TruthNexus
Federal Government · In Planning

One shared evidence layer for fifteen federal agencies

Fifteen-plus federal agencies are independently building AI compliance infrastructure for health AI. Each needs a source-traceable evidence layer, an OMB M-24-10 audit trail, and FedRAMP authorization. Without coordination: $32–82M in duplicated spend over five years with no interoperability. Skippy Federal is a FedRAMP High-authorized government deployment of Skippy's evidence infrastructure — one deployment, agency-scoped, shared evidence base, OMB-ready audit trail on every decision.

The Problem

$32–82M in duplicated AI compliance spend — with no interoperability

OMB M-24-10 requires every federal agency that deploys high-risk AI to maintain a compliant audit trail and provide citizens the right to request human review and evidence basis for AI-assisted decisions. Each agency spending $3–15M to build this independently produces 15 incompatible systems — none of which can share evidence with the others.

15+
Agencies building health AI compliance independently
$3–15M
Per-agency from-scratch build cost
$32–82M
Total duplicated spend over 5 years
1.04B
Shared evidence base entries — one deployment serves all
What It Is

A government-grade deployment wrapper — not a new AI model

Skippy Federal does not change what Skippy does. It wraps Skippy's existing products — Auth, Ground, DDI, Variants, Rare, Fraud, Pharmacovigilance — in the compliance, security, and audit infrastructure that federal deployment requires. The same 1.04B-finding graph powers CMS, the VA, NIH, and FDA from a single GovCloud deployment. Agency-scoped access control means each agency sees only its own data; the shared evidence layer means no agency duplicates the evidence base.

FedRAMP HighOMB M-24-10HIPAA BAAFISMA HighFIPS 140-2Section 508AWS GovCloud
API Surface

Federal-grade endpoints with OMB audit on every call

POST /v1/federal/verify

Federal evidence verification

OMB M-24-10 compliant claim verification. Wraps skippy-ground's verify endpoint with federal audit trail, agency logging, and citizen rights disclosure. Returns verdict, confidence, evidence chain, federal audit record, and citizen disclosure — all in a single signed response.

GET /v1/federal/audit/trail/{decision_id}

Audit trail retrieval

Retrieve the full audit trail for any decision — used for citizen appeals, OIG audits, and Congressional inquiries. Hash-chain verified, tamper-evident, with evidence snapshot at time of decision. 7-year retention (Federal Records Act).

POST /v1/federal/audit/agency-report

Annual OMB M-24-10 compliance report

Cross-agency AI decision audit report in OMB M-24-10 format. Covers all AI-assisted decisions by program, with demographics breakdown for disparate-impact analysis. Pre-formatted for OMB annual reporting requirement.

POST /v1/federal/impact-assessment

AI impact assessment

OMB M-24-10 Section 5 impact assessment for new government AI deployments. Returns required controls checklist, Skippy Federal's control coverage, and gap analysis. Reduces from-scratch impact assessment time from 4–6 weeks to hours.

POST /v1/federal/auth/token

Agency gateway

Agency-scoped JWT issuance. Each agency and application gets separate credentials. Requests are routed to the appropriate Skippy product based on declared scope — ground:verify, auth:evaluate, ddi:check, variants:interpret, rare:diagnose, fraud:screen.

Cross-product federal routing

All Skippy APIs are available under /v1/federal/ with enhanced audit trail automatically applied — Auth, DDI, Variants, Rare, Fraud, Ground. Each agency sees only its own data; the shared evidence base serves all agencies from one deployment.

Agency Deployment Map

One deployment — products scoped per agency

AgencyScopeProductsMandate / driver
CMSPrior authorization + fraud screening
Skippy AuthSkippy FraudSkippy Ground
CMS-0057-F · Jan 2027
VAPolypharmacy safety + genomic interpretation
Skippy DDISkippy VariantsSkippy Rare
Oracle Health migration window
FDA CDERPharmacovigilance signal detection
Skippy PharmacovigilanceSkippy Ground
PDUFA VII performance goals
NIH / NCATSRare disease + clinical trial efficiency
Skippy RareSkippy Drug Discovery
CTSA network · Undiagnosed Diseases Network
OPMFederal employee health benefit evidence grounding
Skippy GroundSkippy Auth
FEHB program requirements
Compliance Framework

Every control federal deployment requires

FedRAMP High

Highest authorization level. Required for systems handling PHI and CUI. 500+ NIST SP 800-53 controls. 3PAO assessment by Coalfire.

OMB M-24-10

Every AI-assisted decision generates a structured federal audit record. Agency ID, decision ID, evidence source, confidence, and cryptographic chain-of-custody — pre-formatted for OMB reporting.

HIPAA BAA

Full Business Associate Agreements available. API operates without receiving PHI — queries use normalized clinical identifiers (RxNorm, ICD-10, CPT), not patient data.

FISMA High baseline

AES-256 at rest, TLS 1.3 in transit, VPC isolation, immutable audit logs. Controls map to NIST SP 800-53 high baseline. FISMA annual authorization documentation provided.

FIPS 140-2 cryptography

All encryption uses FIPS 140-2 validated cryptographic modules — not just storage. Required for FedRAMP High. PIV card authentication for administrative access (HSPD-12).

Section 508 + Section 1557

Accessibility compliance for citizen-facing interfaces. Non-discrimination documentation for AI-assisted decisions affecting federally-funded programs.

FedRAMP High Authorization Path

18-month path to FedRAMP High — targeting Q1 2027

PhaseWindowKey deliverable
DocumentationMonths 1–3SSP, control implementation docs, boundary definition
3PAO AssessmentMonths 4–8Security Assessment Report (SAR) from Coalfire
POA&M RemediationMonths 8–10Findings addressed, evidence package complete
FedRAMP ATOMonths 12–18ATO issued by FedRAMP PMO
Agency ATOsMonths 14–20Individual agency ATOs leveraging FedRAMP package

3PAO: Coalfire. Hosting: AWS GovCloud (us-gov-east-1). Agency ATOs leverage the FedRAMP package — no separate 3PAO assessment required per agency.

Pricing

Priced for GSA schedule and enterprise agreements

Agency Standard contracts are signed with individual agencies. The OMB Enterprise Agreement tier captures the consolidation value proposition for agencies that would otherwise build evidence infrastructure from scratch.

TierPriceScope
Agency DevelopmentSandboxSandbox environment, no PHI. Proof-of-concept integrations.
Agency StandardCustomFull production deployment, single agency, all products in scope.
Multi-Agency EnterpriseCustomAll 15+ health agencies. Shared evidence base, agency-scoped isolation.
OMB Enterprise AgreementCustomGovernment-wide. OMB negotiates. Covers non-health agencies on request.

Available on GSA Schedule 70 (IT) and CIO-SP4. Multi-year BPAs available at Agency Standard and above.

OMB M-24-10 — Federal AI Governance

OMB M-24-10 requires agencies using AI in high-impact decisions to maintain an audit trail that: identifies the AI system by name and version, records the evidence basis and confidence level for each decision, preserves the right to human review, and enables citizens to request the specific evidence basis for decisions affecting them. Skippy Federal generates this record on every API call — not as a post-processing step, but as a first-class output. The federal_audit_record field in every response is the OMB M-24-10 record, hash-chained and tamper-evident, ready for annual OMB reporting.

Building for a federal agency?

Talk to the federal team. We work with agencies, GSIs (Accenture Federal, Booz Allen, SAIC), and health IT vendors serving federal programs. Sandbox access available before FedRAMP ATO.