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National Science Foundation leader Brian Stone to retire with no clear replacement in sight
President Donald Trump's nominee to replace Stone, James O'Neill, has yet to have a confirmation hearing in the senate, leaving the future leadership of the NSF unclear
Bush clan members back Democrat James Talarico in Texas Senate race
The Bushes could potentially influence some disaffected Republicans when it comes to next month's vote.
Manchin calls Schumer 'crazy' for trying to oust GOP senator in crucial Senate showdown
Joe Manchin called Chuck Schumer "crazy" for trying to unseat Susan Collins as he joined the Maine senator on the campaign trail in Lewiston.
What U.S. Senate candidates Rogers, El-Sayed said about lowering health care costs in Michigan
With Election Day less than three weeks away, Michigan U.S. Senate candidates answered a series of questions in Detroit, including one on health care.
Thune makes bold prediction about Republicans' Senate chances as GOP pulls millions from key races
John Thune says Republicans will outperform the polls in toss-up senate races despite shifting campaign cash away from Georgia and into Kansas.
Political Pulse: Anthony Kathol hopes to flip historically Democratic Senate seat in District 27
Republican candidate Anthony Kathol is running to flip a historically Democratic seat in District 27.
Taking a closer look at the political landscape in Minnesota
Republicans see hope in former sports broadcaster Michele Tafoya. Can a Republican win a Senate seat in Minnesota for the first time since 2002?
Musk-backed PACs have spent over $400 million on advertising
The Senate Leadership Fund, the GOP’s super PAC dedicated to electing Republicans to the Senate, received Musk’s top donation of $168 million.
Live updates: Trump to rally for Sen. Darline Graham in South Carolina
Live updates and the latest news as Trump rallies for Darline Graham in South Carolina and the candidates for Senate in Michigan and Kansas and governor in Wisconsin debate.
Senate District 8 Candidates Weigh Health Care Costs and Natural Resources
Seasoned legislator Tyson Running Wolf, a Democrat, and health care professional Christopher Paul Buckles, a Republican, are competing to represent Senate District 8. The district covers the Blackfeet Reservation and the east side of the Rocky Mountains, crossing the range into parts of the Confederated Salish and Kootenai Tribes (CSKT) Reservation. Running Wolf, 52, grew […]
Medicare for All, Medicaid cuts and rising costs: Where Flanagan and Tafoya stand on health care
The U.S. Senate candidates differ over Medicare for All, Medicaid funding and the federal government’s role in making health care more affordable.
Has Susan Collins’s political luck finally run out?
Anti-Trump voters could decide Maine’s crucial Senate race.
Ramstad: With DFL nearing trifecta, business hopes Klobuchar keeps excesses in check
A moderate governor will have to rein in the big-spending DFLers in the House and Senate.
Turner trying to stave off challenge from Lesko in senate campaign
Frank Lesko defeated a popular incumbent in 2024, but to do it again, he will have to navigate state political waters.
Beyond the ballot, block walking brings politics to the doorstep
“What makes a difference is neighbors showing up at their neighbors' doorstep and telling them why this election is so important,” Democratic Senate candidate James Talarico said.
You are who you vote for: Identity politics in Texas midterms
While the campaigns in Texas have been focused fundamentally on the affordability crisis, the Texas Senate race between Republican Ken Paxton and Democrat James Talarico remains highly contested due to the engagement of identity politics from both candidates.
Famous Dems campaign for Pappas as NH's crucial Senate race hits final stretch
Two weeks until Election Day and New Hampshire's U.S. Senate race is at a boiling point.
Michigan Senate Candidates Make Dueling Pitches to Business Leaders in Detroit
Mike Rogers and Dr. Abdul El-Sayed, the candidates in the tight race, defended their economic policies at the Detroit Economic Club.
The Senate map expands (again): From the Politics Desk
Plus, the secretary of state races to watch.
Democrats fear slippage with Black voters makes Michigan Senate race feel ‘far closer than it should’
Michigan's Senate race could decide control of the chamber — and it may come down to Black voters in Detroit and Flint. Where do you think the race stands?
