HIPAA Security RuleNIST SP 800-171 Rev 3

HIPAA Security Rule covers 30.9% of NIST SP 800-171 Rev 3

30 of the 97 controls in NIST SP 800-171 Rev 3 are already satisfied by evidence you collected for HIPAA Security Rule. 67 are genuine gaps. Every claim below was judged against both control sets and then argued against; the ones that did not survive are published further down with the reason each failed.

30.9%
of the target already covered
30
controls evidenced
67
genuine gaps
0
claims rejected in review

What this leaves you to do

NIST SP 800-171 Rev 3 has 97 controls. Holding HIPAA Security Rule already evidences 30 of them, so the work in front of you is 67 controls, not 97, which is 69% of the standard rather than all of it.

That is the whole claim. We do not know your hourly rate, how long a control takes you, or how many people you have, so there is no figure here in dollars or weeks. Every number in that sentence comes from the two counts above it and can be re-derived from the free tools without taking our word for any of it.

This number is directional. It says how much of NIST SP 800-171 Rev 3 your HIPAA Security Rule evidence satisfies. The reverse pair is a different number, often very different, because a security standard has enormous depth for access control and almost none for lawful basis or data subject rights.

61 candidate mappings were examined and 0 were removed. Signed off 2026-08-19, review level machine verified. Mappings were judged by Claude Code rather than read line by line by a practitioner. Every claim shows its reasoning so you can check it. Ask and a practitioner will review this pair.

Where the gaps are

Coverage is never evenly spread. A source standard usually satisfies one part of a target almost completely and barely touches another, and which part is which is the thing worth knowing before you plan the work.

03.02 AT (Awareness and Training)2 of 2 evidenced
03.09 PS (Personnel Security)2 of 2 evidenced
03.11 RA (Risk Assessment)2 of 3 evidenced, 1 to do
03.06 IR (Incident Response)3 of 5 evidenced, 2 to do
03.08 MP (Media Protection)4 of 7 evidenced, 3 to do
03.10 PE (Physical Protection)2 of 5 evidenced, 3 to do
03.03 AU (Audit and Accountability)3 of 8 evidenced, 5 to do
03.15 PL (Planning)1 of 3 evidenced, 2 to do
03.16 SA (System and Services Acquisition)1 of 3 evidenced, 2 to do
03.01 AC (Access Control)4 of 16 evidenced, 12 to do
03.05 IA (Identification and Authentication)2 of 8 evidenced, 6 to do
03.12 CA (Security Assessment and Monitoring)1 of 4 evidenced, 3 to do
03.13 SC (System and Communications Protection)2 of 10 evidenced, 8 to do
03.14 SI (System and Information Integrity)1 of 5 evidenced, 4 to do
03.04 CM (Configuration Management)0 of 10 evidenced, 10 to do
03.07 MA (Maintenance)0 of 3 evidenced, 3 to do
03.17 SR (Supply Chain Risk Management)0 of 3 evidenced, 3 to do

Theme level, not control level, deliberately. The per-control list of what is evidenced and what is a gap is the report itself, so publishing it here would be publishing the thing being sold.

Claims that held

A sample. Each one names the control whose evidence does the work, the control it satisfies, and why.

164.308(a)(4)(ii)(C)03.01.01argued against and upheld
Account Management

Documented review and modification of user access rights evidences account modification and recertification.

164.308(a)(4)(ii)(B)03.01.01argued against and upheld
Account Management

Access authorization workflow is the account request and approval evidence account management needs.

164.308(a)(3)(ii)(C)03.01.01argued against and upheld
Account Management

Termination procedures evidence timely account disabling and removal on triggering events.

164.312(a)(1)03.01.02argued against and upheld
Access Enforcement

Technical access controls allowing only authorized persons or programs is access enforcement.

164.308(a)(4)(ii)(C)03.01.05argued against and upheld
Least Privilege

Periodic recertification evidences the required periodic privilege review and removal.

164.308(a)(4)(i)03.01.05argued against and upheld
Least Privilege

Minimum necessary role based authorization is the same least privilege determination.

164.312(a)(2)(iii)03.01.11argued against and upheld
Session Termination

Automatic logoff terminates sessions after a predetermined inactivity period.

164.308(a)(5)(ii)(A)03.02.01argued against and upheld
Literacy Training and Awareness

Periodic security reminders evidence the ongoing refresh element of awareness training.

Claims that did not hold

Nothing proposed for this pair was rejected in review. That is unusual and worth knowing rather than hiding: it means the candidate set was small and every candidate held.

The full report

Everything above is a sample. The report is every evidenced control and every gap, with the reasoning and the source document behind each one, in a form you can hand to an assessor. $299, emailed immediately.

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