Texas is a one-party consent state for recording calls. Its health care AI disclosure duty took effect on 1 January 2026, and a second law covers diagnostic AI.
Recording notice
Partly
AI disclosure
Yes
Dental regulator statement
No
This is a guide for clinic owners, not legal advice. Every line points to the law or the regulator's own page, checked on 2026-10-21. Where we could not confirm something, the page says so.
Under the statute below, the consent of one party to the call is enough. Federal law lets a party to a call record it, so the federal rule applies the same way here.
Texas has two AI duties for health care. TRAIGA (HB 149, Government Code 552.051(f)), effective 2026-01-01, says the provider of the service or treatment shall provide the disclosure not later than the date the service or treatment is first provided, except in an emergency. A 60-day cure period applies. Penalties are $10,000 to $12,000 for a curable violation, $80,000 to $200,000 for an uncurable one, and $2,000 to $40,000 per day for a continuing violation. Health and Safety Code 183.005 (SB 1188, effective 2025-09-01) says a practitioner who uses AI for diagnostic purposes must disclose that use to patients. That duty covers diagnostic use, not an answering line. We did not check whether TRAIGA's duty reaches a call that only books an appointment.
Texas Health and Safety Code 181.001(b)(2) defines a covered entity as a person who engages, in whole or in part, and with real or constructive knowledge, in the practice of storing or transmitting protected health information, and expressly includes a business associate, clinic and health care provider. We read only that definition, not the chapter's duties. The Texas Data Privacy and Security Act exempts a covered entity or business associate governed by the HIPAA rules. Separately, a person may not capture a biometric identifier, which includes a voiceprint, for a commercial purpose unless it informs the individual before capturing it and gets consent. HIPAA still binds a covered clinic and its business associate vendor.
Texas's telephone solicitation section does not apply to a consumer telephone call made in response to the consumer's express request, primarily in connection with an existing debt or contract not yet completed, or to a consumer with whom the telephone solicitor has a prior or existing business relationship. The federal rules on AI-voice calls and texts apply as well.
We found no statement from the Texas State Board of Dental Examiners on AI agents. A domain-restricted search of its site returned no AI guidance or rule, and its policy statements page lists no AI item. Our check was a web search, not a search of the board's own site, so this is not proof of absence.
We found no statement from the Texas Medical Board on AI agents. A domain-restricted search of its site returned no AI guidance or rule. Its rule changes effective 2026-01-08 concern licensure pathways. We found no Texas Medical Board rule implementing the review standards in Health and Safety Code 183.005. Our check was a web search, not a search of the board's own site, so this is not proof of absence.
The federal rule applies here; nothing specific to this place was found.
The ADA requires a public accommodation to provide effective real-time communication, including text telephones and FCC-approved relay systems. A clinic phone line answered by an AI agent must still work for a relay caller.
Aida opens every call with the recording notice your province or state needs, and says it is the practice's AI agent wherever you want it to. Request a demo with your clinic's rules in mind.
Notice
in the opening line
Approved
answers only
Staff
keeps control