The National Association for Trusted Exchange (NATE) is a not-for-profit membership association focused on enabling trusted exchange among organizations and individuals with differing regulatory environments and exchange preferences. NATE brings the expertise of its membership and other stakeholders together to find common solutions that optimize the appropriate exchange of health information for greater gains in technology adoption and improvement of patient outcomes. Consistent with NATE’s mission to address the legal, policy and technical barriers that inhibit health information exchange between data holders and healthcare consumers, NATE leads and participates in a number of ongoing and emerging projects focused on exchange via multiple modes of transport, including Direct secure messaging and APIs. Working with a broad set of stakeholders through multiple task forces, crowdsourcing and a call for public comment, NATE was proud to make available the first release of NATE’s Blue Button for Consumers (NBB4C) Trust Bundle beginning in 2015. In 2016, NATE will extend the utility of its trust community beyond Direct secure messaging to include other consumer-centric technologies, such as those that leverage APIs or other modes of exchange. Stakeholders interested in participating in the next phase of NATE’s work in consumer mediated exchange should consider NATE membership or subscribe to News from NATE.