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ONC HTI-1 certified health IT algorithm transparency

Federal certified-health-IT rules now include transparency requirements for AI and predictive decision-support tools used in clinical software.

Federal · Effective · Implementation Jan 1, 2026

What it is

What changed
The HTI-1 final rule adds transparency expectations for predictive decision-support interventions in certified health IT and moves certified products toward USCDI v3 as the baseline standard.
Why it matters
Caregivers often see downstream effects of clinical tools without knowing what influenced a recommendation; transparency requirements can shape what care teams can explain about software-supported decisions.
Who it touches
Family caregivers, Care providers and plans, People receiving care, Businesses and agencies that must complypatients, family caregivers, clinicians, health IT vendors, care organizations
What it does
Requires something of providers, companies or agencies
Identifiers
2023-28857

Sources

Last reviewed Jun 18, 2026. This is information, not legal advice; check the source for the current text.