The Data Exchange Framework: Sign by January 31

On July 5, 2022, the California Health and Human Services Agency (CHHS) published the CHHS Data Exchange Framework. This legal framework is intended to support health information exchange between all health and human services organizations throughout California. All physician practices must comply with the framework by 2024 or 2026, depending on practice type, however signing the agreement is required by January 31, 2023. Click here to sign the agreement now.

What is the Single Data Sharing Agreement? The centerpiece of the Data Exchange Framework is the Single Data Sharing Agreement (DSA). The intent of the DSA is to act as a contract between physician practices, hospitals, health plans, etc. that they will make data available to each other upon request. The DSA lays out the parameters of how that data exchange should happen, predominantly via accompanying Policies and Procedures – what data elements need to be exchanged, privacy and security standards, and permitted uses of health data. The DSA also lays out practices’ responsibility to comply with the HHS Data Exchange Board. 

Who has to comply with the framework and when?

January 31, 2024 January 31, 2026
General Acute Care Hospitals Practices with fewer than 25 physicians
Physicians Orgs & Medical Groups Rehabilitation Hospitals
SNFs (that currently maintain EHRs) Long-term Care Acute Hospitals
Health Plans (including MediCal Managed Care) Rural hospitals (<100 beds)
Clinical Laboratories State-run acute psychiatric hospitals
Acute Psychiatric Hospitals Non-profit Clinics (<10 health care providers)

Where can I find more information?

Watch the 44-minute presentation by CMA here to learn more about implementation of the Data Exchange Framework.

CMA was awarded a CalHHS Data Exchange Framework (DxF) Educational Initiative Grant to provide education and training to physicians and medical groups statewide. CMA is partnering with CalHHS and other grant awardees to continue to provide the latest news, develop helpful resources, and gather provider feedback. Please email your DxF questions and comments to

Additional Resources