COVID-19 catalyzed federal health IT to expand innovation around health equity, data management and improved customer experience. In 2022, federal health agencies focused on interoperability, cybersecurity, DataOps and more to ensure equitable, accessible and secure health services. Our researchers reflect on the top news and trends of 2022 including the PACT Act, electronic health records and data modernization, and how these efforts will drive momentum in 2023.