Health Data, Technology, and Interoperability: Trusted Exchange Framework and Common Agreement (HTI-2) Final Rule

ASTP’s HTI-2 final rule finalizes certain Trusted Exchange Framework and Common AgreementTM (TEFCATM)-related proposals from the HTI-2 proposed rule to advance interoperability and support the access, exchange, and use of electronic health information.  The HTI-2 final rule amends the information blocking regulations by including definitions related to the TEFCA Manner Exception. It also implements provisions to support the reliability, privacy, security, and trust within TEFCA. 

  • The HTI-2 Final Rule finalizes a new part of the Code of Federal Regulations (CFR) for provisions related to TEFCA in 45 CFR Part 172. These final provisions further implement the Public Health Service Act section 3001(c)(9) as added by the Cures Act and provide greater transparency of TEFCA processes.
  • The HTI-2 Final Rule makes no changes to the TEFCA Manner Exception (§ 171.403) and adopts the TEFCA-related definitions as proposed. 
View the Final Rule on the Federal Register

Fact Sheet

HTI-2 Proposed Rule

Looking for content and materials from the HTI-2 proposed rule? View archived content.