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AI law comparison · Data verified 2026-08-26

Maryland Healthcare AI Act vs Nevada Mental Health AI Law

Maryland Healthcare AI Act and Nevada Mental Health AI Law are two of the 169 AI and data regulations Aegis Firma tracks. They have different scopes, effective dates, and penalties — and many businesses fall under both. Here is the side-by-side, drawn directly from the regulatory registry.

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Side by side

Attribute
Maryland Healthcare AI Act
Nevada Mental Health AI Law
Region
US-MD
US-NV
Effective date
2024-04-22
2024-02-23
Enforcement begins
Who must comply
THREE SURFACES, DIFFERENT SCOPES AND DIFFERENT LEGAL WEIGHT — the distinction is the point and must not be smoothed over. (A) MIA BULLETIN 24-11 (22 Apr 2024) reaches ALL Insurers, Nonprofit Health Service Plans, Health…
Three distinct populations. (1) INSURANCE — Bulletin 24-001 applies to all insurers subject to Title 57 of NRS that hold a Nevada certificate of authority and use advanced analytical or computational technologies, includ…
Maximum penalty
No AI-specific penalty schedule exists; exposure routes to the existing Insurance Article tracks (all fetched from mgaleg.maryland.gov this round): Md. Code, Insurance § 4-113(d) — instead of or in addition to suspending or revoking a certificate of authority, a penalty of not less than $100 but not more than $125,000 for EACH violation of the article, plus restitution to any person who suffered financial injury; § 27-305(a) — not exceeding $2,500 for each violation of § 27-303 (unfair claim settlement practices) and not exceeding $125,000 for each violation of § 27-303(9); § 15-10B-12(b)(4) — an administrative penalty of up to $5,000 for each violation of any provision of the private-review-agent subtitle (which is where § 15-10B-05.1 sits), alongside certificate denial/suspension/revocation, cease-and-desist, and patient restitution; § 15-10B-12(a) — misdemeanor, penalty not exceeding $1,000, each day a violation continues after the first conviction a separate offense; and § 1-301 — a willful violation of the article is a misdemeanor subject to a fine not exceeding $100,000.
AB 406: civil penalties up to $15,000 per violation for providers offering prohibited mental/behavioral healthcare AI, plus Nevada licensing board discipline (suspension/revocation) for licensed clinicians. INSURANCE (Bulletin 24-001 routes through the Unfair Trade Practices Act): administrative fine of not more than $5,000 for each act or violation of NRS 686A.010–686A.310 where the person knew or reasonably should have known of the violation, except that for licensed agents, brokers, solicitors and adjusters the fine must not exceed $500 per act, plus suspension or revocation of the license (NRS 686A.183(1)); a further administrative fine of not more than $5,000 for each and every violation of a resulting cease-and-desist order, plus suspension or revocation (NRS 686A.187). Corporate Governance Annual Disclosure: civil penalty of $1,500 for each day of late filing, capped at $100,000 (NRS 692C.3509). Independent utilization-review agents: fine of not more than $1,000 for violating NRS 683A.375–683A.378 (NRS 683A.379).
Compliance requirements
19 tracked
15 tracked
Enforcement actions on record
None on record yet
None on record yet
Data last verified
2026-08-26
2026-08-26

Summary of publicly available regulatory text. Verify against current official sources before relying on this for compliance decisions. Not legal advice.

The key difference

Nevada Mental Health AI Law takes effect first, so it is usually the more urgent of the two. Maryland Healthcare AI Act tracks 19 compliance requirements and Nevada Mental Health AI Law tracks 15. They are not interchangeable — meeting one does not discharge the other. The practical question is not which law is “stricter,” but which of them — or both — actually applies to your business.

