ONC Extends Information Blocking Compliance Deadline to April 5, 2021


The Information Blocking Rule (collectively, 42 U.S.C. § 300jj-52 and 45 C.F.R. Part 171) prohibits health care providers, health IT developers of certified health information technology, and health information exchanges/health information networks (HIE/HIN) from engaging in practices that are likely to interfere with the access, exchange or use of electronic health information (EHI), unless the practice is required by law or a regulatory exception applies. The original compliance deadline was November 2, 2020.


On October 29, 2020, the Office of the National Coordinator for Health Information Technology (ONC) released an Interim Final Rule that delays the compliance date of the Information Blocking Rule until April 5, 2021. ONC also further extended the period of time during which compliance may be limited to EHI represented in the USCDI (v.1) data elements, until October 6, 2022. ONC extended the deadlines in recognition that the health care system needs this extra time during the COVID-19 pandemic.


The extended compliance deadline will take effect immediately upon publication of the Interim Final Rule in the Federal Register. The rule is scheduled for publication on November 4, 2020.

ONC also extended certain deadlines for certification requirements applicable to health IT developers of certified health information technology (see 42 C.F.R. Part 170).


ONC also made many technical corrections and clarifications, including (but not limited to) the following:

  • No Purchase/Upgrade Requirements. ONC clarified that the Information Blocking Rule itself does not require the purchase or update of health IT solutions.
  • Redundant Usage of “Prevent, or Materially Discourage.” The original rule defined “interfere” or “interference” as meaning “to prevent, materially discourage, or otherwise inhibit.” 45 C.F.R. § 171.102. Because of this existing definition, in the Interim Final Rule ONC deleted the redundant use of “prevent, or materially discourage”—in addition to interfere—from the definition of “information blocking,” and the same change was made in the Security exception (45 C.F.R. § 171.203). These deletions do not change the substantive definition of “information blocking” or the scope of the Security exception.
  • Application to Health IT Developers of Certified Health Information Technology. ONC further changed the definition of “information blocking” to clarify that it applies to health IT developers of certified health information technology, not all health IT developers.

ONC will accept comments on the Interim Final Rule for up to 60 days after it is published in the Federal Register (e.g., January 4, 2021).

MHC is working with health care providers in its community on compliance with the Information Blocking Rule and CMS Interoperability and Patient Access final rule, including providing educational materials such as Information Blocking FAQs, webinars, a template No Information Blocking policy, and a checklist of HIPAA policies providers should consider updating for compliance with the Information Blocking Rule. MHC also offers consulting support services in connection with legal services offered by Melissa Soliz, a partner with Coppersmith Brockelman. Ms. Soliz focuses her national data privacy and access practice on compliance with these new interoperability rules. Please do not hesitate to contact MHC for assistance with this new and developing area.

ONC Information Blocking Rule requirements and CMS Interoperability & Patient Access Rule Conditions of Participation (CoP) related to the ADT Notification requirements

On August 17, 2020 the Lewis & Clark Information Exchange, Midwest Health Connection & the Tiger Institute health information exchange networks co-hosted a webinar to review the ONC Information Blocking Rule requirements and the CMS Interoperability & Patient Access Rule Conditions of Participation (CoP) related to the ADT Notification requirements.

Specifically the webinar was a collaborative effort to ensure that all of the hospitals in Missouri and the Midwest are informed, prepared and equipped with the knowledge and direction on what the Cures Act requirements are for hospitals and health systems and offering a free webinar for hospitals to explain what they need to know about the new information blocking rule and CMS Conditions of Participation (CoP) requirements for sending admission, discharge and transfer (ADT) alerts. The compliance deadlines are November 2, 2020 for the information blocking rule and May 2, 2021 for the new CoPs.

Click the links below to download the materials from the webinar, “Breaking it Down: Information Blocking and CMS CoP Alerts for Hospitals”.


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