ONC Health IT Organization and Authority Structure Updates
Summary
HHS published a Federal Register Notice on April 1, 2026, reorganizing ONC (Office of the National Coordinator for Health Information Technology) by reversing the management title of Assistant Secretary for Technology Policy and restoring ONC as a singularly titled office. The roles of the HHS Chief Technology Officer, Chief AI Officer, and Chief Data Officer will no longer be part of ONC, and the organizational structure is consolidated into three offices.
What changed
HHS issued a notice amending Part A of the Office of the Secretary Statement of Organization, Functions, and Delegations of Authority, specifically Chapter AR covering ONC. The notice reverses the 2024 reorganization that created the Assistant Secretary for Technology Policy title, removes that position from HHS' leadership structure, and restructures ONC into three offices: Immediate Office of the National Coordinator (ARA), Office of Programs and Implementation (ARI), and Office of Standards, Certification, and Analysis (ARC). The prior Functions section is deleted and replaced entirely.
This reorganization affects how HHS coordinates health IT policy across federal agencies. Healthcare organizations, health IT vendors, and public health authorities should review these structural changes to understand the updated authority relationships for health information technology policy and interoperability initiatives. No immediate compliance actions are required as this is an internal organizational restructuring.
Source document (simplified)
Notice
Statement of Organization, Functions, and Delegations of Authority; Office of The National Coordinator for Health Information Technology
A Notice by the Health and Human Services Department on 04/01/2026
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- Public Inspection Published Document: 2026-06284 (91 FR 16204) Document Headings ###### Department of Health and Human Services
Office of the Secretary
AGENCY:
Office of the National Coordinator for Health Information Technology.
ACTION:
Notice.
This reorganization by the Department of Health and Human Services (HHS) reverses the actions that created the management title of Assistant Secretary for Technology Policy, removes that title and role from HHS' leadership structure, and restores the Office of the National Coordinator for Health Information Technology (hereafter referred to as ONC) as a singularly titled office. The roles and responsibilities of the HHS Chief Technology Officer, Office of the HHS ( printed page 16205) Chief Artificial Intelligence Officer, and Office of the HHS Chief Data Officer will no longer be part of ONC.
Part A, Office of the Secretary, Statement of Organization, Functions, and Delegations of Authority for the Department of Health and Human Services, Chapter AR, Office of the National Coordinator for Health Information Technology (ONC), as last amended at 89 FR 60903 (July 29, 2024), 83 FR 19289 (May 2, 2018), 79 FR 31941 (June 3, 2014), 77 FR 29349-50 (May 17, 2012), 76 FR 65196 (Oct. 20, 2011), 76 FR 6795 (Feb. 8, 2011), 75 FR 49494 (Aug. 13, 2010), 74 FR 62785-86 (Dec. 1, 2009), 70 FR 48718-03 (Aug. 19, 2005) is amended.
The prior Federal Register Notice is amended as follows:
I. Under AR.10, Organization, delete all of components and replace with the following:
A. Immediate Office of the National Coordinator (ARA)
B. Office of Programs and Implementation (ARI)
C. Office of Standards, Certification, and Analysis (ARC)
II. Delete AR.20, Functions, in its entirety and replace with the following:
Section AR.20, Functions
A. Immediate Office of the National Coordinator: The Immediate Office (IO) is headed by the National Coordinator for Health Information Technology (henceforth referred to as the National Coordinator), who provides leadership and executive and strategic direction for the Office of the National Coordinator for Health Information Technology. The National Coordinator is responsible for carrying out ONC's mission and implementing the functions of the organization. The IO: (1) advances the interoperability of health information as central and foundational to the core mission of HHS to enhance and protect the health and well-being of all Americans; (2) ensures that health information technology (IT) initiatives for health and human services are coordinated across HHS programs, including aligning health information technology investments; (3) ensures that the health IT policy and programs of HHS are coordinated with those of relevant executive branch agencies (including Federal commissions and advisory committees) with a goal of avoiding duplication of effort and of helping to ensure that each agency undertakes activities primarily within the areas of its greatest expertise and technical capability; (4) leads the efforts to promulgate health IT regulations that advance interoperability across the entire health care sector, including across behavioral health, human services, and public health sectors; (5) leads Federal and industry efforts to advance the access, exchange, and use of health information across the healthcare sector. The Principal Deputy National Coordinator, a part of the IO, works with and reports directly to the National Coordinator and is responsible for supporting the National Coordinator in day-to-day programmatic operations and strategy for ONC, and programmatic staff management of the organization. The Principal Deputy National Coordinator is a career senior executive service position that, in conjunction with the National Coordinator, provides executive oversight for the activities of ONC offices.
The Deputy National Coordinator for Operations/Chief Operating Officer (henceforth referred to as the Chief Operating Officer) works with and reports directly to the National Coordinator. The Chief Operating Officer is a career senior executive service position. The Chief Operating Officer manages enterprise risk and formulates solutions to ensure ONC has the resources to achieve its mission and goals, ensures fiscal integrity and adherence to federal laws and regulations; and leads agency-wide strategy and services that are operational in nature.
B. Office of Programs and Implementation: The Office of Programs and Implementation is headed by a Deputy National Coordinator who serves as the Executive Director. The Deputy National Coordinator/Executive Director of the Office of Programs and Implementation is a career senior executive service position. This office is responsible for: (1) policy and rulemaking activities, including implementation of provisions included in the Health Information Technology for Economic and Clinical Health Act (HITECH Act) and the 21st Century Cures Act; (2) ONC's domestic and global health IT initiatives; (3) coordination with executive branch agencies, Federal commissions, advisory committees, and external partners; (4) advanced analysis and the establishment of health IT policies for ONC and HHS to support health and human services initiatives, including in the areas of behavioral health, care transformation, health IT investment alignment, human services, information blocking, interoperability, privacy and security, and quality improvement; and (5) operational support for the Health Information Technology Advisory Committee established in the 21st Century Cures Act.
C. Office of Standards, Certification, and Analysis: The Office of Standards, Certification, and Analysis is headed by a Deputy National Coordinator who serves as the Executive Director. The Deputy National Coordinator/Executive Director of the Office of Standards, Certification, and Analysis is a career senior executive service position. This office is responsible for: (1) executing provisions included in the HITECH Act and the 21st Century Cures Act; (2) providing technical leadership and coordination within the health IT community to identify, evaluate, and influence the development of standards, implementation guidance, and best practices to advance nationwide interoperability for health and human services initiatives; (3) coordinating with Federal agencies and other public and private partners to implement and advance interoperability nationwide for health and human services initiatives; (4) leading the development of electronic testing tools, resources, and data to achieve interoperability, enhanced usability, and aid in the optimization of health IT; (5) administering the ONC Health IT Certification Program, including the Certified Health IT Product List; (6) and leading ONC's technical interoperability interests and investments to advance the development of innovative solutions for interoperability.
III. Delegation of Authority.
Pending further delegation, directives, or orders by the Secretary or by the National Coordinator all delegations and redelegations of authority made to officials and employees of affected organizational components will continue in them or their successors pending further redelegations, provided they are consistent with this reorganization.
Robert F. Kennedy, Jr.,
Secretary, U.S. Department of Health and Human Services.
[FR Doc. 2026-06284 Filed 3-31-26; 8:45 am]
BILLING CODE P
Published Document: 2026-06284 (91 FR 16204)
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