The Healthcare Leadership Council and the Confidentiality Coalition submitted comments on the proposed HTI-5 Rule, supporting efforts to reduce unnecessary regulatory burdens while ensuring that patient privacy and data security remain protected. They urged ASTP/ONC to preserve strong confidentiality safeguards and avoid policy changes that could weaken trust in the secure exchange and use of health information. Overall, the letter advocates for a balanced approach that promotes healthcare innovation, interoperability, and administrative simplification without compromising protections for sensitive patient data.