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Re:Ask HN: Is anything in HIPAA actually required? by DoreenMichele on Thursday November 30, 2017 @02:07PM (#15818542)
What little I know:

It can be enforced with significant fines. When I worked at Aflac, they took this fact quite seriously as a real threat that they didn't want to happen to them.

The following blog suggests the fines can be up to $1.5 million and violations can also involve criminal charges and jail time:

https://www.truevault.com/blog/what-is-the-penalty-for-a-hip...

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