Based on other ballot feedback, kept the background as it defines the context of why payers are required to provide the data but noted it is out of scope for this IG.  However, the verbiage will be modified as follows: Data from health plans is not currently available to a consumer through an open API framework and therefore is not accessible by third party applications authorized by the consumer.  The Centers for Medicare & Medicaid Services (CMS) finalized on May 1st, 2020, its Interoperability and Patient Access Final Rule on patient access to health data. Under the final rule, Medicare Advantage (MA) plans, state Medicaid and Children’s Health Insurance Program (CHIP) agencies, Medicaid and CHIP managed care plans, and qualified health plan (QHP) issuers in the federally-facilitated exchanges (FFEs) must meet certain requirements regarding patient access to their health care information, including requirements related to application programming interfaces (APIs).  CMS provides Implementation Guidance for  the following types of information for dissemination:  Patient Access API: Claims & Encounter Data Clinical Data Plan Coverage and Formularies The Consumer Directed Payer Data Exchange Implementation Guide was defined by the CARIN Alliance to meet CMS requirements to provide Claims and Encounter data.  Provisioning Clinical Data is defined by the DaVinci Payer Data Exchange (PDex) and US Core Implementation Guides.  Provisioning Plan Coverage and Formularies is defined by the DaVinci Payer Data Exchange US Drug Formulary Implementation Guide. The implementation date is January 1, 2021.