The Increase in HIPAA and OSHA Fines in 2024

January 30, 2024

Well, my compliance crew, the cost of noncompliance just went up.

As we all know, the costs of a HIPAA or OSHA violation can be detrimental to a practice. 2024 is bringing some hefty new financial burdens for organizations responsible for protecting patient privacy and worker safety. Buckle up, because increased fines for HIPAA and OSHA violations are here, and they’re not messing around.

HIPAA: Your Data, Your Dollars

The Department of Health and Human Services (HHS) has adjusted HIPAA civil monetary penalties for inflation, effective January 1st, 2024. This means:

  • Tier 1: Penalties now range from $137 to a whopping $68,928 per violation, with an annual cap of over 2 million. Ouch!
  • Tier 2: You’re still looking at penalties between $1,379 and $68,928, with the same annual cap as Tier 1.
  • Tier 3: Willful neglect violations (that are rectified within a month) fines range from $12,045 to $68,928 with the same annual cap.
  • Tier 4: When these violations aren’t rectified promptly, the minimum penalty is $68,928, and the maximum is over 2 million. Now, that makes my wallet hurt thinking about it! 

The message is clear: protecting patient privacy is more important than ever, and the government is willing to put its money where its mouth is. It’s time for healthcare providers and covered entities to beef up their data security measures and HIPAA compliance training. 

OSHA: Safety First, Fines Second

OSHA hasn’t been shy about increasing its civil monetary penalties either, effective January 17th, 2024. Here’s the breakdown:

  • Serious violations: Prepare to pay up to $16,131 per violation, up from $15,625. The minimum fine is $1,190 per violation.
  • Other-than-serious violations: Still not a walk in the park, while there is no minimum fine, the maximum is also $16,131 per violation.
  • Willful or repeated violations: Feeling lucky? Think again. These hefty fines have jumped from $156,259 per violation to $161,323 per violation. The minimum is $11,524 per violation.

These adjustments reflect the rising cost of workplace injuries and illnesses. Businesses across all industries need to prioritize safety protocols and employee training to avoid these financial penalties and potential lawsuits.

Who Feels the Pinch?

These increased fines impact various stakeholders:

  • Healthcare providers and organizations: Time to invest in robust data security and HIPAA & OSHA compliance software, like Abyde, for your staff.
  • Patients and employees: Ultimately, they benefit from enhanced protection of their privacy and safety, respectively.

The Bottom Line:

The 2024 fine hikes for HIPAA and OSHA violations are a wake-up call for organizations. While the financial implications are significant, neglecting compliance can be far costlier in terms of reputational damage, legal repercussions, and potential harm to individuals. 

That’s where Abyde can help your practice and organization. Abyde’s software can simplify compliance for you, with our software including training, risk assessments, dynamically generated policies and more. 

By proactively addressing these regulations, organizations can create a safer and more secure environment for everyone involved.

Remember, compliance isn’t just about avoiding fines; it’s about building trust and protecting what matters most. So, be a compliance champion, not a cautionary tale. Make 2024 the year of safety, security, and peace of mind!

To learn more about what you need to do to be compliant, email us at info@abyde.com and set up an educational consultation here.

RECENT POSTS

Related posts

Dental Practice HIPAA Settlement
Abyde News, Fines, HIPAA

What Every Dental Practice Can Learn From the $140K Shen Smiles Settlement

October 9, 2026 No comments yet

October 9, 2026 The latest HIPAA penalty doesn’t involve a hospital system or a massive ransomware attack. It involves a practice that probably looks a lot like yours. Dr. Linda Shen is the owner of Shen Smiles, a solo dental practice with one location in Drums, Pennsylvania. It all started with one patient asking for their health records. It ended with a $140,000 penalty and a much closer look at how the practice handled HIPAA. The lesson? Every HIPAA-regulated practice, big or small, can face enforcement. What happened? It’s unclear when the patient first asked for their records, but patient records need to be provided within 30 days from the initial request. In April 2020, the patient’s attorney filed a complaint with the Office for Civil Rights (OCR). The patient had asked for their health records multiple times and never got it. Once OCR started digging, the missed request turned out to be just the beginning. Patient records weren’t properly maintained, staff had never received formal HIPAA Privacy Rule training, and there were no policies for handling patient requests. Dr. Shen admitted that the records were never provided because a former employee had taken them. That’s another violation, this theft is a breach, which means it needed to be reported to the OCR, patients needed to be notified, and given options to protect themselves (such as credit monitoring). These are baseline requirements every Covered Entity is expected to have in place. No compliance framework, like policies and training, means no HIPAA playbook, so when a patient asks for records (or records go missing), staff is unprepared and unaware how to handle the situation. In July 2024, OCR proposed a $140,000 Civil Money Penalty. Dr. Shen appealed, but ultimately settled on the full amount. The Takeaway for Practices Patient access has been an OCR priority for years through its HIPAA Right of Access Initiative. And as this case shows, one complaint is all it takes to open the door to a review of your entire 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.

Ambry Phishing Settlement
Abyde News, Fines, HIPAA

$700K HIPAA Settlement: What the Ambry Genetics Phishing Breach Teaches Every Practice

September 21, 2026 No comments yet

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. 

Azul Vision Right of Access
Abyde News, Fines, HIPAA

Right of Access Enforcement Hits Eye Care: Inside the Azul Vision Settlement

September 1, 2026 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!