
The HIPAA Security Rule has long been a cornerstone of healthcare data protection, and with the recently proposed updates, there’s been a flood of speculation—and misinformation—about what these changes really mean. To cut through the noise, we’re debunking some of the most common myths surrounding the proposal and what it means for your organization.
This article explores five common myths about the proposed HIPAA Security Rule updates– We then explain exactly how your organization can get ahead of the changes.
Five Myths About the HIPAA Security Rule Proposed Changes
Myth #1: “The changes are optional.”
Reality: Once finalized, these updates won’t be mere recommendations—they will be mandatory.
Some healthcare organizations assume they can take a wait-and-see approach, but that’s a dangerous misconception. When the Department of Health and Human Services (HHS) finalizes these updates, compliance won’t be optional. Organizations that fail to align with the new requirements could face significant penalties, not to mention increased risk exposure. The time to start preparing is now.
To ensure readiness, organizations should:
- Stay informed: Monitor updates from HHS and other regulatory bodies.
- Conduct a gap analysis: Identify areas that need improvement.
- Update policies and procedures: Align internal policies with expected updates and provide necessary training.
- Engage legal and compliance experts: Seek professional guidance to develop a roadmap for implementation.
Proactively addressing these areas will help organizations avoid last-minute scrambles, reduce compliance risks, and strengthen their overall security posture well before the updates become mandatory.
Myth #2: “These requirements are only for large organizations.”
Reality: Every covered entity and business associate—regardless of size—must comply.
There’s a common belief that only hospital systems and large healthcare providers need to worry about the proposed HIPAA security updates. In reality, the Security Rule applies to all covered entities, including small clinics, private practices, and any business associates handling protected health information (PHI). Cyber threats don’t discriminate by organization size, and neither does HIPAA enforcement.
To ensure compliance, organizations should:
- Perform regular risk assessments: Identify and address security gaps.
- Implement strong access controls: Limit PHI access to authorized personnel only.
- Train staff on security best practices: Ensure employees are aware of HIPAA requirements and common cyber threats.
By taking proactive measures, healthcare organizations of all sizes can mitigate security risks and demonstrate their commitment to compliance.

Myth #3: “Our existing tools will be sufficient.”
Reality: Compliance requires ongoing evaluation and adaptation.
Many organizations assume their current cybersecurity tools and policies will automatically meet the new requirements. However, the proposed updates emphasize more stringent risk assessments, enhanced encryption standards, and stronger access controls. Simply having security tools in place doesn’t guarantee compliance—organizations must reassess and possibly upgrade their security posture to meet evolving standards.
To stay ahead of compliance requirements, organizations should:
- Regularly evaluate security frameworks: Ensure alignment with HIPAA mandates and evolving threats.
- Upgrade encryption protocols: Use the latest standards to protect sensitive data.
- Enhance identity and access management: Implement multi-factor authentication (MFA) and periodic user access reviews.
- Adopt real-time monitoring and threat detection: Utilize AI-driven monitoring tools to identify and respond to threats.
By taking these proactive steps, organizations can ensure their security infrastructure remains robust and compliant, reducing the risk of costly breaches and regulatory penalties.
Myth #4: “HIPAA compliance equals cybersecurity.”
Reality: HIPAA sets a baseline, but true security requires going beyond compliance.
Some organizations assume that if they meet HIPAA requirements, they are fully protected against cyber threats. However, HIPAA compliance does not equate to comprehensive cybersecurity. The rule sets minimum security standards, but in today’s evolving threat landscape, organizations must go further to protect patient data effectively.
To enhance security beyond HIPAA compliance, organizations should:
- Adopt a zero-trust approach: Verify every access request and limit exposure to sensitive data.
- Regularly test security controls: Conduct penetration testing and red team exercises.
- Ensure business continuity and disaster recovery plans: Have strategies in place to minimize downtime in case of cyber incidents.
True cybersecurity requires continuous improvement and adaptation, ensuring that organizations not only meet compliance requirements but also stay resilient against new threats.
Myth #5: “Third-party vendors are responsible for their own HIPAA compliance.”
Reality: Your organization is still accountable for vendor security.
Many healthcare organizations assume that business associates and third-party vendors handling PHI are solely responsible for their own HIPAA compliance. However, under HIPAA, covered entities are responsible for ensuring that their vendors implement appropriate security measures.
To manage vendor risk effectively, organizations should:
- Conduct thorough vendor assessments: Ensure business associates have strong security controls.
- Include clear security requirements in contracts: Business associate agreements (BAAs) should specify compliance obligations and breach notification procedures.
- Limit vendor access to PHI: Apply the principle of least privilege to minimize data exposure.
By proactively managing vendor security, organizations can mitigate risks and maintain control over their compliance obligations.
Preparing for the Future
The proposed updates to the HIPAA Security Rule aim to address modern cybersecurity threats and strengthen protections for PHI. Instead of treating these changes as a burden, organizations should view them as an opportunity to enhance their security posture and reduce risk.
By staying ahead of regulatory changes, healthcare organizations can ensure compliance while building greater trust with patients and partners in an increasingly digital healthcare landscape.
Want to explore what you should prioritize to ensure continued HIPAA compliance?