The Trump administration on 30 July unveiled a plan to create a nationwide digital health ecosystem that would let Americans voluntarily share their medical records with technology and health-care companies. The initiative, led by the Centers for Medicare and Medicaid Services, seeks to make the country’s fragmented medical data more accessible to patients and providers. About 60 organisations—including Apple, Alphabet’s Google, Amazon, OpenAI, Microsoft, Oracle, Anthropic, Cleveland Clinic and weight-loss platform Noom—signed a non-binding pledge to develop interoperable tools. Priorities include mobile applications for diabetes and obesity management, conversational artificial-intelligence assistants, and digital check-in systems aimed at eliminating paper forms. CMS officials said the platform will require patients to opt in and will be maintained by the agency, with participating companies expected to begin delivering tangible products in the first quarter of 2026. The administration argues that easier access to comprehensive health data will improve care quality and reduce administrative burdens. Privacy advocates and legal experts warned that wider sharing of sensitive health information could expose patients to data breaches or commercial exploitation. Because the commitments are voluntary, critics also questioned how the government will ensure companies protect user data and follow through on interoperability goals.