Posted by:
Andrea Frey &
Michael Shimada
In recent years, government officials and industry players alike have criticized what they view as a fragmented, patchwork approach to health data exchange. California lawmakers responded to these concerns in July 2021 by passing Assembly Bill 133, enacting California Health and Safety Code Section 130290 and putting California on the path to building a statewide Data Exchange Framework (DxF). After a year of development, on July 1, 2022, the California Health and Human Services Agency (CalHHS) adopted the DxF, and released final versions of the data sharing agreement (DSA) and initial policies and procedures (P&Ps) that govern and mandate “real-time” access to, or exchange of, health information.
Notably, the DxF is not a statewide centralized health information exchange network. Instead, it is “technology agnostic.” In other words, mandated and voluntary participants do not need to use a new information exchange network; they can continue to share health information through any existing exchange network, health information organization, or other technology that adheres to the DxF’s specified standards and policies.