mAIn Street #289: Colorado says live clinician must supervise AI used in therapy; Agents can cut $5.6M and 10 weeks off cancer trials; BoA pledges $250B for US tech, energy, and core infrastructure



Colorado puts a clinician in the loop for AI therapy, agents find savings in cancer trials, and AI-infrastructure jobs get a union training path.
mAIn Street Daily Newsletter. AI news for people who actually have jobs to do.
Thursday, August 13, 2026
On September 9, I’m hosting ChatGPT for Marketing: Using AI So It Doesn’t Look Like AI, a 90-minute workshop for marketers and business professionals who are tired of generic copy and look-alike visuals. We’ll work with writing, images, fonts and web pages, then use real examples to show how references, clear instructions, repeated edits and human judgment produce work that feels specific to you. See the workshop details and register.
Top 5
What matters today
01
Starting August 12, licensed mental-health professionals cannot let an AI system handle therapeutic communication unless the clinician, client and system are together in a live session. AI-generated treatment plans require clinician approval, and AI recording or transcription requires written, revocable consent.
02
A Tufts Center for the Study of Drug Development analysis modeled a Medable agent across phase 2 and 3 oncology trials. The savings came from faster enrollment, fewer site visits and quicker data work; people still need to verify the agent and solve patient-selection and consent problems.
Source: Axios
03
The partnership connects Meta data-center construction needs with union apprenticeships, portable credentials and full-time skilled-trades work. The participating unions represent about 3.2 million workers, giving the AI buildout a clearer route into paid training and long-term careers.
Source: Meta
04
The bank plans to deploy the financing through July 2027 across data centers and computing, power generation and storage, transportation, natural gas and other systems. It expects the initiative to support economic growth and tens of thousands of jobs.
Source: Reuters
05
The ChatGPT desktop app can import selected work from Claude Code, Claude Cowork and Cursor, then show import history and optional automatic updates. Codex CLI can import from Claude Code or Cursor. Existing setups remain in place, so teams can test the move before changing their working routine.
Source: OpenAI
AI Workflows
Build one AI handoff pack that travels
OpenAI’s importer moves supported agent work into ChatGPT Work and Codex. A portable project pack gives mixed-tool teams the same operating instructions everywhere.
OpenAI now lets people bring selected projects, chats, skills, plugins and settings from supported agent tools into ChatGPT Work and Codex. The launch demo shows the move in the ChatGPT desktop app, and OpenAI’s import guide explains what transfers and what needs review.
Video preview for OpenAI's import and sync feature in the ChatGPT desktop app
▶ Watch the 21-second demo
Email-safe video preview. Tap to open the original video on X.
The five-year-old explanation
Think about moving a busy employee to a new desk. Their folders, checklists and recent notes contain the knowledge that makes them productive. OpenAI built a mover for several popular agent tools. The importer labels those folders for ChatGPT Work or Codex, then leaves the original desk intact.
A company that uses several AI systems needs a second layer: a small, portable handoff pack. This pack tells any capable AI what the project is for, which material is trusted, how the work gets done and what a passing result looks like. You can upload it to ChatGPT, Claude, Gemini, Copilot, Cursor or another approved system even when that product has no automatic importer.
What OpenAI can move today
ChatGPT desktop: Open Settings, choose Import, select Claude Code, Claude Cowork or Cursor, then choose the projects, chats, skills, plugins and settings you want. Import history and an automatic-updates switch live in the same area.
Codex CLI: Run /import to bring work from Claude Code or Cursor. The CLI can bring in as many as 50 chats from the previous 30 days. It cannot start an import while another task, remote session or local app-server daemon is running.
OpenAI maps source instructions into project instructions, brings supported skills and plugins across, and turns existing folders into projects. Permissions, connector sign-ins, hooks, path names and plugin behavior still need a person to review them.
Build the portable pack
1. One-page brief. State the business goal, the audience, the owner, the required inputs and the final deliverable. A marketing example might be “turn one approved webinar transcript into a newsletter, three social posts and a sales follow-up.”
2. Trusted source folder. Add the current brand guide, product facts, price sheet, policy, template and approved examples. Put dates and owners on files so the AI can spot stale material.
3. Playbook. Write the routine as short steps. Name the tool that performs each step, the fields it may change and every point where a person must approve an action.
