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AI chatbots refilling psych meds sparks debate

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AI chatbots refilling psych meds sparks debate

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If you have ever waited weeks just to renew a mental health prescription, you already know how frustrating the system can feel. Now imagine handling that refill through a chatbot instead of a doctor.

That kind of thing is already starting to happen. In Utah, a new pilot program is allowing an artificial intelligence system from Legion Health to renew certain psychiatric medications without direct approval from a physician each time. State officials say this could speed things up and reduce costs.

Many psychiatrists are not convinced. They are asking whether this actually solves the problem it claims to fix.

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AMAZON HEALTH AI BRINGS A DOCTOR TO YOUR POCKET
 

Utah launches AI chatbot to renew select psychiatric prescriptions, raising questions about safety and oversight. (pocketlight/Getty Images)

How the AI prescription system works

Before this starts sounding like a robot psychiatrist, the program stays tightly limited. The AI only renews a short list of lower-risk medications that a doctor has already prescribed. These include commonly used antidepressants like Prozac, Zoloft and Wellbutrin. 

To qualify, patients must meet strict requirements. You need to be stable on your current medication. Recent dosage changes or a psychiatric hospitalization will disqualify you. You also need to check in with a healthcare provider after a set number of refills or within a certain time frame.

During the process, the chatbot asks about symptoms, side effects and warning signs such as suicidal thoughts. If anything raises concern, it sends the case to a real doctor before approving a refill. According to an agreement filed with Utah’s Office of Artificial Intelligence Policy, the pilot includes strict safeguards, including human review thresholds and automatic escalation for higher-risk cases. The system cannot prescribe new medications or manage drugs that require close monitoring. As a result, it leaves out many complex conditions from the pilot.

Why some experts are pushing back

Even with those guardrails, many psychiatrists are uneasy. Brent Kious, a psychiatrist and professor at the University of Utah School of Medicine, has questioned whether AI systems like this actually solve the access problem they are designed to address. 

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He has suggested that the benefits of an AI-based refill system may be overstated, especially since patients must already be stable and under care to qualify. Kious has also raised concerns about how much these systems rely on self-reported answers. Patients may not recognize side effects, may answer inaccurately, or may adjust their responses to get the outcome they want. 

He has further questioned whether current AI tools can safely handle even routine parts of psychiatric care, noting that treatment decisions often depend on factors that go beyond simple screening questions. He has also pointed to a lack of transparency in how these systems operate, which can make it harder for doctors and patients to fully trust them. 

HEALTHCARE DATA BREACH HITS SYSTEM STORING PATIENT RECORDS
 

A new pilot program allows AI to handle some mental health medication refills without direct doctor approval. (Sezeryadigar/Getty Images)

The promise behind the technology

Supporters of the program are focused on access. A lot of people in Utah still struggle to get mental health care. Wait times can stretch for weeks. In some areas, there simply are not enough providers available. The idea is that AI can take care of routine refill requests so doctors have more time to focus on patients with more complex needs. That could help take some pressure off the system. Legion Health is also leaning into convenience. The service is expected to cost about $19 a month and is designed to make refills quicker and easier for patients who qualify. From a big-picture view, that could help. From a patient’s point of view, the tradeoff may feel a little more complicated. We reached out to Legion Health for comment, but did not hear back before our deadline.

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What this means to you

If you rely on mental health medication, this kind of system could change how you manage your care. You may be able to get refills more quickly if your condition is stable and your treatment plan is not changing. At the same time, this does not replace your doctor. It does not handle new diagnoses or complex decisions. It also adds another layer between you and your care. Instead of a conversation, you are interacting with a system that depends on how you answer a series of questions. Mental health treatment often depends on small details. Changes in mood, sleep or behavior can matter more than a simple yes or no response. That is where some experts believe human care still has a clear advantage.

The bigger question about AI in healthcare

This pilot is only one step in a much larger shift. Utah is already experimenting with AI in other areas of healthcare. Companies like Legion are signaling plans to expand beyond a single state. What starts with simple refills could eventually move into more complex decisions. That is where the conversation becomes more urgent. Is this a practical way to improve access to care, or does it risk reducing something deeply personal into a transaction driven by software?

HOW ARTIFICIAL INTELLIGENCE IS TRANSFORMING HEALTHCARE
 

Psychiatrists question whether AI prescription refills address access issues or create new risks for patients. (SDI Productions/Getty Images)

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Kurt’s key takeaways

There is no question that access to mental health care needs improvement. Long wait times and limited availability are real problems that affect millions of people. AI may help in specific situations, especially when the task is routine and the patient is stable. Still, convenience should not be confused with quality. For now, this system is narrow in scope and closely monitored. That makes it easier to test. It also highlights how early we are in this transition. The technology will continue to evolve. The real question is whether the safeguards, oversight and transparency will evolve at the same pace.

Would you feel comfortable letting a chatbot handle part of your mental health care, or is that a line you do not want technology to cross? Let us know by writing to us at Cyberguy.com.

