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The California Health & Human Services Agency (CalHHS) has named nine entities as Qualified Health Information Organizations, which are expected to play a key role in the success of the DxF, filling gaps in California's data exchange infrastructure by facilitating connections between participants through the secure exchange of health and social services information. It clarifies which providers must comply with the DxF, requires the California Department of Health Care Access and Information (HCAI) to report on participation, and creates a pathway for enforcement to ensure consistent adherence to the law. This law puts in place the accountability needed to ensure every provider and health plan participates fully in the Data Exchange Framework so Californians get safe, well-coordinated, whole-person care." Timi Leslie, executive director of Connecting for Better Health, had penned an opinion piece in the Capitol Weekly urging passage of the law. In that 2024 discussion, David Ford, vice president of health information technology at the California Medical Association, said that if he were to grade the implementation of the Data Exchange Framework, he would give it an incomplete."