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HIPAA Security Rule (45 CFR Part 160 and Part 164, Subparts A and C)

US federal regulation establishing national standards for protecting electronic protected health information (ePHI). 63 specifications across administrative safeguards (security management, workforce security, information access, awareness training, security incident procedures, contingency planning), physical safeguards (facility access, workstation use, device controls), and technical safeguards (access control, audit controls, integrity, authentication, transmission security). Covers all HIPAA covered entities and business associates.

Controls: 161
Total Mappings: 396
Publisher: U.S. Department of Health and Human Services (HHS) Version: 2013 (Omnibus Rule)
HIPAA Security Rule → SP 800-53 SP 800-53 → HIPAA Security Rule Coverage Analysis
AC (14) AT (5) AU (14) CA (5) CM (4) CP (12) IA (11) IR (9) MA (5) MP (7) PE (13) PL (5) PM (11) PS (8) PT (1) RA (6) SA (4) SC (15) SI (8) SR (4)

AC Access Control

Control Name HIPAA Security Rule References
AC-01 Policy and Procedures
§164.308(a)(3)(i)§164.308(a)(4)(i)§164.310(b)§164.312(a)(1)§164.316(a)
AC-02 Account Management
§164.308(a)(3)(i)§164.308(a)(3)(ii)(A)§164.308(a)(3)(ii)(B)§164.308(a)(3)(ii)(C)§164.308(a)(4)(i)§164.308(a)(4)(ii)(B)§164.308(a)(4)(ii)(C)§164.312(a)(1)§164.312(a)(2)(i)§164.312(a)(2)(ii)
AC-03 Access Enforcement
§164.308(a)(3)(i)§164.308(a)(3)(ii)(A)§164.308(a)(4)(i)§164.308(a)(4)(ii)(B)§164.308(a)(4)(ii)(C)§164.312(a)(1)§164.314(b)(2)
AC-04 Information Flow Enforcement
§164.308(a)(4)(i)§164.308(a)(4)(ii)(A)§164.314(b)(1)§164.314(b)(2)
AC-05 Separation of Duties
§164.308(a)(3)(i)§164.308(a)(3)(ii)(A)§164.308(a)(4)(ii)(C)
AC-06 Least Privilege
§164.308(a)(3)(i)§164.308(a)(3)(ii)(A)§164.308(a)(3)(ii)(B)§164.308(a)(4)(i)§164.308(a)(4)(ii)(B)§164.308(a)(4)(ii)(C)§164.312(a)(1)§164.314(b)(2)
AC-07 Unsuccessful Logon Attempts
§164.308(a)(5)(ii)(C)§164.312(a)(1)
AC-11 Device Lock
§164.310(b)§164.310(c)§164.312(a)(1)§164.312(a)(2)(iii)
AC-12 Session Termination
§164.312(a)(2)(iii)
AC-14 Permitted Actions Without Identification or Authentication
§164.312(a)(2)(ii)
AC-17 Remote Access
§164.310(b)§164.312(a)(1)§164.312(e)(1)
AC-18 Wireless Access
§164.312(e)(1)
AC-20 Use of External Systems
§164.310(b)
AC-24 Access Control Decisions
§164.308(a)(4)(i)§164.308(a)(4)(ii)(B)§164.312(a)(1)

AT Awareness and Training

Control Name HIPAA Security Rule References
AT-01 Policy and Procedures
§164.308(a)(5)(i)§164.316(a)
AT-02 Literacy Training and Awareness
§164.308(a)(5)(i)§164.308(a)(5)(ii)(A)§164.308(a)(5)(ii)(B)
AT-03 Role-based Training
§164.308(a)(5)(i)
AT-04 Training Records
§164.308(a)(5)(i)
AT-06 Training Feedback
§164.308(a)(5)(i)§164.308(a)(5)(ii)(A)