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Technology

Amazon’s Echo Hub gets a customizable new look and Ring’s AI features

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Amazon’s Echo Hub gets a customizable new look and Ring’s AI features

Amazon’s rolling out a free software update for Echo Hub devices that gives the home screen a much-needed update to the interface it launched with in 2024. It had already added Alex Plus AI support, but the new interface has a cleaner, fully customizable layout that fits more smart home info and controls on the screen than the previous version.

A small touchscreen tablet on a counter next to some flowers.

The Echo Hub is also getting access to Ring AI’s Video Search feature that lets you use natural language to search through your smart home camera footage, as well as Alexa Plus summaries of detected camera events.

These are the five new features Amazon highlighted for the Echo Hub:

Organize by r …

Read the full story at The Verge.

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Technology

Grandparents are identity theft’s biggest payday

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Grandparents are identity theft’s biggest payday

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The FBI calls it a “distress scam.” It is also known as a grandparent scam. The scam works by making an older adult believe a grandchild is in serious trouble and needs money right away, often before a court date or legal deadline. Victims reported more than $5 million in losses to this type of fraud in 2025. The FBI’s Internet Crime Complaint Center also noted that reported losses likely show only part of what scammers actually stole.

The Federal Trade Commission found in August 2025 that some of the fastest-growing scams targeting older adults use fear and urgency to override good judgment. A caller may claim your bank account was hacked and say you need to move your money immediately to protect it. However, the money does not move to safety. It goes straight to the scammer.

HOW TO HAND OFF DATA PRIVACY RESPONSIBILITIES FOR OLDER ADULTS TO A TRUSTED LOVED ONE

AI voice-cloning tools have made these scams even more convincing. Scammers can use a birthday video, voicemail or social media clip to mimic a grandchild’s voice. Then they place the call. The voice sounds familiar, the emergency feels real and the request for bail money seems urgent. The FBI counted $352 million in AI-related scam losses among victims 60 and older this past year.

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Scammers are using stolen personal data, AI voice cloning and urgent phone calls to trick grandparents into sending money. (ljubaphoto/Getty Images)

What makes grandparents worth targeting

The same three pieces of data are required for identity verification at most banks, brokerages, pension recordkeepers, and Medicare: date of birth, last four digits of a Social Security number, and a current mailing address. For most people in their sixties and seventies, all of those accounts are open.

Those three fields have turned up in breach after breach. The Conduent Business Services breach pulled names, SSNs, dates of birth, and home addresses for more than 25 million Americans from systems that process Medicaid records and employer health plans. Texas Attorney General Ken Paxton called it the largest data breach in U.S. history in February 2026.

Americans between 65 and 74 held a median net worth of $409,900 in 2022, according to the Federal Reserve’s Survey of Consumer Finances, more than ten times the median for adults under 35. The FBI found average losses of approximately $38,500 per victim among Americans 60 and older in 2025, nearly double the figure for younger filers.

Why elder fraud losses are often underreported

Older adults reported $2.4 billion in fraud losses to the Federal Trade Commission in 2024. However, the FTC’s December 2025 report to Congress estimated that real losses may have reached $81.5 billion that year. Most cases likely went unreported.

That gap makes identity theft harder to stop. A fraudulent wire from a pension account may never alert a bank. A new credit account opened with stolen information may not reach the victim until it appears on a credit report. By then, weeks may have passed since the application was approved.

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Account protections worth setting up

Scammers move fast, so it helps to set up account protections before anything goes wrong. These steps can give banks, brokerage firms and family members more ways to spot trouble early.

1) Add a trusted contact to brokerage accounts

Brokerage accounts have a protection option many account holders never activate: a trusted contact designation. Under FINRA Rule 4512, brokerage firms must ask for a trusted contact when you open or update an account. A trusted contact can be a family member, attorney or accountant. The firm can contact that person if it suspects financial exploitation or cannot reach you. However, that person cannot trade, withdraw funds or view your account balances. FINRA, the SEC and the North American Securities Administrators Association asked investors in August 2025 to contact their firm and add one. You can name more than one trusted contact. You can also change the designation at any time.

SOCIAL SECURITY ADMINISTRATION PHISHING SCAM TARGETS RETIREES

Families can help protect older adults by adding trusted contacts, verifying urgent calls and blocking online Social Security changes. (Kurt “CyberGuy” Knutsson)

2) Ask about holds on suspicious withdrawals

Under FINRA Rule 2165, brokerage firms can place a temporary hold on disbursements when they reasonably believe financial exploitation may be happening. That hold can last up to 55 business days. In January 2026, FINRA proposed extending the window to 145 business days. Ask any firm holding a pension, brokerage or annuity account about its policy on disbursements after an address change.

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3) Verify urgent calls before sending money

When a caller claims a grandchild is in trouble or a federal agent needs immediate action, hang up. Then call back using a number you already have, not the number in the message. The FTC found that 41% of older adults who reported losing $10,000 or more to impersonation scams in 2024 said a phone call was the initial point of contact. That makes one simple habit especially important: verify the story before you act.

