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Why Patient Consent is Critical to Clinical AI

Heidi Team

May 18, 2026•3 min read•
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A recent April 2026 lawsuit filed in the U.S. District Court for the Northern District of California, which alleges two healthcare organizations used ambient AI-based tools to record and transmit audio conversations without prior consent, is a wakeup call to providers.

The class-action complaint, filed as Washington et al v. Sutter Health, claims three plaintiffs’ highly-sensitive medical information was wrongfully captured and shared through Abridge AI’s platform. Sutter and Memorial Health allegedly used their AI tool in a way that violates the California laws intended to protect patient privacy and confidentiality.

Plaintiffs “did not receive clear notice that their medical conversations would be recorded by an artificial intelligence platform, transmitted outside the clinical setting, or processed through third-party systems,” the complaint stated.

As Heidi’s Yass Omar, Head of Legal and Regulatory Affairs, noted in a Becker’s Hospital Review article, the rapid growth of ambient AI has meant providers need to get up to speed in their understanding of HIPAA and state regulations, and how to apply those to clinical settings.

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While the AI legal landscape is rapidly evolving, as of 2026, 11 U.S. states require the consent of everybody involved in a conversation or phone call before the conversation can be recorded.

Moving forward, Omar stressed the importance of ensuring that all providers are trained on the importance of receiving consent prior to using ambient AI in an encounter.

The right AI care partner, like Heidi, can ensure healthcare providers are educated on regulations pertaining to the use of clinical AI, and provide the right support tools based on an organization's particular needs and location. Additionally, the right AI care partner ensures that prior consent is a positive experience, while keeping abreast of any changes in regulations or compliance.

While clinical AI is still relatively new, educating patients on consent and AI can enhance experience. According to a 2024 study of 121 ambient documentation pilot users (18 clinicians and 103 patients), researchers found that an informed consent conversation is “a critical but nuanced touchpoint that shapes the adoption and acceptance of technology by both clinicians and patients.”

Researchers recommend a “flexible, multimodal approach” to consent, which includes patient education, reviewing risks and benefits, digital resources, nonclinical staff involvement, and clear opt-out options.

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