FDAProposed Rule

Clinical Decision Support Software Utilizing Artificial Intelligence and Machine Learning; Updated Regulatory Framework

TechnologyHealthcare
15 days left to comment

Summary

This proposed rule establishes an updated regulatory framework for clinical decision support software that uses artificial intelligence and machine learning. It creates a tiered classification system based on the clinical risk level of the AI's intended use and introduces a predetermined change control plan pathway that allows manufacturers to update algorithms without requiring new premarket submissions for each modification.

Key Points

  • 1Creates three tiers of regulatory oversight based on clinical risk of the AI/ML software
  • 2Establishes a predetermined change control plan for algorithm updates within defined boundaries
  • 3Requires transparency labeling showing training data demographics and known limitations
  • 4Mandates real-world performance monitoring and periodic reporting to the FDA
  • 5Exempts low-risk clinical decision support tools that meet specific transparency criteria

Impact Assessment

If you are a healthcare software manufacturer, this means you'll need to classify your AI clinical decision support tools by risk level and can update algorithms more flexibly through a predetermined change control plan instead of seeking FDA approval for each modification.

Impact Level
Significant
Geographic Scope

National

Compliance Cost

Moderate

Who is Affected
Healthcare ProvidersManufacturersTechnology CompaniesSmall Businesses

Key Dates

Published

June 2, 2025

Comment Deadline

April 1, 2026(15 days left)

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Regulatory Connections

Implements Executive Order

View on The Executive Order Digest

Amends CFR Sections
21 CFR Part 86021 CFR Part 870

This summary is for informational purposes only. It may not capture all nuances of the regulation. Always refer to the official text for authoritative information.

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