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Washington trims the health IT rulebook. HHS has finalized the HTI-5 rule, cutting 14 of 60 health IT certification criteria and projecting over $1.5 billion in regulatory savings. The move is part of the Trump administration's broader deregulatory push, though proposed changes to information blocking rules were left for a future rulemaking.
Washington trims the health IT rulebook
HHS's Office of the National Coordinator for Health Information Technology (ONC) has finalized the HTI-5 rule, a deregulatory measure aimed at streamlining the health IT certification program. Framed as part of President Trump's executive order on deregulation, the rule removes 14 of 60 certification criteria and revises seven more — a scaled-back version of the original December 2025 proposal, which had sought to eliminate 34 criteria.
The final rule also advances ONC's push toward FHIR-based APIs and removes AI model-card transparency requirements for decision support tools. Notably, proposed changes to information blocking regulations — including rules around autonomous AI accessing health data — were deferred to a future rulemaking.
By the Numbers
Why it matters: For health IT developers and clinicians, fewer compliance requirements could mean faster innovation and better EHR tools — but the unresolved information blocking questions leave a key piece of the interoperability puzzle still on the table.
