U.S. Federal AI Observatory · U.S. Government AI Observatory
Federal AI landscape: executive briefing
Filtered: AI type = generative; sourcing = unknown; function = medical_clinical
Generated 2026-10-16 10:57 UTCDataset: 2025 Federal Agency AI Use Case Inventory (individually reported use cases), Office of Management and Budget (OMB). Version 2025-inventory@62d5baa65fa3, processed 2026-10-11, rules 2026.10.1. Static snapshot.Applied filters: AI type = generative; sourcing = unknown; function = medical_clinical · 14 records
Key findings
- 14 use-case records from 2 agencies: 0 deployed (0%), 0 pilots, 14 in development or acquisition, 0 retired, 0 with no stage reported.
- 5 records are designated high-impact; 0 of them (0%) answered at least one minimum-practice question.
- Sourcing is reported for 0% of use cases. Where reported, n/a involve in-house development.
Lifecycle
| Stage | Records | Share |
|---|
| Pre-deployment | 14 | 100% |
AI technology
| Classification | Records | Share | Deployed |
|---|
| Generative AI | 14 | 100% | 0 |
Agencies
| Agency | Records | Deployed | High-impact | Completeness |
|---|
| VA · Department of Veterans Affairs | 10 | 0 | 5 | 58% |
| HHS · Department of Health and Human Services | 4 | 0 | 0 | 58% |
High-impact designation
| Designation | Records |
|---|
| High-impact | 5 |
| Not high-impact | 9 |
Governance evidence: use cases designated high-impact
| Practice | In place | In progress | Not in place | N/A or precluded | Other | No answer | In scope |
|---|
| Pre-deployment testing | 0 | 0 | 0 | 0 | 0 | 5 | 5 |
| AI impact assessment | 0 | 0 | 0 | 0 | 0 | 5 | 5 |
| Independent review | 0 | 0 | 0 | 0 | 0 | 5 | 5 |
| Ongoing monitoring | 0 | 0 | 0 | 0 | 0 | 5 | 5 |
| Operator training | 0 | 0 | 0 | 0 | 0 | 5 | 5 |
| Fail-safe | 0 | 0 | 0 | 0 | 0 | 5 | 5 |
| Appeal process | 0 | 0 | 0 | 0 | 0 | 5 | 5 |
| User and public consultation | 0 | 0 | 0 | 0 | 0 | 5 | 5 |
"In place" means the agency reported the practice as established. "No answer" means the field was blank; it says nothing about whether the practice exists.
Method
All figures are computed directly from the normalised inventory records. Category labels are normalised from the source answer options; original values are kept on each record. Governance answers are classified as in place, in progress, not in place, not applicable, precluded, waived, other or no answer, and blanks are never read as "no". See the Methodology page for full rules.
Limitations
- Figures are what agencies reported in the 2025 inventory. They are not verified, and registration of use cases is not complete for every agency.
- A blank answer is missing evidence, not evidence that a practice or safeguard is absent.
- Counts are use-case records. A larger portfolio does not indicate better performance or greater AI maturity, and agencies differ in how they split systems into use cases.
- The inventory has no budget, cost, accuracy or outcome data. None is shown or inferred here.
- This is a disclosure analysis. It is not an audit, a compliance determination or an official government assessment.
Source records
All 14 records.
Prepared with U.S. Federal AI Observatory by Irakli Petriashvili. Source: https://github.com/ombegov/2025-Federal-Agency-AI-Use-Case-Inventory