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HIPAA vs SOC 2: What’s the Difference?

When it comes to compliance, with the countless governing boards, rules, and regulations, it’s easy to get confused. That’s why Abyde is here to help. You’ve probably heard a ton about HIPAA, and now you’ve most likely heard a bit about SOC 2, too. You might be wondering, what’s the difference? Isn’t it the same thing? 

Well, let’s break it down. 

HIPAA vs SOC 2 origins: 

HIPAA, or the Health Insurance Portability and Accountability Act was enacted by Congress in 1996. HIPAA was not only meant to reform the health insurance industry but was in response to the increase in the transmission of electronic protected health information (ePHI). HIPAA establishes how patients’ sensitive information needs to be protected securely. HIPAA includes patients’ rights to their information, how PHI needs to be created, received, maintained, or transmitted, and how a HIPAA-regulated entity needs to report a breach. Since HIPAA was established on a federal level by the government, it is a requirement for practices and organizations that handle PHI to follow. 

SOC 2, or Systems and Organization Controls 2, was established by the AICPA (American Institute of Certified Public Accountants) in 2010. SOC 2 is broken down into five areas of compliance: security, availability, processing integrity, confidentiality, and privacy. Following SOC 2 is completely voluntary since it is not upheld by a government agency, like HIPAA. However, following SOC 2 guidelines has become so common that many organizations will not work with non-compliant companies. 

HIPAA vs SOC 2 Scope: 

HIPAA must be followed by all who handle the PHI of patients. This means not only Covered Entities (CEs) like healthcare providers, health plan programs, healthcare clearinghouses, but also Business Associates (BAs). BAs are all organizations that work with a CE and handle PHI. For instance, BAs include IT companies, proper disposal companies, medical manufacturers and much more. 

On the other hand, SOC 2 is not healthcare-specific. SOC 2 includes all industries and is a security framework for organizations handling data.  

HIPAA vs SOC 2 Penalties: 

HIPAA is enforced by the Office of Civil Rights (OCR) under the US Department of Health and Human Services (HHS). Violating HIPAA can come along with hefty monetary fines. These fines can range from $137 to millions of dollars, depending on the severity of the case. Implicated regulated entities also could be monitored by the OCR for years after a violation, ensuring the same mistake isn’t made again. A HIPAA violation could completely upend a practice or organization. 

In contrast, SOC 2 is a voluntary framework, so there are no specific penalties for non-compliant organizations. As stated before, it has become customary to uphold SOC 2 standards. So, a ‘penalty’ for not following SOC 2 could be lost business, affecting your reputation. 

Overall, HIPAA and SOC 2 both promote responsible information handling, which in turn, builds trust for a practice or organization. However, HIPAA is focused solely on healthcare information, while SOC 2 is a non-specific framework for organizations to follow to be compliant. Additionally, HIPAA only affects practices or organizations that handle PHI, whereas SOC 2 includes all organizations, including those outside of healthcare. Lastly, HIPAA is a requirement enforced by the government, which can result in heavy fines. On the other hand, SOC 2 is voluntary but is in good business practice to follow. 

Want to learn more about compliance? Email us at info@abyde.com or schedule a consultation here for CEs and here for BAs. 

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October 9, 2026 Penelope Schweitzer No comments yet

October 9, 2026 The latest HIPAA settlement doesn’t involve a hospital system or a massive ransomware attack. It involves a practice that probably looks a lot like yours. Shen Smiles is a solo dental practice in Drums, Pennsylvania. It started with a former patient’s complaint about getting their health records. It led to a broader OCR investigation and a $140,000 settlement. The lesson? Every HIPAA-regulated organization, big or small, can face enforcement.   What happened? Under federal law, patients must be given access to their records within 30 days, with one possible 30-day extension if the patient is notified in writing within the first 30 days. In April 2020, a former patient’s attorney filed a complaint with the Office for Civil Rights (OCR). The complaint alleged that the patient had requested their records multiple times without receiving access. The public documents don’t say when the first request was made. OCR’s investigation went beyond the original complaint. According to the resolution agreement, OCR found that patient records weren’t properly maintained and that staff hadn’t received formal HIPAA Privacy Rule training. OCR also said the practice couldn’t produce evidence that it had HIPAA policies and procedures in place, including for patient access requests, or that it had reasonably safeguarded patient information. During the investigation, the practice stated that it couldn’t provide the records because a workforce member had stolen them. The public documents don’t address whether a breach assessment was done. As a general rule, though, HIPAA presumes that an impermissible acquisition, access, use, or disclosure of unsecured patient information is a breach. A breach can require notifying HHS and affected patients, including steps patients can take to protect themselves. These are baseline requirements every covered entity is expected to have in place. Policies and training give a team a HIPAA playbook. Without one, staff at any practice may not know what to do when a patient asks for records or records go missing. OCR proposed a $140,000 civil money penalty in July 2024. Shen Smiles requested a hearing before an administrative law judge, but the two sides reached a resolution agreement in August 2026, before the hearing took place. Under the agreement, the practice agreed to pay $140,000. The agreement is not an admission of liability.   The Takeaway for Practices Patient access has been an OCR priority for years through its HIPAA Right of Access Initiative, and this case marks its 56th Right of Access enforcement action. It also took more than six years from complaint to resolution. As this case shows, a single complaint can lead to a broader look at your compliance program. Now is the time to ask: Do we have written HIPAA policies our team can find? Do we have a process to answer every record request within 30 days? Can we prove every team member has completed HIPAA training? If any of those gave you pause, now’s the time to fix it, before OCR comes asking. Looking for the first step? Meet with one of our compliance experts to see where you currently stand. 