4. Quality gate. List pass-or-fail checks for accuracy, tone, privacy, accessibility and required approvals. A clear gate gives every AI system the same finish line.
5. Sample and change log. Include one approved finished example and a short record of rule changes. The sample shows the target; the log tells the next AI which instruction is current.
Deploy it across a mixed tool stack
Start with one safe project. Choose a repeatable job that uses public or synthetic information, such as a weekly competitor summary or a campaign brief built from approved materials.
Use the automatic route where it exists. In ChatGPT desktop, import only the items needed for that test. Open the imported project and ask it to name the instructions, sources, skills and plugins it can see.
Use the pack everywhere else. Upload the same brief, sources, playbook, quality gate and sample to each approved AI product. Save the project instructions inside that tool if it supports them.
Reconnect permissions carefully. Sign in to connectors again, give each one the smallest useful level of access and place sending, publishing, purchasing, deleting and customer-facing changes behind approval.
Run the same test case. Give two systems identical inputs and compare the results against the quality gate. Fix the handoff pack when both systems make the same mistake; tune one tool when only that tool misses.
Choose one source of truth. Turn on OpenAI’s automatic updates only after your team decides which source setup owns future changes. The feature can carry supported changes into ChatGPT. It does not create universal, two-way synchronization among every AI vendor.
Copy this handoff request
Turn this project into a portable AI handoff pack. Include: purpose, owner, required inputs, trusted sources, brand and policy rules, repeatable steps, approved tools, fields each tool may change, human approval points, pass-or-fail quality checks, one sample output and known failure modes.

Remove passwords, API keys, customer records, personal data and one-time details. Label anything that may not transfer cleanly to another AI system. End with a five-minute test that confirms a new system understood the pack.
Where this helps a business
Marketing: carry voice rules, approved claims, campaign calendars and review checklists across a writing tool, an image tool and the system that schedules content.
Client service: give every approved assistant the same intake questions, account facts, escalation rules and definition of a finished client update.
Operations: document a recurring report, including where data comes from, which calculations are fixed, who checks exceptions and who sends the final version.
Software and IT: move coding instructions, repository rules, reusable skills and test expectations while rechecking paths, permissions and external services on the new system.
The guardrails
Keep passwords, API keys, financial account details, health information and identifiable customer data outside the pack. Review imported permissions and tool restrictions before a live run. Reauthorize connectors one at a time. Keep every consequential action behind a person until the imported project passes a real test with safe data.
AI Tool Spotlight
See how often major AI assistants mention your company, then track what changes.
Lettertrace checks how Claude, ChatGPT and Gemini answer questions about your company. It reports mention rate, share of voice, sentiment and competing brands. The software is free and open source, and teams can run it with their own model-provider keys.
A sensible first test
Write 12 questions a real buyer might ask, such as “Which payroll service works for a 20-person construction company?” Add three direct competitors, run the same set once a week and save the cited sources. Four weeks will show whether a change is persistent or ordinary answer-to-answer variation.
Use the result to fix facts
Look for missing products, old prices, weak descriptions and sources that repeatedly shape the answer. Correct your official product pages, help center, structured data and public profiles first. Rerun the same questions after the corrected information has been published long enough for AI search systems to find it.
Read the numbers carefully
AI answers change from one run to the next, so a single result is a clue, not a market-share measurement. Keep prompts stable, compare trends and inspect the full answer before acting on a sentiment score.
The hosted service stores brand settings, prompts, model answers and source links, and it encrypts saved API keys. Begin with public brand questions and leave customer or confidential material out. Teams with stricter policies can review the open-source code and self-host. Read the privacy details or try Lettertrace on its official site.
Headlines
Work and business
The partnership will connect data-center construction needs with registered apprenticeships, portable credentials and full-time skilled-trades work. The participating unions represent about 3.2 million workers.
The early-beta service can sign into apps and websites, keep working after a person steps away and coordinate multiple bots. Access currently requires an eligible SuperGrok or Cursor plan, and enterprise availability is still rolling out.
The guide covers approved tools, acceptable tasks, data rules, human review, disclosure, training and escalation. Its most useful advice is practical: show employees what they may do, what they may not do and who can answer a close call.
