S1, E40 - Jeff Smith — AI Regulation, Transparency & Innovation from the Government Perspective episode artwork

EPISODE · Jun 7, 2026 · 43 MIN

S1, E40 - Jeff Smith — AI Regulation, Transparency & Innovation from the Government Perspective

from Practical AI in Healthcare · host Steven Labkoff, MD and Leon Rozenblit, JD, PhD

What happens when the rules for getting AI into clinical care are written by someone who has spent his career inside both the advocacy world and the government? In this episode, we talk with Jeff Smith of ONC at HHS, the first government official on Practical AI in Healthcare. Smith walks us through ONC's proposed HTI-5 rule, including a striking move to treat AI agents as "users" with the same data-access rights as clinicians, and a new question about whether blocking data from being written back into the EHR is itself information blocking. We also dig into the limits of what a regulator can actually do, and why the real work is coordination across agencies rather than control from any one of them.https://practicalaiinhealthcare.com/https://www.youtube.com/@PracticalAIinHealthcare

What happens when the rules for getting AI into clinical care are written by someone who has spent his career inside both the advocacy world and the government? In this episode, we talk with Jeff Smith of ONC at HHS, the first government official on Practical AI in Healthcare. Smith walks us through ONC's proposed HTI-5 rule, including a striking move to treat AI agents as "users" with the same data-access rights as clinicians, and a new question about whether blocking data from being written back into the EHR is itself information blocking. We also dig into the limits of what a regulator can actually do, and why the real work is coordination across agencies rather than control from any one of them.https://practicalaiinhealthcare.com/https://www.youtube.com/@PracticalAIinHealthcare

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S1, E40 - Jeff Smith — AI Regulation, Transparency & Innovation from the Government Perspective

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This episode was published on June 7, 2026.

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What happens when the rules for getting AI into clinical care are written by someone who has spent his career inside both the advocacy world and the government? In this episode, we talk with Jeff Smith of ONC at HHS, the first government official on...

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