Summary: Health Data, Technology, and Interoperability: Certification Program Updates, Algorithm Transparency, and Information Blocking (RIN: 0955-AA03)

On July 10, 2024, HHS Office of the National Coordinator for Health IT (ONC) issued the Health Data, Technology, and Interoperability: Patient Engagement, Information Sharing, and Public Health Interoperability (HTI-2) proposed rule. This proposed rule includes proposals for: standards adoption; adoption of certification criteria to advance public health data exchange; expanded uses of certified application programming interfaces, such as for electronic prior authorization, patient access, care management, and care coordination; and information sharing under the information blocking regulations. It proposes to establish a new baseline version of the United States Core Data for Interoperability, and makes other updates to the ONC Health IT Certification Program. Finally, the proposed rule also includes provisions related to Trusted Exchange Framework and Common Agreement (TEFCA).

Key links include:

• Proposed Rule
• Press Release
• HTI-2 Overview Fact Sheet
  • HTI-2 Proposed Key Dates Fact Sheet
  • HTI-2 Electronic Prescribing & Real-Time Prescription Benefit Fact Sheet
  • HTI-2 Information Blocking Definition Enhancements Fact Sheet
  • HTI-2 Information Blocking Exceptions Fact Sheet
  • HTI-2 Public Health Fact Sheet
  • HTI-2 TEFCA Fact Sheet
  • HTI-2 USCDI Version 4 Fact Sheet
  • HTI-2 Modular API Capabilities Fact Sheet
  • HTI-2 Patient, Provider, Payer API Fact Sheet

Below is a summary of the key provisions of the final rule.