US-MD

Maryland Insurance AI Surface — MIA Bulletin 24-11, HB 820/SB 474 Utilization-Review AI (Ins. § 15-10B-05.1), and Bulletin 25-10 Imagery

Maryland regulates insurance AI on THREE stacked surfaces, and only the third is healthcare-specific. (1) MIA BULLETIN 24-11, "The Use of Artificial Intelligence Systems in Insurance", issued 22 April 2024 by Commissioner Kathleen A. Birrane to all Insurers, Nonprofit Health Service Plans, Health Maintenance Organizations, and Dental Plan Organizations ("Carriers") holding a Maryland certificate of authority — Maryla…

Full Maryland Healthcare AI Act requirements
US-NV

Nevada AI Stack — DOI Bulletin 24-001 (NAIC AI Model Bulletin), AB 406 Mental/Behavioral Healthcare AI, Utilization-Review and Claim-Denial Law

Nevada regulates AI through three separate surfaces. (1) INSURANCE — Division of Insurance Bulletin 24-001, "Use of Artificial Intelligence Systems by Insurers" (issued 23 February 2024, signed by Commissioner Scott J. Kipper), Nevada's adoption of the NAIC Model Bulletin on the Use of Artificial Intelligence Systems by Insurers (NAIC-adopted 4 December 2023). It applies to all insurers subject to Title 57 of NRS hol…

Full Nevada Mental Health AI Law requirements

Common questions

Could both Maryland Healthcare AI Act and Nevada Mental Health AI Law apply to my business?

Yes. Maryland Healthcare AI Act and Nevada Mental Health AI Law are separate regulations with separate scopes — a business can fall under both at once. Maryland Healthcare AI Act covers THREE SURFACES, DIFFERENT SCOPES AND DIFFERENT LEGAL WEIGHT — the distinction is the point and must not be smoothed over. Nevada Mental Health AI Law covers Three distinct populations. If your operations meet both scopes, you must comply with both. Aegis Firma's free scan checks all 169 tracked regulations against your business profile so you do not have to read each law to find out.

Which has the higher maximum penalty — Maryland Healthcare AI Act or Nevada Mental Health AI Law?

Maryland Healthcare AI Act: No AI-specific penalty schedule exists; exposure routes to the existing Insurance Article tracks (all fetched from mgaleg.maryland.gov this round): Md. Code, Insurance § 4-113(d) — instead of or in addition to suspending or revoking a certificate of authority, a penalty of not less than $100 but not more than $125,000 for EACH violation of the article, plus restitution to any person who suffered financial injury; § 27-305(a) — not exceeding $2,500 for each violation of § 27-303 (unfair claim settlement practices) and not exceeding $125,000 for each violation of § 27-303(9); § 15-10B-12(b)(4) — an administrative penalty of up to $5,000 for each violation of any provision of the private-review-agent subtitle (which is where § 15-10B-05.1 sits), alongside certificate denial/suspension/revocation, cease-and-desist, and patient restitution; § 15-10B-12(a) — misdemeanor, penalty not exceeding $1,000, each day a violation continues after the first conviction a separate offense; and § 1-301 — a willful violation of the article is a misdemeanor subject to a fine not exceeding $100,000. Nevada Mental Health AI Law: AB 406: civil penalties up to $15,000 per violation for providers offering prohibited mental/behavioral healthcare AI, plus Nevada licensing board discipline (suspension/revocation) for licensed clinicians. INSURANCE (Bulletin 24-001 routes through the Unfair Trade Practices Act): administrative fine of not more than $5,000 for each act or violation of NRS 686A.010–686A.310 where the person knew or reasonably should have known of the violation, except that for licensed agents, brokers, solicitors and adjusters the fine must not exceed $500 per act, plus suspension or revocation of the license (NRS 686A.183(1)); a further administrative fine of not more than $5,000 for each and every violation of a resulting cease-and-desist order, plus suspension or revocation (NRS 686A.187). Corporate Governance Annual Disclosure: civil penalty of $1,500 for each day of late filing, capped at $100,000 (NRS 692C.3509). Independent utilization-review agents: fine of not more than $1,000 for violating NRS 683A.375–683A.378 (NRS 683A.379). Penalty structures differ by regulator and violation type — read each law's full page for the cure periods and per-violation detail.

When does each law take effect?

Maryland Healthcare AI Act — effective 2024-04-22. Nevada Mental Health AI Law — effective 2024-02-23. Dates last verified against official sources on 2026-08-26 and 2026-08-26 respectively.

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