HIPAA developments · read for ABA

The HIPAA Desk

Settlements, rule changes, and breach figures as they land, each in a short brief that names its source and says what it means for an ABA clinic. Primary means we read the official source. Reported means we are relaying a named outlet and say what we have not verified.

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Enforcement and settlements

What OCR has resolved, with the amount and what it found.

  1. Primary

    OCR settles with Pennsylvania health system Lehigh Valley Health Network for $800,000 after ransomware

    After a ransomware attack affecting 248,359 people, OCR cited four issues and the health system paid $800,000.

    HHS Office for Civil Rights

  2. Primary

    OCR settles with a Pennsylvania dental practice for $140,000 over a patient's records request

    OCR found the practice failed to give a patient timely access to her records and did not reasonably safeguard PHI.

    HHS Office for Civil Rights

  3. Primary

    OCR settles with genetic testing company Ambry Genetics for $700,000 after a phishing attack

    After a phishing attack reached 225,370 people's PHI, OCR cited three Security Rule issues and Ambry paid $700,000.

    HHS Office for Civil Rights

  4. Primary

    OCR settles with California eye care provider Azul Vision for $50,000 over a delayed records request

    A records request made in January 2023 was not filled until January 2025, after OCR opened its investigation.

    HHS Office for Civil Rights

  5. Reported

    Troutman Pepper Locke reported OCR settlements totaling $695,000 with two self-funded health plans after ransomware

    Troutman Pepper Locke reported two OCR settlements with self-funded group health plans after ransomware, $245,000 and $450,000.

    Troutman Pepper Locke

  6. Primary

    OCR settles with an Illinois treatment center for $103,000 after a phishing attack exposed 1,980 patients

    After a phishing attack hit 1,980 patients' ePHI, OCR found the provider failed to conduct a thorough risk analysis.

    HHS Office for Civil Rights

Audits and initiatives

Where OCR is aiming its attention, and how the counts are moving.

  1. Primary

    OCR says 13 investigations are complete under its Risk Analysis Initiative

    OCR's release counts 13 completed Risk Analysis Initiative investigations, with four settlements announced the same day.

    HHS Office for Civil Rights

Rules and deadlines

Proposed and final rules, dates and delays.

  1. Reported

    Alston & Bird reported HHS has pushed the HIPAA Security Rule final rule to July 2027

    Alston & Bird reported HHS OCR has delayed finalizing the HIPAA Security Rule until July 2027.

    Alston & Bird

  2. Reported

    Davis Wright Tremaine reported HHS lists a right of access timing proposed rule for November 2026

    Davis Wright Tremaine reported HHS's agenda lists a proposed rule on records request response time for November 2026.

    Davis Wright Tremaine

Guidance and FAQs

What HHS has clarified, and who it applies to.

  1. Primary

    OCR issues guidance on when Part 2 substance use records can help state Medicaid programs verify exclusions

    OCR clarified when Part 2 lets a state Medicaid agency use substance use disorder records to verify an exclusion.

    HHS Office for Civil Rights

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