The Department of Health and Human Services finalized a rule on Monday removing 14 health IT certification criteria and revising seven others. The agency stated the rule yields $1.55 billion in present value cost savings.

Annualized net cost savings are estimated at $108.1 million in 2024 dollars, discounted at 7 percent, beginning in 2027. Implementation and compliance costs for developers of certified health IT are estimated at $0. Reviewers, including developers and medical associations, incurred an estimated $1,293,508 in total costs.

The rule retains 39 health IT certification criteria without changes. The revision of decision support interventions criteria fully removes super intelligence model card requirements for source attribute support and access. The rule shifts the certification program toward FHIR-based API standards.

The rule is effective 60 days after publication in the Federal Register, except for amendatory instructions 7, 10, and 12 which are effective January 1, 2027. The incorporation by reference of certain material listed in the rule was approved by the Director of the Federal Register between February 12, 2010, and October 1, 2025.