HCAI proposed requiring QHIOs to meet minimum operating thresholds for request‑for‑information and event notification services and establishing a DXF‑recognized specialist track. Committee members warned thresholds could narrow options, raise costs for small providers, and asked for more clarity on privacy, funding, and how population queries would work.

Lawmakers advanced amendments requiring publicly accessible, frequently updated behavioral‑health provider directories, expanded network‑adequacy provisions and single‑case agreement processes; providers and insurers asked for refinement to avoid license penalties and unintended access impacts.