{"id":355803,"date":"2020-08-26T12:09:07","date_gmt":"2020-08-26T17:09:07","guid":{"rendered":"https:\/\/ability-fl-prod.internetbrands.com\/ability-law\/healthcare\/patient-rights\/can-i-sue-for-a-hipaa-violation.html"},"modified":"2026-08-17T10:31:00","modified_gmt":"2026-08-17T15:31:00","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-9d6595d7 fl-sectionWithSidebar fl-container fl-flex fl-flex-wrap fl-gap30\">\n<div class=\"fl-page-articles fl-section-main fl-section-main-full-width\"><h1 class=\"fl-no-margin-top\">Can I Sue for a HIPAA Violation?<\/h1>\n\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                            August 17, 2026\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\n\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. Most often, this requires an attorney&#8217;s help.<\/p>\n\n        <\/div>\n    <\/div>\n<\/div>\n\n\n<p>The Health Insurance Portability and Accountability Act 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>\n<p>Healthcare providers and their\u00a0business associates\u00a0must 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.\u00a0<\/p>\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>\n<h2>What Happens If My Medical Information Is Mishandled?<\/h2>\n<p>Unfortunately, a patient cannot sue anyone directly for HIPAA violations. Under federal law,\u00a0<a href=\"https:\/\/www.findlaw.com\/healthcare\/patient-rights\/hipaa-the-health-insurance-portability-and-accountability-act.html\">HIPAA<\/a>\u00a0does not have a private\u00a0<a href=\"https:\/\/dictionary.findlaw.com\/definition\/cause-of-action.html\" target=\"_blank\" rel=\"noopener\">cause of action<\/a>\u00a0(sometimes called &#8220;private right of action&#8221;).<\/p>\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>\n<p>Patients can sue healthcare providers or specific healthcare professionals for violating state laws involving HIPAA. Patients can sue for a &#8220;harmful&#8221; violation of their medical history or medical privacy. These claims are typically negligence claims or breach of contract claims.<\/p>\n<h2>HIPAA Privacy Rules 101<\/h2>\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>\n<p><a href=\"https:\/\/www.hhs.gov\/hipaa\/for-professionals\/privacy\/index.html\" target=\"_blank\" rel=\"noopener\">HIPAA Privacy Rules<\/a>\u00a0set national standards that protect patients&#8217; rights. They set a national standard that protects patients&#8217; medical information. These rules include the following:<\/p>\n<ul>\n<li>Medical records<\/li>\n<li>Electronic health records<\/li>\n<li>Personal medical information<\/li>\n<li>Private health information (PHI)<\/li>\n<li>Health plans<\/li>\n<li>Healthcare electronic or financial transactions<\/li>\n<\/ul>\n<p>These rules govern the disclosure and use of a patient&#8217;s\u00a0<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>\u00a0to insurance companies, healthcare clearinghouses, business associates, and other medical professionals.<\/p>\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>\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>\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>\n<h3>Who Must Follow HIPAA?<\/h3>\n<p>Only\u00a0<a href=\"https:\/\/www.cms.gov\/Regulations-and-Guidance\/Administrative-Simplification\/HIPAA-ACA\/Downloads\/CoveredEntitiesChart20160617.pdf\" target=\"_blank\" rel=\"noopener\">covered entities must 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>\n<ul>\n<li>A health care provider that conducts certain transactions in electronic form<\/li>\n<li>A healthcare clearinghouse<\/li>\n<li>A health plan<\/li>\n<\/ul>\n<hr \/>\n<p>Learning that your private health information has been shared without your consent can feel violating and deeply personal. A <a href=\"https:\/\/lawyers.findlaw.com\/bad-faith-insurance\/\" target=\"_blank\" rel=\"noopener\">local healthcare attorney<\/a> can review what happened, determine whether a covered entity violated your rights, and recommend next steps.\u00a0<\/p>\n<hr \/>\n<h3>Patient Consent vs. Patient Authorization<\/h3>\n<p>A patient&#8217;s entire case could depend on <a href=\"https:\/\/www.findlaw.com\/healthcare\/patient-rights\/understanding-informed-consent-a-primer.html\">giving consent or authorization<\/a>. Consent is usually spoken and involves:<\/p>\n<ul>\n<li>A procedure<\/li>\n<li>The need to share the patient&#8217;s medical information with other doctors and nurses during treatment<\/li>\n<\/ul>\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>\n<p>Authorization requires a written document for the patient to sign. It should name the current medical facility. It should also explain how they can use their information beyond payment or medical treatment.