(a)CA 健康与安全 Code § 130290(a) 在2022年7月1日或之前，并受年度预算案拨款的限制，加州健康与公众服务局及其下属部门和办公室，应与利益相关者和地方合作伙伴协商，建立加州健康与公众服务数据交换框架。该框架应包括一份单一的数据共享协议和一套通用的政策与程序，以利用和推进信息交换和数据内容的国家标准，并应管理和要求加州医疗实体和政府机构之间交换健康信息。
(1)CA 健康与安全 Code § 130290(a)(1) 加州健康与公众服务数据交换框架并非旨在成为一个信息技术系统或单一的数据存储库，而是一个与技术无关的、由多个组织组成的集合，这些组织被要求使用国家标准和一套通用政策来共享健康信息，以改善其所服务个体的健康结果。
(2)CA 健康与安全 Code § 130290(a)(2) 加州健康与公众服务数据交换框架将旨在通过任何健康信息交换网络、健康信息组织或遵守指定标准和政策的技术，实现并要求医疗服务提供者和支付方之间实时访问或交换健康信息。
(3)CA 健康与安全 Code § 130290(a)(3) 加州健康与公众服务数据交换框架应与州和联邦数据要求保持一致，包括1996年联邦《健康保险可携性与责任法案》（Public Law 104-191）、《医疗信息保密法》（《民法典》第1部第2.6部分（第56条起））以及其他适用于提供者、支付方和政府之间数据共享的州和联邦隐私法，同时简化并减少报告负担。
(4)CA 健康与安全 Code § 130290(a)(4) 就本节而言，“健康信息”指：
(A)CA 健康与安全 Code § 130290(a)(4)(A) 对于医院、诊所和医生诊所，在2022年10月6日之前，至少应包括美国核心互操作性数据版本1。在该日期之后，应包括联邦法规《联邦法规法典》第45篇第171.102节中定义的、由实体持有的所有电子健康信息。
(B)CA 健康与安全 Code § 130290(a)(4)(B) 对于健康保险公司和医疗服务计划，至少应包括根据美国卫生与公众服务部最终规则CMS-9115-F，85 FR 25510中包含的联邦医疗保险和医疗补助服务中心公共项目互操作性与患者访问法规要求共享的数据。
(b)Copy CA 健康与安全 Code § 130290(b)
(1)Copy CA 健康与安全 Code § 130290(b)(1) 在2024年1月31日或之前，除第(2)和(3)款另有规定外，(f)款中列出的实体应根据加州健康与公众服务局根据加州健康与公众服务数据交换框架数据共享协议的规定，为治疗、支付或医疗运营目的，与(f)款中的其他所有实体实时交换健康信息或提供健康信息访问权限。
(2)CA 健康与安全 Code § 130290(b)(2) 第(1)款的要求不适用于少于25名医生的医生诊所、康复医院、长期急性护理医院、急性精神病医院、危重症急救医院、少于100张急性护理床位的农村普通急性护理医院、州立急性精神病医院以及少于10名医疗服务提供者的非营利诊所，直至2026年1月31日。
(3)CA 健康与安全 Code § 130290(b)(3) 第(1)款的要求不适用于与堕胎和堕胎相关服务有关的健康信息交换。
(c)CA 健康与安全 Code § 130290(c) 加州健康与公众服务局应不迟于2021年9月1日召集一个利益相关者咨询小组，就加州健康与公众服务数据交换框架的制定和实施提供建议。
(1)CA 健康与安全 Code § 130290(c)(1) 利益相关者咨询小组成员应由加州健康与公众服务局局长任命，且不得单独或通过家庭成员对咨询小组将提供建议的事项拥有经济利益。
(2)CA 健康与安全 Code § 130290(c)(2) 利益相关者咨询小组应由医疗保健利益相关者和专家组成，包括以下所有机构的代表：
(A)CA 健康与安全 Code § 130290(c)(2)(A) 州医疗保健服务部。
(B)CA 健康与安全 Code § 130290(c)(2)(B) 州社会服务部。
(C)CA 健康与安全 Code § 130290(c)(2)(C) 管理式医疗保健部。
(D)CA 健康与安全 Code § 130290(c)(2)(D) 医疗保健获取与信息部。
(E)CA 健康与安全 Code § 130290(c)(2)(E) 州公共卫生部。
(F)CA 健康与安全 Code § 130290(c)(2)(F) 保险部。
(e)CA 健康与安全 Code § 130290(e) On or before January 31, 2023, the California Health and Human Services Agency shall work with the California State Association of Counties to encourage the inclusion of county health, public health, and social services, to the extent possible, as part of the California Health and Human Services Data Exchange Framework in order to assist both public and private entities to connect through uniform standards and policies. It is the intent of the Legislature that all state and local public health agencies will exchange electronic health information in real time with
participating health care entities to protect and improve the health and well-being of Californians.
