CIPP/US Study Guide
Chapter 8: Medical Privacy

Business Associates and BAAs

A business associate performs services for a covered entity involving the use or disclosure of PHI. Before HITECH they were bound only by contract; after HITECH, HIPAA privacy and security rules apply directly to business associates, in addition to the required business associate agreement.

A Business associate includes cloud storage providers handling PHI and performs services such as claims processing, data analysis, billing, legal, actuarial, accounting, consulting, and data aggregation. A Business associate agreement (BAA) must be in writing (electronic signature allowed if valid under state law).

The HITECH shift

Before HITECH, business associates were bound only by their contracts. Under HITECH, HIPAA privacy and security rules are codified and apply directly to business associates - they must implement reasonable safeguards in addition to signing a BAA.

Key terms - quick answers

What is “Business associate”?
Any person or organization, other than a covered entity's workforce member, that performs services for or on behalf of a covered entity involving the use or disclosure of PHI.
What is “Business associate agreement (BAA)”?
A written contract requiring a business associate to meet the privacy and security obligations applicable to the covered entity.