NIST published "An Introductory Resource Guide for Implementing the Health Insurance Portability and Accountability Act (HIPAA) Security Rule (SP 800-66 Revision 1)" in October 2008 to assist covered entities in understanding and properly using the set of federal information security requirements adopted by the Secretary of Health and Human Services (HHS) under the Health Insurance Portability and Accountability Act of 1996 (HIPAA, Public Law 104-191). HIPAA required the Secretary to adopt, among other standards, security standards for certain health information. These standards, known as the HIPAA Security Rule, were published on February 20, 2003. In the preamble to the Security Rule, several NIST publications were cited as potentially valuable resources for readers with specific questions and concerns about IT security.
The HIPAA Security Rule specifically focuses on the safeguarding of electronic protected health information (EPHI). All HIPAA covered entities, which include some federal agencies, must comply with the Security Rule, which specifically focuses on protecting the confidentiality, integrity, and availability of EPHI, as defined in the Security Rule. The EPHI that a covered entity creates, receives, maintains, or transmits must be protected against reasonably anticipated threats, hazards, and impermissible uses and/or disclosures.
Special Publication 800-66 Revision 1, which discusses security considerations and resources that may provide value when implementing the requirements of the HIPAA Security Rule, was written to:
NIST publications, many of which are required for federal agencies, can serve as voluntary guidelines and best practices for state, local, and tribal governments and the private sector, and may provide enough depth and breadth to help organizations of many sizes select the type of implementation that best fits their unique circumstances. NIST security standards and guidelines (Federal Information Processing Standards [FIPS], Special Publications in the 800 series), which can be used to support the requirements of both HIPAA and FISMA, may be used by organizations to help provide a structured, yet flexible framework for selecting, specifying, employing, and evaluating the security controls in information systems.
NIST is planning to update NIST Special Publication (SP) 800-66, Revision 1, An Introductory Resource Guide for Implementing the Health Insurance Portability and Accountability Act (HIPAA) Security Rule (“Resource Guide”). NIST’s cybersecurity resources have evolved since SP 800-66, Revision 1, was published in 2008, and stakeholders will benefit from guidance that includes references to these updated resources.
The comment period is open through June 15, 2021. See the call for comments for complete details and instructions for submitting comments.