PCI DSS and HIPAA Compliance: Do You Need Both?

role of pci dss and hipaa compliance

In today’s digital age, the security of sensitive information has become a top priority for organizations. Two compliance standards that aim to protect confidential data are the Payment Card Industry Data Security Standard (PCI DSS) and the Health Insurance Portability and Accountability Act (HIPAA). PCI DSS is a set of security standards that organizations must follow to protect credit card information, while HIPAA is a federal law that regulates the security and privacy of patient’s personal health information. In this blog, we will explore the roles of PCI DSS and HIPAA compliance, and how they help safeguard sensitive data.

What Is PCI DSS?

PCI DSS stands for Payment Card Industry Data Security Standard. It is a set of security standards created by major credit card companies, such as Visa, Mastercard, American Express, Discover, and JCB, to ensure the protection of sensitive information associated with payment card transactions. The standard applies to all entities that store, process, or transmit cardholder data, including merchants, processors, acquirers, issuers, and service providers.

What Is HIPAA Compliance?

HIPAA stands for the Health Insurance Portability and Accountability Act, which is a federal law that regulates the security and privacy of patient’s personal health information (PHI). HIPAA compliance is the process of ensuring that covered entities, including healthcare providers, health plans, and healthcare clearinghouses, adhere to the standards and requirements outlined in the HIPAA Privacy, Security, and Breach Notification Rules.

Differences Between PCI DSS And HIPAA

Differences Between PCI DSS And HIPAA

PCI DSS and HIPAA are two different compliance standards that serve distinct purposes. While both standards aim to protect sensitive data, there are several key differences between them:

  • Scope: PCI DSS applies specifically to the protection of payment card data, while HIPAA regulates the security and privacy of personal health information (PHI).
  • Applicability: PCI DSS applies to all organizations that store, process, or transmit payment card data, while HIPAA applies only to covered entities, such as healthcare providers, health plans, and healthcare clearinghouses.
  • Requirements: PCI DSS consists of 12 requirements that cover areas such as network security, access control, encryption, and vulnerability management. HIPAA includes both privacy and security rules, with specific requirements for administrative, physical, and technical safeguards, as well as breach notification.
  • Penalties: Non-compliance with PCI DSS can result in fines, penalties, and reputational damage, while non-compliance with HIPAA can result in significant fines, legal penalties, and damage to an organization’s reputation.
  • Enforcement: PCI DSS is enforced by the major credit card companies, while HIPAA is enforced by the US Department of Health and Human Services Office for Civil Rights (OCR).

In summary, while both PCI DSS and HIPAA aim to protect sensitive data, they have different scopes, applicability, requirements, penalties, and enforcement mechanisms. Organizations must understand these differences to ensure compliance with both standards and protect the sensitive information they handle.

Why Should You Get PCI DSS And HIPAA Compliant Together?

Getting PCI DSS and HIPAA compliant together can provide several benefits for organizations that handle both payment card data and personal health information (PHI). Here are some reasons why it is beneficial to achieve compliance with both standards:

  • Comprehensive data protection: Compliance with both standards can provide a comprehensive framework for protecting sensitive data. While PCI DSS focuses on payment card data and HIPAA on PHI, there is some overlap between the requirements of the two standards, such as network security, access control, and encryption. Meeting both sets of requirements can help ensure that an organization’s security posture is strong and that sensitive data is protected.
  • Cost savings: Achieving compliance with both standards can result in cost savings by streamlining security processes and reducing the need for separate security measures. Implementing a single set of policies, procedures, and controls that meet both standards can be more efficient and cost-effective than maintaining separate systems for each standard.
  • Competitive advantage: Compliance with both standards can give organizations a competitive advantage by demonstrating their commitment to protecting sensitive data. Customers, partners, and stakeholders are increasingly concerned about data privacy and security, and compliance with multiple standards can be a differentiator for organizations in the marketplace.
  • Reduced risk: Compliance with both standards can help reduce the risk of data breaches and associated costs, such as fines, penalties, legal fees, and reputational damage. By implementing robust security measures and following best practices for data protection, organizations can minimize the risk of security incidents and protect themselves from the consequences.

In summary, achieving PCI DSS and HIPAA compliance together can provide comprehensive data protection, cost savings, competitive advantage, and reduced risk for organizations that handle both payment card data and personal health information.

How To Get PCI DSS and HIPAA Compliance?

Get PCI DSS and HIPAA Compliance

Here are some general steps that organizations can take to achieve compliance with both standards:

  • Conduct a risk assessment: Start by identifying and assessing the risks associated with handling payment card data and personal health information. A comprehensive risk assessment can help identify vulnerabilities, threats, and compliance gaps that need to be addressed.
  • Develop policies and procedures: Develop and implement policies and procedures that align with the requirements of both standards. This includes policies and procedures for access control, data encryption, vulnerability management, incident response, and more.
  • Implement technical controls: Implement technical controls to support compliance with both standards. This includes implementing firewalls, intrusion detection and prevention systems, access controls, encryption, and other security technologies.
  • Train employees: Provide training and awareness programs to employees on the importance of compliance with both standards, as well as their role in maintaining compliance. This includes training on data privacy and security best practices, as well as the specific policies and procedures implemented by the organization.
  • Conduct regular assessments: Conduct regular assessments to ensure ongoing compliance with both standards. This includes regular vulnerability scans, penetration testing, and audits to identify and address any gaps or deficiencies.
  • Engage a qualified assessor: For PCI DSS compliance, engage a qualified security assessor (QSA) to validate compliance and issue a Report on Compliance (ROC). For HIPAA compliance, conduct a self-assessment or engage an independent auditor to perform a risk analysis and validate compliance.
  • Maintain compliance: Finally, maintain ongoing compliance with both standards by monitoring security controls, conducting regular assessments, and keeping policies and procedures up-to-date with changes in the regulatory environment or the organization’s business operations.

In summary, achieving PCI DSS and HIPAA compliance requires a combination of technical controls, policies and procedures, employee training, and ongoing assessments.

Conclusion

In conclusion, achieving compliance with both PCI DSS and HIPAA can provide a comprehensive framework for protecting sensitive data, help organizations minimize the risk of data breaches, and ensure ongoing regulatory compliance. While both standards have different scopes, applicability, and requirements, they share common themes such as access control, encryption, and vulnerability management. By following some steps, organizations can ensure that sensitive data is protected, risks are minimized, and compliance requirements are met. If you are looking to implement any of the Infosec compliance frameworks such as SOC 2 compliance, HIPAA, ISO 27001, and GDPR compliance, Impanix can help. Book a Free consultation call with our experts or email us at  [email protected] for inquiries.