{"id":355803,"date":"2020-08-26T12:09:07","date_gmt":"2020-08-26T17:09:07","guid":{"rendered":"https:\/\/content.findlaw-admin.com\/ability-law\/healthcare\/patient-rights\/can-i-sue-for-a-hipaa-violation.html"},"modified":"2023-06-12T10:31:22","modified_gmt":"2023-06-12T15:31:22","slug":"can-i-sue-for-a-hipaa-violation","status":"publish","type":"page","link":"https:\/\/www.findlaw.com\/healthcare\/patient-rights\/can-i-sue-for-a-hipaa-violation.html","title":{"rendered":"Can I Sue for a HIPAA Violation?"},"content":{"rendered":"\n<div class=\"wp-container-core-columns-is-layout-8f761849 fl-sectionWithSidebar fl-container fl-flex fl-flex-wrap fl-gap30\">\n    \n    <div class=\"fl-page-articles fl-section-main fl-section-main-full-width\">\n        <h1 class=\"fl-no-margin-top\">Can I Sue for a HIPAA Violation?<\/h1>\n<section class=\"fl-gutenberg-byline\">\n    <div class=\"fl-gutenberg-byline-content\">\n                    By <a href=\"https:\/\/www.findlaw.com\/company\/our-team\/melissa-mccall-j-d\/\">Melissa McCall, J.D.<\/a> | Legally reviewed by <a\n                href=\"https:\/\/www.findlaw.com\/company\/our-team\/aviana-cooper-esq\/\">Aviana Cooper, Esq.<\/a>\n                | Last updated\n        <time>\n                            June 12, 2023\n                    <\/time>\n    <\/div>\n\n    \n    <details class=\"fl-gutenberg-byline-toggle fl-gutenberg-byline-legally-reviewed\">\n        <summary>\n            <i class=\"fl-gutenberg-byline-icon\" aria-hidden=\"true\"><\/i>\n            Legally Reviewed\n        <\/summary>\n\n        <div class=\"fl-gutenberg-byline-toggle-content\">\n            <p><em>This article has been written and reviewed for legal accuracy, clarity, and style by <a href=\"https:\/\/www.findlaw.com\/company\/our-team.html\">FindLaw\u2019s team of legal writers and attorneys<\/a> and in accordance with <a href=\"https:\/\/www.findlaw.com\/company\/company-history\/editorial-policy.html\">our editorial standards<\/a>.<\/em><\/p>\n\n        <\/div>\n    <\/details>\n\n    <details class=\"fl-gutenberg-byline-toggle fl-gutenberg-byline-fast-checked\">\n        <summary>\n            <i class=\"fl-gutenberg-byline-icon\" aria-hidden=\"true\"><\/i>\n            Fact-Checked\n        <\/summary>\n\n        <div class=\"fl-gutenberg-byline-toggle-content\">\n            <p><em>The last updated date refers to the last time this article was reviewed by FindLaw or one of our <a href=\"https:\/\/www.findlaw.com\/company\/our-team\/contributing-authors.html\">contributing authors<\/a>. We make every effort to keep our articles updated. For information regarding a specific legal issue affecting you, please <a href=\"https:\/\/lawyers.findlaw.com\/?fli=bylinelink\" target=\"_blank\" rel=\"noopener\">contact an attorney in your area<\/a>.<\/em><\/p>\n\n        <\/div>\n    <\/details>\n<\/section>\n<div class=\"fl-key-takeaways fl-mb30\" data-testid=\"fl-key-takeaways\">\n    <div class=\"fl-card-content\">\n        <div class=\"fl-card-body fl-card-bg-teal fl-flex fl-flex-column\">\n                            <h2 class=\"fl-card-title fl-h2 fl-no-margin\">Key Takeaways<\/h2>\n                        <p>Technically, you can&#8217;t sue directly for a HIPAA violation under federal law. Yet, you may sue under state laws for related harms, such as negligence or breach of contract, if your medical privacy was violated.<\/p>\n\n        <\/div>\n    <\/div>\n<\/div>\n<p>The&nbsp;Health Information Privacy and Accountability Act&nbsp;of 1996 (HIPAA) is a federal law that sets data privacy and security safeguards for a person&#8217;s identifiable health information. Personal health information, also known as PHI, includes more than a patient&#8217;s medical information. It consists of a patient&#8217;s Social Security number, date of birth, and other identifiers.<\/p>\r\n<p>Healthcare providers and their&nbsp;business associates&nbsp;must protect a patient&#8217;s information. A business associate is an entity or person who performs services using protected health information on behalf of a covered entity.&nbsp;<\/p>\r\n<p>If a healthcare provider or business associate violates a patient&#8217;s privacy, that patient has several options for justice. Find a HIPAA violation lawyer before deciding what to do next. A <a href=\"https:\/\/lawyers.findlaw.com\/medical-malpractice\/?fli=dcta\" target=\"_blank\" rel=\"noopener\">health care law attorney<\/a> can help you review these options for your individual circumstances.