Planisphere Download for Mac

Defense · HHS §1557

HHS §1557 for defense AI workflows

HHS §1557 in defense AI workflows: what compliance requires, who asks for evidence, and the records to keep.

Legal forceBinding law for covered entities
Applies from1 May 2025
SectorDefense
Checked21 Oct 2026

01 / The rule

What HHS §1557 requires

Covered entities under Section 1557: recipients of HHS federal financial assistance (most hospitals, clinics and health insurers), HHS's own health programs, and ACA Title I entities such as Exchanges.

  1. 01Do not discriminate on race, color, national origin, sex, age or disability through patient care decision support tools.
  2. 02Make ongoing reasonable efforts to identify tools whose input variables measure race, color, national origin, sex, age or disability.
  3. 03For each identified tool, make reasonable efforts to mitigate the risk of discrimination from its use.
  4. 04Cover tools used in clinical decision-making, whether automated (including AI) or non-automated.

02 / In this sector

In a defense AI workflow

HHS defined patient care decision support tools broadly so they include AI and machine-learning models, clinical algorithms and risk calculators. It is the first federal civil rights rule aimed directly at bias in clinical algorithms, and it applies to the provider or plan that uses the tool, not the vendor.

Usually asked by

Program office leads and ATO-package owners.

Named alongside

NIST AI RMF · DoW RAI · OMB M-25-21.

Sector pagePlanisphere for defense

03 / Records

Records to keep

  1. 01Inventory of clinical decision support tools and their input variables
  2. 02Bias risk assessment for tools using protected characteristics
  3. 03Mitigation decisions and actions, with dates and owners
  4. 04Section 1557 policies, procedures and staff training records

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

RELATED

Related: HHS §1557: the full guide · HHS §1557 for medicine · HHS §1557 for law · HHS §1557 for education