Before granting certified status to a newer version of a previously certified Complete EHR or EHR Module(s), an ONC-Authorized Certification Body (ONC-ACB) must review an attestation submitted by the developer of the Complete EHR or EHR Module(s) to determine whether any change in the newer version has adversely affected the Complete EHR's or EHR Module(s)' capabilities for which certification criteria have been adopted.

An ONC-ACB may grant certified status to a newer version of a previously certified Complete EHR or EHR Module(s) if it determines that the capabilities for which certification criteria have been adopted have not been adversely affected.