<\/p>\r\n<h2>What Happens If My Medical Information Is Mishandled?<\/h2>\r\n<p>Unfortunately, a patient cannot sue anyone directly for HIPAA violations. Under federal law,&nbsp;<a href=\"https:\/\/www.findlaw.com\/healthcare\/patient-rights\/hipaa-the-health-insurance-portability-and-accountability-act.html\">HIPAA<\/a>&nbsp;does not have a private&nbsp;<a href=\"https:\/\/dictionary.findlaw.com\/definition\/cause-of-action.html\" target=\"_blank\" rel=\"noopener\">cause of action<\/a>&nbsp;(sometimes called &quot;private right of action&quot;).<\/p>\r\n<p>It is against the law for medical providers to share protected health information without the patient&#8217;s permission. But federal law prohibits filing a lawsuit asking for compensation.<\/p>\r\n<p>Patients can sue healthcare providers or specific healthcare professionals for violating state laws involving HIPAA. Patients can sue for a &quot;harmful&quot; violation of their medical history or medical privacy. These claims are typically negligence claims or breach of contract claims.<\/p>\r\n<h2>HIPAA Privacy Rules 101<\/h2>\r\n<p>The Health Insurance Portability and Accountability Act of 1996 (HIPAA) is a set of public health regulations. Those rules cover many areas, including privacy. HIPAA&#8217;s Privacy Rules are under Title II of the Act.<\/p>\r\n<p><a href=\"https:\/\/www.hhs.gov\/hipaa\/for-professionals\/privacy\/index.html#:~:text=The%20HIPAA%20Privacy%20Rule%20establishes,certain%20health%20care%20transactions%20electronically.\" target=\"_blank\" rel=\"noopener\"><\/a><a href=\"https:\/\/www.hhs.gov\/hipaa\/for-professionals\/privacy\/index.html\" target=\"_blank\" rel=\"noopener\">HIPAA Privacy Rules<\/a>&nbsp;set national standards that protect patients&#8217; rights. They set a national standard that protects patients&#8217; medical information. These rules include the following:<\/p>\r\n<ul>\r\n<li>Medical records<\/li>\r\n<li>Electronic health records<\/li>\r\n<li>Personal medical information<\/li>\r\n<li>Private health information (PHI)<\/li>\r\n<li>Health plans<\/li>\r\n<li>Healthcare electronic or financial transactions<\/li>\r\n<\/ul>\r\n<p>These rules govern the disclosure and use of a patient&#8217;s&nbsp;<a href=\"https:\/\/corporate.findlaw.com\/law-library\/the-new-hipaa-privacy-rule-what-is-it-and-who-should-care.html\" target=\"_blank\" rel=\"noopener\">health information<\/a>&nbsp;to insurance companies, healthcare clearinghouses, business associates, and other medical professionals.<\/p>\r\n<p>Healthcare organizations or providers must give patients notice of privacy practices. This notice covers the organization&#8217;s privacy practices. It must state permitted disclosures of their personal health information. It must also note the privacy protections that safeguard patient data.<\/p>\r\n<p>Patient confidentiality is the cornerstone of the healthcare system. For example, a psychotherapy practice should inform patients about how it safeguards a patient&#8217;s mental health information. If it shares this information without patient consent or against the rules set for HIPAA, the office may have committed a HIPAA violation.<\/p>\r\n<p>Advances in information technology increase the chances of unauthorized disclosure. For example, without safeguards, anyone would be able to access a patient&#8217;s electronic records.<\/p>\r\n<h3>Who Must Follow HIPAA?<\/h3>\r\n<p>Only&nbsp;<a href=\"https:\/\/www.cms.gov\/Regulations-and-Guidance\/Administrative-Simplification\/HIPAA-ACA\/Downloads\/CoveredEntitiesChart20160617.pdf\" target=\"_blank\" rel=\"noopener\">covered entities need to follow HIPAA<\/a>. Patients must confirm that the health provider or business they want to sue is a covered entity. According to the Centers for Medicaid and Medicare Services, a covered entity is:<\/p>\r\n<ul>\r\n<li>A health care provider that conducts certain transactions in electronic form<\/li>\r\n<li>A healthcare clearinghouse<\/li>\r\n<li>A health plan<\/li>\r\n<\/ul>\r\n<h3>Patient Consent vs. Patient Authorization<\/h3>\r\n<p>A patient&#8217;s entire case could depend on giving consent or authorization. Consent is usually spoken and involves:<\/p>\r\n<ul>\r\n<li>A procedure<\/li>\r\n<li>The need to share the patient&#8217;s medical information with other doctors and nurses during treatment<\/li>\r\n<\/ul>\r\n<p>Through authorization, the patient&#8217;s health information is given to covered entities. These include insurance companies or any business associate outside the medical facility.