The Health Information Technology Advisory Committee (HITAC) has transmitted the HITAC Annual Report for Fiscal Year 2023 to the HHS secretary and Congress. This sixth edition of the report describes HITAC’s progress during fiscal year 2023. The annual report also describes the health IT and health care industries’ progress in advancing health IT infrastructure in several target areas: design and use of technologies that advance health equity, use of technologies that support public health, interoperability, privacy and security, and patient access to information.