Utah has approved Nolla Health's AI to diagnose acne and issue prescriptions itself, according to a Chinese-language analysis republished by Huxiu AI and 36Kr. Users pay $4.99 a month, submit five facial photos and a history questionnaire, and the AI scores severity from 0 to 5; cases above 3.5, or involving pregnancy, breastfeeding or severe liver or kidney disease, are routed to a human doctor, while the rest get one of eight topical drugs sent to a pharmacy. The state phased the rollout in three steps — 100 patients with two licensed doctors approving each prescription, then 500 with weekly review, then 750 with 10% monthly sampling — requiring at least 95% concordance with clinicians, zero serious adverse events and written state approval for each step. The article says the regulatory agreement names Nolla Health itself rather than a physician as the liable party and adds a duty-of-care clause, but the company's user agreement has never been published; Nolla's own state filing claims roughly 96% concordance across 1,000 real-world cases, a figure the article notes has only that single source.