,,ii #aaith ,,congress #b;d ,session ,s4 #diaf ,,in ,,the ,,senate ,,of ,,the ,,united ,,states ,june #bd1 #bjbf,mr4 ,kelly 7for himself1 ,mr4 ,scott of ,florida1 and ,mr4 ,marshall7 introduced the following bill2 which was read twice and referred to the ,committee on ,health1 ,education1 ,labor1 and ,pensions ,a ,,bill ,to address the effects of artificial intelligence-enabled systems1 including artificial intelligence chatbots1 on older adults1 and for other purposes4 #a4 ,short title ,this ,act may be cited as the ,aging with ,artificial ,intelligence ,act of #bjbf4 #b4 ,study on the effects of artificial intelligence-enabled systems on older adults 7a7 ,in general ,not later than #fj days after the date of enactment of this ,act1 the ,secretary of ,health and ,human ,services1 acting through the ,director of the ,national ,institute on ,aging1 shall seek to enter into a contract with the ,national ,academies of ,sciences1 ,engineering1 and ,medicine to conduct a consensus study on the effects of artificial intelligence-enabled systems on older adults1 including artificial intelligence chatbots4 7b7 ,inclusions ,the study under subsection 7a7 shall analyze-- 7#a7 patterns and contexts of use of artificial intelligence-enabled systems among older adults1 including use for communication1 caregiving1 companionship to reduce social isolation1 health-related information1 cognitive engagement1 and activities of daily living1 and associated benefits and functional outcomes1 including cognitive1 behavioral1 and social outcomes1 improved access to information and services1 support for caregivers1 assistance with everyday functioning1 and aging in place1 taking into account differences such as cognitive impairment1 disability1 digital literacy1 social isolation1 and other factors affecting use and outcomes2 7#b7 the potential risks and adverse outcomes associated with the use of artificial intelligence-enabled systems by older adults1 including scams1 fraud1 financial exploitation1 misleading or inaccurate health-related information1 overreliance on such systems1 reinforcement of harmful or distorted beliefs or behaviors1 including delusions1 paranoia1 or engagement in self-harm1 crisis situations1 and prolonged or excessive use2 7#c7 the safety1 accessibility1 privacy practices1 and fraud-prevention safeguards associated with artificial intelligence-enabled systems used by older adults1 including safeguards relating to crisis response1 informed consent and data-use practices1 accessibility for older adults with disabilities1 and the role of human oversight in shaping reliance on such systems2 7#d7 the effects of artificial intelligence-enabled systems on family members1 caregivers1 clinician interactions1 and caregiving-related decision-making1 including the degree to which such systems supplement or substitute for human interaction or support2 and 7#e7 research gaps1 best practices1 areas for future study1 and opportunities for coordination relating to the use of artificial intelligence-enabled systems by older adults1 including considerations relevant to ,federal research and aging-related programs4 7c7 ,consultation ,in conducting the study under subsection 7a71 the ,national ,academies of ,sciences1 ,engineering1 and ,medicine shall consult with the ,national ,institute on ,aging1 the ,national ,institute on ,mental ,health1 the ,national ,institute of ,standards and ,technology1 the ,federal ,trade ,commission1 licensed medical professionals 7including physicians1 geriatricians1 and psychologists71 researchers with expertise in aging and technology1 fraud and scam prevention experts1 disability and accessibility experts1 caregivers1 health care organizations1 and representatives from industry4 7d7 ,report ,not later than #a year after the date of enactment of this ,act1 the ,secretary shall submit to the ,committee on ,health1 ,education1 ,labor1 and ,pensions and the ,special ,committee on ,aging of the ,senate and the ,committee on ,energy and ,commerce of the ,house of ,representatives a report that describes the results of the study under subsection 7a71 including findings and recommendations regarding the use of artificial intelligence-enabled systems by older adults and associated outcomes4 7e7 ,definitions ,in this section3 7#a7 ,artificial intelligence chatbot ,the term artificial intelligence chatbot-- 7,a7 means any interactive computer service or software application that-- 7i7 produces new expressive content or responses not fully predetermined by the developer or operator of the service or application2 and 7ii7 accepts open-ended natural-language or multimodal user input and produces adaptive or context-responsive output2 and 7,b7 does not include an interactive computer service or software application-- 7i7 the responses of which are limited to contextualized replies2 and 7ii7 that is unable to respond on a range of topics outside of a narrow purpose4 7#b7 ,artificial intelligence-enabled system ,the term artificial intelligence-enabled system means any system that uses artificial intelligence1 machine learning1 or automated decisionmaking to perform tasks1 provide recommendations1 or interact with users1 including-- 7,a7 artificial intelligence chatbots2 7,b7 voice-activated assistants2 7,c7 automated health monitoring systems2 7,d7 robotic assistive devices2 and 7,e7 generative or large language model-based tools1 including decision support tools1 used in health care1 financial services1 caregiving1 or daily-living activities4 7#c7 ,older adult ,the term older adult means an individual age #fe or older4 7f7 ,funding ,out of amounts otherwise appropriated to the ,secretary of ,health and ,human ,services1 the ,secretary shall use to carry out this section not more than #b1jjj1jjj for the period of fiscal years #bjbg and #bjbh4 #c4 ,aging research to improve care and health outcomes for older adults ,subpart #e of part ,c of title ,,iv of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bhe;e et seq47 is amended by adding at the end the following3 #dde;,j4 ,aging research to improve care and health outcomes for older adults 7a7 ,in general ,the ,director of the ,institute shall facilitate multidisciplinary research1 stakeholder coordination1 and dissemination of best practices relating to the use of artificial intelligence-enabled systems by older adults4 7b7 ,report ,not later than #a year after the date of enactment of this section1 the ,director shall submit to ,congress a report that describes activities carried out under this section1 including emerging research findings and areas for future study relating to artificial intelligence-enabled systems and older adults4 7c7 ,definitions ,in this section3 7#a7 ,artificial intelligence-enabled system ,the term artificial intelligence-enabled system means any system that uses artificial intelligence1 machine learning1 or automated decisionmaking to perform tasks1 provide recommendations1 or interact with users1 including-- 7,a7 artificial intelligence chatbots2 7,b7 voice-activated assistants2 7,c7 automated health monitoring systems2 7,d7 robotic assistive devices2 and 7,e7 generative or large language model-based tools1 including decision support tools1 used in health care1 financial services1 caregiving1 or daily-living activities4 7#b7 ,older adult ,the term older adult means an individual age #fe or older4 4