HIPAA Compliance Checklist for SaaS Startups

The technical requirements, security controls, and documentation you need to build HIPAA-compliant healthcare software. No legal jargon—just actionable implementation steps.

26
Technical Requirements
8-12 weeks
Typical Implementation
$50K+
Fine Per Violation

Why This Checklist Exists

Most HIPAA compliance guides are written by lawyers for lawyers. This one is different. We built healthcare SaaS products that passed HIPAA audits, and we learned what actually matters vs what's just compliance theater.

This checklist covers the technical safeguards, administrative requirements, and documentation you need to handle Protected Health Information (PHI). If you're building a healthcare SaaS platform, medical device software, or any product that touches patient data—this is your starting point.

Important:

This checklist is a technical implementation guide, not legal advice. Work with a HIPAA compliance attorney to ensure your specific use case meets all regulatory requirements.

1. Technical Safeguards

Implement these technical controls to protect PHI from unauthorized access.

Encryption (§164.312(a)(2)(iv))

Access Controls (§164.312(a)(1))

Audit Controls (§164.312(b))

Data Integrity (§164.312(c)(1))

Transmission Security (§164.312(e)(1))

2. Administrative Safeguards

Policies, procedures, and training to ensure your team handles PHI correctly.

3. Physical Safeguards

Controls for physical access to systems and data storage.

4. Documentation Requirements

Policies and procedures you must document and maintain.

Get the Full Implementation Guide

Want code examples, architecture diagrams, and a complete implementation timeline? We're preparing a comprehensive HIPAA implementation guide.

Includes: AWS/GCP setup scripts • Audit logging code samples • BAA templates • Risk assessment spreadsheet

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Frequently Asked Questions

What is HIPAA compliance?

HIPAA (Health Insurance Portability and Accountability Act) is a US federal law requiring healthcare organizations and their business associates to protect patient health information (PHI). Compliance involves technical safeguards (encryption, access controls), administrative safeguards (policies, training), and physical safeguards (secure facilities).

Do SaaS startups need to be HIPAA compliant?

Yes, if your SaaS platform stores, processes, or transmits Protected Health Information (PHI). You're considered a Business Associate and must sign BAAs (Business Associate Agreements) with covered entities, implement technical safeguards, and undergo regular audits.

What are the main HIPAA technical requirements?

Key technical requirements include: encryption at-rest and in-transit (AES-256, TLS 1.2+), comprehensive audit logging of all PHI access, access controls with role-based permissions, automatic session timeouts, data backup and disaster recovery, and secure data transmission protocols.

How long does HIPAA compliance take?

For a new healthcare SaaS, implementing HIPAA compliance typically takes 8-12 weeks if built correctly from the start. This includes technical implementation, documentation, policies, and BAA preparation. Retrofitting compliance into an existing product takes longer (3-6 months).

What is a BAA (Business Associate Agreement)?

A BAA is a legal contract between a covered entity (healthcare provider) and a business associate (your SaaS) that defines how PHI will be protected. It outlines responsibilities, breach notification procedures, audit rights, and liability. You cannot handle PHI without a signed BAA.

What happens if we're not HIPAA compliant?

HIPAA violations can result in fines from $100 to $50,000 per violation (up to $1.5M per year for identical violations), criminal charges for willful neglect, loss of customers, and mandatory breach notifications to affected patients. Healthcare providers won't sign contracts without proof of compliance.

Need Help Building HIPAA-Compliant Software?

We've built healthcare SaaS products that passed HIPAA audits. We can implement compliance from day one or retrofit it into your existing platform in 8-12 weeks.