The Texas Responsible AI Governance Act took effect January 1, 2026. For health care providers it carries a specific obligation: patients must be informed when an AI system is involved in delivering their care or treatment. Civil penalties run from $10,000 to $200,000 per violation. The question for any system operating in Texas is mechanical, not philosophical: which clinical workflows currently touch AI, who is accountable for the disclosure, and how is it documented. Most governance programs do not yet hold a complete inventory of where AI sits in the care pathway, which is the first thing this law forces them to produce.
Compliance
Texas now requires disclosing AI use in diagnosis and treatment
Texas now requires providers to tell patients when AI is used in their care, with civil penalties up to $200,000 per violation.
CHARGE and Grid Health
CHARGE publishes independently. Grid Health, built in response to its members, runs the AI operations center health systems use to monitor models, detect drift, and govern AI in production.
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