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  <id>https://www.wiseuphipaa.com/desk/</id>
  <title>The HIPAA Desk</title>
  <subtitle>Recent HIPAA developments for ABA clinics, from WiseUpHIPAA.</subtitle>
  <link rel="alternate" type="text/html" href="https://www.wiseuphipaa.com/desk/"/>
  <link rel="self" type="application/atom+xml" href="https://www.wiseuphipaa.com/desk/feed.xml"/>
  <updated>2026-10-29T00:00:00Z</updated>
  <author><name>WiseUpHIPAA</name></author>
  <entry>
    <id>https://www.wiseuphipaa.com/desk/lehigh-valley-800000-ransomware/</id>
    <title>OCR settles with Pennsylvania health system Lehigh Valley Health Network for $800,000 after ransomware</title>
    <link rel="alternate" type="text/html" href="https://www.wiseuphipaa.com/desk/lehigh-valley-800000-ransomware/"/>
    <published>2026-10-29T00:00:00Z</published>
    <updated>2026-10-29T00:00:00Z</updated>
    <category term="Enforcement and settlements"/>
    <summary>After a ransomware attack affecting 248,359 people, OCR cited four issues and the health system paid $800,000. Primary source: HHS Office for Civil Rights.</summary>
  </entry>
  <entry>
    <id>https://www.wiseuphipaa.com/desk/shen-smiles-140000-right-of-access/</id>
    <title>OCR settles with a Pennsylvania dental practice for $140,000 over a patient's records request</title>
    <link rel="alternate" type="text/html" href="https://www.wiseuphipaa.com/desk/shen-smiles-140000-right-of-access/"/>
    <published>2026-10-08T00:00:00Z</published>
    <updated>2026-10-08T00:00:00Z</updated>
    <category term="Enforcement and settlements"/>
    <summary>OCR found the practice failed to give a patient timely access to her records and did not reasonably safeguard PHI. Primary source: HHS Office for Civil Rights.</summary>
  </entry>
  <entry>
    <id>https://www.wiseuphipaa.com/desk/part-2-medicaid-guidance-september-2026/</id>
    <title>OCR issues guidance on when Part 2 substance use records can help state Medicaid programs verify exclusions</title>
    <link rel="alternate" type="text/html" href="https://www.wiseuphipaa.com/desk/part-2-medicaid-guidance-september-2026/"/>
    <published>2026-09-29T00:00:00Z</published>
    <updated>2026-09-29T00:00:00Z</updated>
    <category term="Guidance and FAQs"/>
    <summary>OCR clarified when Part 2 lets a state Medicaid agency use substance use disorder records to verify an exclusion. Primary source: HHS Office for Civil Rights.</summary>
  </entry>
  <entry>
    <id>https://www.wiseuphipaa.com/desk/ambry-genetics-700000-risk-analysis/</id>
    <title>OCR settles with genetic testing company Ambry Genetics for $700,000 after a phishing attack</title>
    <link rel="alternate" type="text/html" href="https://www.wiseuphipaa.com/desk/ambry-genetics-700000-risk-analysis/"/>
    <published>2026-09-17T00:00:00Z</published>
    <updated>2026-09-17T00:00:00Z</updated>
    <category term="Enforcement and settlements"/>
    <summary>After a phishing attack reached 225,370 people's PHI, OCR cited three Security Rule issues and Ambry paid $700,000. Primary source: HHS Office for Civil Rights.</summary>
  </entry>
  <entry>
    <id>https://www.wiseuphipaa.com/desk/breach-report-august-2026/</id>
    <title>Paubox reported 34 large healthcare breaches affecting 7.7 million people in August 2026</title>
    <link rel="alternate" type="text/html" href="https://www.wiseuphipaa.com/desk/breach-report-august-2026/"/>
    <published>2026-09-15T00:00:00Z</published>
    <updated>2026-09-15T00:00:00Z</updated>
    <category term="Breaches and trends"/>
    <summary>Paubox reported 34 large breaches affecting 7,690,666 people in August 2026, most through network servers. Reported by Paubox.</summary>
  </entry>
  <entry>
    <id>https://www.wiseuphipaa.com/desk/azul-vision-50000-right-of-access/</id>
    <title>OCR settles with California eye care provider Azul Vision for $50,000 over a delayed records request</title>
    <link rel="alternate" type="text/html" href="https://www.wiseuphipaa.com/desk/azul-vision-50000-right-of-access/"/>
    <published>2026-08-27T00:00:00Z</published>
    <updated>2026-08-27T00:00:00Z</updated>
    <category term="Enforcement and settlements"/>
    <summary>A records request made in January 2023 was not filled until January 2025, after OCR opened its investigation. Primary source: HHS Office for Civil Rights.</summary>
  </entry>
  <entry>
    <id>https://www.wiseuphipaa.com/desk/self-funded-health-plans-695000-ransomware/</id>
