Compliance Glossary

What is HIPAA?

Definition

The Health Insurance Portability and Accountability Act (HIPAA) is a US federal law that sets standards for protecting sensitive patient health information. It applies to covered entities (healthcare providers, health plans, clearinghouses) and their business associates who handle Protected Health Information.

In Depth

HIPAA consists of several rules that work together to protect health information: the Privacy Rule establishes standards for the use and disclosure of Protected Health Information (PHI), the Security Rule sets requirements for safeguarding electronic PHI (ePHI) through administrative, physical, and technical safeguards, and the Breach Notification Rule defines requirements for reporting data breaches. The HITECH Act of 2009 expanded HIPAA's scope by extending direct liability to business associates and increasing penalty amounts. The Security Rule requires covered entities to conduct a thorough risk analysis, implement a risk management program, and maintain documentation of compliance efforts. Penalties are tiered based on the level of negligence, ranging from $100 per violation for unknowing breaches up to $1.5 million per year for willful neglect. The HHS Office for Civil Rights (OCR) is responsible for enforcement and publishes a public breach portal listing breaches affecting 500 or more individuals.

Related Frameworks

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