Health Information Exchange

Resources from the California Health & Human Services Agency

Assembly Bill (AB) 133 (Statutes of 2021) outlined the requirement for health care providers, plans, and others to exchange health information in real time for treatment, payment, or health care operations. In July 2023, the California Health and Human Services Agency’s (CalHHS) Center for Data Insights and Innovation (CDII) released the Data Exchange Framework (DxF) and Data Sharing Agreement (DSA), which outlines the initial requirements for health information exchange for health and human services organizations in California. The DxF will govern the exchange of health and human services information in California. To facilitate compliance with the DxF, CHA has gathered the current information regarding the DxF, the DSA, and related policies and procedures.

If you have any questions, contact Trina A. Gonzalez, vice president, policy at

California Data Exchange Framework

Data Sharing Agreement

Policies and Procedures