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FedRAMP for clinical AI workflows

FedRAMP in clinical AI workflows: what compliance requires, who asks for evidence, and the records to keep.

Legal forceBinding on federal agencies; cloud providers must comply to sell to agencies
Applies from23 Dec 2022
SectorMedicine
Checked21 Oct 2026

01 / The rule

What FedRAMP requires

Federal agencies using cloud services, and cloud service providers (including AI SaaS providers) that host federal information.

  1. 01Cloud providers must obtain FedRAMP certification at the class or impact level matching the agency data.
  2. 02Implement and evidence the required controls, or the 20x key security indicators, and pass independent assessment.
  3. 03Perform continuous monitoring and report vulnerabilities and changes to FedRAMP and agencies.
  4. 04Agencies must reuse existing FedRAMP assessments where practicable and still issue their own ATO.
  5. 05From January 1, 2027, follow the Consolidated Rules for 2026 to keep certification.

02 / In this sector

In a clinical AI workflow

AI cloud services used by agencies need FedRAMP coverage; FedRAMP's 2025 AI Prioritization Initiative fast-tracked OpenAI, Google and Perplexity services, which were certified in early 2026, with a criterion that training on customer data stays in the customer environment.

Usually asked by

Clinical committees and health system AI governance.

Named alongside

HHS §1557 · HIPAA · FDA PCCP.

Sector pagePlanisphere for medicine

03 / Records

Records to keep

  1. 01FedRAMP Marketplace listing and certification letter
  2. 02System security plan or 20x machine-readable package
  3. 03Independent assessment report
  4. 04Monthly continuous monitoring deliverables

Optional evidence · where Planisphere fits

Keep a record anyone can check

When your team meets a duty, Planisphere can seal the event it reports as a receipt.

01 · Your teamRecord the event

A disclosure shown, a review signed, a model change approved: the event your system reports.

02 · PlanisphereSeal it

The event becomes a sealed receipt, dated and attributed to whoever is signed in.

03 · AnyoneCheck it

Paste the receipt into Verify. No account or key.

A record supports your compliance evidence process. It is not a legal finding or a certification. Systems that call Planisphere's gate API can also hold or refuse an action before it runs.

SOURCES

Go back to the source

PRIMARY
FedRAMP 20x

FedRAMP (GSA)

PRIMARY
GUIDANCE

RELATED

Related: FedRAMP: the full guide · FedRAMP for defense · FedRAMP for law · FedRAMP for education