If you have been telling yourself, “Information blocking only happens when a person says ‘no’,” HTI-5 has some news for you. The proposed rule makes a pointed set of changes to the information blocking framework that, taken together, do two things at once. First, they modernize the rules for how EHI moves in 2026 (hello,
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ONC Quietly Dropped Four (4) New Information Blocking FAQs
ONC is ending 2025 with a tight set of four (4) new Information Blocking FAQs issued on December 19, 2025 that squarely target how Actors (i.e., HIE/HINs, Developers of Certified Health IT and Health Care Providers) behave in the real world: automation, contract leverage, and the Manner and Fees exceptions. These December FAQs do not…
Are You Blocking? The Coming Crackdown on Information Blocking: What It Means for HIE/HINs, Developers of Certified HIT, & Health Care Providers
When HHS Secretary Robert F. Kennedy, Jr. announced on September 3, 2025, that the Department would launch an aggressive crackdown on information blocking, it signaled a turning point in federal health IT policy. For years, patients, innovators, and providers alike have complained that electronic health information (EHI) was locked behind unnecessary barriers, whether technical,…
From Dragging Feet to Dragged Along: The Uneven March Into TEFCA
On August 6, 2025, the Assistant Secretary for Technology Policy (ASTP) at ONC publicly announced its release of the TEFCA Organizational Map, a beta search tool that allows users to look up which organizations are participating in the Trusted Exchange Framework and Common Agreement (TEFCA). For the first time, the public can search by…
Audacious Inquiry Sues CRISP: A Patent Showdown with National Interoperability Implications
A new lawsuit filed yesterday in the U.S. District Court for the District of Maryland has the potential to reshape the contours of health information exchange in the United States. Audacious Inquiry, LLC, a Baltimore-based health IT innovator now owned by PointClickCare, together with its subsidiary Collective Medical Technologies, has sued the Chesapeake Regional Information…
Impact of Executive Order 14117 and DOJ’s Final Rule on HIEs Operating as Business Associates
The U.S. Department of Justice’s Final Rule titled Preventing Access to U.S. Sensitive Personal Data and Government-Related Data by Countries of Concern or Covered Persons (90 Fed. Reg. 1636, published January 8, 2025) became effective on April 8, 2025, but its compliance requirements are currently stayed until July 8, 2025 to give organizations…
Judge Decides Class Action Can Proceed Against UnitedHealth for Use of AI
On February 13, 2025, a federal court issued a highly anticipated ruling in Estate of Gene B. Lokken v. UnitedHealth Group (CASE 0:23-cv-03514-JRT-SGE)—denying UnitedHealthcare’s attempt to dismiss certain state law claims and allowing breach of contract and good faith claims to move forward. It’s a major development in a case I first discussed…