Status: Passed both chambers of the Louisiana Legislature and transmitted to Governor Jeff Landry for signature on May 28, 2026. The House passed HB 475 97-0 on April 14, 2026; the Senate passed it May 18, 2026. As of June 2026, the bill awaits the Governor's signature. Louisiana's governor has a standard signing window after receipt of enrolled legislation.
Bill Number: Louisiana HB 475 (2026 Regular Session)
Jurisdiction: Louisiana
Category: AI Governance, Healthcare AI, Patient Disclosure, AI Transcription
Industries: Healthcare, Hospitals, Physician Practices, Telehealth Providers, Behavioral Health, Long-Term Care, Physical Security in Healthcare Settings
Enacted Date: Pending gubernatorial signature (transmitted May 28, 2026)
Effective Date: To be determined upon signing; likely aligns with Louisiana's standard effective date for 2026 session legislation (August 1, 2026)
Summary: Louisiana HB 475 requires healthcare professionals to disclose to patients when a recording device, software, or service that uses artificial intelligence to transcribe is being used during an appointment or treatment. The bill emerged from the legislature's broader 2026 session focus on AI transparency and passed as part of a five-bill AI and privacy package that also included chatbot disclosure, consumer data privacy, and biometric-related measures. The bill passed the House unanimously 97-0 and cleared the Senate without significant opposition before transmission to Governor Landry. The original bill included an explicit patient consent requirement and opt-out option, but committee amendments narrowed the scope to a disclosure mandate — healthcare professionals must inform patients that AI transcription is in use, but are not required to obtain advance consent or offer an opt-out.
Key Requirements:
- Disclosure Obligation: Healthcare professionals must disclose to patients when an AI transcription recording device, software, or service is being used during an appointment or treatment. The disclosure must occur at or before the time the AI transcription begins.
- Scope: Applies to all healthcare professionals in Louisiana — including physicians, nurses, mental health practitioners, physical therapists, and other licensed providers — in any clinical setting where AI-assisted transcription is used.
- AI Transcription Definition: The bill covers recording devices, software, or services that use AI to transcribe — encompassing ambient listening tools, AI-powered EHR documentation assistants (such as Nuance DAX, Abridge, and similar products), and telehealth AI transcription services.
- No Consent Requirement (as enacted): The bill was amended from its original form, which required patient consent. As enacted, healthcare professionals must disclose AI transcription use but are not required to obtain patient consent or provide an opt-out.
Regulatory Context: Louisiana HB 475 is part of an accelerating state-level trend toward requiring transparency about AI use in clinical settings. At least a dozen states introduced similar bills during the 2026 legislative session, and Connecticut's SB 5 (Public Act 26-15) separately addresses AI disclosure in K-12 settings. The Louisiana bill reflects the healthcare sector's significant adoption of AI ambient documentation tools — a market that grew rapidly after CMS began covering AI-assisted clinical documentation in 2025. As AI transcription becomes standard in clinical workflows, patient awareness requirements are increasingly seen as a baseline consumer-protection norm.
IntelliSee Relevance: High — Healthcare Market. Healthcare is one of IntelliSee's primary verticals. Hospitals, health systems, outpatient facilities, and behavioral health campuses that deploy IntelliSee for fall detection, aggressive behavior monitoring, and weapons detection will increasingly encounter Louisiana HB 475 compliance obligations in the same facilities where IntelliSee systems are installed. Key implications:
- AI Governance Momentum: Louisiana's unanimous passage of HB 475 signals that healthcare AI transparency is becoming a bipartisan, consensus regulatory norm. Hospitals building AI governance frameworks should treat this as the floor, not the ceiling.
- IntelliSee Positioning: IntelliSee's camera-based safety analytics operate on a different disclosure model — the platform monitors facility environments for safety events, not individual patient interactions. Louisiana HB 475 does not reach visual safety monitoring of facility common areas. However, facilities deploying AI in patient-facing contexts (including AI transcription) and AI in safety monitoring contexts should build unified AI disclosure practices that cover both categories.
- Contracting and Vendor Management: Louisiana healthcare facilities that use ambient AI documentation vendors (Nuance, Abridge, etc.) in addition to IntelliSee should ensure their technology vendor agreements include representations about disclosure-compliant workflows.
Compliance Timeline
- April 14, 2026 — Louisiana House passes HB 475, 97-0.
- May 18, 2026 — Louisiana Senate passes HB 475.
- May 28, 2026 — Enrolled bill transmitted to Governor Jeff Landry for signature.
- TBD (anticipated summer 2026) — Governor's signature and effective date determination.
- Likely August 1, 2026 — Standard Louisiana effective date for 2026 regular session legislation enacted after May 28, absent an emergency clause.
Related Legislation & Resources
- Connecticut AI Responsibility and Transparency Act (SB 5 / Public Act 26-15, 2026)
- California AI Transparency Act (AB 853, 2026)
- OSHA Workplace Violence Prevention Standard (Proposed Rulemaking)
- IntelliSee Fall Detection
- IntelliSee Aggressive Behavior Detection
- IntelliSee AI Gun Detection
Bill text and history: Louisiana Legislature — HB 475 (2026 Regular Session)