Trump to rally in North Carolina, even as GOP pulls its money
Michael Whatley, the state’s Republican Senate candidate, owes his nomination to Trump; the president continues to invest time, if not cash, on his behalf.
How Democrats Might – or Might Not
Just a few months ago, it didn’t look feasible for Democrats to flip control of the U.S. Senate. Now it’s a real possibility – and this is how the party could get there. It’s all about the math. Today, Republicans control the chamber, 53-47. If Democrats can hold all four of their vulnerable seats,
Karl Rove and David Axelrod give their predictions for 12 key midterm races
Rove, the reviled and revered hardball strategist behind the George W. Bush years, and Axelrod, the Obama strategist behind Democrats’ authentic-and-tenacious school of thought, give their takes on races to watch.
Cook moves Mississippi, South Carolina Senate races toward Democrats
Democrats are taking the trend seriously, launching a big advertising buy in Mississippi.
Democrats fear slippage with Black voters makes Michigan Senate race feel ‘far closer than it should’
Abdul El-Sayed often talks about building a new and broad coalition of Michigan voters. A looming question in the state’s pivotal Senate race is whether he can keep the old one intact — particularly with the Black voters who are pivotal to any Democratic victory.
Senate Democrats launch first ad in Mississippi as their midterm optimism spreads in the South
Senate Democrats' campaign spending group is wading into Mississippi's Senate race for the first time this cycle.
Cook Political Report shifts two Senate races toward Democrats, one toward GOP
The Cook Political Report, a nonpartisan election handicapper, on Tuesday moved Minnesota’s Senate race from likely to lean Democrat, while also moving South Carolina’s Senate seat from…
Can Democrats win a Senate seat in deep-red Mississippi? They’re spending like they think so
U.S. Senate race in Minnesota moves toward GOP in new Cook rating
The Cook Political Report shifted its rating of Minnesota’s U.S. Senate race between Lt. Gov. Peggy Flanagan (D) and Republican Michele Tafoya, a former NFL broadcaster, toward Republicans.
Democrats jump into Mississippi Sente race
Senate Majority PAC announced it is launching a new ad campaign in Mississippi, where Democrat Scott Colom is challenging GOP Sen. Cindy Hyde-Smith.
UC Davis Experts Share Worries, Hopes for 2026 Midterm Elections
The 2026 U.S. midterm election is among the most contentious elections ever without a candidate running for president. This year voters will determine the balance of power in the U.S. Senate and House of Representatives, potentially reshaping the nation’s political landscape.
Senate Democrats launch first ad in Mississippi as their midterm optimism spreads to the South
WASHINGTON (AP) — Senate Democrats' top campaign spending group is wading into Mississippi's U.S. Senate race for the first time this year, an aggressive move i
Political Pulse: Independent candidate Rep. Peri Pourier runs on public safety for District 27 Senate
Independent candidate Peri Pourier is running for South Dakota's District 27 Senate seat on a platform of public safety and improving state and tribal relationships.
Who is Tommy Tuberville? Auburn coach turned governor candidate
From the Auburn sidelines to the U.S. Senate, Tommy Tuberville is now seeking Alabama's top office. Here's what voters should know.
Paxton campaign showing ‘desperation’ with manufactured story: Political commentator
In the final days until election, President Trump is set to hold another rally in Texas for Republican Senate candidate Ken Paxton. MS NOW National Reporter Rosa Flores shares what she is hearing from voters there. MediasTouch Journalist Adam Mockler, Democratic Strategist Basil Smikle, Bloomberg Businessweek Journalist Max Chafkin, and Rolling Stone Magazine Politics Reporter Nikki McCann Ramirez join the Group Chat with Stephanie Ruhle to share their analysis.
Bush family royalty backs Democrat in battle to flip Texas blue
Barbara Bush donated $2,500 to a PAC supporting James Talarico's Texas Senate race against Ken Paxton, using her real name in public FEC filings.