AU Audit and Accountability

Control Name HIPAA Security Rule References
AU-01 Policy and Procedures
§164.308(a)(1)(ii)(D)§164.312(b)§164.316(a)§164.316(b)(1)
AU-02 Event Logging
§164.308(a)(1)(ii)(D)§164.308(a)(5)(ii)(C)§164.312(b)
AU-03 Content of Audit Records
§164.308(a)(1)(ii)(D)§164.312(b)
AU-04 Audit Log Storage Capacity
§164.312(b)
AU-05 Response to Audit Logging Process Failures
§164.312(b)
AU-06 Audit Record Review, Analysis, and Reporting
§164.308(a)(1)(ii)(D)§164.308(a)(5)(ii)(C)§164.308(a)(6)(ii)§164.312(b)
AU-07 Audit Record Reduction and Report Generation
§164.308(a)(1)(ii)(D)§164.312(b)
AU-08 Time Stamps
§164.312(b)
AU-09 Protection of Audit Information
§164.308(a)(1)(ii)(D)§164.312(b)
AU-10 Non-repudiation
§164.312(c)(2)§164.312(e)(2)(i)
AU-11 Audit Record Retention
§164.308(a)(1)(ii)(D)§164.312(b)§164.316(b)(2)(i)
AU-12 Audit Record Generation
§164.308(a)(1)(ii)(D)§164.308(a)(5)(ii)(C)§164.312(b)
AU-13 Monitoring for Information Disclosure
§164.308(a)(1)(ii)(D)
AU-14 Session Audit
§164.308(a)(1)(ii)(D)§164.312(b)

CA Security Assessment and Authorization

Control Name HIPAA Security Rule References
CA-01 Policy and Procedures
§164.308(a)(8)§164.316(a)§164.316(b)(1)
CA-02 Control Assessments
§164.308(a)(1)(i)§164.308(a)(1)(ii)(A)§164.308(a)(7)(ii)(D)§164.308(a)(8)
CA-03 Information Exchange
§164.308(b)(1)§164.308(b)(3)§164.314(a)(1)§164.314(a)(2)
CA-05 Plan of Action and Milestones
§164.308(a)(1)(i)§164.308(a)(1)(ii)(B)§164.308(a)(8)
CA-07 Continuous Monitoring
§164.308(a)(1)(i)§164.308(a)(1)(ii)(A)§164.308(a)(1)(ii)(B)§164.308(a)(1)(ii)(D)§164.308(a)(7)(ii)(D)§164.308(a)(8)§164.316(b)(2)(iii)

CM Configuration Management

Control Name HIPAA Security Rule References
CM-01 Policy and Procedures
§164.316(a)§164.316(b)(1)
CM-03 Configuration Change Control
§164.316(b)(2)(iii)
CM-06 Configuration Settings
§164.316(b)(2)(ii)
CM-08 System Component Inventory
§164.310(d)(2)(iii)

CP Contingency Planning

Control Name HIPAA Security Rule References
CP-01 Policy and Procedures
§164.308(a)(7)(i)§164.316(a)
CP-02 Contingency Plan
§164.308(a)(7)(i)§164.308(a)(7)(ii)(B)§164.308(a)(7)(ii)(C)§164.308(a)(7)(ii)(E)§164.310(a)(2)(i)§164.312(a)(2)(ii)
CP-03 Contingency Training
§164.308(a)(7)(i)§164.308(a)(7)(ii)(D)
CP-04 Contingency Plan Testing
§164.308(a)(7)(i)§164.308(a)(7)(ii)(D)
CP-06 Alternate Storage Site
§164.308(a)(7)(i)§164.308(a)(7)(ii)(A)§164.308(a)(7)(ii)(B)§164.310(d)(2)(iv)
CP-07 Alternate Processing Site
§164.308(a)(7)(i)§164.308(a)(7)(ii)(B)§164.310(a)(2)(i)
CP-08 Telecommunications Services
§164.308(a)(7)(i)§164.308(a)(7)(ii)(B)
CP-09 System Backup
§164.308(a)(7)(i)§164.308(a)(7)(ii)(A)§164.310(d)(2)(iv)
CP-10 System Recovery and Reconstitution
§164.308(a)(7)(i)§164.308(a)(7)(ii)(B)§164.308(a)(7)(ii)(C)§164.312(a)(2)(ii)
CP-11 Alternate Communications Protocols
§164.308(a)(7)(ii)(C)
CP-12 Safe Mode
§164.308(a)(7)(ii)(C)
CP-13 Alternative Security Mechanisms
§164.308(a)(7)(ii)(C)

