California Medical Board debates AI healthcare regulation and impacts on patient communication

The Physician Assistant Board of California convened on April 21, 2025, to discuss significant legislative developments affecting the practice of physician assistants, particularly concerning the use of artificial intelligence (AI) in healthcare and the implications of a new bill regarding licensing exams for non-English speakers.

A primary focus of the meeting was a bill currently under review by the Assembly's Business and Consumer Protection Committee. This legislation aims to regulate the use of AI in healthcare communications, ensuring that patients are aware when they are interacting with AI rather than a licensed healthcare professional. Board members expressed concerns about the bill's maturity and the potential risks of legislating in an area that is rapidly evolving. Some members advocated for a cautious approach, suggesting a "wait and see" strategy to better understand the implications of AI in healthcare before taking a definitive stance.

The discussion highlighted the need for clarity in the bill regarding the responsibilities of healthcare boards in enforcing its provisions. Board members raised concerns about the financial burden of enforcement, questioning why their budget should cover a statewide issue. They agreed to communicate these concerns to the bill's authors, emphasizing the need for support from the legislature.

In addition to the AI bill, the board reviewed another piece of legislation that would allow applicants for certain licenses to use interpreters during exams if they cannot read, speak, or write in English. However, board members noted that this bill may not directly impact the Physician Assistant Board, as it does not administer state licensing exams but relies on national certification processes.

The board ultimately decided to oppose the interpreter bill unless amendments are made to clarify its applicability to national exams. They expressed the need for exemptions to avoid regulatory complications that could arise from the bill's current language.

The meeting concluded with a commitment to monitor both legislative developments closely and to advocate for necessary changes to ensure that the interests of physician assistants and public safety are adequately protected.