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Pre-Deployment Compliance Gate\n- BAA requirements checklist for AI vendors\n- PHI data flow mapping template\n- Minimum Necessary standard application guide\n- Risk assessment framework (45 CFR 164.308(a)(1))\n\n### 2. Technical Safeguards (45 CFR 164.312)\n**Access Controls:**\n- Unique service account IDs for AI agents\n- Emergency access procedures for system failures\n- 15-minute auto-logoff configuration\n- Role-based minimum necessary permissions\n\n**Audit Controls:**\n- PHI access logging (timestamp, user, action, data)\n- 6-year retention compliance\n- Anomaly detection on access patterns\n- AI decision audit trails\n\n**Transmission Security:**\n- TLS 1.3 enforcement\n- E2E encryption for patient comms\n- Certificate pinning for API connections\n- No PHI in URLs, query strings, or logs\n\n### 3. AI-Specific Risk Matrix\n\n| Risk | Impact | Mitigation |\n|------|--------|------------|\n| Prompt injection → PHI leak | Critical | Input sanitization, output filtering, sandboxing |\n| Model training on PHI | High | BAA prohibition, single-tenant deployment |\n| Hallucinated medical info | Critical | Human-in-loop, confidence thresholds |\n| Shadow AI with PHI | High | Approved tool registry, DLP rules |\n\n### 4. Breach Response Timeline\n- 0-1 hrs: Contain (disable agent, preserve logs)\n- 1-24 hrs: Assess scope of PHI exposure\n- 24-48 hrs: Document root cause, affected individuals\n- Within 60 days: Notify HHS + individuals + media (if 500+)\n- 30-90 days: Remediate, patch, retrain\n\n### 5. Compliance by Use Case\nRate each AI deployment:\n- Patient scheduling → Medium risk\n- Billing/coding → High risk\n- Clinical decision support → Critical risk\n- Patient communication → High risk\n- Medical records summarization → Critical risk\n\n### 6. Penalty Reference\n| Tier | Per Violation | Annual Cap |\n|------|-------------|------------|\n| Unknowing | $141 - $71,162 | $2,134,831 |\n| Reasonable cause | $1,424 - $71,162 | $2,134,831 |\n| Willful neglect (corrected) | $14,232 - $71,162 | $2,134,831 |\n| Willful neglect (not corrected) | $71,162 | $2,134,831 |\n\nAverage healthcare breach cost: $10.93M (IBM/Ponemon 2025).\n\n## Output Format\n- Markdown checklist with status columns\n- Risk matrix with impact/likelihood scoring\n- Timeline tables for breach response\n- Department-specific compliance cards\n\n## Resources\n- [Healthcare AI Context Pack — $47](https://afrexai-cto.github.io/context-packs/) — Full patient journey automation, revenue cycle, EHR integration patterns\n- [AI Revenue Leak Calculator](https://afrexai-cto.github.io/ai-revenue-calculator/) — Find where manual processes cost you money\n- [AI Agent Setup Wizard](https://afrexai-cto.github.io/agent-setup/) — Configure compliant AI agents in 5 minutes\n","readmeExcerpt":"HIPAA Compliance for AI Agents Generate HIPAA compliance checklists, risk assessments, and audit frameworks for healthcare organizations deploying AI agents. 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