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Press Release

Over 1,400 Health Care Organizations Joined the Data Exchange Framework By the January 31, 2023 Deadline, Leading the Transformation to Safer, More Effective, Whole-Person Care for All Californians

Derek Jansen, (415) 834-8725

Over 1,400 organizations joined the CalHHS Data Exchange Framework (DxF) by signing the Data Sharing Agreement (DSA) by the January 31, 2023 deadline. Most California health entities are now required by law to sign the DSA effective immediately.

Organizations that have signed the DSA can now display the DxF Seal—being revealed today—to show their participation in the DxF effective immediately.

SACRAMENTO, CA — Today, California Health and Human Services (CalHHS) welcomed over 1,400 organizations to the Data Exchange Framework (DxF) represented by nearly 1,000 entities that signed the Data Sharing Agreement (DSA) by January 31, 2023. The DxF is the first-ever statewide data sharing agreement of its kind in California and key to achieving the state’s plans for transforming health care, expanding coverage, and improving connections between health care and social services.

“With over 1,400 organizations already joining the DxF, we’re well on our way to transforming healthcare in California,” said Dr. Mark Ghaly, Secretary of California Health and Human Services. “The DxF will allow us to fill in gaps of understanding about individuals’ health and to target interventions aimed at addressing the social determinants of health. Data exchange will be an essential part of the state’s efforts to equip providers and California health and social services with the information needed to address and understand health inequities and disparities, especially in historically underserved and underrepresented communities. Not to mention that empowering people with the data they need to advocate and seek the services they most need is exactly what helps us move closer to a Healthy California for All.”

Organizations that have signed the DSA are made up of at least 114 hospitals, 519 medical groups and physician practices, 257 outpatient facilities and urgent care clinics, 75 health care service plans and disability insurers, 72 community-based organizations, and a wide variety of other health care organizations and voluntary signers. January 31, 2023 is the deadline by which many California entities are required by state law to have signed the agreement, and many other health and social services organizations are expected to join these organizations in the coming days and weeks to meet their statutory obligations as established by AB-133.

“The Data Exchange Framework is a giant leap forward for healthcare in California—access to information makes care safer and always serves to enhance quality, enabling providers to deliver the care that patients need,” said William Isenberg, MD, PhD, Chief Medical Officer of Sutter Health. “Sutter Health is proud to sign the Data Sharing Agreement on behalf of all of our hospitals, laboratories, and our health plan and will continue to share data for all Sutter Health entities where clinical care is provided. Promoting secure and medically appropriate sharing of such information facilitates the best possible care for all Californians.”

Organizations that sign the DSA are signaling their commitment to a healthy California for all. Some are listed below, and the full list of current signers is available here.

  • Aetna Medicaid Administrators, LLC/Aetna Better Health of California
  • Antelope Valley Medical Center
  • Anthem Blue Cross of CA
  • Athena Medical Group
  • Blue Shield of California Life & Health Insurance Company
  • Children’s Hospital Medical Group
  • Children’s Hospital of Los Angeles
  • Community Health Group
  • Corona Regional Medical Center
  • Haider Spine Center Medical Group
  • Health Plan of San Joaquin
  • HealthNet
  • Hoag Medical Group, Inc.
  • JFK Memorial Hospital
  • Lompoc Valley Medical Center
  • Orthopaedic Institute for Children
  • Rancho Family Medical Group
  • Saint Agnes Medical Center
  • San Diego American Indian Health Center
  • San Diego Physicians Medical Group, Inc.
  • South Bay Family Medical Group, INC
  • Sutter Health
  • Temecula Valley Hospital
  • Yolo County HHSA

Marking this important milestone, CalHHS also released the official DxF Seal for use by all organizations that sign the DSA. Organizations will be able to proudly display the DxF Seal to show their participation, and demonstrate their commitment to advancing health equity and improving whole-person care across California.

Data Exchange Framework logo of an X

“The DxF Seal is a symbol of the state’s movement towards a more responsive healthcare system that serves Californians equitably and connects health and social services.” said John Ohanian, Director of the Center of Data Insights and Innovation (CDII), which administers the Data Exchange Framework. “The DxF will create new connections and efficiencies between health and social services providers, improve outcomes, and modernize the patient experience. Californians who see the DxF Seal will know that their health or social service provider is participating in the DxF, and have access to the information they need to provide the best possible care.”

The DxF Seal is a circular logo featuring the CalHHS and California for All brand colors of dark blue and orange. The logo is a tech-forward design, highlighting California’s movement to modernize the patient experience through the secure exchange of data. The logo symbol of intersecting arrows that combine to form an “X” evokes exchange, cutting-edge technology, and collaboration. Signatories of the DSA can use the DxF Seal on materials to indicate their commitment to the secure and appropriate exchange of health and social services information to advance equity and improve health outcomes across California.

To obtain the logo files, please email CDII at

To fully implement the Data Exchange Framework, by January 31, 2024, many health and social services entities must follow a common set of terms, conditions, and obligations set forth in shared Policies & Procedures (P&Ps). Some entities, including physician practices with fewer than 25 physicians, acute psychiatric hospitals, and rural general acute care hospitals, will have until January 31, 2026 to fully implement the DxF.

To assist entities in meeting their Data Exchange Framework obligations under the law, Educational Initiative Grants have been awarded to associations to provide guidance on how entities can sign the DxF DSA if they have yet to do so. These associations will continue to support hospitals, physician organizations, health plans, laboratories, and other health care entities in implementing the DxF through education and outreach throughout 2023, with a focus on assisting signatories operating in under-resourced and underrepresented communities.

To learn more about how the Data Exchange Framework can help improve health care for all Californians, visit to download materials, join a live webinar, and sign up for updates. 

More information on the California Health and Human Services Data Exchange Framework is available here: