HTI-5 certification criteria
Published November 4, 2026 · Coverage October 25–31, 2026, Pacific · Medium priority
ONC’s HTI-5 final rule, published October 28, 2026, removes 14 and revises seven of the 60 health IT certification criteria it describes as currently in effect, while retaining 39 unchanged. ONC says proposals not addressed in the final rule remain under consideration. Removing a certification criterion does not itself require vendors to remove a feature or erase other applicable obligations. The published rule is effective December 28, 2026, except amendatory instructions 7, 10 and 12, which are effective January 1, 2027.
Published rule: Health Data, Technology, and Interoperability: ONC Deregulatory Actions To Unleash Prosperity (91 FR 67916–67998), published October 28, 2026. These rule effective dates are not a universal provider implementation deadline.
Suggested owner and action: Health IT and compliance teams can map the criteria used in their certification and procurement plans to the final published rule, identify applicable effective-date exceptions and retain other obligations that continue to apply.
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