<\/p>\r\n<p>Authorization requires a written document that they sign. It should name the current medical facility. It should also explain how they can use their information other than for payment or medical treatment.<\/p>\r\n<p>The patient must consent to send medical information to their facility&#8217;s insurance company, billing company, or another doctor. A patient can also allow family members to receive medical information in an emergency.<\/p>\r\n<p>Unauthorized disclosure of information is a likely HIPAA violation.<\/p>\r\n<h2>Options for Justice: HIPAA Violations<\/h2>\r\n<p>Let&#8217;s say a patient learned a nurse shared their health information or medical records with non-medical staff or a business associate without their consent. If this happens, the patient can take legal action by:<\/p>\r\n<ul>\r\n<li>Submitting a complaint (more on this below)<\/li>\r\n<li>Filing a&nbsp;<a href=\"https:\/\/www.findlaw.com\/injury\/accident-injury-law\/negligence.html\">negligence lawsuit<\/a><\/li>\r\n<li>Suing for breach of contract<\/li>\r\n<li>Suing for breach of fiduciary duty<\/li>\r\n<li>Suing for theft of unsecured personal data or a&nbsp;<a href=\"https:\/\/www.findlaw.com\/legalblogs\/common_law\/2019\/07\/millions-of-patients-personal-information-exposed-in-medical-collections-company-data-breach.html\">data breach<\/a><\/li>\r\n<li>Suing for theft of data (patient must show an unauthorized disclosure and how this disclosure harmed them)<\/li>\r\n<li>Suing an insurance company for privacy violations<\/li>\r\n<li>Bringing a medical malpractice lawsuit if the situation affects their healthcare<\/li>\r\n<\/ul>\r\n<p>While many of these actions result from a HIPAA violation, the actual legal action involves a different part of federal or state law.<\/p>\r\n<h3>HIPAA Complaints With the Department of Health and Human Services (HHS)<\/h3>\r\n<p>The&nbsp;<a href=\"https:\/\/www.hhs.gov\/\" target=\"_blank\" rel=\"noopener\">Department of Health and Human Services<\/a>&nbsp;(HHS) is the government agency that handles HIPAA information and HIPAA laws. It provides more information on its official website,&nbsp;<a href=\"http:\/\/www.hhs.gov\/\" target=\"_blank\" rel=\"noopener\">www.hhs.gov<\/a><a href=\"https:\/\/www.hhs.gov\/\" target=\"_blank\" rel=\"noopener\">.<\/a><\/p>\r\n<p>Within the HHS is the&nbsp;<a href=\"https:\/\/www.hhs.gov\/ocr\/index.html\" target=\"_blank\" rel=\"noopener\">Office for Civil Rights<\/a>&nbsp;(OCR). The OCR enforces the protections of HIPAA. If a covered entity discloses patient records or other sensitive information without consent, the patient can submit a complaint to the OCR.<\/p>\r\n<h3>Submitting a HIPAA Complaint<\/h3>\r\n<p>An attorney can help patients submit a&nbsp;<a href=\"https:\/\/www.hhs.gov\/ocr\/complaints\/index.html\" target=\"_blank\" rel=\"noopener\">HIPAA complaint form to the OCR<\/a>&nbsp;or the state attorney general&#8217;s office.<\/p>\r\n<p>Patients can complain to the health provider&#8217;s professional board, such as the Board of Medicine or the Board of Nursing. The patient must name the person or hospital that violated HIPAA.<\/p>\r\n<p>A patient has 180 days to submit the claim from the day the situation occurs. The patient can bring the case to the&nbsp;<a href=\"https:\/\/www.justice.gov\/about\" target=\"_blank\" rel=\"noopener\">Department of Justice<\/a>&nbsp;(DOJ) if the HIPAA violation includes a criminal offense.<\/p>\r\n<h3>Suing Over a Violation of HIPAA<\/h3>\r\n<p>HIPAA violations can result in an invasion of privacy or harm to the patient&#8217;s life. Suppose a psychotherapist&#8217;s office sends sensitive information to a primary physician without consent. The patient may have a cause of action in state court for invasion of privacy.<\/p>\r\n<p>The patient must submit a complaint before an attorney can file a lawsuit. It is challenging to show that harm occurred after a violation. Saying a covered entity disclosed the information without consent is not enough to bring a lawsuit. The patient needs to show that it affected their life or job.