4) Block online changes to Social Security

Social Security lets you block electronic and automated telephone access to your account record. Once blocked, no one can change your direct deposit information or mailing address online or through the automated phone system. After that, any changes must go through a live SSA representative at 1-800-772-1213 or a field office visit. FINRA also operates a free Securities Helpline for Seniors at 844-574-3577, Monday through Friday, 9 a.m. to 5 p.m. ET.

Identity theft recovery is harder on your own

Even strong account protections may not catch every scam attempt. That is why identity theft monitoring and recovery support can help families respond faster when personal information gets exposed or misused.

Some identity theft protection services monitor dark web marketplaces, data broker sites and people-search sites for exposed Social Security numbers, addresses and other personal information. If fraud happens, recovery support may help contact creditors, file disputes with the three credit bureaus and organize the documentation needed to restore an identity.

OUTSMART HACKERS WHO ARE OUT TO STEAL YOUR IDENTITY

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Older Americans remain prime targets for identity theft because scammers can exploit exposed Social Security numbers, birth dates and addresses. (Kurt “CyberGuy” Knutsson)

Some plans also include identity theft insurance for eligible recovery costs, such as lost wages and legal fees.

No service prevents every misuse of an older adult’s identity. However, family monitoring and fraud resolution can shorten the time between when theft happens and when you or someone in your family acts on it.

See my tips and best picks on Best Identity Theft Protection at Cyberguy.com

Kurt’s key takeaways

Grandparents have become a prime target because scammers know where the money is and how to create panic fast. A familiar voice, a stolen Social Security number or a fake emergency can turn one phone call into a devastating loss. The best defense starts before the call comes. Add trusted contacts to financial accounts, block online Social Security changes, verify urgent requests through a number you already know and talk openly with family about scam warning signs. Identity theft protection can also help spot exposed personal information and speed up recovery if fraud happens. No family can stop every scam attempt. However, a simple plan can give older adults more time, more backup and a better chance of keeping their money safe.

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A warrantless wiretap law is about to expire — but surveillance networks aren’t actually ‘going dark’

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A warrantless wiretap law is about to expire — but surveillance networks aren’t actually ‘going dark’

Congress has failed to pass a three-week extension of Section 702 of the Foreign Intelligence Surveillance Act (FISA), with the House voting 218-198 against reauthorizing the controversial warrantless wiretapping authority through July 2nd. After a short-term extension earlier this year, the spying program now appears set to lapse for at least a week. This is the nightmare scenario FISA’s proponents have been warning about — but it doesn’t actually mean the US has lost its surveillance capabilities.

Proponents of a clean extension claim a lapse will hinder intelligence agencies’ efforts to thwart potential terrorist attacks, with surveillance networks “going dark”. Sen. Tom Cotton (R-AR) stressed the importance of reauthorizing Section 702 ahead of the World Cup. House Speaker Mike Johnson (R-LA) has said even a brief lapse would be disastrous. “Democrats in the Senate are playing political games right now with the lives of Americans,” he told reporters Wednesday. “It’s a very dangerous situation.”

In March, the FISA court recertified surveillance under Section 702 until 2027. The Brennan Center for Justice notes that a lapse won’t allow telecom companies to flout requests to hand over communications information to the NSA and other spy agencies. In 2008, after Yahoo failed to comply with a Section 702 request during a lapse, the FISA court ruled that the directives issued under Section 702 are effective while the certification is in place — even in the event of a lapse.

“The phrase ‘going dark’ is significantly misleading,” Andrea Sawka Fiegl, the senior policy director for media and technology at Common Cause, said on a Tuesday press call. Fiegl added that companies don’t choose whether they participate in surveillance under Section 702. If they don’t comply after being served with a directive, they face fines starting at $250,000 a day.

“The ‘going dark’ framing is basically a pressure tactic designed to strip Congress of its leverage to negotiate reforms by creating this false binary,” Fiegl said. “There is ample time for Congress to consider and pass reforms.”

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Among those reforms are a warrant requirement for queries involving US persons, including so-called “backdoor searches” in which intelligence agencies identify a foreign target with ties to a US person, and then search that person’s communications, thus granting them access to their desired US target. Reformers also want to prohibit intelligence agencies from buying Americans’ data from private brokers to get around warrant requirements.

“Every day that Section 702 is in effect without reforms is a day that Americans’ rights are under threat,” Sen. Ron Wyden (D-OR) said in a statement Wednesday night, after Senate Republicans blocked his request for a five-week extension of Section 702 with new transparency requirements. “If there is going to be an extension of these authorities, there needs to be some guardrails or at least some transparency that would allow Congress and the American people to understand the abuses that have taken place and the need for reforms.”

Though President Donald Trump and Republican leaders in both chambers have called for a clean reauthorization of Section 702, there’s bipartisan appetite for reform — and a handful of Republican holdouts stand in the way of a clean reauthorization. Most Democrats — even some who have supported reauthorization in the past — have objected to a clean extension due to Trump’s appointment of Bill Pulte as acting director of national intelligence.

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