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Is iMessage HIPAA compliant? (2025 update)

Based on our research, iMessage is not HIPAA compliant because it does not meet the requirements set by the U.S. Department of Health and Human Services (HHS) to safeguard protected health information (PHI).

 

What is iMessage?

iMessage is Apple's instant messaging service that allows users to send texts, photos, videos, and other media over Wi-Fi or cellular data instead of traditional SMS/MMS. It is exclusive to Apple devices like iPhones, iPads, and Macs, offering features such as end-to-end encryption, read receipts, typing indicators, message reactions, and the ability to edit or unsend messages. iMessage also supports integration with apps, stickers, and Apple Pay for seamless communication and transactions.

 

Will iMessage sign a business associate agreement (BAA)?

No, iMessage will not sign a business associate agreement, and therefore is not HIPAA compliant.

 

Is iMessage HIPAA compliant?

iMessage does not sign a BAA, and as a result, is not HIPAA compliant.

 

The HIPAA compliant solution: Paubox 

Paubox has developed a HIPAA compliant email and texting solution that makes it easier for providers to connect with their patients. It eliminates the need for third-party apps or logins, allowing patients to receive secure, encrypted texts and emails directly on their phones. 

Learn more: HIPAA Compliant Email: The Definitive Guide

 

FAQS 

What is HIPAA?

The Health Insurance Portability and Accountability Act (HIPAA) sets national standards for protecting the privacy and security of certain health information, known as protected health information (PHI).

HIPAA is designed to protect the privacy and security of individuals’ health information and to ensure that healthcare providers and insurers can securely exchange electronic health information. Violations of HIPAA can result in significant fines and penalties for covered entities.

 

Who does HIPAA apply to?

HIPAA applies to covered entities, which include healthcare providers, health plans, and healthcare clearinghouses. It also applies to business associates of these covered entities. These are entities that perform certain functions or activities on behalf of the covered entity.

 

What is a business associate agreement?

A business associate agreement (BAA) is a legally binding contract establishing a relationship between a covered entity under the Health Insurance Portability and Accountability Act (HIPAA) and its business associates. The purpose of this agreement is to ensure the proper protection of personal health information (PHI) as required by HIPAA regulations.