HIPAA Security Rule (45 CFR Part 164, Subpart C)

Technical, physical, and administrative safeguards for electronic protected health information. Mappings here are to the CURRENT rule in force. The December 2024 NPRM would add an explicit MFA mandate and remove the "addressable" status from encryption — but it is still a proposed rule: OCR received ~5,000 comments, and the federal agenda now shows final action no earlier than July 2027. Nothing on this page treats the proposal as a requirement.

Covered entities, business associates, health-tech vendors

13

control domains mapped

48

products applicable

11

other frameworks cross-mapped

Official doc

HIPAA Security Rule (45 CFR Part 164, Subpart C)

§164.312(e)(1) Transmission security

Stateful firewall with IPS at the network perimeter. All inbound/outbound traffic inspected with Suricata rule sets. VPN gateway replaces consumer VPN dependency.

§164.308(b)(1) Business associate contracts and other arrangements

Open-source firmware is publicly auditable and reproducibly built. EU jurisdiction hardware is not subject to US National Security Letters. Directly addresses hardware supply chain risk in CMMC and NIS2.

§164.310(a)(1) Facility access controls

Rated safes and vaults protect physical assets, documents, and hardware backups with UL-certified burglary ratings — from UL 1037 RSC (residential) up to UL 687 TL-15/TL-30 vault-grade for insurance-mandated or enterprise specialty storage (the tier insurers and auditors recognize; see the ratings ladder on /safe). SecurityTitan laptops extend physical protection to devices in transit: glitter-sealed tamper-evident screws with photographic verification make case intrusion detectable.

§164.310(d)(1) Device and media controls — storage of media containing ePHI

UL 72 fire-rated safes keep interiors under 350°F through 30-minute to 4-hour furnace exposure — plus explosion and 30-foot drop tests — so original records, storage media, seed-phrase plates, and offline backups survive a facility fire. Distinct from burglary protection: enterprises with records-retention or continuity obligations typically need BOTH ratings on one unit (dual-rated Gardall UL line or TL-rated composite safes — see /safe).

Products that satisfy this control:

§164.308(a)(7)(ii)(C) Emergency mode operation plan

Encrypted LoRa mesh radios (Meshtastic / MeshCore / Reticulum) move text and GPS with no cellular, WiFi, internet, or subscription — every node relays for every other, on FCC Part 15 unlicensed 915 MHz spectrum. The out-of-band channel for disaster response, incident communications when primary networks are down or untrusted, remote sites, and executive contingency plans.