Issued2024-12-16

HTI-2 Final Rule – Trusted Exchange Framework and Common Agreement (TEFCA)

Final RuleSector

Summary

Finalizes a narrowed set of proposals from the HTI-2 proposed rule, including the TEFCA Manner Exception and related information-blocking definitions, TEFCA governance provisions, and limited administrative updates to the ONC Health IT Certification Program.

Healthcare Implications

Clarifies nationwide exchange requirements for electronic health information used by providers, health information networks, certified health IT, analytics, and AI-enabled tools. Organizations participating in TEFCA or subject to information-blocking rules should align exchange, access, and governance practices with the finalized definitions and requirements.

Impact Level

Medium

Keywords

Privacy & Data; Transparency & Governance

Stakeholders

Providers & Health Systems; Patients & Public; Developers & Vendors; Regulators & Government