Why it matters
If finalized in similar form, AI-agent access to health data could become an explicit interoperability and information-blocking issue rather than an edge-case integration question.
Decision implication
Track final-rule language and design P4L's agentic-AI adoption framework around explicit data-access rights, governance, authentication, provenance, and human authority.
Who or what is affected
- ASTP/ONC
- EHR developers
- AI agents
- providers
- patients
- app developers
Evidence and sources
Decision priority: Watch
Source authority: Primary/authoritative · official ASTP/ONC source
Evidence design: Program record
Applicability: Direct
Confidence for the stated claim: High
Freshness: Current
- https://healthit.gov/resources/health-data-technology-and-interoperability-astp-onc-deregulatory-actions-to-unleash-prosperity-hti-5-proposed-rule/
- https://healthit.gov/regulations/hti-rules/hti-5-proposed-rule/
- https://www.federalregister.gov/documents/2025/12/29/2025-23896/health-data-technology-and-interoperability-astponc-deregulatory-actions-to-unleash-prosperity
P4L distinguishes the sourced record from interpretation. Program inclusion, participation, funding, proposal status, or a public listing does not by itself establish clinical effectiveness, endorsement, coverage, or scaled adoption unless the cited source specifically establishes it.
For this decision
Clinicians · Innovators · Health-system leaders · Policymakers · Payers/employers
What P4L is watching next
- Final rule
- changes to definitions
- API/certification requirements
- enforcement.
Related proof records
Record provenance
- Last verified
- 2026-09-03
- Source updated
- 2026-06-26
- Revision state
- Version 1.1 adds the closed-comment and not-final boundaries, adds current rule-status sources, and records the September 3, 2026 re-verification.
- Status
- Proposed rule · comment period closed 2026-02-27 · not final
- Freshness
- Current
- Version
- 1.1
- Stable ID
- SIG-2026-024