Trump continues midterm campaign blitz in North Carolina
President to stump for Michael Whatley, who is facing an uphill battle against Democrat Roy Cooper for the Senate, as elections are just two weeks away
The Case for Republicans to Hold the Senate | WSJ Politics Newsletter for Oct. 20
Plus, seven candidates tell The Journal how they would fix Congress, and an Abdul El-Sayed opponent handed him a viral campaign highlight.
Rogers argues El-Sayed is vulnerable with 2 traditionally Democratic blocs as Obama heads to Michigan
Mike Rogers argues Abdul El-Sayed may lose Black and Jewish voters in Michigan's Senate race during a Sean Hannity town hall on key demographics.
‘He’s solid, has integrity and character’: Longtime TX GOP judge backs Talarico for Senate
UNT students and local residents pack Emerald Ballroom for Talarico event
Democratic Senate candidate James Talarico spoke to a packed Emerald Ballroom in the University of North Texas Union on Monday.
Abdul El-Sayed leans into faith in new political ad
Michigan Senate candidate Abdul El-Sayed embraces faith as a core part of his identity after months of Republican criticism centered on his Muslim background.
Ex-GOP Kansas governor compares Trump rally to ‘freak show’ while backing Democrat in Senate race
Why the Muslim Brotherhood has become a flashpoint in the Michigan Senate race
The Muslim Brotherhood has become a flashpoint in Michigan’s Senate race, with Republicans trying to cast Democratic nominee Abdul El-Sayed as sympathetic to interests connected to Islamic terror and El-Sayed arguing that he is being unfairly accused of the same “dual loyalties” that former Presidents John F. Kennedy and Barack Obama once were.
A bitter Michigan Senate race rattles Jewish and Muslim voters already on edge over the war in Gaza
Michigan’s closely contested Senate race has become deeply personal for some voters.
How Iran war votes in Congress became a focal point for campaign ad attacks
Democrats and aligned advocacy groups are hitting the airwaves with a flood of campaign ads on the Iran war as they seek to win back in the House and Senate.
A blue-collar bellwether weighs ousting longtime GOP Sen. Susan Collins in Maine
Voters in Lewiston helped propel Collins to victory in her last election. Some are ready for a change, but others are wary of losing Collins’ sway in the Senate.
2026 Election Preview: 6th Senate District
The midterm elections are less than two weeks away and PoliticsPA has identified seven State Senate races throughout the Commonwealth to focus on during the run-up to the 2026 election, as part of our 31 Races in 31 Days series. SD-6: Frank Farry (R) vs. Eileen Albillar (D) The Key…
Senator urges FCC to reject conservative group's bid to use political AI-generated robocalls
By David Shepardson WASHINGTON, Oct 19 (Reuters) - Senate Democratic leader Chuck Schumer on Monday urged the Federal Communications Commission not to approve a petition to allow political AI-
Senator Urges FCC to Reject Conservative Group's Bid to Use Political AI-Generated Robocalls
WASHINGTON, Oct 19 (Reuters) - Senate Democratic leader Chuck Schumer on Monday urged the Federal Communications Commission not to approve a petition to allow political AI-generated robocalls from conservative political group Club for Growth ahead of the November congressional ...
Paxton, Talarico pull in celebrities as Senate race heats up
It's all about eyes, hearts and red meat as we reach the finish line.
Bridges, Colorado Dems have embraced every tax hike
Kevin Grantham, the Republican nominee for state treasurer, exposed the single most important issue that defines Colorado Democrats during a debate with his Democratic opponent, state Sen. Jeff Bridges. Grantham is a Fremont County commissioner and former state senator from Cañon City who served as president of the Colorado state Senate when Republicans controlled the […]
Affordability, immigration and a referendum on Trump: Listeners weigh in on the U.S. Senate race in Texas
Houston Public Media conducted a survey of what issues listeners considered the most significant in helping decide their votes between Republican state Attorney General Ken Paxton and Democratic state Rep. James Talarico.
The 10 colleges with the most current US senators among graduates
US senators have attended a variety of schools, from Harvard and Yale to BYU. See which schools are represented the most in the current Senate.
‘Pitchfork Populism’ Over Data Centers Rattles Ohio’s U.S. Senate Race
The issue, which barely registered with candidates last year, looms large in a race that could determine control of Congress.
