To be HIPAA OMNIBUS compliant (the OMNIBUS is the final HIPAA law that was 
put into effect on Sept 23rd, 2013), you must have a signed BAA (Business 
Associate Agreement) with each associate that handles PHI (Protected Health 
Information).  This means if you host your app on GAE (Google Apps Engine), 
Google *MUST*, in order to be HIPAA compliant, sign a BAA with you, 
describing what part of HIPAA they will take responsibility for. 

In dealing with PHI, you need to concern yourself with HIPAA and the HITECH 
act of 2009.  There are many overviews online that describe the laws and 
their requirements.

Currently, Google signs BAAs for Google Apps, but currently NOT for GAE, 
they will likely not do this for a number of years because much of GAE is 
still experimental and subject to change.

AWS (Amazon Web Services) does sign BAAs and has very similar services to 
GAE, and, no knock to Google here, because GAE is going to be incredible 
when it's stable, but AWS is already stable and has a very proven track 
record, it scales like GAE and has very similar features, most people 
currently go with AWS.  You can also contact Rackspace, Edgeweb, OnlineTech 
or Atlantic.net (and I'm sure many others).  They will all sign BAA 
agreements and host your PHI.

Once you have a BAA agreement that covers storage and backup, etc. You only 
need to worry about encrypting the transport of PHI using SSL, and 
controlling unauthorized access.  All of the hosts I mentioned above *will 
work with you* to figure out what specifically you must do to produce a 
HIPAA compliant final product.  You can also pay about $250-$1,250 
(depending on scope) for a HIPAA compliance audit, and a tech will talk 
with you about your code, check your config settings, verify your setup, 
etc., and sign off that based on the information you provided, you appear 
compliant, or tell you what you still need to do.

In my opinion, unless you're a large corporation, you don't need to hire a 
full time lawyer for simple HIPAA compliance. It's really not that complex, 
especially since hosts handle everything but transport and access concerns, 
which they walk you through anyway.

Prices I've gotten for shared HIPAA hosting through dedicated server 
hosting ranged from $160/mo to $1500/mo with the above hosts.  The costs 
include lots of backups, encryption licenses for MySQL, encrypted drives, 
special audits for their server rooms, and insurance to cover HIPAA risks. 
 In almost all cases, it's a lot cheaper to go with a HIPAA host than to 
host a server yourself, and it's much, much cheaper to host PHI correctly 
than to skimp now and pay a minimum $50,000 fine for not being compliant 
later.

Hope some of that helps! :)

On Wednesday, February 6, 2013 8:22:49 PM UTC-5, MDS wrote:
>
> Hello everyone,
>
> I am curious if it is possible to implement a HIPAA compliant application 
> on Google App Engine, or if the way Google App Engine is setup it is not 
> possible to be HIPAA compliant?
>
> I have read the restrictions in the terms of the agreement, stating 
> "Customer acknowledges that the Service is not HIPAA compliant and Customer 
> is solely responsible for any applicable compliance with HIPAA."
>
> I am unsure if this means it is NOT compliant at all or if a specific 
> implementation of an application can be compliant.
>
> Thanks!
>

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