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Abstract image of a hospital corridor dividing into a contained, lit path and an open, dim path, symbolizing governed versus ungoverned AI deployments.

Clinical AI Already Has Rules. Most Deployments Sit Outside Them.

The real governance decision for health systems is not whether to build an AI committee, but which deployments already sit inside CLIA, ONC certification, or HIPAA, and which sit in open air.

Abstract image of glowing data streams passing through a narrow gated checkpoint between two mirrored structures, symbolizing automated decisions flowing between hospital and payer systems.

Prior Authorization Is Already a Clinical AI Governance Regime

While experts debate a new regulatory framework for clinical AI, CMS-0057-F already imposes auditable timeliness and explainability controls on AI deciding prior authorization.