Some have called 2014 the “Year of the Data Breach.” That may be true given the steady stream of large-scale data breaches affecting tens of millions of individuals. We do not know if this time next year commentators will be saying the same thing about 2015, but there are signs pointing to a significant tightening of regulation and increased enforcement of data security mandates – some are discussed below. No matter a company’s size or industry, maintaining personal data can be a risky business, more so for companies that are not prepared and that have not taken reasonable steps to safeguard personal data.

New York regulators announce new cyber security preparedness assessments for banks. Following an announcement in October concerning third-party vendors, Benjamin M. Lawsky, Superintendent of Financial Services, issued an industry guidance letter on December 10 to all New York State Department of Financial Services (DFS)-regulated banks outlining enhanced examinations as part of “new targeted, DFS cyber security preparedness assessments.” According to the announcement, and in the letter to banks, DFS examinations will be looking at safeguards such as protocols for detection of cyber breaches and penetration testing; corporate governance related to cyber security; defenses against breaches, including multi-factor authentication; and security of their third-party vendors. This is not just an issue for the banks because as part of their efforts to be ready for these increased examinations and assessments, they will need to be looking at the practices of their third-party vendors.

Another HIPAA settlement and Phase 2 audits expected to commence soon. Earlier this month, the Office for Civil Rights announced it reached a resolution agreement with Anchorage Community Mental Health Services (ACMHS) to settle potential HIPAA violations. Under the agreement, ACMHS will pay $150,000 and adopt a corrective action plan with regard to its HIPAA compliance program. Like a number of prior OCR investigations, this one was opened when ACMHS, a nonprofit organization providing behavioral health care services, informed OCR of a breach of unsecured electronic protected health information affecting 2,743 individuals. The breach resulted due to malware compromising the security of its information technology resources. According to OCR, ACMHS had adopted sample policies and procedures, but was not following them. In addition, OCR alleged that ACMHS failed to identify and address basic risks, such as not regularly installing updates and security patches for its software. Again, as with financial institutions, healthcare providers and health plans are not the only entities under OCR’s scrutiny. Under HIPAA, and as clarified by HITECH, the privacy and security obligations extend downstream to business associates and subcontractors, and possibly others. If your business is in the healthcare industry, there is a likelihood you will be affected by these requirements.

In addition to continued enforcement, OCR also is preparing to commence Phase 2 of its audit program. OCR representatives have been reported as stating unofficially that OCR hopes to start Phase 2 by the end of 2014, or the beginning of 2015. Those audits are expected to focus on (i) risk analysis and risk management, a fundamental requirement under the HIPAA Security Rule, (ii) breach notification compliance, and (iii) compliance with notice of privacy practices requirements. The audits are expected to reach both covered entities and business associates.

States enhancing breach notification laws and enforcement. During 2014, a number of states enhanced their existing breach notification laws (e.g., CA and FL) and Kentucky became the 47th state to enact such a law. Other states, such as Oregon, have announced a desire to enhance their own laws. Additionally, states like Massachusetts continue to announce fines for companies violating that state’s data security mandates.

Cyber insurance offerings to small business grow. In July 2014, CNBC explained “Why cyber-insurance will be the next big thing.” But it also is worth noting that during 2014 a number of carriers, syndicates have announced cyber products with a focus on small and mid-sized businesses. One example is an announcement that former Pennsylvania Governor and the first U.S. Secretary of Homeland Security, Tom Ridge, formed Ridge Insurance Solutions Company which seeks to close “a dangerous cyber insurance gap… particularly [for] small- and mid-cap firms”. Also, in November, Nationwide announced that it will be joining with Hartford Steam Boiler “to offer cyber insurance coverage for small business owners.”  The insurance market’s movement in this direction is one indicator of higher data risks for businesses beyond large organizations in the financial services industry and retail.


These are just a few of the signs in 2014 that point to more regulatory and enforcement activity ahead in 2015. Businesses large and small need to focus on their data privacy and security practices, which starts with assessing their risks across their organizations.