(f)CA 健康与安全 Code § 130290(f) On or before January 31, 2023, and in alignment with existing federal standards and policies, the following health care organizations shall execute the California Health and Human Services Data Exchange Framework data sharing agreement pursuant to subdivision (a):
(1)CA 健康与安全 Code § 130290(f)(1) General acute care hospitals, as defined by Section 1250.
(2)CA 健康与安全 Code § 130290(f)(2) Physician organizations and medical groups.
(3)CA 健康与安全 Code § 130290(f)(3) Skilled nursing facilities, as defined by Section 1250, that currently maintain electronic records.
(4)CA 健康与安全 Code § 130290(f)(4) Health care service plans and disability insurers that provide hospital, medical, or surgical coverage that
are regulated by the Department of Managed Health Care or the Department of Insurance. This section shall also apply to a Medi-Cal managed care plan under a comprehensive risk contract with the State Department of Health Care Services pursuant to Chapter 7 (commencing with Section 14000) or Chapter 8 (commencing with Section 14200) of Part 3 of Division 9 of the Welfare and Institutions Code that is not regulated by the Department of Managed Health Care or the Department of Insurance.
(5)CA 健康与安全 Code § 130290(f)(5) Clinical laboratories, as that term is used in Section 1265 of the Business and Professions Code, and that are regulated by the State Department of Public Health.
(6)CA 健康与安全 Code § 130290(f)(6) Acute psychiatric hospitals, as defined by Section 1250.
(g)CA 健康与安全 Code § 130290(g) The California Health and Human Services Agency shall work with experienced nonprofit organizations and
entities represented in the stakeholder advisory group in subdivision (c) to provide technical assistance to the entities outlined in subdivisions (e) and (f).
(h)CA 健康与安全 Code § 130290(h) On or before July 31, 2022, the California Health and Human Services Agency shall develop in consultation with the stakeholder advisory group in subdivision (c) a strategy for unique, secure digital identities capable of supporting master patient indices to be implemented by both private and public organizations in California.
(i)CA 健康与安全 Code § 130290(i) For purposes of implementing this section, including, but not limited to, hiring staff and consultants, facilitating and conducting meetings, conducting research and analysis, and developing the required reports, the California Health and Human Services Agency may enter into exclusive or nonexclusive contracts on a bid or negotiated basis. Contracts entered into or amended pursuant to this
section shall be exempt from Chapter 6 (commencing with Section 14825) of Part 5.5 of Division 3 of Title 2 of the Government Code, Section 19130 of the Government Code, and Part 2 (commencing with Section 10100) of Division 2 of the Public Contract Code, and shall be exempt from the review or approval of any division of the Department of General Services. No person hired or otherwise retained pursuant to this subdivision shall be permitted to have any financial interest in the California Health and Human Services Data Exchange Framework or shall be, or be affiliated with, any health care organization required to participate in the California Health and Human Services Data Exchange Framework pursuant to subdivisions (b) and (f). The term “person,” as used in this subdivision, means any individual, partnership, joint venture, association, corporation, or any other organization or any combination thereof.
(j)CA 健康与安全 Code § 130290(j) All actions to implement the
California Health and Human Services Data Exchange Framework, including the adoption or development of any data sharing agreement, requirements, policies and procedures, guidelines, subgrantee contract provisions, or reporting requirements, shall be exempt from the Administrative Procedure Act (Chapter 3.5 (commencing with Section 11340) of Part 1 of Division 3 of Title 2 of the Government Code). The California Health and Human Services Agency, or a designee department or office under its jurisdiction, shall release program notices that detail the requirements of the California Health and Human Services Data Exchange Framework.
