The Office of the National Cyber Director has rolled out its second regional cyber pilot program, this one focused on rural hospitals.

National Cyber Director Sean Cairncross visited South Carolina on Monday to debut the six-month program, Project Lifeline 250, which connects industry with rural hospitals. The concept is similar to the first pilot program in Texas that connected industry with the water sector.

“Project Lifeline 250 connects the world-leading American industry with rural hospitals and uses the greatest American tools and capabilities to defend hospital networks; deploy physical back up devices after an initial incident to ensure an impacted hospital can still provide critical care; and identify high-risk and legacy devices and replace them,” Cairncross said in a statement.

The health care sector had a record year for breaches last year, with 804 large breaches reported to the Health and Human Services Department’s Office for Civil Rights that affected more than 140 million people. The FBI identified the sector as the top target for ransomware and other hackers in 2025.

Rural hospitals, like the water sector, lack resources compared to other kinds of critical infrastructure.

Besides industry and the ONCD, the effort is a project that draws in the South Carolina Critical Infrastructure Cybersecurity program, the South Carolina Law Enforcement Division and local governments in the state.

“Cyber threats are a rising challenge to our nation’s security, and we must remain vigilant to protect the systems our communities depend on,” said South Carolina Gov. Henry McMaster. “Project Lifeline 250 is another important step toward ensuring South Carolina’s rural hospitals have the resources they need to defend against cyberattacks and continue providing critical care.”

Some of the same companies involved in providing free services in the Texas pilot are involved in the South Carolina pilot, too, along with some new participants. Among the participating firms: Abnormal AI, Cisco, Cyera, Microsoft, Rilian Partners, Trellix and Zscaler.

“The stakes for critical infrastructure are getting higher and higher,” said Yotam Segev, cofounder and CEO of Cyera. “There’s real urgency in bringing cyber expertise from some of the world’s largest and most complex enterprises to rural hospitals through Project Lifeline 250. When a hospital knows where its patient data lives and who can reach it, it can reduce the leverage behind ransomware. Every community should have that clarity, no matter the size of the hospital or its IT team.”

Members of Congress also have introduced legislation designed to aid rural hospital cybersecurity.

The ONCD hasn’t said what will happen at the end of the six-month pilots. And so far it has only partnered, or publicly discussed partnering with, GOP-led states.

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A House Democrat tapped to lead his party’s efforts on artificial intelligence has introduced legislation that would establish a test program within the Cybersecurity and Infrastructure Security Agency to give critical infrastructure operators free access to frontier AI models to protect their systems.

Rep. Josh Gottheimer, D-N.J., introduced the AI Cyber Defense Act Monday, inspired by the series of cyberattacks on water facilities in recent months. “If we don’t get ahead of it, it can mean a disaster for our families,” he said at a news conference when he first announced the measure and others tackling water cybersecurity.

Gottheimer holds a couple of posts relevant to the legislation: He’s one of three co-chairs of the House Democratic Commission on Artificial Intelligence, and the top Democrat on the House Intelligence Committee’s cyber subcommittee. He also has bipartisan support for the bill, with co-sponsors Reps. Don Bacon, R-Neb., Zach Nunn, R-Iowa, Hillary Scholten, D-Mich., and Greg Landsman, D-Ohio.

The bill directs the Department of Homeland Security, through CISA, to create a program “through which owners and operators of critical infrastructure that participate in the Program are able to securely utilize artificial intelligence procured through the Secretary and technical assistance provided by the Secretary to protect against, detect, test for, and remediate vulnerabilities in the cybersecurity of such critical infrastructure.”

AI-tinged, water-focused cybersecurity pilot programs are all the rage lately. The introduction of Gottheimer’s legislation is adjacent to, but different from, a test program that the Office of the National Cyber Director recently announced in Texas.

One criticism of that program is that private sector companies offered their cyber and AI services through it on a purely voluntary basis, with no significant budget to bolster the pilot. Gottheimer’s bill would authorize $100 million for the pilot program from 2027 to 2031 before it ends, although appropriators would have to follow through on providing the actual dollars. The Trump administration has significantly cut CISA funding in its second term.

“Right now federal funding for critical infrastructure has an uncertain future and many of our local communities just don’t have the resources they need to pay for AI tokens to do the patching they need,” Gottheimer said when he introduced the bill. “It’s expensive to bring the AI in to analyze your system and find those vulnerabilities.”

Critical infrastructure owners and operators could apply for the pilot program, which the bill directs to give priority to nonprofit, publicly owned, rural and small-sized organizations.

“The same technology that can help a small town’s IT guy find and patch a gap in cybersecurity can also help a hostile government find a hundred more it hasn’t even discovered yet,” Gottheimer said when he announced the bill. “AI didn’t create this threat, but it’s accelerated it, and our defenses have to keep up.”

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