I quickly got used to auto-hold here in Montana. We have the same problem here that Oregon has as the auto hold makes a lot of mistakes. There is a disclaimer on the rules screen that says the auto hold suggests a hold but it may not be the optimum hold. And these are privately owned machines.
There are no hold buttons on the machines. You have to touch the screen to change the hold. I have to change about 1 in 8 holds. So for the most part I'm hitting the deal/draw button with the index finger of my right hand. When I have to change a hold I use my left hand to do it. I still get out about 1000 hands per hour without pushing it just like the Nevada machines.
The main thing the auto-holds do here is steer you away from the royal flushes, both natural and wild, and straight flushes, both natural and wild. From a hand like AC-KH-QH-10H-X it will hold A-K-Q-10 steering you to the inside straight draw. And on a hold like 3H-4H-6H-7C-X it will hold 3-4-6-7 steering you to the inside straight draw.