The Health Breach Notification Rule defines when health records providers have to report which security issues to whom, within what time frame and in what form. This article provides a brief overview of the requirements of the US Federal Trace Commission (FTC).
Health Breach Notification Rule: Who must report
The Health Breach Notification Note is addressed to manufacturers and providers of personal health records. This can also be a medical device manufacturer or a website operator. Even “third-party providers” such as the provider of data storage for such health data fall under the scope of the Health Breach Notification Rule.
However,
- organizations that are already subject to the Health Insurance Portability and Accountability Act (HIPAA) and
- non-commercial providers are excluded.
The FTC wants to close a regulatory gap that arises from the fact that there are providers that are not subject to HIPAA.
When you need to do something

You must comply with the requirements of the Health Breach Notification Rule if
- you belong to the group of providers mentioned above, and
- unauthorized access to health data has taken place (e.g., through a hacker attack) and
- the data was unsecured as defined by the US Department of Health and Human Services, e.g., because it was not encrypted and
- the data allows for the identification of individuals and
- the data was available in electronic form (i.e., no paper was stolen).
What you need to do
They must inform
- any data subjects who are US citizens or residents,
- the FTC and,
- in some cases, the media.
How quickly you need to inform
The FTC specifies the deadlines to be met when providing information within the Health Breach Notification Rule:
- Affected individuals: without unreasonable delay and within 60 days of discovery.
- FTC: within 10 days if more than 500 individuals are affected, otherwise 60 days after the end of the calendar year.
- Media: without unreasonable delay and within 60 days if 500 individuals in one state are affected.
What information you need to report/submit
You will need to provide the following information:
- Description of what happened
- Time of discovery
- What data was affected
- Possible risks for those affected (including identity theft)
- Further action
- Contact details for further information.
Change history:
- 2016-04-19: First version of the article published