HB191 – Medical Professionals, Titles, and Nonhuman Entities

DELawState

Date Passed

4/23/2026

Effective Date

4/23/2026

Summary

Amends Delaware health-professional licensing laws to clarify that nonhuman entities, including agents powered by artificial intelligence, may not be licensed as professional nurses, advanced practice registered nurses, practical nurses, physicians, or physician assistants and may not use protected nursing, physician, or physician-assistant titles and abbreviations.

Healthcare Implications

Directly limits how AI agents and clinical chatbots can be presented in Delaware health care. Health systems and vendors should avoid interfaces, marketing, or automated communications that imply an AI system is a licensed nurse, physician, doctor, medical doctor, doctor of osteopathy, surgeon, or physician assistant.

Operational Implications

  • A nonhuman entity, including an AI-powered agent, may not be licensed as a professional nurse, APRN, practical nurse, physician, or physician assistant and may not use protected titles or abbreviations such as nurse, RN, LPN, APRN, doctor, physician, surgeon, MD, DO, or PA.

Impact Level

Medium

Keywords

Transparency & Governance; Clinical Quality & Efficacy; Safety & Risk

Stakeholders

Providers & Health Systems; Patients & Public; Developers & Vendors; Regulators & Government