Program Resources

HTI-1 Final Rule Criteria Updates: The HTI-1 Final Rule requires Health IT developers certified to the following criteria to update their minimum code sets and certain standards by December 31, 2025. For more information on these required updates, please visit HTI-1 Overview and Key Dates Fact Sheet.  

• § 170.315 (a)(5) Patient demographics and observations
• § 170.315 (a)(12) Family health history
• § 170.315 (a)(15) Social, psychological, and behavioral data
• § 170.315 (b)(1) Transitions of care
• § 170.315 (b)(2) Clinical information reconciliation and incorporation
• § 170.315 (b)(9) Care plan
• § 170.315 (c)(4) CQM – filter
• § 170.315 (e)(1) View, download, and transmit to 3^rd party
• § 170.315 (f)(1) Transmission to immunization registries
• § 170.315 (f)(3) Transmission to public health agencies – reportable laboratory tests and value/results
• § 170.315 (f)(4) Transmission to cancer agencies
• § 170.315 (f)(5) Transmission to public health agencies – electronic case reporting
• § 170.315 (g)(6) Consolidated C-CDA performance
• § 170.315 (g)(9) Application access – all data request
• § 170.315 (g)(10) Standardized API for patient and population services 

*Enforcement Discretion: The HTI-1 Final Rule outlined several updates to existing certification criteria that were originally required to be met by December 31, 2025, as the new requirements go into effect on January 1, 2026. However, given the recent lapse in appropriations, ASTP/ONC issued enforcement discretion on November 24, 2025, which effectively gives Certified Health IT developers until March 1, 2026, to update their Health IT Modules consistent with policies finalized in the HTI-1 Final Rule and provide such technology to their customers. Please review this enforcement discretion notice closely for more details.

Real World Testing 2025 Results Report Due: Developers with products eligible for Real World Testing must have their results reports publicly available via hyperlink by this date. Please check with your ONC-ACBs regarding additional deadlines they may have to ensure all reports are published by ASTP/ONC's deadline. 

Enforcement Discretion: In accordance with Executive Order 14192, “Unleashing Prosperity Through Deregulation” released on June 30, 2025, ASTP/ONC is exercising enforcement discretion related to certain Real World Testing requirements to reduce regulatory burden for Certified Health IT developers. For CY 2026, ASTP/ONC only expects a developer with a Health IT Module(s) certified to the (g)(7) through (10) certification criteria, as of August 31, 2024, to submit a CY 2025 Real World Testing results report to its ONC-ACB by March 2026. This enforcement discretion will be in effect immediately, and will remain in effect until December 31, 2026, or until the Department of Health and Human Services completes deregulatory action, whichever comes first. Please read the full notice outlining the details of the Real World Testing enforcement discretion.