The Healthcare Leadership Council and the Confidentiality Coalition submitted comments on the proposed HTI-5 rule supporting efforts to reduce unnecessary regulatory burdens while emphasizing that patient privacy, data security, and trust must remain protected as health information technology rules are updated. They urged the government to preserve safeguards that enable the secure exchange of health information and avoid changes that could weaken confidentiality protections or create new privacy risks. Overall, the letter advocates for a balanced approach that encourages innovation and interoperability in healthcare while maintaining strong protections for sensitive patient data.