Fears about kids’ online safety unite Democrats and Republicans
The U.S. Senate candidates in Texas could hardly be more different: James Talarico, a former seminarian turned Democratic state lawmaker who speaks in calm cadences about love and empathy, and
Voter guide: What to know about candidates for Kansas insurance commissioner
House Speaker Dan Hawkins and Senate Minority Leader Dinah Sykes are running alongside Libertarian nominee Ric Koehn.
Talarico holds slight edge over Paxton in U.S. Senate race on cusp of election, poll shows
The latest survey by the UH Hobby School of Public Affairs shows Democratic state Rep. James Talarico leading GOP Attorney General Ken Paxton by two percentage points among likely voters, just within the margin of error.
Faith and fury: Texas Senate rivals offer contrasting visions
One preaches love and reconciliation.He defeated the more combative congresswoman Jasmine Crockett in the Democratic primary, promising a "politics of love."
James Talarico kicks off tour with ‘Friday Night Lights’ cast
Some of the cast of the Emmy Award-winning high school football drama “Friday Night Lights” teamed up with Texas Democratic Senate candidate James Talarico in a new video announcing a slew of campaign events.
2028 Presidential ‘Shadow Primary’ Descends on the Midterm Elections
The schedule is especially packed in New Hampshire, an early presidential nominating state where there is a competitive Senate race Democrats are flocking to this month.
Jackson doesn't regret telling Collins to 'shut up' after protester interrupted Maine Senate debate
"She said that it was a Troy supporter. She accused me of setting that up. I had no idea who it was,” Jackson said.
‘This is disgusting’: Nebraska’s independent Senate candidate rips dark money in politics
Democrats are hoping to whittle away at the Republican Senate majority in unexpectedly vulnerable red states like Nebraska. Incumbent Senator Pete Ricketts, a multimillionaire former governor, is defending his seat against independent challenger Dan Osborn, a Navy veteran and industrial mechanic. Osborn says he wants Congress to take back its power, end the war in Iran, lower fuel costs, so we “can worry about little league and bake sales.”
Jackson doesn't regret telling Collins to 'shut up' after protester interrupted Maine Senate debate
Maine Democrat Troy Jackson says he doesn't regret telling Susan Collins that she should “shut up” after the Republican senator suggested that a protester who interrupted their recent debate was one of his campaign’s backers.
Slotkin wants GOP prosecutions to deter young people from Trump administration jobs
Elissa Slotkin said she wants young people to fear legal problems before joining the Trump administration, sparking fierce online backlash..
Democrats try to show unity in critical Michigan Senate race
With just 16 days until the midterms, candidates and top surrogates from each party have a packed schedule of campaign events. Follow for the latest on the trail.
Sen. Warnock says Colom can win Senate race in MS like he won in Georgia
"Mississippi is a blue state," Georgia U.S. Sen. Raphael Warnock said. "It just doesn't know it yet."
In tight Texas Senate race, Trump's immigration crackdown tests Republicans' hold on voters
The race between Democrat James Talarico and Republican Ken Paxton is hotly contested and enormously expensive, with total ad spending topping $500 million.
Abdul El-Sayed disavows Muslim Brotherhood and criticizes implications that he has ‘dual loyalty’
Michigan Democratic Senate nominee Abdul El-Sayed on Saturday disavowed the Muslim Brotherhood, an Islamist political movement, during a heated exchange at a town hall.
Tracking Mississippi’s Senate Race: Democratic Nominee Scott Colom and GOP Sen. Cindy Hyde-Smith
State of Texas: Tight races test voters, parties and a new political map
The race for U.S. Senate is the biggest story in Texas politics, and it's getting nationwide attention. Campaign spending between Ken Paxton and James Talarico is on pace to set records, and the race ...
State of Texas: Tight races test voters, parties and a new political map
The race for U.S. Senate is the biggest story in Texas politics, and it’s getting nationwide attention. Campaign spending between Ken Paxton and James Talarico is on pace to set records, and …
Bernie Sanders Visits Florida to Campaign With Angie Nixon
Senator Bernie Sanders of Vermont has made a point of investing in Republican-leaning states. He rallied in Tampa for Ms. Nixon, the underdog Democratic nominee for Florida Senate.
