Why now
The regulations already require it.
Over the last decade, federal rules have moved from encouraging record sharing to requiring it, with named standards and named parties. Each rule below puts an obligation on insurance plans, hospitals or providers. My EHR Data meets several of them for the insurance plan at once.
| Year | Rule | Falls on | Obligation | What My EHR Data delivers |
|---|---|---|---|---|
| 2016 | 21st Century Cures Act Pub. L. 114-255 | Providers · Health IT | Interoperability, information-blocking rules, and the ONC Health IT Certification Program. | A standard way for providers to share records without blocking, shown inside certified EHRs through SMART on FHIR. |
| 2020 | ONC Cures Act Final Rule 45 CFR Part 171 | Providers | Providers must give standardized, interoperable record access (FHIR R4, SMART on FHIR) without delay or charge. | Record access at any doctor, hospital or pharmacy, at the member's request, over FHIR R4, at no extra cost to providers. |
| 2021 | CMS Interoperability and Patient Access Final Rule FHIR-based Patient Access APIs | Payers | CMS-regulated payers must expose claims, encounter, cost and clinical data via HL7 FHIR R4 to patient-chosen apps. | A FHIR R4 record store of claims and clinical data for each insurance plan, opened with the beneficiary's consent. |
| 2021 | ADT notification Condition of Participation 42 CFR 482.24(d) | Hospitals | Hospitals must send electronic event notifications for admissions, discharges and transfers. | Hospital admission, discharge and transfer alerts (ADT) delivered into the same record store, so the insurance plan sees an admission when it happens. |
| 2025 | CMS Patient-Centric Ecosystem Initiative | Payers · Providers | FHIR-based digital insurance cards, digital check-in, cost-navigation tools, and single-portal claims retrieval. | A card that is the credential, check-in and coverage check by tap, and one place to retrieve the beneficiary's claims. |
The law now requires what My EHR Data delivers.
Reviewed: September 2026. Rule summaries are My EHR Data's reading of the regulations and are not legal advice.
Start with one plan, one population, one region.
A paid pilot shows an insurance plan what My EHR Data can see for its beneficiaries before the plan commits to more.