4. Do I have to execute the Data Exchange Framework (DxF) Data Sharing Agreement (DSA) as a condition of continuing, amending, or entering into a new or existing contract for the coverage of or provision of health care services with the Department of Health Care Services (DHCS), the Public Employees’ Retirement System (CalPERS), and the California Health Benefit Exchange?

[NEW] Yes, if you are required to sign the DxF DSA. Beginning July 1, 2026, unless already required by an existing contract requirement, signing the DxF DSA will be required as a condition of continuing, amending, or entering into a new or existing contract for the coverage of or provision of health care services with DHCS, CalPERS, and the California Health Benefit Exchange. DHCS, CalPERS, and California Health Benefit Exchange may require subcontractors and delegates to sign the DxF DSA as a condition of their contracts.