Paxton touts economic plan, attacks Talarico at Killeen rally
Attorney General Ken Paxton pitched his U.S. Senate campaign as a fight to ease costs for Texas families and preserve the state’s values at a rally Saturday afternoon at Southern
Graham Breaks With Trump Over Russia Sanctions Law Her Brother Championed
Senator Darline Graham, appointed to fill the Senate seat of her late brother, Lindsey, gently disagreed with the president’s decision to exempt Russia from the sanctions legislation.
The Senate Race Republicans Never Expected to Sweat
With Trump’s help, Kansas Sen. Roger Marshall scrambles to fend off a surprisingly strong Democratic challenger.
A bitter Michigan Senate race rattles Jewish and Muslim voters already on edge over the war in Gaza
Michigan’s closely contested Senate race has become deeply personal for some voters | WWJ Newsradio 950
A bitter Michigan Senate race rattles Jewish and Muslim voters already on edge over the war in Gaza
Michigan’s closely contested Senate race has become deeply personal for some voters.
Some hope to see lawmakers create AI framework for education
Could Senate Republicans prevent Senate Democrats from achieving a veto-proof majority in the upper chamber this election?
Musical chairs in the Maryland Senate president's office and other political notes
Musical chairs in the Maryland Senate president's office and other political notes
Trump rallies with top Republicans in critical battleground state of Georgia
Donald Trump flew to Georgia to campaign with Republican candidates for the Senate and governor. Senate candidate Mike Collins faces Democratic Sen. Jon Ossoff. Gubernatorial nominee Rick Jackson is taking
Former classmate accuses James Talarico of putting political ambition over truth
Fox News host Will Cain discusses accusations from James Talarico’s former classmate Mike Garcia about the Democratic Texas Senate candidate's honesty on 'The Will Cain Show.'
Democratic Senate candidates swamp GOP rivals in fundraising: From the Politics Desk
Plus, tensions boil over on the debate stage.
Barbara Bush's latest political move backs James Talarico's U.S. Senate bid
Barbara Bush gave $2,500 to Lone Star Rising PAC, which supports Democrat James Talarico in his U.S. Senate race against Republican Ken Paxton.
Obama's star power gets a reality check from Black voters in crucial Senate race: 'It's a turn-off'
Barack Obama's endorsement of Abdul El-Sayed drew mixed reactions from Detroit Black voters, with undecided residents saying it didn't move the needle.
Talarico raises record $64M in Texas Senate race against Paxton
Democrat James Talarico scored record-breaking numbers in Q3, widening his fundraising lead in the Texas U.S. Senate race against Republican Ken Paxton.
Mike Rogers discusses contentious Senate race at Detroit business luncheon
Michigan Republican Senate candidate Mike Rogers joined the Chaldean American Chamber of Commerce Annual Business Luncheon on Friday, Oct. 16 in Detroit. He talked about the state of Michigan and the Senate race with FOX 2’s Roop Raj.
Democrats are up in the polls. They’re sick to their stomachs.
Polls show Democrats with a clear path to controlling the House and maybe the Senate. But they have burned before.
Georgia's Senate and governor races test Trump's political influence
Trump plays a significant role in Georgia's races, with Democrats working to tie their GOP opponents to Trump’s unpopular policies on the economy and war with Iran.
Mike Rogers: Media Q&A at Detroit business luncheon
Michigan Republican Senate candidate Mike Rogers joined the Chaldean American Chamber of Commerce Annual Business Luncheon on Friday, Oct. 16, and took questions from the media before the event.
Your Weekly Michigan Political Brief
U.S. Senate Abdul El-Sayed more than tripled the fundraising haul of his Republican challenger, former U.S. Rep. Mike Rogers (R-White Lake), for Michigan’s open U.S. Senate seat. Online records show El-Sayed raised $30,659,157 in the reporting period from July 16 to Sept. 30, while Rogers brought in $9,662,538. Despite that, Rogers’ campaign maintains a nearly […]
Fastest Warming Congressional Districts Where Politician Is Funded By Fossil Fuel Industry
The midterm elections are less than a month away, and 35 seats in the U.S. Senate, as well as...