IA Identification and Authentication

Control Name HIPAA Security Rule References
IA-01 Policy and Procedures
§164.308(a)(5)(ii)(D)§164.312(a)(2)(i)§164.312(d)§164.316(a)
IA-02 Identification and Authentication (Organizational Users)
§164.310(a)(2)(iii)§164.312(a)(2)(i)§164.312(d)
IA-03 Device Identification and Authentication
§164.312(d)
IA-04 Identifier Management
§164.308(a)(3)(ii)(C)§164.308(a)(4)(ii)(C)§164.308(a)(5)(ii)(D)§164.312(a)(2)(i)§164.312(d)
IA-05 Authenticator Management
§164.308(a)(4)(ii)(C)§164.308(a)(5)(ii)(D)§164.312(d)
IA-06 Authentication Feedback
§164.308(a)(5)(ii)(D)§164.312(d)
IA-07 Cryptographic Module Authentication
§164.312(d)
IA-08 Identification and Authentication (Non-organizational Users)
§164.310(a)(2)(iii)§164.312(a)(2)(i)§164.312(d)
IA-09 Service Identification and Authentication
§164.312(d)
IA-11 Re-authentication
§164.308(a)(5)(ii)(D)§164.312(d)
IA-12 Identity Proofing
§164.312(d)

IR Incident Response

Control Name HIPAA Security Rule References
IR-01 Policy and Procedures
§164.308(a)(6)(i)§164.316(a)
IR-02 Incident Response Training
§164.308(a)(6)(i)
IR-03 Incident Response Testing
§164.308(a)(6)(i)
IR-04 Incident Handling
§164.308(a)(6)(i)§164.308(a)(6)(ii)
IR-05 Incident Monitoring
§164.308(a)(6)(i)§164.308(a)(6)(ii)
IR-06 Incident Reporting
§164.308(a)(6)(i)§164.308(a)(6)(ii)
IR-07 Incident Response Assistance
§164.308(a)(6)(i)§164.308(a)(6)(ii)
IR-08 Incident Response Plan
§164.308(a)(6)(i)
IR-09 Information Spillage Response
§164.308(a)(6)(i)

MA Maintenance

Control Name HIPAA Security Rule References
MA-01 Policy and Procedures
§164.310(a)(2)(iv)§164.316(a)
MA-02 Controlled Maintenance
§164.310(a)(2)(iv)
MA-03 Maintenance Tools
§164.310(a)(2)(iv)
MA-05 Maintenance Personnel
§164.310(a)(2)(iv)
MA-06 Timely Maintenance
§164.310(a)(2)(iv)

MP Media Protection

Control Name HIPAA Security Rule References
MP-01 Policy and Procedures
§164.310(d)(1)§164.310(d)(2)(i)§164.316(a)
MP-02 Media Access
§164.310(c)§164.310(d)(1)
MP-03 Media Marking
§164.310(d)(1)
MP-04 Media Storage
§164.308(a)(7)(ii)(A)§164.310(d)(1)§164.310(d)(2)(iii)§164.310(d)(2)(iv)
MP-05 Media Transport
§164.308(a)(7)(ii)(A)§164.310(d)(1)§164.310(d)(2)(iii)
MP-06 Media Sanitization
§164.310(d)(1)§164.310(d)(2)(i)§164.310(d)(2)(ii)
MP-07 Media Use
§164.310(d)(1)§164.310(d)(2)(ii)

PE Physical and Environmental Protection

Control Name HIPAA Security Rule References
PE-01 Policy and Procedures
§164.310(a)(1)§164.310(a)(2)(i)§164.310(a)(2)(ii)§164.310(c)§164.316(a)
PE-02 Physical Access Authorizations
§164.310(a)(1)§164.310(a)(2)(ii)§164.310(a)(2)(iii)§164.310(c)
PE-03 Physical Access Control
§164.310(a)(1)§164.310(a)(2)(i)§164.310(a)(2)(ii)§164.310(a)(2)(iii)§164.310(c)
PE-04 Access Control for Transmission
§164.310(a)(1)
PE-05 Access Control for Output Devices
§164.310(a)(1)
PE-06 Monitoring Physical Access
§164.310(a)(1)§164.310(a)(2)(ii)§164.310(a)(2)(iii)
PE-07 Visitor Control
§164.310(a)(1)
PE-08 Visitor Access Records
§164.310(a)(1)§164.310(a)(2)(iii)
PE-10 Emergency Shutoff
§164.308(a)(7)(ii)(C)§164.310(a)(2)(i)
PE-11 Emergency Power
§164.308(a)(7)(ii)(C)§164.310(a)(2)(i)
PE-16 Delivery and Removal
§164.310(d)(2)(iii)
PE-18 Location of System Components
§164.310(a)(1)§164.310(b)
PE-20 Asset Monitoring and Tracking
§164.310(d)(2)(iii)

