Entities required to sign the DxF DSA are listed below, as defined in Health and Safety Code section 130290(f).

1. General Acute Care Hospitals, as defined by Health and Safety Code Section 1250.
2. Physician Organizations (e.g., Independent Practice Associations that exchange health information) and Medical Groups.
3. Skilled Nursing Facilities, as defined in Health and Safety Code Section 1250.
4. Health Plans
   1. Health Care Service Plans and Disability Insurers providing hospital, medical, or surgical coverage that are regulated by the California Department of Managed Healthcare or the California Department of Insurance.
   2. Medi-Cal Managed Care Plans that have signed a comprehensive risk contract with the Department of Healthcare Services pursuant to the MediCal Act1 or the Waxman-Duffy Prepaid Health Plan Act2 , and that are not regulated by the California Department of Managed Healthcare or the California Department of Insurance.
5. Clinical Laboratories, as defined in Business and Professions Code Section 1265 and that are regulated by the California Department of Public Health.
6. Acute Psychiatric Hospitals, as defined in Health and Safety Code Section 1250

1 Cal. Welfare and Institutions Code section 14000, et seq.

2 Cal. Welfare and Institutions Code section 14200, et seq.