This week, HHS and the ONC announced the publication of the Trusted Exchange Framework and Common Agreement (TEFCA). This milestone completes a critical requirement of the landmark 21st Century Cures Act, which called for establishing a national exchange framework to support data sharing between providers, health plans, patients, HIEs, and public health organizations. TEFCA has three main goals: If these goals sound like the goals of exchange networks that exist today, then it shows you’ve been paying attention! First, let’s talk about how data moves in healthcare in 2022. Organizations like Carequality, eHealth Exchange, Common Well Health Alliance, Direct Trust, Civitas Networks for Health, and state-designated HIEs all provide data sharing for their respective members and downstream participants—within the confines and capabilities of their separate domains.