Short answer (updated Oct 17, 2026): the HTI-1 "model card" rules for AI in certified EHRs still apply. ONC's HTI-5 proposed rule, published Dec 29, 2025, would revise the decision support interventions criterion (45 CFR 170.315(b)(11)) to remove the AI model card requirements, but no final rule had been published in the Federal Register as of Oct 17, 2026.
Key facts
| Current rule | HTI-1 decision support interventions (DSI) criterion, 45 CFR 170.315(b)(11) |
|---|---|
| Proposed change | HTI-5, "ASTP/ONC Deregulatory Actions To Unleash Prosperity" (90 FR 60970, RIN 0955-AA09) |
| Published | Dec 29, 2025 |
| Comments closed | Feb 27, 2026 |
| Scope | Of 60 certification criteria, ONC proposes to remove 34 and revise 7; the DSI revision would "fully remove the artificial intelligence (AI) 'model card' requirements" |
| Status | Proposed; no final rule in the Federal Register as of Oct 17, 2026 |
What it means now
Until a final rule takes effect, developers certified to the DSI criterion must keep meeting the HTI-1 requirements, including support for source attributes on predictive and evidence-based decision support interventions. ONC's chart lists the (b)(11) revision as taking effect on the effective date of a final rule.
Related
Sources
- ONC: HTI-5 proposed rule
- ONC: HTI-5 overview (34 removed, 7 revised)
- ONC: HTI-5 proposed rule chart
- Federal Register 2025-23896
FAQ
Did HTI-5 remove the AI model card requirements?
Not yet. HTI-5 is a proposed rule published Dec 29, 2025. No final rule appeared in the Federal Register as of Oct 17, 2026, so the HTI-1 requirements still apply.
When did HTI-5 comments close?
February 27, 2026.
Which certification criterion is affected?
The decision support interventions criterion, 45 CFR 170.315(b)(11).