
If you've experienced a HIPAA violation, you might be wondering if you can sue for damages. The short answer is yes, but it's not always a straightforward process.
HIPAA violations can result in significant financial and emotional distress, which is why the law allows for civil lawsuits to be filed against healthcare providers who fail to protect patient confidentiality.
To be eligible to sue, you must be able to prove that the HIPAA violation was intentional or reckless, and that it caused you harm. This can be a challenging task, as HIPAA violations often involve technical or administrative errors.
If you're successful in your lawsuit, you may be able to recover damages, including compensation for medical expenses, lost wages, and pain and suffering.
What Is HIPAA Violation?
A HIPAA violation is more than just a breach of contract between a patient and their provider. It's a serious legal matter that can have consequences for both individuals and organizations.
HIPAA defines how medical providers will use information, what patients agree to allow their information to be shared, and what will happen if providers violate the agreed-upon standards.
HIPAA violations can be caused by individual health care workers, their employers, or both parties. Who is at fault plays a key role in who handles violations and how.
Individual liability is a key factor in HIPAA violation cases. If a victim can prove enough about individual liability, intent, and actions, they may be able to win their case in civil court.
Types of HIPAA Violations
HIPAA violations can be divided into several types, each with its own set of consequences.
Impermissible disclosures or improper disposal of PHI is a common type of HIPAA violation. This can include disclosing PHI to a patient's employer or unnecessarily disclosing medical records.
Disclosure of protected health information that is not permitted under the HIPAA Privacy Rule can lead to penalty and further legal action.
Careless handling of healthcare data, such as the theft of unencrypted computers, can also be a HIPAA violation.
Patients have the right to access their medical records at any time, and denying them copies of their health records is a clear HIPAA violation.
Failing to provide patients with their health records within 30 days is also a HIPAA violation.
Intentional theft of patient medical records through digital hacking or stealing computers, tablets, or phones that store the data is a serious type of HIPAA violation.
In cases of criminal data theft, individuals can file a civil lawsuit for personal compensation separate from any criminal charges handled by law enforcement.
Sharing sensitive, identifiable health information, such as IP addresses, with third-party companies like Facebook, can be a HIPAA violation.
Examples of HIPAA Violations
Examples of HIPAA Violations are a stark reminder of the importance of protecting patient information. HIPAA violations can happen in various ways, including sharing patient information without consent.
You can share patient information without getting their consent, which is a serious HIPAA violation. This can happen through email, as seen in the seven high-impact HIPAA violation email examples: sharing patient information without consent, not having a Business Associate Agreement (BAA) in place, and failing to implement necessary technical protections.
Not having a Business Associate Agreement (BAA) in place can lead to HIPAA violations. In Case 4, Manasa Health Center was found to have violated HIPAA Privacy Rules by disclosing patient information in response to a negative online review.
Improper disposal of PHI can also lead to HIPAA violations, as seen in Case 10. Cornell Prescription Pharmacy paid $125,000 for failing to implement required written policies and procedures on the disposal of patient information.
Here are some common HIPAA violation email examples:
- You share patient information without getting their consent.
- You don't have a Business Associate Agreement (BAA) in place.
- Your BAA is incomplete and doesn't meet all HIPAA requirements.
- You haven't implemented necessary technical protections within your organization.
- You haven't ensured that third parties have necessary technical protections.
- You share patient information without realizing it.
- You send emails containing patient information to someone other than the patient.
These examples highlight the importance of having proper policies and procedures in place to protect patient information.
Penalties for HIPAA Violations
Penalties for HIPAA Violations can be severe and vary depending on the circumstances. Fines can start at $100 and reach up to $25,000 for repeated breaches.
If a HIPAA violation is unintentional, no consequences may occur if the issue is corrected within 30 days. However, fines can still be imposed.
Knowingly violating HIPAA with malicious intent or for personal gain can carry criminal consequences of up to 10 years in prison. Criminal charges may also include significant fines and a loss of medical licensing.
In California, a HIPAA violation can be considered a criminal act, with a fine of $50,000 and one-year imprisonment possible. Deceiving a patient and using false pretenses to access or share their information carries a $100,000 fine and 5 years in prison.
Penalties for HIPAA violations can include fines ranging from $100 to $50,000 per violation, with an annual maximum of $1.5 million for repeated violations. Depending on the severity and nature of the violation, criminal penalties can involve fines up to $250,000 and imprisonment for up to ten years.
A small pharmacy in Denver paid $125,000 as a monetary penalty for violating the HIPAA Privacy Rule. The Office for Civil Rights found that the pharmacy failed to implement required written policies and procedures on the disposal of patient information.
Civil lawsuits can also be filed against employers who have committed HIPAA violations, with penalties ranging into the millions in compensation. Even unintentional violations can result in civil lawsuits and liability.
Who Is Responsible for HIPAA Violations?
In cases of HIPAA violations, the employer or covered entity's response is crucial in determining liability.
The covered entity or affected organization has a duty to report the violation as soon as they become aware of it, and then notify affected patients to the extent possible.
A key factor in the legal response to a HIPAA violation is how the employer or covered entity responds. Entities that respond per legal standards can absolve themselves of liability, while those that don't can open themselves up to shared liability.
Here's a breakdown of the covered entity's responsibilities in investigating and addressing a HIPAA violation:
- Identifying the source and cause of the breach
- Determining if the responsible party knew what they did was wrong
- Determining if the responsible party acted with intent
- Assessing company policies and practices for weakness
- Taking disciplinary or corrective action where applicable
The Covered Entity
The Covered Entity is responsible for taking swift action when a HIPAA violation occurs. They must report the incident as soon as they become aware of it and notify affected patients to the extent possible.
Their investigation will involve identifying the source and cause of the breach, determining if the responsible party knew what they did was wrong, and assessing company policies and practices for weakness. This process can lead to findings that show the incident was an accident.
In cases where the responsible party intentionally violated the rules, the covered entity may take disciplinary or corrective action, such as employee sanctions or terminations. This emphasizes the importance of having strong policies and practices in place to prevent such incidents.
The covered entity's response will depend on the findings of their investigation, but one thing is certain: they must take responsibility for addressing the situation and preventing it from happening again in the future.
Here are some key steps the covered entity may take to address a HIPAA violation:
- Identifying the source and cause of the breach
- Determining if the responsible party knew what they did was wrong
- Determining if the responsible party acted with intent
- Assessing company policies and practices for weakness
- Taking disciplinary or corrective action where applicable
State Attorney Generals
State Attorney Generals play a crucial role in handling intentional and malicious HIPAA breaches.
While involvement from State Attorney Generals in HIPAA breaches is rare, they may press criminal charges on behalf of affected patients when breaches are malicious.
In cases where criminal charges are pursued, Attorneys may also pursue civil cases depending on the facts of the case.
Liability and Response
HIPAA violations can have serious consequences, and it's essential to understand the liability and response procedures. Multiple parties can be liable for HIPAA violations, including the individual worker and the organization for which they work.
The degree of liability can vary depending on factors such as the worker's awareness of the illegality of their actions, their intention behind the actions, and whether the violation was a single event or a series of actions. For example, a health care worker who accidentally accessed files they shouldn't have seen will have lower liability than one who intentionally and repeatedly accessed files knowing they shouldn't.
A worker's liability can be mitigated by the organization's response to the incident. If the organization did not adequately train employees, failed to secure private patient information, or knew about a violation and did nothing, the brunt of liability may fall on the organization.
Here are some possible actions an organization may take in response to a HIPAA violation:
- Counseling or retraining of the parties responsible
- A review and possible revision of policies, practices, and access standards
- Employee sanctions or termination
If the OCR deems an organization liable, it may impose fines of up to $1.5 million a year.
Patients
As a patient, you have limited options if you're the victim of a healthcare data breach. Patients can either speak to the State Attorney General about pressing criminal charges or bring a civil suit. Not all cases qualify for civil suits, unfortunately.
If you decide to pursue a civil suit, it's essential to understand that it's not a guarantee. The outcome depends on various factors, and it's crucial to consult with a lawyer to determine the best course of action.
In some cases, patients may not have a choice but to take action. If you've been affected by a HIPAA violation, you might want to know who can help you. Here are the parties that can potentially take action:
- The Covered Entity
- The OCR
- State Attorney Generals
- Patients
Response
Responding to HIPAA violations is crucial, and entities that do so per legal standards can absolve themselves of liability.
Entities that fail to respond properly can open themselves up to shared liability, as seen in the case of UMMC, which was fined $2.75 million for a HIPAA breach involving unsecured ePHIs of approximately 10,000 individuals.
The Office of Civil Rights can impose civil penalties for HIPAA violations, and the Department of Justice can impose criminal violation penalties.
In cases like Kalina's, the employer or covered entity's response is a critical factor in determining liability, and it's essential to follow legal standards to avoid shared liability.
UCLA's response to the breach involving Britney Spears's medical records is a good example of how to handle such situations, where 13 employees were fired and 6 physicians were suspended for looking at her medical records without consent.
Liability
Liability can be a complex issue when it comes to HIPAA violations. Multiple parties can potentially be liable, including the individual worker and the organization for which they work.
The degree of liability can vary depending on the individual worker's awareness of the illegality of their actions, their intention behind their actions, and whether the violation was a single event or a series of actions.
A health care worker who accidentally accessed files they shouldn't have seen did commit a violation, but their liability is much lower than that of a similar worker who intentionally and repeatedly accessed files knowing they shouldn't have.
Organizations can also be liable for HIPAA violations, especially if they didn't adequately train employees to identify appropriate and inappropriate uses of information, or if they didn't secure private patient information properly.
Here are some ways an organization can be liable for HIPAA violations:
- Did not adequately train employees to identify appropriate and inappropriate uses of information
- Did not appropriately secure private patient information
- Knew about a violation and did nothing to stop or address it
- Fails to report the violation and take suitable action in the aftermath
If the OCR deems an organization liable, it may impose fines of up to $1.5 million a year.
Contact The Lyon Firm
If you're a victim of a HIPAA data breach, The Lyon Firm can provide you with experienced representation. Attorney Joseph Lyon has decades of experience helping individuals in complex litigation matters.
You can contact The Lyon Firm online or by calling (513) 381-2333 for representation in a HIPAA data privacy lawsuit. The firm focuses on single-event civil cases and class actions involving corporate neglect and fraud, medical malpractice, and invasion of privacy.
The Lyon Firm offers contingency fee arrangements, meaning they front all costs of litigation, and only collect payment for their services if they win for you first. This way, you don't have to worry about upfront costs.
Without data breach class actions, large corporate defendants would be able to cause small amounts of harm to a large group of individuals without any risk of monetary penalty. Holding companies accountable for poor cybersecurity and data theft incidents helps secure personal justice for you and your family.
Why Hire Our Attorney?
We're dedicated to providing knowledgeable guidance and personalized support every step of the way. Our firm is highly experienced in handling complex cases.
We understand the stress and frustration that can arise from liability and response issues. Our team at Dorros Law can guide you.
You can trust us to provide professional and expert advice. We're dedicated and professional in our approach.
Delaying Breach Notification
Delaying breach notification can have serious consequences. The HIPAA Breach Notification rule requires timely notifications, no later than 60 days following the discovery of a data breach.
A delay in notifying patients can create a window of vulnerability where identities can be stolen and fraud can be committed. Failing to meet this deadline can incur substantial fines.
Covered entities must provide affected parties with details like the type of information leaked, protective measures taken, and contact information. This information is crucial for patients to take necessary steps to protect themselves.
Failing to provide this information qualifies as a HIPAA violation, making it essential to adhere to the 60-day notification deadline.
Prevention and Compliance
Providing sufficient HIPAA compliance training to employees is key to avoiding HIPAA violations. This ensures everyone is aware of the PHI responsible for violations, which can be mitigated as a result.
Having a proper risk management system in place is also crucial for healthcare operations to avoid further financial penalties. It's essential to prioritize this to minimize the risk of HIPAA violations.
Healthcare insurance companies must comply with HIPAA as they fall under covered entities, as stated by the Department of Health and Human Services, U.S. This means they too must take steps to prevent HIPAA violations and maintain compliance.
Importance of Data Breaches
Data breaches are a crucial aspect of cybersecurity, and they're often misunderstood. Without data breach class actions, large corporate defendants can cause small amounts of harm to a large group of individuals without facing any monetary penalty.
Holding companies accountable for poor cybersecurity and data theft incidents is essential to protect consumers. Companies need to be held responsible for their actions to ensure better protection in the future.
Data breaches can have devastating consequences, including financial loss and identity theft. This highlights the importance of prioritizing cybersecurity and data protection.
Companies that prioritize cybersecurity and data protection are better equipped to prevent data breaches. This not only protects their customers but also helps to maintain their reputation and trust.
Data breach class actions serve as a deterrent to companies, encouraging them to invest in robust cybersecurity measures. This helps to prevent data breaches from happening in the first place.
Compliance Costs
Compliance costs can add up quickly, especially for small businesses. The cost of being HIPAA compliant can range from $15,000 to $50,000.
It's essential to consider the size and type of your organization when estimating compliance costs. For large companies, the cost can be as high as $200,000.
The cost of compliance depends on various factors, including the amount of data you handle and the state of your IT infrastructure.
How Organizations Avoid?
To avoid HIPAA violations, providing sufficient HIPAA compliance training to employees in a healthcare entity is crucial. This helps ensure everyone is aware of the PHI responsible for violations, which can be mitigated.
Having a proper risk management system should be a priority for healthcare operations to avoid further financial penalties. A well-structured risk management system can identify potential vulnerabilities and help prevent breaches.
By prioritizing HIPAA compliance training and risk management, healthcare organizations can significantly reduce the risk of HIPAA violations.
Do Healthcare Companies Need Compliance?
Healthcare companies need to comply with regulations to maintain patient trust and protect sensitive information. This is especially true for healthcare insurance companies, which must comply with HIPAA as they fall under covered entities, as stated by the Department of Health and Human Services, U.S.
Compliance is not just a requirement, it's also a matter of reputation. If a healthcare company is found to be non-compliant, it can lead to serious consequences, including fines and damage to their reputation.
HIPAA requires healthcare companies to protect patient data, which includes medical records and billing information. This means implementing robust security measures to prevent data breaches and unauthorized access.
In addition to HIPAA, healthcare companies must also comply with other regulations, such as state laws and industry standards. This can be a complex and time-consuming process, but it's essential for maintaining patient trust and ensuring the integrity of healthcare services.
Sources
- https://www.klinespecter.com/blog/hipaa-violations-and-medical-malpractice-0
- https://thelyonfirm.com/class-action/data-privacy/hipaa-violations/
- https://www.dorroslaw.com/areas-of-practice/privacy-litigation/hipaa-violation-litigation/
- https://sprinto.com/blog/examples-of-hipaa-violations/
- https://www.hipaaexams.com/blog/can-a-patient-sue-for-a-hipaa-violation
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