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Office of the National Coordinator for Health IT (ONC)

★ Member

Sets health IT interoperability standards, certifies EHR technology, and enforces information blocking rules. Small office with outsized regulatory impact.

MMT's Current Read

ONC is enforcing TEFCA and expanding USCDI requirements. Information blocking enforcement actions are increasing. The USCDI v4 standard is in development. ONC procurement is limited but its regulatory decisions shape billions in private-sector and government health IT spending.

Updated: April 2026

Budget Posture
FY2026 Enacted
$62M
FY2027 Request
$65M (+4.8%)
Key Funded Programs
  • TEFCA implementation
  • USCDI expansion
  • Information blocking enforcement
  • EHR certification
Programs at Risk
  • ONC budget is small and vulnerable to broader HHS cuts
Key Vehicles
No tracked vehicles yet.
Upcoming Procurement Signals
  • • USCDI v4 draft (expected mid-2026)
  • • TEFCA expansion milestones
Key Program Offices
  • ONC (direct)
  • Standards and Technology Division
  • Policy Division

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