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Your Health App Is Not Covered by HIPAA. The FTC's Breach Rule Probably Covers It

By

October 26, 2026

5 min read

Consumer health apps that are not covered entities or business associates still fall under the FTC's Health Breach Notification Rule, amended in 2024 to name health apps and connected devices explicitly. A "breach" includes sharing data without authorization, such as through analytics and ad SDKs. Who is covered, the 60-day clock, penalties of up to $53,088 per violation, and what to check in your app.

Analytics
FTC Health Breach Notification Rule
Healthcare
Health Apps
Privacy

HIPAA applies to health plans, most providers, clearinghouses and their business associates. A direct-to-consumer app for fertility tracking, mental health, fitness or symptom checking often is none of those. Founders sometimes conclude no health privacy law applies. The FTC disagrees.

Who the rule covers

  • Vendors of personal health records and related entities that are not covered by HIPAA.

  • Since the 2024 amendments, published in the Federal Register on May 30, 2024, the rule makes explicit that makers of health apps, connected devices and similar products must comply.

  • The FTC's own example: a health app that collects information from consumers and can sync with a fitness tracker is typically a covered vendor.

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What counts as a breach

Not just a hack. The FTC's guidance says a breach includes "sharing of covered information without an individual's authorization". An analytics or advertising SDK that sends health-related events to a third party, without the user's authorization, can be a breach under the rule.

The obligations

Who to notify

When

Affected individuals

Without unreasonable delay, and within 60 calendar days of discovery

The FTC, 500 or more people

At the same time as individuals, within 60 days

The FTC, fewer than 500 people

Within 60 days after the end of the calendar year

Prominent media, 500+ residents of one state

Within the same 60 days

Civil penalties reach $53,088 per violation (2025 inflation adjustment), per the FTC.

What to check in your app

  1. List every SDK and tag in the app and on the website, and what each sends: event names often carry health information ("completed_anxiety_assessment").

  2. Remove advertising and attribution SDKs from screens that involve health data, or send them only events with no health meaning.

  3. Move product analytics to a first-party collector you control, so events never reach a third party by default.

  4. Get explicit consent for any sharing that remains, separate from the terms of service.

  5. Write the incident plan with the 60-day clock in it.

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As of October 26, 2026. Provided as is, for general information, and accurate to the best of our knowledge on the date shown. Not legal, compliance, tax, financial or other professional advice. Prices, limits and vendor services change; check current vendor documentation before relying on anything here. Terms of use.