Cindy Barrow, a consultant supporting the Data Exchange Framework, reviewed impact-measurement data and program outcomes.

Barrow said the DXF has seen steady participant growth since inception and reported roughly 4,700 organizations have signed the Data Sharing Agreement. She noted a recent uptick in signatories she attributed in part to the publicity and expectations around SB 6 60.

On onboarding, Barrow said the participant directory completion rate has continued to rise and that HCAI aims to reach full completion so the department can reliably identify who will and will not exchange data. She described the Qualified Health Information Organization (QHIO) program as essential to uptake: nine QHIOs were qualified to provide services, about two thirds of participants use QHIOs, and the number of organizations using QHIO services for event notification more than doubled over the last 15 months.

Barrow also reviewed grant programs that supported outreach and technical assistance: Educational Initiative grants (to nonprofits and associations) and Signatory Grants (to support QHIO onboarding). She said more than half of signatory-grant recipients have completed readiness milestones and started exchanging data, with remaining grantees expected to be ready in 2026.

When asked about denominators to calculate compliance percentages, HCAI staff said SB 6 60 provides authority to determine who is required to sign the DSA and that work on denominators will progress through 2026 ahead of the January 2027 public listing.