The moment a lawyer saves their medical records in a way that unintentionally and without their consent uploads them to OneDrive, they have a pretty solid case to charge Microsoft for a HIPAA violation.

[–] ShortFuse@lemmy.world 18 points 1 month ago* (last edited 1 month ago) (1 children)

HIPAA doesn't even require encryption. It's considered "addressable". They just require access be "closed". You can be HIPAA compliant with just Windows login, event viewer, and notepad.

(Also HIPAA applies to healthcare providers. Adobe doesn't need to follow HIPAA data protection, though they probably do because it's so lax, just because you uploaded a PDF of a medical bill to their cloud.)

[–] Katana314@lemmy.world 8 points 1 month ago (2 children)

HIPAA applies to whichever entity consciously chooses to move/store data.

Generally, after a patient downloads a healthcare-related item, they are that entity - and as the patient, they have full control/decisions about where it goes, so they can't violate their own HIPAA agreement even if they print it and scatter it to the wind.

BUT, if your operating system "decides" to upload that document without the user's involvement, then Microsoft is that entity - and having not received conscious permission from the patient, would be in violation. It's an entirely different circumstance if the user is always going through clear prompts, but their more recent OneDrive Backup goal has been extremely forceful and easy to accidentally turn on - even to the point of being hard to disable. As you said, encryption has nothing to do with it.

[–] ShortFuse@lemmy.world 3 points 1 month ago* (last edited 1 month ago)

No. Microsoft is not liable, at least when it applies to HIPAA.

The HIPAA Rules apply to covered entities and business associates.

Individuals, organizations, and agencies that meet the definition of a covered entity under HIPAA must comply with the Rules' requirements to protect the privacy and security of health information and must provide individuals with certain rights with respect to their health information. If a covered entity engages a business associate to help it carry out its health care activities and functions, the covered entity must have a written business associate contract or other arrangement with the business associate that establishes specifically what the business associate has been engaged to do and requires the business associate to comply with the Rules’ requirements to protect the privacy and security of protected health information. In addition to these contractual obligations, business associates are directly liable for compliance with certain provisions of the HIPAA Rules.

If an entity does not meet the definition of a covered entity or business associate, it does not have to comply with the HIPAA Rules. See definitions of “business associate” and “covered entity” at 45 CFR 160.103.

https://www.hhs.gov/hipaa/for-professionals/covered-entities/index.html

[–] lolcatnip@reddthat.com 2 points 1 month ago (1 children)

LOL. You really think Microsoft doesn't have an army of lawyers ensuring they comply with laws like HIPAA?

[–] Katana314@lemmy.world 6 points 1 month ago (1 children)

When they’re specifically writing business plans designed for hospitals, sure, they can likely account for it. But not when designing end user services that are laissez-faire about user data privacy - on the random things people put in “My Documents”. As with many organizations, it’s very possible the two parts of the corporation don’t talk to each other.

[–] lolcatnip@reddthat.com 1 points 1 month ago (1 children)

That's not how it works. Microsoft knows Windows will be used in medical settings. They know "but it's a product for home users" won't be an effective defense if they cause a HIPAA violation.

[–] Katana314@lemmy.world 4 points 1 month ago (1 children)

They also should “know” that being forceful about backup prompts, AI features, and major version upgrades will irritate users into switching off their OS, and yet they’re doing it anyway. Logic is not driving their actions; greed for data is.

[–] lolcatnip@reddthat.com -4 points 1 month ago

Microsoft makes is money by selling products and services. Your data is not nearly as valuable as you think it is.

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