<\/p>\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>\n<p>Unauthorized disclosure of information is a likely <a href=\"https:\/\/www.findlaw.com\/healthcare\/patient-rights\/hipaa-the-health-insurance-portability-and-accountability-act.html\">HIPAA violation<\/a>.<\/p>\n<h2>Options for Justice: HIPAA Violations<\/h2>\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>\n<ul>\n<li>Submitting a complaint (more on this below)<\/li>\n<li>Filing a\u00a0<a href=\"https:\/\/www.findlaw.com\/injury\/accident-injury-law\/negligence.html\">negligence lawsuit<\/a><\/li>\n<li>Suing for breach of contract<\/li>\n<li>Suing for breach of fiduciary duty<\/li>\n<li>Suing for theft of unsecured personal data or a\u00a0<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>\n<li>Suing for theft of data (patient must show an unauthorized disclosure and how this disclosure harmed them)<\/li>\n<li>Suing an insurance company for privacy violations<\/li>\n<li>Bringing a medical malpractice lawsuit if the situation affects their healthcare<\/li>\n<\/ul>\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>\n<h3>HIPAA Complaints With the Department of Health and Human Services (HHS)<\/h3>\n<p>The\u00a0<a href=\"https:\/\/www.hhs.gov\/\" target=\"_blank\" rel=\"noopener\">Department of Health and Human Services<\/a> (HHS) is the government agency responsible for HIPAA regulations and information.\u00a0Within the HHS is the\u00a0<a href=\"https:\/\/www.hhs.gov\/ocr\/index.html\" target=\"_blank\" rel=\"noopener\">Office for Civil Rights<\/a>\u00a0(OCR). The OCR enforces HIPAA protections. If a covered entity discloses patient records or other sensitive information without consent, the patient can submit a complaint to the OCR.<\/p>\n<h3>Submitting a HIPAA Complaint<\/h3>\n<p>An attorney can help patients submit a\u00a0<a href=\"https:\/\/www.hhs.gov\/ocr\/complaints\/index.html\" target=\"_blank\" rel=\"noopener\">HIPAA complaint form to the OCR<\/a>\u00a0or the state attorney general&#8217;s office.<\/p>\n<p>Patients can file a complaint with 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>\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\u00a0<a href=\"https:\/\/www.justice.gov\/about\" target=\"_blank\" rel=\"noopener\">Department of Justice<\/a>\u00a0(DOJ) if the HIPAA violation includes a criminal offense.<\/p>\n<h3>Suing Over a Violation of HIPAA<\/h3>\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>\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 <a href=\"https:\/\/www.findlaw.com\/injury\/accident-injury-law\/proof-in-a-negligence-case.html\">affected their life or job<\/a>.<\/p>\n<h2>HIPAA Violation? A Lawyer Can Help<\/h2>\n<p>Lawsuits take time and money, but you can ask a lawyer whether it could be worth it in your case. An attorney with experience in medical negligence can evaluate your situation and whether you may have a viable claim under your state&#8217;s laws. If so, they can advocate on your behalf and pursue fair compensation for the harm the breach of privacy caused.<\/p>\n<p>Your lawyer will assist you at every step, from reporting a violation to the OCR to litigation in court. They will examine how the healthcare provider broke patient privacy laws and gather and present the evidence to prove your case.<\/p>\n<div>\n<p class=\"\">FindLaw\u2019s\u00a0directory of\u00a0<a href=\"https:\/\/lawyers.findlaw.com\/health-health-care-law\/\" target=\"_blank\" rel=\"noopener\">healthcare attorneys<\/a> is your first step towards finding expert legal help. Enter your city or ZIP code for a list of qualified legal professionals near you. Because your state\u2019s laws are relevant, your attorney should be licensed in your state. Your search results will also show important details about prospective attorneys, like ratings and whether they offer free case evaluations.\u00a0<\/p>\n<\/div>\n\n\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 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  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<\/div>\n\n\n\n<div class=\"fl-section-sidebar\"><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                    <span data-sheets-root=\"1\">Healthcare systems and insurance companies are well-resourced with teams of attorneys on their side<\/span>\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>\n<\/div>\n\n\n\n\n","protected":false},"excerpt":{"rendered":"<p>You can\u2019t sue directly for a HIPAA violation, but you can sue under state laws for related harms like negligence or breach of contract. 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