<\/p>\r\n<h2>Get a HIPAA Violation Lawyer for Help<\/h2>\r\n<p>Lawsuits take time and money, but you can ask a lawyer whether it could be worth it in your case.&nbsp;<span style=\"font-size: 0.8125rem;\">An experienced&nbsp;<\/span><a href=\"https:\/\/lawyers.findlaw.com\/medical-malpractice\/?fli=dcta\" style=\"font-size: 0.8125rem; background-color: rgb(255, 255, 255); outline: 0px;\" target=\"_blank\" rel=\"noopener\">law firm focusing on medical negligence<\/a><span style=\"font-size: 0.8125rem;\">&nbsp;or privacy laws can guide you.<\/span><\/p>\r\n<p>A lawyer can assist with each step of the way, from reporting a violation to the OCR through litigation in court. Your attorney can examine how the other party broke privacy laws. They can gather and present evidence for you. Talk to a local health care attorney today.<\/p>\r\n<div class=\"was-this-helpful\">\n    <div\n            class=\"was-this-helpful__question-container\"\n            aria-labelledby=\"was-this-helpful__question\"\n            role=\"group\"\n    >\n        <span\n                id=\"was-this-helpful__question\"\n                class=\"was-this-helpful__question fl-text-lg-bold\"\n        >Was this helpful?<\/span>\n        <button\n                class=\"was-this-helpful__button fl-text-sm\"\n                aria-label=\"Yes\"\n                value=\"yes\"\n        >\n            <span class=\"was-this-helpful__button-text fl-text-bold\">Yes<\/span>\n            <i class=\"was-this-helpful__button-icon\">\n                <svg width=\"22\" height=\"22\" viewBox=\"0 0 22 22\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                    <g id=\"thumbs-up\" clip-path=\"url(#clip0_604_3418)\">\n                        <path id=\"Vector\"\n                              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1.78839 2.79235 2.22309 2.72003 2.7L1.34003 11.7C1.29652 11.9866 1.31586 12.2793 1.39669 12.5577C1.47753 12.8362 1.61793 13.0937 1.80817 13.3125C1.99842 13.5313 2.23395 13.7061 2.49846 13.8248C2.76297 13.9435 3.05012 14.0033 3.34003 14H9.00003Z\"\n                              stroke=\"#666666\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"\/>\n                    <\/g>\n                    <defs>\n                        <clipPath id=\"clip0_604_3423\">\n                            <rect width=\"22\" height=\"22\" fill=\"white\"\/>\n                        <\/clipPath>\n                    <\/defs>\n                <\/svg>\n            <\/i>\n        <\/button>\n    <\/div>\n    <span class=\"was-this-helpful__taken-action fl-text-sm-bold\"><\/span>\n    <div class=\"was-this-helpful__feedback-container\">\n        <div class=\"was-this-helpful__choose-option-message\" role=\"status\">\n            <p 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was-this-helpful__radio-label\"\n                                for=\"was-this-helpful__radio-button--understandable\"\n                        >Easy to understand<\/label>\n                    <\/div>\n                    <div class=\"fl-radio-button-field fl-flex was-this-helpful__feedback-form-title\">\n                        <input\n                                id=\"was-this-helpful__radio-button--solved-problem\"\n                                class=\"fl-radio-button-field-input\"\n                                type=\"radio\"\n                                name=\"positive-feedback\"\n                                value=\"Solved my problem\"\n                        >\n                        <label\n                                class=\"fl-radio-button-field-label fl-text-sm was-this-helpful__radio-label\"\n                                for=\"was-this-helpful__radio-button--solved-problem\"\n                        >Solved my problem<\/label>\n                    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class=\"was-this-helpful__feedback-form-title\" tabindex=\"0\">Why was this not helpful?