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September 21, 2026   The HHS Office for Civil Rights (OCR) has announced its biggest HIPAA settlement of the year, reaching nearly a million dollars.  Ambry, a genetic testing and clinical genomics provider based in Aliso Viejo, California is at the center of this enforcement. A settlement was reached over a 2020 phishing attack that exposed the Protected Health Information (PHI) of more than 225,000 individuals. This settlement is a clear reminder that even large organizations trip up on HIPAA requirements.    What happened In January 2020, an employee email account at Ambry was compromised through a phishing attack.  The breach potentially exposed a wide range of PHI, including names, addresses, dates of birth, Social Security Numbers, financial details, and more. Ambry reported the breach to OCR in March 2020, which kicked off the investigation.    Where OCR found gaps OCR’s investigation identified several HIPAA Security Rule gaps, including: No accurate, thorough risk analysis of risks and vulnerabilities to ePHI No process for cutting off access to ePHI when an employee left or no longer needed access No unique user IDs for tracking who was accessing ePHI systems These are baseline HIPAA requirements that every Covered Entity and Business Associate is expected to have in place.   The settlement terms Ambry paid $700,000 and agreed to a two-year corrective action plan, under which it must: Complete a thorough risk analysis of ePHI confidentiality, integrity, and availability Build and execute a risk management plan addressing what that analysis turns up Review and update Security Rule policies and procedures as needed Implement unique user identification across all ePHI systems Train the whole workforce on those updated policies The takeaway for practices When 90% of healthcare hacks start with a successful phishing attempt, it’s key your team is aware of the role they play to keep data safe. Every practice should ask; Do we know exactly where our ePHI lives and how it moves through our systems? Do we have a current, documented risk analysis? Would we catch it fast if a former employee’s access wasn’t revoked? Looking for the first step of addressing these gaps? Meet with one of our compliance experts to see where you currently stand. 

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September 1, 2026 Penelope Schweitzer No comments yet

September 1, 2026   The Office for Civil Rights (OCR) announced its 55th settlement under the HIPAA Right of Access Initiative, and this one is a good reminder that “we’ll get to it” is an easy shortcut to a massive financial penalty.   What happened Azul Vision, Inc., a California optometry enterprise healthcare provider, took nearly two years to provide a patient her healthcare records failed to give a patient timely access to her health records. She requested her records in January 2023. She didn’t actually receive them until January 2025, or two years later, and only after OCR opened an investigation following her complaint in April 2023.   The importance of Right of Access The HIPAA Privacy Rule’s Right of Access is straightforward: patients are entitled to their healthcare records within 30 days of a request, with one possible 30-day extension if needed.    The cost Azul Vision agreed to a two-year, OCR-monitored corrective action plan and paid $50,000. The corrective action plan requires the practice to: Review and revise its written policies and procedures for Privacy Rule compliance.  Regularly report to HHS a log of every PHI access request it receives, including when it came in and when it was resolved, Train all workforce members on right of access requirements and the practice’s own procedures.   Practical takeaways Have a documented, assigned process for access requests: not an informal “someone will handle it” arrangement. Track every request against the 30-day (or extended 60-day) clock: If nothing is timestamping requests, nothing is catching the ones that slip. Train staff specifically on right of access: this is a distinct Privacy Rule obligation from general HIPAA awareness, and it’s clearly one OCR is actively enforcing.   The bottom line A single records request that went unanswered turned into a $50,000 penalty, two years of federal monitoring, and a detrimental hit to the organization’s reputation. That’s a steep price for what really comes down to a missing process. If your team can’t answer “what happens the moment a patient asks for their records?” right now, that’s the gap to close before your practice ends up as OCR’s next enforcement case. Want a streamlined way to close your compliance gaps? Meet with an Abyde expert today!

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