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. ยง 164.30845 C.F.R. ยง 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.
ยง 164.308(a)(3)(ii)(c)ยง 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 ยง 13410(e), codified at 42 U.S.C. ยง 1320d-5(d). Texas scales to $1.5M per year for pattern violations. California CMIA adds civil exposure.
HITECH ยง 13410(e)Texas HB 300Cal. CMIA
Named example
California CMIA, Civil Code ยง 56.36(b), $1,000 per patient nominal damages without proof of harm.
Cal. Civ. Code ยง 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. ยง 3730(h)
Named example
Montefiore Medical Center, $4,750,000, February 6, 2024. Malicious insider stole and sold PHI of 12,517 patients.
ยง 164.308(a)(3)(ii)(c)ยง 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 ยง 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 ยง 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.
ยง 164.308(a)(5)(ii)(B)ยง 164.404
What Honest Comply covers:
Encryption attestations, BAA-stack proof, patient-notice templates, audit-ready evidence chain.