Senators have introduced bipartisan legislation to strengthen accountability and improve transparency in health information technology (IT) systems. The Transparent Ratings on Usability and Security to Transform Information Technology (TRUST IT) Act of 2015, introduced by U.S. Senators Bill Cassidy, M.D. (R-LA) and Sheldon Whitehouse (D-RI), would help ensure that certified health IT systems are performing as promised in the field, and establish a rating system that will enable consumers to compare different products based on that performance. The TRUST IT Act is focused on making health IT systems accountable for their performance in three key areas: security, usability, and interoperability. Specifically, the bill will establish a Health IT Rating System – to be published on the Office of the National Coordinator for Health Information Technology’s website – to enable consumers to compare certified health IT products on those three criteria.