HIPAA and Illinois Health Privacy and Breach Laws

Illinois adds three important layers to HIPAA: a breach law with a fast attorney general deadline for HIPAA entities, the Biometric Information Privacy Act (BIPA), which lets people sue, and strict confidentiality rules for mental health records.

AT A GLANCE

Illinois health privacy and breach law

LawsPersonal Information Protection Act, 815 ILCS 530; Biometric Information Privacy Act, 740 ILCS 14; Mental Health and Developmental Disabilities Confidentiality Act, 740 ILCS 110
Data coveredIncludes medical history, condition, treatment and diagnosis, and health insurance information
Notice to individualsIn the most expedient time possible and without unreasonable delay
Attorney generalRequired for more than 500 Illinois residents, no later than when individuals are notified. HIPAA entities that report a breach to HHS must also notify the Illinois attorney general within 5 business days
BIPAWritten consent and a published retention policy are required before collecting fingerprints, face scans or other biometrics. People can sue for $1,000 per negligent violation or $5,000 per reckless or intentional violation
Mental health recordsRecords and even the fact that someone is a patient are confidential, and patients can sue directly for violations

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What this means for your practice

  • Add the 5-business-day AG notice to your HIPAA breach checklist.
  • BIPA is the biggest lawsuit risk. Fingerprint time clocks for payroll likely need written consent and a published retention policy. The Illinois Supreme Court has held that biometrics collected for treatment, payment or health care operations fall under a healthcare exclusion, but that is not a blanket exemption.
  • Behavioral health practices face extra confidentiality rules beyond HIPAA.

FAQ

Frequently asked questions

Do HIPAA entities have to notify the Illinois attorney general?

Yes. If you report a breach to HHS, you must also notify the Illinois attorney general within 5 business days.

Does BIPA apply to healthcare practices?

It can. Biometrics collected for treatment, payment or health care operations may be excluded, but uses like fingerprint time clocks for staff payroll likely are not. Get written consent and publish a retention policy.

What are BIPA damages?

$1,000 per negligent violation and $5,000 per reckless or intentional violation, plus attorney fees.

Sources: Constangy: Illinois summary · King and Spalding: BIPA reform · Morgan Lewis: Mosby v. Ingalls. This page is general information about the law as of November 2026, not legal advice. Statutes change, so confirm current requirements with your attorney.

Reduce your Illinois exposure

Start with the free HIPAA risk assessment, or ask us about BIPA and biometrics.