A single PHI mishandling event can trigger all four at once. Honest Comply's Audit Pack is the only deliverable in this category designed for all four fronts simultaneously.
OCR
Up to $2,134,831 per identical violation per calendar year for willful neglect not timely corrected.
45 C.F.R. § 164.30845 C.F.R. § 102.3
Named example
Gulf Coast Pain Consultants, $1,190,000 CMP, December 3, 2024. Former contractor accessed EMR three times over five months, generating about 6,500 fake Medicare claims.
§ 164.308(a)(3)(ii)(c)§ 164.308(a)(1)(ii)(A)
What Honest Comply covers:
Risk analysis, access termination logs, audit logs, breach notification templates. The exact documents OCR cited.
State Attorneys General
Concurrent state enforcement under HITECH § 13410(e), codified at 42 U.S.C. § 1320d-5(d). Texas scales to $1.5M per year for pattern violations. California CMIA adds civil exposure.
HITECH § 13410(e)Texas HB 300Cal. CMIA
Named example
California CMIA, Civil Code § 56.36(b), $1,000 per patient nominal damages without proof of harm.
Cal. Civ. Code § 56.36(b)
What Honest Comply covers:
CA CMIA, TX HB 300, FL FIPA, NY SHIELD addenda in every Audit Pack.
Ex-Employee Suits
Wrongful termination, retaliation, and False Claims Act whistleblower claims tied to compliance failures.
31 U.S.C. § 3730(h)
Named example
Montefiore Medical Center, $4,750,000, February 6, 2024. Malicious insider stole and sold PHI of 12,517 patients.
§ 164.308(a)(3)(ii)(c)§ 164.308(a)(1)(ii)(D)
What Honest Comply covers:
Dated workforce training attestations, access termination logs, BAA tracking, audit-discovery artifacts. Everything plaintiff discovery will request.
Patient Civil Suits
Cal. Civ. Code § 56.36(b): $1,000 per patient, no proof of harm required. Aggregated in class actions, single breaches reach 8-figure exposure.
Cal. Civ. Code § 56.36(b)
Named example
Solara Medical Supplies, $9.76M class action plus $3M OCR settlement, January 2025. Single phishing breach, 114,007 patients affected.
§ 164.308(a)(5)(ii)(B)§ 164.404
What Honest Comply covers:
Encryption attestations, BAA-stack proof, patient-notice templates, audit-ready evidence chain.