Reducing the Regulatory Burden of RWT and Insights

By the EHR Association Certification Workgroup

When federal agencies, including those under HHS, began exploring opportunities for deregulation and burden reduction pursuant to several of President Trump’s Executive Orders (EO), the EHR Association seized the opportunity to voice our unique perspective and deregulation recommendations in the ASTP/ONC Health IT Certification Program. Since then, we’ve been encouraged by and appreciative of the tangible steps ASTP/ONC has taken towards reducing regulatory burdens, specifically its publication of enforcement discretion for both the Insights and Real World Testing (RWT) Condition and Maintenance of Certification.

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EHR Association Statement on the White House “Make Health Tech Great Again” Event and Vendor Pledge

The EHR Association shares the following statement regarding the White House’s “Make Health Tech Great Again” event hosted by CMS and announcing a collaborative effort to “begin laying the foundation for a next-generation digital health ecosystem that will improve patient outcomes, reduce provider burden, and drive value.” 

The EHR Association welcomes the Administration’s innovative thinking on how to accelerate health data interoperability and information sharing and commends the developer community’s proactive commitment to this voluntary pledge. By expanding access pathways—from patient-facing applications to provider EHRs to payer claims management systems—and encouraging adoption of advanced AI and digital tools, the ‘Make Health Tech Great Again” initiative promises to accelerate progress toward a more connected and transparent healthcare ecosystem. We look forward to working alongside CMS, ASTP/ONC, and other stakeholders to learn more about implementing this important initiative.

– Leigh Burchell of Altera Digital Health, Chair of the EHR Association

EHR Association Statement on the AI Action Plan

The EHR Association shares the following statement regarding the Trump Administration’s “Winning the Race: America’s AI Action Plan,” which was released yesterday (July 23, 2025) by the White House. 

“The EHR Association commends the administration for its commitment to advancing safe, effective, and innovative AI. As we evaluate the implications of the AI Action Plan for our member companies, their healthcare provider clients, and, most importantly, patients, we reiterate our call for a uniform, risk-based regulatory model at the federal level. Fragmented state mandates risk slowing innovation and complicating compliance, which could deter innovation and adoption. We look forward to collaborating with regulatory agencies and impacted stakeholders to determine the best path forward in achieving the goals of the AI Action Plan.”

– Leigh Burchell of Altera Digital Health, Chair of the EHR Association

What is Information Blocking? 

By the EHR Association Information Blocking Compliance Task Force

This blog marks the beginning of a series by the EHR Association on information blocking – what it is and what the “reasonable and necessary activities” are that constitute exceptions as defined by ASTP/ONC regulations. Given that it has been five years since the initial release of information blocking regulations and the recent renewal of focus on enforcing the law, this is an opportune time for a refresher on the topic.

Our goal with this series is to educate our membership and other impacted stakeholders on information blocking requirements and exceptions. This first installment shares the history and description of information blocking requirements. Future blogs will illustrate how we expect exceptions to be used and will highlight ambiguities and/or challenges with the framework that we believe will be insightful to regulators and other interested parties. 

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HIPAA Security Rule Part Three: Risk-Based and Industry-Aligned Approaches Recommended

By the EHR Association Privacy & Security Workgroup

This three-part blog series shares the EHR Association’s stance on OCR’s proposed changes to the HIPAA Security Rule. Part one focused on our overarching concerns and issues with proposed definitions. Part two and this installment highlight our concerns with OCR’s proposed expectations. 

The HIPAA Security Rule is overdue for modernization, given the rapid pace of technological change and increasing cybersecurity threats. While we support OCR’s intent to strengthen protections for electronic protected health information (ePHI), our analysis of the HIPAA Security Rule to Strengthen the Cybersecurity of Electronic Protected Health Information raised concerns and questions we hope will be addressed before finalization.

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Finding the Right Balance: Smart Deregulation in Health IT

by Leigh Burchell (Altera Digital Health), Chair, EHR Association Executive Committee

The current administration has made deregulation a central policy priority, aiming to reduce burden and costs in as many sectors of the economy as possible, including health care. This is exemplified by the January 2025 Executive Order 14192: Unleashing Prosperity Through Deregulation, which requires federal agencies to eliminate ten regulations for each new one introduced. 

As the trade association for health IT developers, we believe that smart deregulation should focus on removing outdated, redundant, and low-value requirements with ASTP/ONC and CMS playing a role more focused on driving improvements in standardized interoperability and health data exchange. Health IT regulation should support—not hinder—the industry’s collective ability to deliver safe, effective, and innovative technology solutions, without compromising the progress made or devaluing the investments in health IT over the last fifteen years. As always, we remain committed to working alongside federal agencies within the construct of a regulatory environment that benefits providers, developers, and—most importantly—patients.

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