PL Planning

Control Name HIPAA Security Rule References
PL-01 Policy and Procedures
§164.308(a)(1)(i)§164.308(a)(2)§164.316(a)
PL-02 System Security and Privacy Plans
§164.308(a)(1)(i)§164.308(a)(1)(ii)(B)§164.310(a)(2)(ii)§164.316(a)§164.316(b)(1)§164.316(b)(2)(ii)§164.316(b)(2)(iii)
PL-04 Rules of Behavior
§164.308(a)(1)(ii)(C)§164.310(b)§164.316(a)
PL-10 Baseline Selection
§164.308(a)(1)(ii)(B)
PL-11 Baseline Tailoring
§164.308(a)(1)(ii)(B)

PM Program Management

Control Name HIPAA Security Rule References
PM-01 Information Security Program Plan
§164.308(a)(1)(i)§164.308(a)(2)§164.316(a)§164.316(b)(1)§164.316(b)(2)(ii)§164.316(b)(2)(iii)
PM-02 Information Security Program Leadership Role
§164.308(a)(2)
PM-03 Information Security and Privacy Resources
§164.308(a)(1)(i)§164.316(a)
PM-06 Measures of Performance
§164.308(a)(8)
PM-08 Critical Infrastructure Plan
§164.308(b)(1)§164.314(a)(1)§164.314(b)(1)
PM-09 Risk Management Strategy
§164.308(a)(1)(i)§164.308(a)(1)(ii)(A)§164.308(a)(1)(ii)(B)§164.316(a)
PM-10 Authorization Process
§164.308(a)(1)(i)§164.308(a)(1)(ii)(B)§164.308(a)(2)
PM-11 Mission and Business Process Definition
§164.308(a)(1)(i)§164.308(a)(7)(ii)(E)
PM-13 Security and Privacy Workforce
§164.308(a)(5)(i)§164.308(a)(5)(ii)(A)
PM-14 Testing, Training, and Monitoring
§164.308(a)(5)(i)§164.308(a)(8)
PM-24 Data Integrity Board
§164.308(a)(2)

PS Personnel Security

Control Name HIPAA Security Rule References
PS-01 Policy and Procedures
§164.308(a)(1)(ii)(C)§164.308(a)(2)§164.308(a)(3)(i)§164.316(a)
PS-02 Position Risk Designation
§164.308(a)(3)(i)§164.308(a)(3)(ii)(A)§164.308(a)(3)(ii)(B)
PS-03 Personnel Screening
§164.308(a)(3)(i)§164.308(a)(3)(ii)(A)§164.308(a)(3)(ii)(B)
PS-04 Personnel Termination
§164.308(a)(3)(i)§164.308(a)(3)(ii)(C)
PS-05 Personnel Transfer
§164.308(a)(3)(i)§164.308(a)(3)(ii)(C)
PS-06 Access Agreements
§164.308(a)(1)(ii)(C)§164.308(a)(3)(i)§164.308(a)(3)(ii)(B)§164.308(a)(4)(ii)(B)
PS-07 External Personnel Security
§164.308(a)(3)(i)§164.308(b)(1)§164.308(b)(3)§164.314(a)(1)§164.314(a)(2)
PS-08 Personnel Sanctions
§164.308(a)(1)(ii)(C)§164.308(a)(3)(ii)(C)

PT Personally Identifiable Information Processing and Transparency

Control Name HIPAA Security Rule References
PT-01 Policy and Procedures
§164.308(b)(1)§164.316(a)