    <title>Troutman Pepper Locke reported OCR settlements totaling $695,000 with two self-funded health plans after ransomware</title>
    <link rel="alternate" type="text/html" href="https://www.wiseuphipaa.com/desk/self-funded-health-plans-695000-ransomware/"/>
    <published>2026-08-04T00:00:00Z</published>
    <updated>2026-08-04T00:00:00Z</updated>
    <category term="Enforcement and settlements"/>
    <summary>Troutman Pepper Locke reported two OCR settlements with self-funded group health plans after ransomware, $245,000 and $450,000. Reported by Troutman Pepper Locke.</summary>
  </entry>
  <entry>
    <id>https://www.wiseuphipaa.com/desk/security-rule-final-rule-delayed-july-2027/</id>
    <title>Alston &amp; Bird reported HHS has pushed the HIPAA Security Rule final rule to July 2027</title>
    <link rel="alternate" type="text/html" href="https://www.wiseuphipaa.com/desk/security-rule-final-rule-delayed-july-2027/"/>
    <published>2026-07-10T00:00:00Z</published>
    <updated>2026-07-10T00:00:00Z</updated>
    <category term="Rules and deadlines"/>
    <summary>Alston &amp; Bird reported HHS OCR has delayed finalizing the HIPAA Security Rule until July 2027. Reported by Alston &amp; Bird.</summary>
  </entry>
  <entry>
    <id>https://www.wiseuphipaa.com/desk/right-of-access-nprm-november-2026/</id>
    <title>Davis Wright Tremaine reported HHS lists a right of access timing proposed rule for November 2026</title>
    <link rel="alternate" type="text/html" href="https://www.wiseuphipaa.com/desk/right-of-access-nprm-november-2026/"/>
    <published>2026-07-08T00:00:00Z</published>
    <updated>2026-07-08T00:00:00Z</updated>
    <category term="Rules and deadlines"/>
    <summary>Davis Wright Tremaine reported HHS's agenda lists a proposed rule on records request response time for November 2026. Reported by Davis Wright Tremaine.</summary>
  </entry>
  <entry>
    <id>https://www.wiseuphipaa.com/desk/healthcare-breaches-first-half-2026/</id>
    <title>Paubox reported more than 19 million people affected by healthcare data breaches in the first half of 2026</title>
    <link rel="alternate" type="text/html" href="https://www.wiseuphipaa.com/desk/healthcare-breaches-first-half-2026/"/>
    <published>2026-06-30T00:00:00Z</published>
    <updated>2026-06-30T00:00:00Z</updated>
    <category term="Breaches and trends"/>
    <summary>Paubox reported more than 19 million people affected by 189 large healthcare breaches in the first half of 2026. Reported by Paubox.</summary>
  </entry>
  <entry>
    <id>https://www.wiseuphipaa.com/desk/risk-analysis-initiative-13-actions/</id>
    <title>OCR says 13 investigations are complete under its Risk Analysis Initiative</title>
    <link rel="alternate" type="text/html" href="https://www.wiseuphipaa.com/desk/risk-analysis-initiative-13-actions/"/>
    <published>2026-04-23T00:00:00Z</published>
    <updated>2026-04-23T00:00:00Z</updated>
    <category term="Audits and initiatives"/>
    <summary>OCR's release counts 13 completed Risk Analysis Initiative investigations, with four settlements announced the same day. Primary source: HHS Office for Civil Rights.</summary>
  </entry>
  <entry>
    <id>https://www.wiseuphipaa.com/desk/balance-autism-class-action-1281/</id>
    <title>HIPAA Journal reported an Iowa autism provider settled a class action over a breach affecting 1,281 people</title>
    <link rel="alternate" type="text/html" href="https://www.wiseuphipaa.com/desk/balance-autism-class-action-1281/"/>
    <published>2026-03-23T00:00:00Z</published>
    <updated>2026-03-23T00:00:00Z</updated>
    <category term="Breaches and trends"/>
    <summary>HIPAA Journal reported an autism provider settled a class action after a breach affecting 1,281 people. Reported by HIPAA Journal.</summary>
  </entry>
  <entry>
    <id>https://www.wiseuphipaa.com/desk/top-of-the-world-ranch-103000-risk-analysis/</id>
    <title>OCR settles with an Illinois treatment center for $103,000 after a phishing attack exposed 1,980 patients</title>
    <link rel="alternate" type="text/html" href="https://www.wiseuphipaa.com/desk/top-of-the-world-ranch-103000-risk-analysis/"/>
    <published>2026-02-19T00:00:00Z</published>
    <updated>2026-02-19T00:00:00Z</updated>
    <category term="Enforcement and settlements"/>
    <summary>After a phishing attack hit 1,980 patients' ePHI, OCR found the provider failed to conduct a thorough risk analysis. Primary source: HHS Office for Civil Rights.</summary>
  </entry>
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