HHS Proposes HTI-5 Rule to Streamline Certification Program

Healthcare Innovation December 22, 2025
Pietje Kobus

HTI-5 proposes significant regulatory updates, including removing over half of certification criteria

The U.S. Department of Health and Human Services (HHS), through the Assistant Secretary for Technology Policy/Office of the National Coordinator for Health Information Technology (ASTP/ONC), announced today, December 22, the Health Data, Technology, and Interoperability: ASTP/ONC Deregulatory Actions to Unleash Prosperity (HTI-5) Proposed Rule. The HTI-5 proposed rule is projected to save a total of $1.53 billion, including $650 million over the next five years for health IT developers, providers, and other stakeholders.

According to a news release, the HTI-5 Proposed Rule has three core goals:

1. Easing the load on health IT developers by simplifying ASTP/ONC’s voluntary Health IT Certification Program through the removal of unnecessary requirements.
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