ONCbriefings.

A half-open steel gate in a corridor with glowing data lines flowing through the narrowing gap, symbolizing shrinking certification scope against expanding data flow.

ONC Narrows Certification as the API Clock Keeps Running

HTI-5 shrinks what health IT certification requires just as CMS-0057-F expands the FHIR surface agentic tools are already calling.

A corridor of sealed glass partitions with a single panel open to light, symbolizing a narrow regulatory opening amid continued restrictions.

The Deregulation That Didn't Touch the Hard Part

ONC's HTI-5 rule cuts health IT certification costs but leaves Cures Act information blocking exposure exactly where it was.

Abstract image of a wide structural net with widening gaps, symbolizing a narrowed regulatory safety net.

ONC Just Narrowed the Safety Net. Hospitals Own What's Left.

ONC's HTI-5 rule cuts health IT certification costs and defers information blocking enforcement, leaving hospitals to document their own AI control points.

Abstract network diagram showing some nodes losing their connections while others remain linked, symbolizing a shrinking health IT certification scaffold.

HTI-5 Narrows Certification. It Doesn't Narrow Information Blocking Exposure.

ONC's HTI-5 rule strips back health IT certification criteria while leaving Cures Act information blocking obligations fully intact, creating a gap health systems must close themselves.

Abstract network of glowing translucent pathways converging on a central node, symbolizing control over an autonomous clinical AI agent.

Who Controls the Agent Is the Governance Question, Not Whether It Works

As agentic AI moves into clinical workflows, health systems are letting vendor architecture decide who holds authorization and audit control by default.