Utah expanded its healthcare AI sandbox program, adding August AI and Nolla Health pilots and third-party evaluators — the live regulatory experiment for governing clinical AI before broad deployment. A companion STAT analysis argues the pilots may be on a collision course with the FDA, whose device and clinical-decision-support frameworks were not built for state-run sandboxes authorising tools that make or influence medical judgements. The story matters for health-sector cyber and governance leaders beyond the US: sandbox models are being watched internationally as a template for safely fielding AI in clinical workflows, and the governance-ownership question PwC found unresolved in finance applies with greater force where patient safety is the failure mode. Details of the expanded pilot scope are as reported by Fierce Healthcare.

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