More than 75 health systems sent a letter to federal officials calling for stronger oversight of nationwide data sharing networks, flagging issues with "bad actors" gaining access to patients' medical information.
The health systems, including AdventHealth, Cedars-Sinai Medical Center, The MetroHealth System, NYU Langone, UMass Memorial Health, Stanford Health Care and Sutter Health, are calling for more centralized oversight and governance for the nationwide health data exchange frameworks, including the Trusted Exchange Framework and Common Agreement (TEFCA) and Carequality.
The letter, addressed to The Sequoia Project CEO Mariann Yeager and Steve Posnack, deputy assistant secretary for technology policy at the U.S. Department of Health and Human Services (HHS), calls for stepped-up safeguards for data sharing include more rigorous oversight and governance of who gets access to patients' medical information, better monitoring for fraud and more transparency into network activity.
The organizations argue that self-attestation and decentralised oversight, which is the current process, is not sufficient to safeguard patient data. Health systems want more established rules of the road and stronger protections to prevent fraud on the networks.
Source: Fierce Healthcare, 29 January 2026
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