Law / United States / 
Delaware
House Bill 191 (2026), medical professional title protection against nonhuman and AI entities
In force since .
An AI prohibited practices rule binding public and private bodies.
- How the hook was established
- express
- What makes it apply
- Place of effect
- Obligation class
- Prohibition
- Audit expectation
- none
What it requires
- Do not license, certify, or hold out as licensed a nonhuman entity or AI agent to practice medicine, professional nursing, advanced practice registered nursing, practical nursing, or as a physician associate in Delaware.
- Do not let an AI system or agent use a protected physician, physician associate, or nursing title or abbreviation, including Doctor, Dr., Physician, Surgeon, Medical Doctor, MD, Doctor of Osteopathy, DO, Physician Associate, PA, Nurse, Registered Nurse, RN, Licensed Practical Nurse, LPN, Advanced Practice Registered Nurse, APRN, Certified Registered Nurse Anesthetist, CRNA, Clinical Nurse Specialist, CNS, Certified Nurse Practitioner, CNP, or Certified Nurse Midwife, CNM.
These lines are LexLint's reading of the law's text.
In the frameworks
- NIST AI RMF
- MAP 3.3Targeted application scope is specified and documented based on the system’s capability, established context, and AI system categorization.
- NIST AI 600-1
- GAI-RISK-08Information Integrity
- GAI-RISK-11Obscene, Degrading, and/or Abusive Content
- MIT mitigations Draft
- FINOS AIGF
- AIR-PREV-005System Acceptance Testing
- ETSI EN 304 223
Our reading of where this law's duties sit in each framework. It never says that running a control meets the law. How we read a framework against the law
Identifiers refer to ETSI EN 304 223 V2.1.1 (2025-12), © ETSI 2025, all rights reserved. ETSI owns the standard; no ETSI text (titles or sentences) is reproduced here. The standard is free to download from ETSI.
If you get it wrong
Criminal exposureYes
Criminal exposure note
A person who practices or attempts to practice medicine contrary to Title 24, Chapter 17, which reaches the sec. 1720(k)-(l) bar on a nonhuman entity being certified to practice medicine or using a physician title, is guilty of a class F felony under sec. 1766(a), fined not less than $1,000 nor more than $5,000 and imprisoned not more than 3 years, or both. A violation of Chapter 17 for which no other penalty is specified is a class B misdemeanor under sec. 1766(c). Representing a nonhuman entity as a physician associate contrary to Subchapter VI is fined not less than $500 nor more than $2,000 or imprisoned not more than 1 year, or both, under sec. 1774B(b). Using a protected nursing title or abbreviation for an entity not licensed under Chapter 19 is fined not more than $1,000, or imprisoned not more than 1 year, or both, under sec. 1925.
Who enforces it
Enforcement body
Delaware Board of Medical Licensure and Discipline, Regulatory Council for Physician Associates, and Board of Nursing, within the Division of Professional Regulation; the Delaware Department of Justice through Superior Court prosecution
What it makes you log
Logging duty
Sections 1720(k)-(l), 1773(d), and 1920(h)-(i) bar a nonhuman entity or AI agent from being licensed or certified to practice medicine, as a physician associate, or in nursing, and from using the associated professional titles. They impose no duty to create, keep, or produce a log or record of any kind.
- Kind
- None
- As of
What this law does
House Bill 191's progress status on the General Assembly's own bill tracker reads Signed 4/23/26. It amended Title 24 to add that a nonhuman entity, including an agent powered by artificial intelligence, may not be certified to practice medicine under sec. 1720(k). It may not be licensed as a physician associate under sec. 1773(d). It may not be licensed to practice professional nursing, as an advanced practice registered nurse, or as a practical nurse under sec. 1920(h).
The same sections separately bar such a nonhuman entity or AI agent from using the physician titles Doctor, Dr., Physician, surgeon, Medical doctor, MD, Doctor of osteopathy, and DO under sec. 1720(l). They bar it from using the title physician associate or the abbreviation PA under sec. 1773(d).
They bar it from using the nursing titles Advanced Practice Registered Nurse or APRN, Certified Registered Nurse Anesthetist or CRNA, Clinical Nurse Specialist or CNS, Certified Nurse Practitioner or CNP, Certified Nurse Midwife or CNM, Nurse, Registered Nurse or RN, Licensed Practical Nurse or LPN, and Doctor or Dr. under sec. 1920(i).
A person who practices or attempts to practice medicine contrary to Chapter 17, which reaches the sec. 1720(k)-(l) bar, is guilty of a class F felony under sec. 1766(a), fined not less than $1,000 nor more than $5,000 and imprisoned not more than 3 years, or both. A violation of Chapter 17 for which no other penalty is specified is a class B misdemeanor under sec. 1766(c).
Representing a nonhuman entity as a physician associate contrary to Subchapter VI is separately fined not less than $500 nor more than $2,000 or imprisoned not more than 1 year, or both, under sec. 1774B(b). Using a protected nursing title or abbreviation for an entity not licensed under Chapter 19 is fined not more than $1,000, or imprisoned not more than 1 year, or both, under sec. 1925.
When LexLint raises it
When your app profile says your app deploys a chatbot or makes health care decisions.
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