AI: Project Listings and Collaborations

Hi Cori,

I was searching for regulatory guidance on using AI to translate documents.  I found this pubmed article referring to HHS recommendations:

https://pmc.ncbi.nlm.nih.gov/articles/PMC12918658/#:~:text=Level%202:%20formal%20regulations,is%20given%20to%20a%20patient.&text='%20This%20creates%20a%20regulatory%20'human,efficiency%20gains%20of%20AI%20deployment.

Here's the section that was relevant:

Level 2: formal regulations from HHS:

At the second level are formal regulations, which implement statutory requirements through detailed rulemaking. The 2024 HHS Final Rule implementing Section 1557 provided the first explicit guidance on machine translation (referred to here as AI translation). This regulation introduced a critical distinction between 'critical' and 'non-critical' documents. For critical documents-a category that includes consent forms, discharge instructions and notices of eligibility¹⁸-the regulation mandates that 'a qualified human translator must review and correct the content before it is given to a patient.¹⁹' This creates a regulatory 'human-in-the-loop' floor for high-stakes clinical communication. However, this regulation was developed based on the performance capabilities of older model generations and defaults to a manual review process that may negate the efficiency gains of AI deployment.

Nursing Consultant

Wolters Kluwer Patient Education

------------------------------
Connie Feiler
Nursing Consultant
Wolters Kluwer
Pittsburgh, PA United States
Connie.Feiler@wolterskluwer.com
------------------------------

Thank you Connie.  This is great!  Our Manager over Language Services has enforced the need to require a (human) qualified medical translator to review any of the documents you mentioned.  This will be great to have this resource and article to back this up!

With appreciation,

------------------------------
Cori Gibson, MSN, RN, CNL
Children's Wisconsin
Program Manager for Health Literacy
Director of the Health Literacy Task Force
cgibson@childrenswi.org
------------------------------

Original Message:
Sent: 04-06-2026 07:33 AM
From: Connie Feiler
Subject: AI translation

Hi Cori,

I was searching for regulatory guidance on using AI to translate documents.  I found this pubmed article referring to HHS recommendations:

https://pmc.ncbi.nlm.nih.gov/articles/PMC12918658/#:~:text=Level%202:%20formal%20regulations,is%20given%20to%20a%20patient.&text='%20This%20creates%20a%20regulatory%20'human,efficiency%20gains%20of%20AI%20deployment.

Here's the section that was relevant:

Level 2: formal regulations from HHS:

At the second level are formal regulations, which implement statutory requirements through detailed rulemaking. The 2024 HHS Final Rule implementing Section 1557 provided the first explicit guidance on machine translation (referred to here as AI translation). This regulation introduced a critical distinction between 'critical' and 'non-critical' documents. For critical documents-a category that includes consent forms, discharge instructions and notices of eligibility¹⁸-the regulation mandates that 'a qualified human translator must review and correct the content before it is given to a patient.¹⁹' This creates a regulatory 'human-in-the-loop' floor for high-stakes clinical communication. However, this regulation was developed based on the performance capabilities of older model generations and defaults to a manual review process that may negate the efficiency gains of AI deployment.

Nursing Consultant

Wolters Kluwer Patient Education

------------------------------
Connie Feiler
Nursing Consultant
Wolters Kluwer
Pittsburgh, PA United States
Connie.Feiler@wolterskluwer.com
------------------------------