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Practical guidance on AI governance and HIPAA compliance, written for the people who run the program.

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Business Associate Contracts: The clauses the Security Rule makes mandatory

April 1, 2026

45 CFR 164.314(a)(2)(i) covers business associate contracts. This post walks through the clauses the Security Rule makes mandatory, with the language of the requirement itself and the evidence an assessor asks to see. It is a required implementation specification, so there is no documented-alternative route.

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Encryption: Encryption in transit and the safe harbor it buys

March 31, 2026

45 CFR 164.312(e)(2)(ii) covers encryption. This post walks through encryption in transit and the safe harbor it buys, with the language of the requirement itself and the evidence an assessor asks to see. It is an addressable implementation specification, which means documenting your reasoning is part of the requirement.

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Integrity Controls: Integrity controls on data in transit

March 30, 2026

45 CFR 164.312(e)(2)(i) covers integrity controls. This post walks through integrity controls on data in transit, with the language of the requirement itself and the evidence an assessor asks to see. It is an addressable implementation specification, which means documenting your reasoning is part of the requirement.

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Transmission Security: Transmission security for email, fax and portals

March 27, 2026

45 CFR 164.312(e)(1) covers transmission security. This post walks through transmission security for email, fax and portals, with the language of the requirement itself and the evidence an assessor asks to see. It is a standard, so it must be met in full; the addressable implementation specifications beneath it are each assessed and documented on their own.

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Person or Entity Authentication: Person or entity authentication beyond a password

March 26, 2026

45 CFR 164.312(d) covers person or entity authentication. This post walks through person or entity authentication beyond a password, with the language of the requirement itself and the evidence an assessor asks to see. It is a standard, so it must be met in full and there is no documented-alternative route.

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Mechanism to Authenticate Electronic Protected Health Information: Authenticating that ePHI was not altered

March 25, 2026

45 CFR 164.312(c)(2) covers mechanism to authenticate electronic protected health information. This post walks through authenticating that ePHI was not altered, with the language of the requirement itself and the evidence an assessor asks to see. It is an addressable implementation specification, which means documenting your reasoning is part of the requirement.

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Integrity: Integrity controls for the record itself

March 24, 2026

45 CFR 164.312(c)(1) covers integrity. This post walks through integrity controls for the record itself, with the language of the requirement itself and the evidence an assessor asks to see. It is a standard, so it must be met in full; the addressable implementation specifications beneath it are each assessed and documented on their own.

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Audit Controls: Audit controls and what your logs should capture

March 23, 2026

45 CFR 164.312(b) covers audit controls. This post walks through audit controls and what your logs should capture, with the language of the requirement itself and the evidence an assessor asks to see. It is a standard, so it must be met in full and there is no documented-alternative route.

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Encryption and Decryption: Encryption at rest and the addressable analysis

March 20, 2026

45 CFR 164.312(a)(2)(iv) covers encryption and decryption. This post walks through encryption at rest and the addressable analysis, with the language of the requirement itself and the evidence an assessor asks to see. It is an addressable implementation specification, which means documenting your reasoning is part of the requirement.

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Automatic Logoff: Automatic logoff on clinical workstations

March 19, 2026

45 CFR 164.312(a)(2)(iii) covers automatic logoff. This post walks through automatic logoff on clinical workstations, with the language of the requirement itself and the evidence an assessor asks to see. It is an addressable implementation specification, which means documenting your reasoning is part of the requirement.

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Backsplice provides tools to run a HIPAA and AI governance program; it does not confer compliance with any law or standard and does not constitute legal advice. Consult qualified legal counsel for specific compliance guidance.