U.S. FEDRegulation
United States: ONC final rule removes 14 health IT certification criteria at 45 CFR Part 170
The Office of the National Coordinator for Health Information Technology published a final rule on October 28, 2026 removing 14 of the 60 health IT certification criteria and revising seven others at 45 CFR Part 170. The rule removes decision support interventions model card requirements, descopes real world testing and insights conditions, and takes effect December 28, 2026, with three instructions effective January 1, 2027.
Key points
- ONC retains 39 certification criteria unchanged, including the HTI-4 electronic prior authorization and real-time prescription benefit criteria.Federal Register
- The decision support interventions revision removes the model card requirements at section 170.315(b)(11)(iv) and (v) for source attribute support and access.Federal Register
- The Real World Testing condition at section 170.405 is descoped for testing plans, results reporting, and standards version advancement process use.Federal Register
- ONC removes and descopes most measures under the Insights condition of certification at section 170.407.Federal Register
- Published at 91 FR 67916 as FR Doc. 2026-21943, the rule also removes Assistant Secretary for Technology Policy references in Parts 170 and 172.Federal Register
- Developers design and certify health IT against the reduced criteria set; removed standards are withdrawn with their criteria, some until January 1, 2027.Federal Register
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RegulationU.S.Health Data, Technology, and Interoperability: ONC Deregulatory Actions To Unleash Prosperity (45 CFR Parts 170 and 172)HealthcareRegulatoryTechnologyFor practitionersFor governance