HHS OCR HIPAA enforcement: settlements, corrective action plans, risk analysis findings and the right of access initiative.
OCR enforces HIPAA, and its settlements are the clearest available signal of what the agency treats as an unacceptable security posture. This hub covers those actions and their corrective action plans.
HHS finalised a rule in April 2024 restricting disclosure of information about reproductive health care to law enforcement and in litigation. In June 2025 a federal judge in Amarillo vacated nearly all of it, holding HHS had exceeded its authority. The government did not appeal, and the Fifth Circuit dismissed the intervenors' appeal in September 2025.
Read more →In 2019 the Office for Civil Rights announced that enforcing a patient's right to their own records would be an enforcement priority. The resulting settlements had reached 41 cases by September 2022 and have continued since. Read together they describe an unusually repetitive fact pattern: a person asks for records, months pass, and the file arrives only after a federal complaint.
Read more →In January 2025 the Office for Civil Rights proposed rewriting the HIPAA Security Rule, retiring the addressable safeguard category and adding asset inventories, encryption, multi-factor authentication and annual compliance audits. Nothing has been finalised, and the Unified Agenda now carries the rulemaking as a long-term action.
Read more →HIPAA is three interlocking rules rather than one, and they apply to a defined set of organizations rather than to health information generally. This guide covers who is covered, what the Privacy Rule permits without authorization, what the Security Rule requires, how business associate liability works, and the mechanics of breach notification.
Read more →The HIPAA Security Rule requires covered entities and business associates to conduct an accurate and thorough assessment of risks to electronic protected health information. The requirement recurs across HHS Office for Civil Rights resolution agreements more than almost any other provision. This sets out what the regulation says and how OCR has described the standard.
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