HIPAA 2025: Recent and Proposed Changes to Privacy Guidelines

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No matter which EHR your practice uses, your patients trust you with their most sensitive health information. Staying current with HIPAA regulations helps you maintain that trust while protecting your practice.
Recent and proposed changes focus on improving patient access to records, protecting sensitive information, and streamlining healthcare operations.
Here‘s what you need to know about 2024 HIPAA changes and what‘s coming in 2025.
Guidelines That Went into Effect in 2024
Faster Record Access
Providers are encouraged to furnish health records more quickly. A 15-business-day standard has been proposed, with a possible extension if documented appropriately. Although not uniformly finalized, it‘s a good idea to streamline record-request processes.
On-Site Record Review
Patients have the right to inspect and photograph their health records in person. Consider designating a private area for these reviews to protect others‘’ information.
Digital Health Integration
Practices are expected to respond to requests to send health records to patient-chosen apps. This approach reflects the growing acceptance of technology-based health management.
Streamlined Care Coordination
Updated rules clarify when providers can exchange information with other professionals. This ensures that privacy protections remain in place while improving overall care.
Transparent Record Fees
Practices are encouraged to share copying fees online or make them easily accessible. Providing cost estimates is beneficial so patients are aware of potential charges.
Reproductive Healthcare Privacy
New proposals address how providers handle reproductive health data. While not fully finalized, they emphasize heightened security for this sensitive information.
Substance Use Disorder Records
Recent updates align these records with HIPAA standards, simplifying disclosure requirements while maintaining confidentiality.
Enforcement
The Office for Civil Rights (OCR) has intensified its focus on prompt record access, reinforcing compliance through increased penalties.

Proposed Guidelines That May Impact Providers in 2025
Enhanced Security Requirements
Stricter cybersecurity standards could emerge. Evaluating system safeguards now can help reduce the likelihood of breaches.
Updated Privacy Guidelines
Shifting from ”professional judgment” to ”good faith belief”’ for certain disclosures could enhance clarity for care teams.
Military Healthcare Access
Proposals may simplify record sharing with uniformed services beyond the Armed Services, helping to speed up care and reduce delays.
Electronic Records Sharing
Possible new instructions would clarify secure and efficient electronic health record sharing. This may involve standardized protocols for data transfers.
Health App Regulations
Potential FTC updates may expand breach notification obligations to cover digital health tools. Practices should watch for these changes if they work with third-party apps.
State Privacy Laws
Many states are adopting their own privacy standards related to genetic data, AI, and consumer health. Providers may have to meet both federal and state requirements.
Data Transaction Rules
Proposed Department of Justice regulations could affect how genetic data and biometric identifiers are managed. Staying informed is essential to maintain compliance.

How to Stay Informed
Here are the best sources for up-to-date information regarding changes to HIPAA guidelines.
- Official announcements. Use the Federal Register to see finalized and proposed rules issued by the Department of Health and Human Services (HHS).
- OCR updates. The HHS Office for Civil Rights publishes guidance documents, enforcement actions, and relevant bulletins on new or proposed HIPAA regulations.
- Specialty publications. Outlets such as the HIPAA Journal and the HIPAA Guide regularly share news, tips, and commentaries on compliance-related topics.
- Professional associations. Organizations like the American Medical Association and the American Hospital Association often issue updates, toolkits, or webinars to help members understand upcoming changes.
- Legal counsel. Healthcare attorneys can offer tailored advice and updates based on your practice‘s specific needs, including state-level requirements.
Practical Implementation Checklist
To stay compliant with current regulations and prepare for upcoming changes, take these practical steps in your practice.
Each area requires attention, but you can tackle them systematically.
Update Your Privacy Policies
- Review and update your privacy policies to reflect the new 15-day timeline and recent changes.
- Create clear protocols for in-person record reviews and reproductive health information.
- Train your staff on all updated procedures, especially new privacy protections.
- Document your training and policy updates for compliance records.
Streamline Your Workflows
- Create a designated space and process for in-person record reviews.
- Develop a fee schedule and post it on your website.
- Establish clear procedures for handling reproductive health information.
- Set up tracking systems for different types of record requests.
Strengthen Documentation
- Create templates for patient communications about record access options.
- Develop standardized forms for required attestations.
- Update your Notice of Privacy Practices.
- Maintain detailed logs of all privacy-related activities.
Monitor Compliance
- Regular audits of your record request response times.
- Periodic reviews of your security measures.
- Staff knowledge checks on new procedures.
- Documentation reviews to ensure all required notices and forms are current.
Evaluate Your Technology
- Evaluate your current systems‘ ability to handle patient health app requests.
- Update your security measures to protect against emerging cyber threats.
- Set up systems to track response times for record requests.
Consider Upgrading Your Practice Management Software
- Evaluate whether your current software meets the new compliance requirements.
- Look for systems that automate record request tracking and response times.
- Consider solutions, like RevolutionEHR, that integrate patient portal access with privacy protections.
- Prioritize software that can adapt to upcoming regulatory changes.
- Ensure any new system includes robust security features and audit trails.
Take Action Now
Don‘t wait until deadline pressure forces rushed changes to your practice‘s privacy procedures. Let RevolutionEHR be your partner in security and compliance.
RevolutionEHR helps you maintain HIPAA compliance with built-in security features and automated processes, including:
- Integrated security. Protect patient information with enterprise-grade security features and automatic updates to maintain compliance.
- Secure patient portal. Provide compliant electronic access to patient records through our HIPAA-compliant patient portal.
- HIPAA-compliant patient communication tools. Strong security protocols let you respond to patient requests with confidence.
- Automated tracking. Monitor and manage records requests to ensure timely responses within the new 15-day window.
Schedule a demo today to see how our cloud-based EHR system can help your practice adapt to these changes while protecting patient privacy.

[Note: This blog post reflects current understanding of HIPAA changes as of December 2024. Consult your legal counsel for specific guidance on implementing these requirements.]