Medicine · OCR AI Guidance

OCR AI Guidance for clinical AI workflows

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

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Legal forceRescinded; was never binding

SectorMedicine

Checked21 Oct 2026

01 / The rule

What OCR AI Guidance requires

Was addressed to K-12 schools and colleges receiving U.S. Department of Education funds.

01Underlying law: do not treat students differently by race, color, national origin, sex or disability through AI tools, directly or through vendors.
02Underlying law: respond to known harassment, including AI-generated harassment such as deepfakes, under Title VI, Title IX and Section 504.
03Underlying law: provide academic adjustments when AI proctoring or monitoring misreads disability-related behavior.
04Underlying law: have knowledgeable people review AI-drafted Section 504 plans and IEPs for each student's individual needs.

02 / In this sector

In a clinical AI workflow

This was the first federal civil rights resource written specifically about AI in schools. Its 21 scenarios still show where AI use creates civil rights exposure, even though the document no longer states OCR policy.

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

01Vendor bias and accuracy reviews for AI tools affecting students
02Harassment complaint logs covering AI-generated content
03Accommodation requests and responses tied to AI proctoring
04Records of human review of AI-drafted 504 plans

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.

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