In a May 13 public meeting, stakeholders told federal agencies that drafted recommendations for a risk-based health information technology regulatory framework that true regulation certainty can only come from congressional legislation.

Recommendations from the Food and Drug Administration, Office of the National Coordinator for HIT and Federal Communications Commission, expressly state that the framework and priority areas contained in the report "are not binding" regulations and "do not create new requirements or expectations for affected parties." Consequently, some stakeholders made their case that a law passed by Congress is necessary to provide the relative permanence that legislation affords. 

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