Ocasio-Cortez Transfers $1 Million to Help El-Sayed in Michigan Senate Race
The transfer represents an unusually large amount for a House member to give to a Senate race.
Can AI solve our mental health access problem?
Last week I asked you what worries you most about AI in health. It was close, but your top answer was “AI giving bad health advice.” Last week’s poll results: You’re in good company. This concern was top of mind at a conference I joined at Stanford last week, where researchers, clinicians, and people who build AI systems spent a day debating trust and safety in health AI. Stepping back, I’m also hearing your emerging concerns about AI’s impact on our well-being generally. I see this as a matter of public health, and we’ll take it in pieces as we learn together. Today we’ll focus on AI chatbots used for therapy for mental health. Early this month, Governor Newsom vetoed Senate Bill 903, California’s most ambitious attempt to regulate AI use for mental health. It’s at the center of active debate, and raises the questions patients, family members, citizens, and voters will face as AI moves deeper into health care. Let’s work through it. What is “AI-based therapy”? It’s really two things: purpose-built mental health apps designed to deliver structured support, and general chatbots like ChatGPT, Claude, and Gemini that people increasingly use for emotional support—even if they weren’t built for it. Spoiler alert: I don’t know whether the shift toward AI therapy is good or bad. The evidence isn’t there yet. But I do know it’s already happening, and I have some ideas about how we can roll it out with safety in mind. The therapy dilemma, in a nutshell Mental health challenges are common, and strain health and well-being across populations. Therapy (interactive dialogue with a trained, empathetic practitioner) helps many people heal. The demand for licensed therapists far exceeds the supply in California, and AI-based therapy can narrow that gap. AI-based therapy remains novel, unproven, and not well tested. Right off the bat, we can see we’re dealing with trade-offs here. Since the main driver of demand for therapy from a robot is lack of access to therapy from a human, we’ll start there. It’s too hard to find and afford a human therapist California is short roughly 55,000 licensed, non-prescribing therapists and counselors, about 40% of what we need. Psychiatrists, who rely on talk therapy as a complement to prescribed medications, are even more scarce. Eight counties have none, and density ranges from 1.7 per 100,000 residents in San Benito County, to 68.1 in Marin County. My wife is a psychiatrist in Marin, and even here access is tight. If it’s hard in the best-supplied county, imagine rural Sierra County, or the San Joaquin Valley. In 2024, more than half of Californians who tried to make a mental health appointment struggled to find a provider who took their insurance, compared with 14% for physical health care. When Senate staff posed as “secret shopper” patients and called 120 mental health providers in Medicare Advantage networks, they landed an appointment less than once for every five tries. Insurers pay behavioral health clinicians about 22% less than medical and surgical clinicians for comparable office visits. On top of that, billing denials and prior authorizations hit hardest at the solo and small practices common in mental health. Psychiatrists opt out of Medicare at the highest rate of any specialty. In many places, a cash practice for therapy fills quickly with patients paying $250 or more an hour, with no insurance paperwork at all. Families who can pay cash find providers more easily. Those who rely on insurance, including Medi-Cal enrollees, older adults, rural residents, and non-English speakers, compete for what’s left. So we can’t pretend the human system works, and we can’t blame people for turning to AI for support when they’re in distress. AI is filling the gap It’s estimated that roughly a quarter of AI users use it for mental health support. If you have internet, it’s available 24/7, it’s cheap, and it speaks your language. Uninsured adults are about twice as likely as insured adults to do it (30% vs. 14%). It feels anonymous in ways that may enable people to ask things they’re unsure or embarrassed about. The largely hidden, personal use makes it hard to study whether it’s actually helping people with their mental health issues, but researchers are trying. Does AI therapy work? A 2026 analysis of nearly 40 randomized trials found chatbots showed a real but small reduction in depression symptoms. But most of these trials were compared to an alternative of no therapy, not a human therapist. So the benefit of AI therapy is probably real, but modest, and mostly untested against the alternative of human contact. We need more studies. Serious