How to Secure Your AWS for HIPAA

Learn essential steps to secure AWS for HIPAA compliance. Protect patient data, manage risks, and meet healthcare regulatory standards.

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Reviewed by Jeff Harms

Director, Advisory Services at OCD tech

Updated June, 19

Guide

How to Secure Your AWS for HIPAA

 

How to Secure Your AWS for HIPAA and Get the HIPAA Badge/Seal

 

If you need to store, process, or transmit protected health information (PHI) in the cloud, it's critical that your AWS (Amazon Web Services) setup meets HIPAA compliance requirements. This helps you avoid major legal problems and ensures that sensitive medical data remains secure.

  • Understand the Shared Responsibility Model
    AWS provides secure infrastructure, but you (the customer) must secure everything you run and store on the cloud. AWS tools aid HIPAA compliance, but you are responsible for configuring them correctly.
  • Sign a Business Associate Agreement (BAA) with AWS
    HIPAA requires a signed BAA with any third-party handling PHI. AWS provides a HIPAA-ready BAA for customers; you request and manage this through your AWS account. Without it, you are not HIPAA eligible on AWS.
  • Choose HIPAA-Eligible AWS Services
    Not every AWS service is covered by the BAA. Stick to “HIPAA-eligible services” listed by AWS before you handle PHI. Examples include S3, EC2, RDS, Lambda, and DynamoDB. Always check the latest eligible service list on AWS’s official site.
  • Encrypt Data
    HIPAA requires encryption of PHI in transit (moving between systems) and at rest (when stored). Use AWS Key Management Service (KMS) to manage encryption keys securely. Always enable SSL/TLS for communications and activate encryption for storage like S3 or RDS.
  • Manage Identity and Access
    Control who can access data and systems. Use AWS Identity and Access Management (IAM) to strictly limit permissions – give users and applications the minimum access needed. Enable Multi-Factor Authentication (MFA) for all accounts, especially administrators.
  • Monitor with Logging and Auditing
    Activate AWS CloudTrail and AWS Config to record all activities and changes within your cloud environment. This tracking helps detect unauthorized access and builds the audit trails HIPAA auditors expect to review.
  • Implement Backup, Disaster Recovery, and Data Retention
    HIPAA mandates regular data backups and disaster recovery plans. Automate regular snapshots of your databases and use cross-region backups in AWS for protection against data loss.
  • Ensure Firewall and Network Security
    Use AWS Virtual Private Cloud (VPC), Security Groups, and Network Access Control Lists (NACLs) to limit both external and internal network traffic. Only allow required connections to your PHI.
  • Regularly Evaluate and Test Security
    Conduct vulnerability assessments and penetration tests. Tools like AWS Inspector help scan for security issues. Engaging experienced consultants like OCD Tech can help with tailored readiness assessments and help you identify weaknesses before formal HIPAA audits.
  • Train Your Team
    Everyone working with your AWS cloud must know what HIPAA is and how to avoid accidental data exposure. Regular training avoids costly human mistakes.
  • Document Everything
    HIPAA auditors want proof. Keep detailed records of your processes, configurations, policies, and any incidents or investigations.

 

How to Get the HIPAA Badge/Seal for AWS

 

AWS itself cannot “certify” you as HIPAA compliant – compliance is always your responsibility. However, passing a HIPAA audit led by third-party assessors is necessary to earn the HIPAA seal (badge). Here’s how to get How to Secure Your AWS for HIPAA badge/seal:

  • Internal Preparation
    Ensure all the above security and compliance steps are followed. Document every measure in detail.
  • Readiness Assessment
    Schedule a readiness assessment with a reputable firm like OCD Tech. These HIPAA experts can review your AWS environment and prepare you for the real audit, highlighting gaps and advising on remediation.
  • Undergo Formal Audit
    Hire a third-party HIPAA auditor. They’ll review your policies, technology, and evidence, and interview staff to verify compliance.
  • Remediate Findings
    Fix any gaps the auditor finds. Document your fixes and improvements.
  • Receive Attestation or Badge
    Once you pass, your auditor issues an attestation or badge showing you’ve met HIPAA requirements. You can use this in business materials for proof of compliance.

The most important tips to pass HIPAA audits on AWS are maintaining strict access control, end-to-end encryption, thorough logging, and complete documentation. Thoughtful preparation with a gap analysis and support from firms like OCD Tech makes the audit and certification process much smoother.

Achieve HIPAA on AWS—Fast & Secure

Don’t let security gaps slow you down. Partner with OCD Tech’s seasoned cybersecurity experts to tailor a robust, framework-aligned protection plan for your AWS. From uncovering hidden vulnerabilities to mapping controls against HIPAA, we’ll streamline your path to certification—and fortify your reputation.

What is...

What is HIPAA? Learn about U.S. regulations protecting patient privacy. What is AWS? Explore Amazon Web Services, a secure cloud computing platform.

What is AWS

 

What is AWS?

 

Amazon Web Services (AWS) is a comprehensive cloud computing platform widely used by healthcare organizations to store, process, and manage sensitive Protected Health Information (PHI) while aiming to meet HIPAA compliance. AWS offers on-demand scalability, global infrastructure, and advanced security features that support the deployment of compliant healthcare applications. Key AWS components for HIPAA workloads include:

  • Elastic Compute Cloud (EC2): Secure and flexible virtual server hosting for healthcare apps.
  • Simple Storage Service (S3): Encrypted, durable object storage ideal for PHI backups and logs.
  • Identity and Access Management (IAM): Granular user permissions to restrict sensitive data access.
  • Key Management Service (KMS): Centralized encryption key control for patient data protection.

What is HIPAA

 

What is HIPAA?

 

HIPAA, or the Health Insurance Portability and Accountability Act, is a pivotal U.S. federal law safeguarding protected health information (PHI) and dictating robust data privacy standards for healthcare organizations and their vendors. When using AWS for handling PHI, compliance with HIPAA is crucial. Key aspects include:

  • Mandating technical, administrative, and physical safeguards to secure ePHI stored in the cloud.
  • Requiring Business Associate Agreements (BAA) with cloud service providers like AWS before processing patient data.
  • Enforcing audit controls, access management, and data encryption in all HIPAA-enabled AWS environments.
  • Ensuring breach notification and robust risk management to mitigate unauthorized access and data leaks.

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