<\/legend>\n                    <div class=\"was-this-helpful__choose-option-message\" role=\"status\">\n                        <p class=\"was-this-helpful__choose-option-message-text\"><\/p>\n                    <\/div>\n                    <div class=\"fl-radio-button-field fl-flex was-this-helpful__feedback-form-title\">\n                        <input\n                                id=\"was-this-helpful__radio-button--missing-info\"\n                                class=\"fl-radio-button-field-input\"\n                                type=\"radio\"\n                                name=\"negative-feedback\"\n                                value=\"Missing Information\"\n                        >\n                        <label\n                                class=\"fl-radio-button-field-label fl-text-sm was-this-helpful__radio-label\"\n                                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     class=\"fl-radio-button-field-input\"\n                                type=\"radio\"\n                                name=\"negative-feedback\"\n                                value=\"Other\"\n                        >\n                        <label\n                                class=\"fl-radio-button-field-label fl-text-sm was-this-helpful__radio-label\"\n                                for=\"was-this-helpful__radio-button--negative-other\"\n                        >Other<\/label>\n                    <\/div>\n                <\/fieldset>\n            <\/div>\n            <div class=\"was-this-helpful__form-buttons-container\">\n                <button\n                    class=\"was-this-helpful__feedback-button was-this-helpful__feedback-button--positive at-feedback-submit fl-button secondary\"\n                    type=\"submit\"\n                >\n                    <span class=\"fl-button-content\">Submit<\/span>\n                    <i\n                        class=\"fa fa-angle-right medium\"\n                        aria-hidden=\"true\"\n                    ><\/i>\n                <\/button>\n                <button\n                    class=\"was-this-helpful__feedback-button was-this-helpful__feedback-button--cancel fl-button primary disabled\"\n                    type=\"reset\"\n                >\n                    <span class=\"fl-button-content\">Cancel<\/span>\n                    <i\n                        class=\"fa fa-times-circle medium\"\n                        aria-hidden=\"true\"\n                    ><\/i>\n                <\/button>\n            <\/div>\n        <\/form>\n    <\/div>\n    <div class=\"was-this-helpful__thank-you-message\" role=\"status\">\n        <i class=\"was-this-helpful__thank-you-message-icon fa fa-check\"><\/i>\n        <p class=\"was-this-helpful__thank-you-message-text\" aria-live=\"polite\"><\/p>\n    <\/div>\n<\/div>\n\n\n    <\/div>\n    \n    <div class=\"fl-section-sidebar\">\n        <div class=\"fl-editors-summary\" data-testid=\"fl-editors-summary\">\n    \n    <div class=\"fl-editors-summary-content\" data-testid=\"fl-editors-summary-content\">\n                    <h2>Can I Solve This on My Own or Do I Need an Attorney?<\/h2>\n                <div class=\"fl-editors-summary-content-main\" data-testid=\"fl-editors-summary-content-main\">\n            \n        <\/div>\n        <ul class=\"fl-list-style-none\">\n                            <li data-testid=\"fl-editors-summary-content-item\">\n                    <i class=\"fa fa-check medium fl-editors-summary-content-item-icon\" aria-hidden=\"true\"><\/i>\n                    You don&#8217;t need a lawyer for an OCR complaint, but they can prepare it strategically to maximize your chances of success.\n\n                <\/li>\n                            <li data-testid=\"fl-editors-summary-content-item\">\n                    <i class=\"fa fa-check medium fl-editors-summary-content-item-icon\" aria-hidden=\"true\"><\/i>\n                    Attorneys are helpful when the health care system is complex.\n\n                <\/li>\n                            <li data-testid=\"fl-editors-summary-content-item\">\n                    <i class=\"fa fa-check medium fl-editors-summary-content-item-icon\" aria-hidden=\"true\"><\/i>\n                    Complex heath care cases (such as medical malpractice and patient privacy violations) may need the support of an attorney.\n\n                <\/li>\n                    <\/ul>\n                    <div class=\"fl-editors-summary-content-description\" data-testid=\"fl-editors-summary-content-description\">\n                <p>Protect your patient rights with an attorney at your side. 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<\/div>\n<\/div>","protected":false},"excerpt":{"rendered":"<p>Suing for HIPAA violations is a complex process. 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