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Public commenters tell HCAI advisory panel emergency medical services face confusion about compliance

Data Exchange Framework Stakeholder Advisory Committee (advisory to the Department of Health Care Access and Information) · April 13, 2026

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Summary

Stakeholders urged HCAI and the advisory committee to engage emergency medical services after some local EMS agencies reportedly told providers they would not participate; participants also flagged capacity differences across organizations for demographic and social-needs data collection.

Several public participants urged the department and advisory committee to engage emergency medical services and other frontline providers about statutory compliance and operational barriers.

Jonathan Feit, who identified himself as representing Beyond Lucid Technologies, described conversations with fire and EMS services and said some local EMS authorities have told agencies they will not participate and are seeking alternative guidance from the state Emergency Medical Services Authority. Feit said that stance has stalled local movement toward the data-sharing agreement and asked the committee how to address counter guidance and accelerate compliance.

'I think...there continues to be a broad based understanding by emergency medical service agencies that this law does not apply to them,' Feit said, explaining that some local EMS agents have told practitioners not to proceed. He asked whether the committee could create a pathway to reconcile conflicting guidance and warned time is running on compliance deadlines.

Mark Savage, identified by the moderator as a public participant, raised a different operational concern: he asked whether the same data-collection expectations would apply to all DSA signatories and cautioned that organizations have differing technical capacity, urging the committee to consider scalable approaches and technical assistance.

HCAI staff acknowledged the concerns, said public comments are being recorded and will be tracked, and invited written submissions to DXF@hkai.ca.gov. Committee staff said some questions will be flagged for follow-up at the in-person meeting next week.