NIST SP 800-53 Rev 5vsHIPAA Security Rule
See exactly how NIST SP 800-53 Rev 5 controls map to HIPAA Security Rule. Pre-computed mappings, identified gaps, and coverage analysis.
A reviewed coverage crosswalk for this pair is available. See which HIPAA Security Rule controls you already evidence.
According to the TheArtOfService Compliance Knowledge Graph:
NIST SP 800-53 Rev 5 maps to HIPAA Security Rule with 44% coverage across 137 directly mapped controls. Analysis of 300 NIST SP 800-53 Rev 5 controls identifies 183 compliance gaps, primarily concentrated in SC - System and Communications Protection.
Source: TheArtOfService Knowledge Graph | 300 controls analysed | 686 frameworks | 310K+ cross-framework mappings
Control Mappings
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AC - Access Control(20 mappings)
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The NIST SP 800-53 Rev 5 to HIPAA Security Rule crosswalk
The table above lists candidate mappings. A crosswalk answers the narrower question you are probably here for: which HIPAA Security Rule controls your existing NIST SP 800-53 Rev 5 work already satisfies, which are real gaps, and the reasoning behind every claim so you can check it. One pair, $299, one time.
Coverage does not run both ways. NIST SP 800-53 Rev 5 into HIPAA Security Rule lands at 77.6%, while HIPAA Security Rule into NIST SP 800-53 Rev 5 lands at 12.7%, on the same two control sets. That is not a rounding difference. It is the whole reason these are two separate reports: one asks what your NIST SP 800-53 Rev 5 evidence buys you for HIPAA Security Rule, the other asks the reverse.
52 of 67 HIPAA Security Rule controls are evidenced by work you have already done for NIST SP 800-53 Rev 5. 15 are genuine gaps.
A sample of what the report says
PM-1 requires a documented security program to prevent, detect and correct violations.
Grounded in NIST800-PM-1 Information Security Program Plan. Develop and disseminate an organization-wide information security program plan that: Provides an overview of the requirements for the security program and a description of the security program management controls and. Confidence high, survived the refutation pass.
Covered entities and business associates must ensure the confidentiality, integrity, and availability of all electronic protected health information (ePHI) they create, receive, maintain, or transmit; protect against reasonably anticipated...
Every one of the 52 evidenced controls and 15 gaps in the report carries this much reasoning, so you can check the claim rather than take it on trust.
38 of 300 NIST SP 800-53 Rev 5 controls are evidenced by work you have already done for HIPAA Security Rule. 262 are genuine gaps.
A sample of what the report says
Terminating a session after a predetermined time of inactivity is device lock.
Grounded in 164.312(a)(2)(iii) Automatic Logoff (Addressable). Confidence high, survived the refutation pass.
Requires an access control policy and supporting procedures to be written, approved, issued to the personnel who must apply them, owned by a named official, and reviewed and reissued on a defined frequency and after defined trigger events,...
Every one of the 38 evidenced controls and 262 gaps in the report carries this much reasoning, so you can check the claim rather than take it on trust.
- Every evidenced control, with the reasoning behind it
- Every gap, with what it requires
- Its level of review stated plainly, not a bare number
Why this page shows two different percentages. The 44% in the header counts how many NIST SP 800-53 Rev 5 controls carry at least one candidate mapping in the graph, before any review. The crosswalk percentage counts something stricter: how many HIPAA Security Rule controls are actually evidenced, after a pass that argued against each mapping and kept only what survived. They answer different questions and they are not meant to agree.
A crosswalk narrows the work. It does not replace an audit, and your assessor may take a different view on individual controls. Mappings between frameworks are judgements, not text printed in either standard, which is why every claim in the report shows its reasoning. Questions go to support@theartofservice.com.
Related Comparisons
Other NIST SP 800-53 Rev 5 comparisons
Other HIPAA Security Rule comparisons
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What are the key differences between NIST SP 800-53 Rev 5 and HIPAA Security Rule?
NIST SP 800-53 Rev 5 has 300 controls across its framework, while HIPAA Security Rule covers 67 controls. Direct mapping analysis identifies 137 overlapping controls (44% coverage). The frameworks diverge most significantly in SC - System and Communications Protection, where 33 NIST SP 800-53 Rev 5 controls have no direct HIPAA Security Rule equivalent.
How many controls map between NIST SP 800-53 Rev 5 and HIPAA Security Rule?
Of 300 total NIST SP 800-53 Rev 5 controls, 137 map directly to HIPAA Security Rule controls, representing 44% coverage. The remaining 183 controls represent compliance gaps requiring additional documentation or compensating controls to satisfy both frameworks simultaneously.
What are the compliance gaps when mapping NIST SP 800-53 Rev 5 to HIPAA Security Rule?
183 NIST SP 800-53 Rev 5 controls have no direct equivalent in HIPAA Security Rule. The highest concentration of gaps is in SC - System and Communications Protection with 33 unmapped controls. These gaps represent areas where additional controls, policies, or documentation must be created to achieve compliance with both frameworks.
Which control domains have the most gaps between NIST SP 800-53 Rev 5 and HIPAA Security Rule?
The domain with the highest gap count is SC - System and Communications Protection (33 gaps). Export the full domain-by-domain gap breakdown via the Professional tier to generate a prioritised remediation roadmap.
Related Resources
This platform provides educational compliance tools, not legal, regulatory, or professional compliance advice. Cross-framework mappings are AI-assisted interpretations and do not reproduce or replace official standards. Framework names and trademarks belong to their respective owners. Consult qualified professionals for your specific compliance requirements. See our Terms of Service.