HHS says TEFCA passes 1 billion records exchanged and adds network oversight
On June 26, 2026, HHS's Office of the National Coordinator for Health IT (ONC) said the number of health records exchanged through the Trusted Exchange Framework and Common Agreement (TEFCA) has grown from about 10 million to more than 1 billion in less than a year. ONC awarded Alliance Global Tech, a federal IT contractor in Columbia, Maryland, a one-year contract of about $1.3 million to check that TEFCA participants follow the network's rules. The contract can be renewed through 2031, for up to about $5.5 million in total. ONC also said it is doing extra compliance reviews of the 11 Qualified Health Information Networks, a group that now includes eClinicalWorks, Netsmart, Oracle Health and Surescripts, and of their participants.
Why it's notable: TEFCA is becoming the main national route for pulling outside records into a clinic's EHR. The new oversight follows disputes over improper record access, including Epic's lawsuit against Health Gorilla, so participants should expect closer checks on why and how they query records.