The San Francisco company was valued at $1.5 billion and says it now performs more than two million code reviews a week for over 17,000 customers. It also plans to spend more than $10 million keeping its review tools free for open-source projects.
The funding values the code-testing company at $550 million, nearly ten times its valuation less than a year ago. Blacksmith says it serves more than 5,000 customers as software teams face a new bottleneck: proving that faster-written code actually works.
Health, learning and everyday life
The law requires real-time clinician participation when AI communicates therapeutically, clinician approval of AI treatment recommendations, and written, revocable consent before AI records or transcribes a session.
A Tufts analysis modeled gains in enrollment, site visits and data work. The result is an estimate from one oncology program, and human verification plus patient recruitment and consent still shape what can be saved.
The watch can surface calendar and travel actions and guide workouts. Google says coming monthly summaries will cover blood-pressure, sleep-breathing and insulin-resistance trends after a month of wear. Those summaries are general wellness information. A separate breathing-emergency feature will launch first in Europe and has not been cleared by the FDA.
The accessibility feature lets a signer use the front camera while Live Transcribe or Gboard shows text to the person on the other side of the phone. Google developed it with the Deaf community and says accuracy and language availability can vary.
The Texas district is phasing AI access by grade level and keeping educators responsible for lessons, assessment and instructional decisions. It describes the framework as a living guide that will change with feedback from teachers, students and families.
Tools, platforms and creative work
The desktop app can import from Claude Code, Claude Cowork and Cursor, while Codex CLI supports Claude Code and Cursor. Teams can review import history and choose automatic updates after they verify permissions, plugins and project instructions.
The milestone makes Gemini the fastest-growing product in Google’s history and its fourteenth product to pass one billion monthly users. Google says more than 100 million of those users access Gemini on Apple devices.
The connector lets people find and license stock assets while building a presentation, campaign concept, brief or internal communication. Teams still need to confirm the license attached to a chosen asset and preserve proof of that license with the final work.
The new app brings ChatGPT and Codex desktop work to Linux users after earlier releases on macOS and Windows. A preview label means teams should test compatibility, policies and update behavior before making it part of a critical workflow.
The global agreement covers BMG’s recorded-music and publishing catalogs and is tied to Suno’s first model built with music-industry partners. Participation and compensation details will decide what the deal means for individual artists and songwriters.
Money, infrastructure and security
The bank plans to deploy the financing through July 2027 across data centers, computing, power generation, storage, transportation and natural gas. It expects those projects to support growth and tens of thousands of jobs.
The West Virginia manufacturer will expand production and commercial deployments of batteries designed to store power far longer than ordinary lithium systems. Its backlog has grown from about 20 to 80 gigawatt-hours, including projects tied to Google and AI-data-center operator Crusoe.
Quarterly revenue reached $582.3 million as the company’s AI-cloud unit grew nearly sixfold. Nebius is spending heavily on chips and data centers, so contracted demand and customer prepayments will need to keep pace with that buildout.
The $55 million term sheet covers land and about 1,800 mineral acres, with room for the site to grow toward one gigawatt. The first phase could cost about $500 million, and the deal still depends on due diligence, financing, permits and final agreements.
The draft compares AI infrastructure with traditional high-performance computing across hardware, software, workflows and storage. It identifies threats and possible safeguards, with public comments open through September 25.
World, policy and privacy
The company says people have created more than 60 million software projects with its plain-language coding service. The new valuation doubled in eight months, putting pressure on the business to turn high traffic and rapid creation into durable customer value.
The airline plans to use Gemini Enterprise to connect data, automate selected decisions and build custom agents. The arrangement also adds another cloud provider to improve resilience, a useful reminder that critical AI workflows need a backup plan.
Cloud and networking products produced 51% of revenue, passing consumer electronics for the first time. The company plans to begin shipping Nvidia Vera Rubin server racks in the fourth quarter and raise 2026 capital spending by 30%.
Youth unemployment rose to 12.4% in 2025, while 257 million young people were outside work, education or training. Clerical and sales roles carry much of the AI exposure, and the report calls for training that connects young workers to growing fields.
HateAid argues that the glasses can film people without clear notice, and prosecutors are conducting a preliminary review. Germany’s network regulator says smart glasses remain legal when recording is visibly signaled, so the case will test how visible that signal must be.
mAIn Street is built for nontechnical readers who want the signal, not the sludge.

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