IL SB 3702: REGISTERED NURSE USE OF AI

In one paragraph

Illinois's SB 3702 would amend the Nurse Practice Act to bar AI systems from providing nursing services in place of a registered professional nurse in direct patient care, require a nurse to get patient consent before AI records or analyzes an encounter, and require written notice that AI supports but does not replace the nurse. Health care entities employing nurses and deploying AI in direct patient care would have to keep validation and bias monitoring records, train nurses, and not rely solely on AI for staffing, triage, admission, discharge or transfer decisions. Introduced February 5, 2026; re-referred to Assignments May 22, 2026 under Senate Rule 3-9(a); it has not passed either house.

Plain-English summary, written with AI assistance. The official text controls.

What it means for business

None yet: the bill has not been enacted. Health care entities that employ registered nurses and deploy AI in direct patient care would have to keep validation and bias records, train nurses, and bar AI-only staffing or triage decisions.

Key provisions

1. 1Sec. 60-36: a registered professional nurse would need patient consent before using AI to record, transcribe, summarize or analyze a clinical encounter; consent could not come from prechecked boxes, blanket terms of service or other dark patterns, and could be revoked at any time
2. 2Sec. 60-37: an AI system could not provide nursing services in place of a registered professional nurse in direct patient care, or perform nursing assessment, nursing judgment, nursing diagnosis, care plans, delegation decisions or evaluation; AI output would be advisory only
3. 3Sec. 60-38: nurses would use AI only as clinical decision support or for administrative tasks, remain accountable for nursing services, and could refuse its use when patient safety requires, without employer retaliation for good faith refusal
4. 4Sec. 60-39: the treatment record would list the AI system's name, version and role, and patients would get plain-language written notice in the admission packet and posted in the care setting that AI supports and does not replace the nurse
5. 5Sec. 70-27: a health care entity employing registered nurses and deploying AI in direct patient care would have to keep validation and bias monitoring records for each system and give them to the Department of Financial and Professional Regulation on request, train nurses on intended use, data limits and failure modes, give nurses access to the data inputs and key factors behind recommendations, and bar staffing, triage, admission, discharge or transfer decisions relying solely on AI
6. 6The Department could investigate any health care entity for violations and impose a civil penalty on an entity that violates Sec. 70-27, each day of noncompliance being a separate offense; a nurse's violations would be grounds for discipline under Sec. 70-5
7. 7Sec. 60-42: the new sections would not apply to nonclinical public information services or to administrative uses such as supply management, room assignment logistics or claims processing that do not displace a nurse's clinical judgment
8. 8Status: introduced February 5, 2026, assigned to Executive and sent to AI and Social Media February 18, 2026; re-referred to Assignments May 22, 2026 (Rule 3-9(a)); not passed by either chamber. As introduced, effective upon becoming law

Latest legislative action

May 22, 2026. Rule 3-9(a) / Re-referred to Assignments

Sponsors

Related and companion bills

• Illinois HB 4804Registered Nurse Use of AI