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Photo of Joseph J. Lazzarotti Joseph J. Lazzarotti

Joseph J. Lazzarotti is a principal in the Berkeley Heights, New Jersey, office of Jackson Lewis P.C. He founded and currently co-leads the firm’s Privacy, Data and Cybersecurity practice group, edits the firm’s Privacy Blog, and is a Certified Information Privacy Professional (CIPP)…

Joseph J. Lazzarotti is a principal in the Berkeley Heights, New Jersey, office of Jackson Lewis P.C. He founded and currently co-leads the firm’s Privacy, Data and Cybersecurity practice group, edits the firm’s Privacy Blog, and is a Certified Information Privacy Professional (CIPP) with the International Association of Privacy Professionals. Trained as an employee benefits lawyer, focused on compliance, Joe also is a member of the firm’s Employee Benefits practice group.

In short, his practice focuses on the matrix of laws governing the privacy, security, and management of data, as well as the impact and regulation of social media. He also counsels companies on compliance, fiduciary, taxation, and administrative matters with respect to employee benefit plans.

Privacy and cybersecurity experience – Joe counsels multinational, national and regional companies in all industries on the broad array of laws, regulations, best practices, and preventive safeguards. The following are examples of areas of focus in his practice:

  • Advising health care providers, business associates, and group health plan sponsors concerning HIPAA/HITECH compliance, including risk assessments, policies and procedures, incident response plan development, vendor assessment and management programs, and training.
  • Coached hundreds of companies through the investigation, remediation, notification, and overall response to data breaches of all kinds – PHI, PII, payment card, etc.
  • Helping organizations address questions about the application, implementation, and overall compliance with European Union’s General Data Protection Regulation (GDPR) and, in particular, its implications in the U.S., together with preparing for the California Consumer Privacy Act.
  • Working with organizations to develop and implement video, audio, and data-driven monitoring and surveillance programs. For instance, in the transportation and related industries, Joe has worked with numerous clients on fleet management programs involving the use of telematics, dash-cams, event data recorders (EDR), and related technologies. He also has advised many clients in the use of biometrics including with regard to consent, data security, and retention issues under BIPA and other laws.
  • Assisting clients with growing state data security mandates to safeguard personal information, including steering clients through detailed risk assessments and converting those assessments into practical “best practice” risk management solutions, including written information security programs (WISPs). Related work includes compliance advice concerning FTC Act, Regulation S-P, GLBA, and New York Reg. 500.
  • Advising clients about best practices for electronic communications, including in social media, as well as when communicating under a “bring your own device” (BYOD) or “company owned personally enabled device” (COPE) environment.
  • Conducting various levels of privacy and data security training for executives and employees
  • Supports organizations through mergers, acquisitions, and reorganizations with regard to the handling of employee and customer data, and the safeguarding of that data during the transaction.
  • Representing organizations in matters involving inquiries into privacy and data security compliance before federal and state agencies including the HHS Office of Civil Rights, Federal Trade Commission, and various state Attorneys General.

Benefits counseling experience – Joe’s work in the benefits counseling area covers many areas of employee benefits law. Below are some examples of that work:

  • As part of the Firm’s Health Care Reform Team, he advises employers and plan sponsors regarding the establishment, administration and operation of fully insured and self-funded health and welfare plans to comply with ERISA, IRC, ACA/PPACA, HIPAA, COBRA, ADA, GINA, and other related laws.
  • Guiding clients through the selection of plan service providers, along with negotiating service agreements with vendors to address plan compliance and operations, while leveraging data security experience to ensure plan data is safeguarded.
  • Counsels plan sponsors on day-to-day compliance and administrative issues affecting plans.
  • Assists in the design and drafting of benefit plan documents, including severance and fringe benefit plans.
  • Advises plan sponsors concerning employee benefit plan operation, administration and correcting errors in operation.

Joe speaks and writes regularly on current employee benefits and data privacy and cybersecurity topics and his work has been published in leading business and legal journals and media outlets, such as The Washington Post, Inside Counsel, Bloomberg, The National Law Journal, Financial Times, Business Insurance, HR Magazine and NPR, as well as the ABA Journal, The American Lawyer, Law360, Bender’s Labor and Employment Bulletin, the Australian Privacy Law Bulletin and the Privacy, and Data Security Law Journal.

Joe served as a judicial law clerk for the Honorable Laura Denvir Stith on the Missouri Court of Appeals.