concerns OpenAI’s own estimate is that more than a million ChatGPT users each week show signs of suicidal planning or intent. These are high stakes encounters, and AI doesn’t always get it right. That’s partly because a chatbot can sound like a therapist, but it has no license, no duty of care, and it’s not clear who to hold accountable when it gets things wrong. AI is also designed to help users in whatever task they’re seeking to accomplish. People may feel like they’re getting therapy, but they’re mainly getting a convincing conversation. It’s easy for an AI companion to wander into gray areas, like playing along with “creative writing” that may be about the user’s own suicidal intent. Courts are driving safety conversations A wave of lawsuits have been filed on behalf of families claiming that chatbots pushed people they loved toward self-harm, including teens who died by suicide. The first settlements came this year. OpenAI is headquartered in San Francisco, and dozens of cases alleging that ChatGPT drove users to suicide or self-harm are now before a San Francisco judge. Character.ai has filed for bankruptcy after several states brought lawsuits accusing the chatbot of pushing dangerous content to kids. But the technology seems to be improving. Last month, an independent evaluation found that newer AI models “almost never endorse suicide.” That’s progress, but our societal appetite for even one preventable death is very low. So how do we move forward? Finding a middle ground Earlier this month the governor vetoed Senate Bill 903, a bill designed to place guardrails on the use of AI for therapy. The bill would have prohibited any AI-based platform from being advertised as psychotherapy, and would have required a licensed professional to review and approve each encounter where AI was used to support therapeutic decisions. Newsom called it overly broad, since even routine screening questions would have needed clinician sign-off. Knowing we’re already short on mental health providers, requiring human review of AI encounters may not relieve our access problems. Still, the answer isn’t no oversight. Here’s one feasible short term solution. Rather than reviewing each encounter, a licensed clinician can design the guardrails: what counts as a crisis, what triggers an immediate handoff to a human, and what gets sampled for audit each month. The AI runs inside that structure. Conversations get checked, failures get reported, and a real clinician owns the framework. Medicine already has models to learn from. The FDA process for rolling out newly approved medications is an example. After a product reaches patients, we keep watching for adverse events. Patient-facing AI needs the same “digital pharmacovigilance”: systematic tracking of harms, near misses, and the types of groups that get hurt and why. It’s also critical that users know that they can reach a human if they’re in crisis. Most chatbots now include messages like these: Bottom line The rush to use unproven AI tools for mental health support is mostly a workaround, a sign of a health system people can’t get into. We need better access to proven care from licensed clinicians. That takes reimbursement that makes accepting insurance viable, and a bigger workforce. But, built and tested well, AI could be part of the answer. It could be the 2 a.m. check-in when no one else is awake, or a way for patients to practice skills their therapist taught them. It could be the first step to get someone the right level of care, and take paperwork off clinicians’ plates so they spend more time with patients. None of this is simple. The SB 903 veto doesn’t end the debate, and the legislature will be back. In the meantime, those of us using these tools need to stay informed, ask hard questions, and hold the companies building them accountable. I’ll try to do my part, and we’ll keep learning together. Love,Matt P.S. If you or someone you know is struggling with mental health challenges, emotional distress, substance use problems, or just needs to talk, call or text 988- you’ll reach a real person— or chat at 988lifeline.org 24/7. Dr. Matt Willis is the author of Your Local Epidemiologist in California. A California native, he’s served as a primary care physician, CDC epidemiologist, and public health officer for Marin County, where he guided the pandemic response. He lives in Marin with his family and their dogs, Teddy and Ramona. Thank you Cynthia He, MD, PhD, and Parnika Saxena, MD, for their guidance in preparing this article. Cynthia works in an outpatient mental health clinic, treating patients who have Medi-Cal or, sometimes, no insurance. Parnika works in an inpatient psychiatric unit, treating patients with public or private insurance or self-pay ability. All opinions are their own and do not represent their employers.