RA Risk Assessment

Control Name HIPAA Security Rule References
RA-01 Policy and Procedures
§164.308(a)(1)(i)§164.308(a)(1)(ii)(A)§164.316(a)
RA-02 Security Categorization
§164.308(a)(1)(i)§164.308(a)(1)(ii)(A)§164.308(a)(7)(ii)(E)
RA-03 Risk Assessment
§164.308(a)(1)(i)§164.308(a)(1)(ii)(A)§164.308(a)(1)(ii)(B)§164.308(a)(8)
RA-05 Vulnerability Monitoring and Scanning
§164.308(a)(1)(ii)(A)§164.308(a)(8)
RA-07 Risk Response
§164.308(a)(1)(ii)(A)§164.308(a)(1)(ii)(B)
RA-09 Criticality Analysis
§164.308(a)(1)(ii)(A)§164.308(a)(7)(ii)(E)

SA System and Services Acquisition

Control Name HIPAA Security Rule References
SA-01 Policy and Procedures
§164.316(a)
SA-04 Acquisition Process
§164.308(b)(1)§164.308(b)(3)§164.314(a)(1)§164.314(a)(2)
SA-05 System Documentation
§164.316(b)(1)§164.316(b)(2)(ii)
SA-09 External System Services
§164.308(b)(1)§164.308(b)(3)§164.314(a)(1)§164.314(a)(2)§164.314(b)(1)

SC System and Communications Protection

Control Name HIPAA Security Rule References
SC-01 Policy and Procedures
§164.312(e)(1)§164.316(a)
SC-02 Separation of System and User Functionality
§164.308(a)(4)(ii)(A)
SC-03 Security Function Isolation
§164.308(a)(4)(ii)(A)
SC-04 Information in Shared System Resources
§164.308(a)(4)(i)
SC-07 Boundary Protection
§164.308(a)(4)(ii)(A)§164.312(e)(1)§164.314(b)(1)§164.314(b)(2)
SC-08 Transmission Confidentiality and Integrity
§164.312(c)(1)§164.312(c)(2)§164.312(e)(1)§164.312(e)(2)(i)§164.312(e)(2)(ii)
SC-10 Network Disconnect
§164.312(a)(2)(iii)
SC-12 Cryptographic Key Establishment and Management
§164.312(a)(2)(iv)§164.312(e)(1)§164.312(e)(2)(ii)
SC-13 Cryptographic Protection
§164.312(a)(1)§164.312(a)(2)(iv)§164.312(e)(1)§164.312(e)(2)(ii)
SC-15 Collaborative Computing Devices and Applications
§164.310(b)
SC-17 Public Key Infrastructure Certificates
§164.312(e)(2)(ii)
SC-23 Session Authenticity
§164.312(e)(1)
SC-28 Protection of Information at Rest
§164.310(c)§164.310(d)(2)(iv)§164.312(a)(1)§164.312(a)(2)(iv)§164.312(c)(1)§164.312(c)(2)
SC-32 System Partitioning
§164.308(a)(4)(ii)(A)§164.314(b)(2)
SC-44 Detonation Chambers
§164.308(a)(5)(ii)(B)

SI System and Information Integrity

Control Name HIPAA Security Rule References
SI-01 Policy and Procedures
§164.312(c)(1)§164.316(a)
SI-03 Malicious Code Protection
§164.308(a)(5)(ii)(B)
SI-04 System Monitoring
§164.308(a)(1)(ii)(D)§164.308(a)(5)(ii)(B)§164.308(a)(5)(ii)(C)§164.308(a)(6)(ii)
SI-05 Security Alerts, Advisories, and Directives
§164.308(a)(5)(ii)(A)§164.308(a)(6)(ii)
SI-07 Software, Firmware, and Information Integrity
§164.312(c)(1)§164.312(c)(2)§164.312(e)(2)(i)
SI-08 Spam Protection
§164.308(a)(5)(ii)(B)
SI-10 Information Input Validation
§164.312(c)(1)
SI-12 Information Management and Retention
§164.316(b)(2)(i)

SR Supply Chain Risk Management

Control Name HIPAA Security Rule References
SR-01 Policy and Procedures
§164.314(a)(1)§164.316(a)
SR-02 Supply Chain Risk Management Plan
§164.314(a)(1)
SR-03 Supply Chain Controls and Processes
§164.314(a)(1)§164.314(a)(2)
SR-12 Component Disposal
§164.310(d)(2)(i)