HealthIT Answers August 24, 2025
On July 31, 2025, the Assistant Secretary for Technology Policy (ASTP) finalized the Health Data, Technology, and Interoperability: Certification Program Updates, Algorithm Transparency, and Information Sharing rule—also known as HTI-4. While not as buzzy as some recent policy headlines, this rule quietly packs a punch for developers, providers, and policymakers working to build a more transparent and connected prescription drug ecosystem.
At its core, HTI-4 is about making prescribing and medication access more real-time, transparent, and aligned with patient needs. It updates health IT certification criteria in three key areas: electronic prescribing, real-time prescription benefit (RTPB), and electronic prior authorization (ePA).
What’s in the HTI-4 Final Rule?
So, what exactly did ASTP finalize in HTI-4? While it builds on concepts...







