Policymakers weigh using AI as a first-line mental health gatekeeper.

A Forbes column reviews a proposal to make generative AI and large language models the required first-line screen and initial intervention for mental health, noting that some states have adopted AI-related rules while federal legislation remains undeveloped.

A Forbes column examines a proposal that generative AI and large language models be used as a required first-line gatekeeper and to provide initial, first-aid style mental health intervention. The author frames this as a developing national discussion with significant legal and policy implications. The piece notes widespread public use of generative AI for mental health guidance and that some states have begun to adopt new AI-related laws. At the same time, federal legislation has not yet been established and the topic remains contested. Key points: - The proposal would require people to use AI tools for initial mental health screening and could include AI-delivered first-line interventions. - The author reports that many people already consult generative AI for mental health matters, and that widespread access and low cost are central to the proposal's appeal. - A handful of states, including Illinois, Utah and Nevada, have enacted or considered laws addressing AI and mental health; the article notes these laws may face court challenges. - Supporters say AI screening could scale broadly, lower costs, provide 24/7 access and help reserve human therapists for more complex cases. - Critics raise concerns about inappropriate or harmful advice, screening errors (false positives and negatives), unclear liability, and the risk that AI intervention could gradually displace human care; the piece also cites a recent JAMA Psychiatry discussion of AI’s transformative potential in mental health. Summary: The debate could shape how mental health care is accessed and how state and possibly federal laws define AI’s role in screening and initial care. Some states have moved ahead with legislation and legal tests may follow, while broader federal rules remain undeveloped. Undetermined at this time.