9
Federal & global frameworks mapped
38+
State AI healthcare laws tracked
22
States covered
1
Platform of record for enterprise AI governance
How AI Compliance works in ALIGNMT
Mitigate risks across AI implementations to enable trustworthy innovation
01
Map
Auto-map every AI system in your portfolio to the federal frameworks and state laws that apply, based on use case, deployment geography, and patient population. New regulations are ingested as they're enacted, and your portfolio is re-mapped automatically
02
Attest
Pre-built attestation workflows for every requirement that isn't met by default — like patient consent, BAA management, or denial-volume compensation policies. Evidence is captured, versioned, and tied to the responsible owner.
03
Monitor
Track regulatory changes across federal agencies, state legislatures, and international bodies. Get alerted when a new law affects your AI portfolio, and see which AI systems need policy updates, retraining, or revalidation.
04
Audit
Generate audit-ready reports for ONC HTI-1, NIST AI RMF, ISO 42001 certification, OCR Section 1557, EU AI Act conformity assessments, and state attestations — on demand, in the format the auditor expects.
Federal & Global AI Compliance Coverage
Every federal AI framework healthcare enterprises need is pre-mapped in ALIGNMT — from ONC's Decision Support Intervention rule and the NIST AI Risk Management Framework, to the EU AI Act's phased rollout and the URAC and Joint Commission accreditation programs launched in late 2025. Customers stop maintaining their own crosswalks and start operating from one source of truth.
ONC HTI-1 (b)(11)
Decision Support Intervention requirements for certified Health IT. DSI requirements effective January 2025; USCDI v3 effective January 2026. Includes source attributes, performance reporting, and intervention risk management. Mapped in ALIGNMT AI
NIST AI Risk Management Framework
NIST AI RMF 1.0 plus the Generative AI Profile (NIST AI 600-1, July 2024). Govern, Map, Measure, Manage functions cross-walked to every ALIGNMT AI module. Mapped in ALIGNMT AI
ISO/IEC 42001:2023
The world's first AI management system standard. ALIGNMT supports the full clause structure (5.1 through 10.2) needed for certification readiness. Certification-ready
HHS OCR Section 1557
Final Rule effective July 2024. Nondiscrimination requirements for AI and clinical algorithms used in covered entities — bias testing, mitigation, and documentation. Mapped in ALIGNMT AI
DOJ Corporate Compliance
The DOJ's Evaluation of Corporate Compliance Programs now explicitly addresses AI risk management. ALIGNMT covers all seven elements with audit trails examiners expect. Mapped in ALIGNMT AI
Joint Commission + CHAI RUAIH
The Responsible Use of AI in Healthcare framework, launched September 2025. Element-by-element coverage, with playbooks and certification-readiness workflows. Mapped in ALIGNMT AI
URAC AI Standards
The first health care AI accreditation program, launched September 2025. ALIGNMT operationalizes every Core Area requirement, from governance to risk management to performance monitoring. Accreditation-ready
DirectTrust AIAP
Direct Trust's AI Assurance Program (Beta, September 2025). Built on NIST AI RMF, with element-level mapping to ALIGNMT modules. Mapped in ALIGNMT AI
EU AI Act
Regulation (EU) 2024/1689. Prohibitions effective February 2025, GPAI obligations August 2025, full effect August 2026. ALIGNMT covers risk classification, conformity assessment, technical documentation, post-market monitoring, and 15-day incident reporting. Mapped in ALIGNMT AI
State AI compliance coverage
State AI laws are the fastest-moving regulatory surface in healthcare. Since January 2024, 22 states have passed 38 laws governing how AI can be used in prior authorization, mental health, clinical decisions, patient communication, and chatbot interactions. ALIGNMT AI tracks every one of them and maps each requirement to the AI systems in your portfolio — so an AI deployment doesn't quietly fall out of compliance when Texas TRAIGA, Utah's AI Policy Act, or Washington's RCW 48.43.830 changes its requirements.
The AI regulatory floor is rising fast.
ALIGNMT AI exists so a new law in a new state isn't a fire drill — it's a notification.
Penalties are no longer theoretical. State insurance departments are conducting AI-specific audits, OCR has signaled enforcement on Section 1557 algorithmic discrimination, and the EU AI Act fines run up to 7% of global turnover.
How ALIGNMT AI Supports your AI Compliance Journey
Compliance Dashboards
A real-time view of compliance posture across every framework and jurisdiction your AI portfolio touches. See open attestations, expiring controls, and regulatory changes that affect your systems.
Regulatory Change Tracking
ALIGNMT monitors federal agencies, state legislatures, and international regulators for new and amended AI rules. When a change affects your portfolio, you see the diff, the affected systems, and the remediation steps.
Pre-Built Attestation Workflows
For every requirement that can't be met by default — patient consent, disclosure requirements — ALIGNMT ships a workflow with evidence capture, owner assignment, and renewal reminders.
Audit-Ready Reporting
Export evidence packages for ONC HTI-1 surveillance, ISO 42001 certification audits, URAC accreditation, OCR Section 1557 reviews, and state insurance department audits.
What Our Clients Say
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