Deadlines for signing the DxF DSA and beginning Exchange of Health and Social Services Information, as set forth in the Requirement to Exchange Health and Social Services Information Policy and Procedure and Health and Safety Code section 130290, subdivisions (b) and (f), are listed below. 

 

Hospitals 

Signatory Type3	Deadline to Sign the DSA	Deadline to Begin Data Exchange
Rural general acute care hospitals with fewer than 100 beds	January 31, 2023	January 31, 2026
Critical access hospitals	January 31, 2023	January 31, 2026
Rehabilitation hospitals	January 31, 2023	January 31, 2026
Long-term acute care hospitals	January 31, 2023	January 31, 2026
Acute psychiatric hospitals	January 31, 2023	January 31, 2026
All other general acute care hospitals	January 31, 2023	January 31, 2024

 

[CLARIFIED] Physician organizations and medical groups 

Signatory Type3	Deadline to Sign the DSA	Deadline to Begin Data Exchange
Medical foundations exempt from licensure pursuant to Health and Safety Code § 1206(l)	July 1, 2026	July 1, 2026
Physician practices with fewer than 25 physicians	January 31, 2023	January 31, 2026
Nonprofit clinics with fewer than 10 health care providers	January 31, 2023	January 31, 2026
[NEW] Community clinics licensed under Health and Safety Code § 1204(a), intermittent clinics exempt from licensure under Health and Safety Code § 1206(h), and rural health clinics as defined in 42 U.S.C. § 1396d(l)(1).	July 1, 2027	July 1, 2027
All other physician organizations and medical groups	January 31, 2023	January 31, 2024
Skilled nursing facilities that Maintain electronic health records	January 31, 2023	January 31, 2024
Health care service plans and disability insurers	January 31, 2023	January 31, 2024
Clinical laboratories	January 31, 2023	January 31, 2024
[NEW] Emergency medical services	July 1, 2026	July 1, 2026
[NEW] Facilities operated by the California Department of State Hospitals or California Department of Developmental Services which use seclusion and behavioral restraints	January 31, 2023	January 31, 2029

 

3 Signatory types are simplified. For more information on the signatory types, please refer to question 1. [NEW] and [CLARIFIED] indicate definitions or requirements introduced or clarified by SB 660.