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Snapshot · OMB 2025 inventory · processed Oct 11, 2026
Governance and accountability

Governance evidence

What agencies reported about the OMB M-25-21 minimum practices for high-impact AI. This is a disclosure analysis, not an audit, a compliance finding or an official assessment. An unanswered question is missing evidence, not evidence that a safeguard is absent.

Agency
Stage
High-impact
Topic1
AI type1
Sourcing
Vendor
Function
Start year

Only records with a parseable start date match a year filter.

AI type: Generative AItesting: blankTopic: Health and Medical

Practice-by-practice evidence

Denominator: 9 records · use cases designated high-impact
No answer reported
PracticeIn scopeIn placeIn progressNot in placeN/APrecluded or waivedOtherNo answerAnsweredIn place of applicable
Pre-deployment testing900000090%0% of 9
AI impact assessment900000090%0% of 9
Independent review900000090%0% of 9
Ongoing monitoring900000090%0% of 9
Operator training900000090%0% of 9
Fail-safe900000090%0% of 9
Appeal process900000090%0% of 9
User and public consultation900000090%0% of 9

Answered = records with any answer ÷ records in scope. In place of applicable = reported in place ÷ (in scope minus not applicable, precluded and waived). Unanswered records stay in that denominator, so the rate is a lower bound on reported evidence, not an estimate of real practice.

Agency-by-safeguard heatmap

Cell: share reported in place, among applicable recordsIn placeAnswered
Agency by governance practice
TestingImpact assess.Indep. reviewMonitoringTrainingFail-safeAppealConsultationn
VA––––––––9

Hatched cells: the agency answered nothing for that practice, so there is no evidence either way. Compare agencies with care: each agency is one reporting unit, and portfolios differ in size and type.

Records requiring further investigation

9 records with at least one practice unanswered or in progressOpen in explorer
Use caseStageTestAIAReviewMonitorTrainFail-safeAppealConsult
Continuous Glucose Monitoring Summary
VA · VA-25-1506
DeployedNo answer reportedNo answer reportedNo answer reportedNo answer reportedNo answer reportedNo answer reportedNo answer reportedNo answer reported
Clinical AI Agent
VA · VA-25-7168
Pre-deploymentNo answer reportedNo answer reportedNo answer reportedNo answer reportedNo answer reportedNo answer reportedNo answer reportedNo answer reported
VA AI Assist
VA · VA-25-1294
Pre-deploymentNo answer reportedNo answer reportedNo answer reportedNo answer reportedNo answer reportedNo answer reportedNo answer reportedNo answer reported
Lambient
VA · VA-25-2407
Pre-deploymentNo answer reportedNo answer reportedNo answer reportedNo answer reportedNo answer reportedNo answer reportedNo answer reportedNo answer reported
CPT Worksheet Helper
VA · VA-25-2673
Pre-deploymentNo answer reportedNo answer reportedNo answer reportedNo answer reportedNo answer reportedNo answer reportedNo answer reportedNo answer reported
Ambient Scribing with Patient Chart Exploration
VA · VA-25-3149
Pre-deploymentNo answer reportedNo answer reportedNo answer reportedNo answer reportedNo answer reportedNo answer reportedNo answer reportedNo answer reported
Abridge Ambient Scribe
VA · VA-24-708
PilotNo answer reportedNo answer reportedNo answer reportedNo answer reportedNo answer reportedNo answer reportedNo answer reportedNo answer reported
Knowtex Ambient Scribe
VA · VA-25-6426
PilotNo answer reportedNo answer reportedNo answer reportedNo answer reportedNo answer reportedNo answer reportedNo answer reportedNo answer reported
Patient Care Services Integration Platform (PCSIP)
VA · VA-24-421
PilotNo answer reportedNo answer reportedNo answer reportedNo answer reportedNo answer reportedNo answer reportedNo answer reportedNo answer reported

Unanswered analytical questions

Generated from the data; for follow-up with agencies
  1. VA designated 9 use cases high-impact but answered none of the minimum-practice questions for any of them. Were the practices assessed, and where is that recorded?

These are questions the inventory raises but cannot answer. They are not findings of non-compliance.