White Space

White Space map
Texas counties, primarily in rural areas of the state, not currently served by a local community-based HIE are often referred to as the Texas “White Space.”


The THSA established a marketplace of qualified Health Information Service Providers (HISPs) to provide physicians and hospitals in the Texas White Space the ability to electronically exchange health information with other clinicians in a way that is simple, secure, cost effective, and compliant with federal and state requirements, including HIPAA and EHR Meaningful Use. 

Texas White Space Strategy 

Through the Texas White Space strategy, the HISPs qualified by the THSA offer basic connectivity options to providers in the Texas White Space that enable them to exchange health information through Direct email that is secure, encrypted and fully federal HIPAA-compliant.HISP connections services: 

  • Require no new hardware - just a computer with Internet access;
  • Require no long-term contracts; and
  • Enable providers to meet federal requirements for Meaningful Use of electronic health records (EHR).

Physician and Hospital Connection Cost Assistance

The White Space strategy also provides $2 million in total funds through a voucher program to help offset initial connectivity costs for eligible health care providers who choose the services of a qualified HISP for electronic information exchange.

What Exactly is a Qualified HISP?

A health information service provider (HISP) is an organization that supports the secure transport of health information (both structured and unstructured data such as simple text and PDF, semi-structured text, and highly structured messages and documents) on behalf of the sender or receiver.

The HISPs qualified by the THSA have agreed to support electronic transmission of all clinical transactions necessary for White Space area providers to achieve Meaningful Use of electronic health records (EHRs) in accordance with federal and state standards. Initially, this includes transmission of clinical care summaries and lab results.

Where Can I Learn More? 

To learn more about the Texas White Space Strategy and its cost assistance program, click on the following: Voucher Requests or Additional White Space Information, or select from the tabs to your left.

Qualified HISPs

Click below for qualified HISP Profiles and Pricing Sheets: