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Comment on Ask HN: How do I set up a HIPAA-compliant server?parent

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Does HIPAA really require "physical server isolation"? I wasn't able to find anything specifying that in my reading. (Encrypting data at rest is definitely required. I suspect the S3 functionality was built to address the requirement.)

AFAICT the whole "can't do HIPAA in the cloud" meme arose from the reluctance of cloud services to sign BAAs, Google only got on board with that earlier this year.

I'm a lawyer, but not your lawyer. This is not legal advice. :)

The HIPAA Security Rule requires that you take "reasonable and appropriate" measures to safeguard the confidentiality, integrity, and availability of electronic regulated health data.

Physical server isolation is not prima facie required, meaning there is no requirement that literally states you must isolate servers down to bare metal. Your customers' judgments about what constitutes "reasonable and appropriate" safeguards may vary, though. That decision should be driven by your risk assessment.

Encryption is also not prima facie required, actually.[0] I can't imagine a case in which it would be reasonable for a cloud SaaS provider not implement it, so I'd say it is de facto required. MFA may be moving to the same category, for most web services.

[0]: http://www.law.cornell.edu/cfr/text/45/164.312

I think this might just be a stipulation to sign a BAA with Amazon, combined with my tendency to err on the side of safety. I can't find anything to cite either. On a slightly related note, lack of memory safety happens to be how Home Depot lost all those credit card numbers.

I am not a lawyer.

no it is not (i have passed VA/DoD audits without)

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