2/7/2025, by Sen. Laura Fine SYNOPSIS AS INTRODUCED: 225 ILCS 60/67 new 225 ILCS 60/67 new 225 ILCS 60/67 new Amends the Medical Practice Act of 1987. Defines terms. Provides that a health facility, clinic, physician's office, or office of a group practice that uses generative artificial intelligence to generate written or verbal patient communications pertaining to patient clinical information shall ensure that the communications meet certain criteria. Provides that a communication that is generated by generative artificial intelligence and read and reviewed by a human licensed or certified health care provider is not subject to the amendatory provisions. Provides that a violation of the amendatory provisions by a licensed health facility or a licensed clinic is subject to penalties as implemented by the Department of Financial and Professional Regulation by rule. Provides that a violation of the amendatory provisions by a physician is subject to penalties as determined by the Illinois State Medical Board. LRB104 09338 AAS 19396 b LRB104 09338 AAS 19396 b LRB104 09338 AAS 19396 b A BILL FOR SB2259LRB104 09338 AAS 19396 b SB2259 LRB104 09338 AAS 19396 b SB2259 LRB104 09338 AAS 19396 b 1 AN ACT concerning regulation. 2 Be it enacted by the People of the State of Illinois, 3 represented in the General Assembly: 4 Section 5. The Medical Practice Act of 1987 is amended by 5 adding Section 67 as follows: 6 (225 ILCS 60/67 new) 7 Sec. 67. Use of generative artificial intelligence. 8 (a) As used in this Section: 9 "Artificial intelligence" means a machine-based system 10 that, for explicit or implicit objectives, infers, from the 11 input it receives, how to generate outputs such as 12 predictions, content, recommendations, or decisions that can 13 influence physical or virtual environments. "Artificial 14 intelligence" includes generative artificial intelligence. 15 "Clinic" means an organized outpatient health facility 16 that provides direct medical, surgical, dental, optometric, or 17 podiatric advice, services, or treatment to patients who 18 remain in the facility less than 24 hours, and that may also 19 provide diagnostic or therapeutic services to patients in the 20 home as an incident to care provided at the clinic facility. 21 "Clinic" does not mean a place, establishment, or institution 22 that solely provides advice, counseling, information, or 23 referrals on the maintenance of health or on the means and 104TH GENERAL ASSEMBLY State of Illinois 2025 and 2026 SB2259 Introduced 2/7/2025, by Sen. Laura Fine SYNOPSIS AS INTRODUCED: 225 ILCS 60/67 new 225 ILCS 60/67 new 225 ILCS 60/67 new Amends the Medical Practice Act of 1987. Defines terms. Provides that a health facility, clinic, physician's office, or office of a group practice that uses generative artificial intelligence to generate written or verbal patient communications pertaining to patient clinical information shall ensure that the communications meet certain criteria. Provides that a communication that is generated by generative artificial intelligence and read and reviewed by a human licensed or certified health care provider is not subject to the amendatory provisions. Provides that a violation of the amendatory provisions by a licensed health facility or a licensed clinic is subject to penalties as implemented by the Department of Financial and Professional Regulation by rule. Provides that a violation of the amendatory provisions by a physician is subject to penalties as determined by the Illinois State Medical Board. LRB104 09338 AAS 19396 b LRB104 09338 AAS 19396 b LRB104 09338 AAS 19396 b A BILL FOR 225 ILCS 60/67 new LRB104 09338 AAS 19396 b SB2259 LRB104 09338 AAS 19396 b SB2259- 2 -LRB104 09338 AAS 19396 b SB2259 - 2 - LRB104 09338 AAS 19396 b SB2259 - 2 - LRB104 09338 AAS 19396 b 1 measures to prevent or avoid sickness, disease, or injury, 2 where that advice, counseling, information, or referral does 3 not constitute the practice of medicine, surgery, dentistry, 4 optometry, or podiatry. 5 "Generative artificial intelligence" means an automated 6 computing system that, when prompted with human prompts, 7 descriptions, or queries, can produce outputs that simulate 8 human-produced content, including, but not limited to, the 9 following: 10 (1) textual outputs, such as short answers, essays, 11 poetry, or longer compositions or answers; 12 (2) image outputs, such as fine art, photographs, 13 conceptual art, diagrams, and other images; 14 (3) multimedia outputs, such as audio or video in the 15 form of compositions, songs, or short-form or long-form 16 audio or video; and 17 (4) other content that would be otherwise produced by 18 human means. 19 "Health care provider" means a physician, a registered 20 professional nurse, or other individual appropriately 21 licensed, certified, or registered to provide health care 22 services. 23 "Health facility" means a facility, place, or building 24 that is organized, maintained, and operated for the diagnosis, 25 care, prevention, and treatment of physical or mental human 26 illness, including convalescence and rehabilitation and SB2259 - 2 - LRB104 09338 AAS 19396 b SB2259- 3 -LRB104 09338 AAS 19396 b SB2259 - 3 - LRB104 09338 AAS 19396 b SB2259 - 3 - LRB104 09338 AAS 19396 b 1 including care during and after pregnancy, or for any one or 2 more of these purposes, for one or more persons, to which the 3 persons are admitted for a 24-hour stay or longer. 4 "Office of a group practice" means an office or offices in 5 which 2 or more physicians are legally organized as a 6 partnership, professional corporation, or not-for-profit 7 corporation. 8 "Patient clinical information" means information relating 9 to the health status of a patient. "Patient clinical 10 information" does not include administrative matters, 11 including, but not limited to, appointment scheduling, 12 billing, or other clerical or business matters. 13 "Physician's office" means an office of a physician in 14 solo practice. 15 (b) A health facility, clinic, physician's office, or 16 office of a group practice that uses generative artificial 17 intelligence to generate written or verbal patient 18 communications pertaining to patient clinical information 19 shall ensure that the communications include both of the 20 following: 21 (1) A disclaimer that indicates to the patient that 22 the communication was generated by generative artificial 23 intelligence and that is provided in the following manner: 24 (A) for written communications involving physical 25 and digital media, including letters, emails, and 26 other occasional messages, the disclaimer shall appear SB2259 - 3 - LRB104 09338 AAS 19396 b SB2259- 4 -LRB104 09338 AAS 19396 b SB2259 - 4 - LRB104 09338 AAS 19396 b SB2259 - 4 - LRB104 09338 AAS 19396 b SB2259 - 4 - LRB104 09338 AAS 19396 b