S. 3315

Health Care Cybersecurity and Resiliency Act of 2026

Official summary

Written by the Congressional Research Service.

Health Care Cybersecurity and Resiliency Act of 2026

This bill expands federal requirements and resources for preventing and responding to cybersecurity incidents in the health care and public health sectors.

The bill directs the Department of Health and Human Services (HHS) to

  • require private health care-related entities to adopt minimum cybersecurity practices (e.g., multifactor authentication),
  • more specifically identify the standards for mitigating penalties relating to violations of health information privacy and security,
  • expand and update biennially a specified plan that details cybersecurity protocols for HHS personnel,
  • provide training and best practices to support the expansion of the workforce for health care cybersecurity, 
  • provide guidance on cybersecurity readiness to rural entities, and
  • designate one representative to lead oversight and coordination of cybersecurity activities within HHS.

Also, HHS and the Cybersecurity and Infrastructure Security Agency (CISA) must coordinate to improve health care cybersecurity, including by (1) providing resources for entities receiving information from HHS or CISA programs, and (2) establishing a joint cybersecurity capability plan to coordinate responses to significant incidents.

Additionally, the bill requires health care providers and plans to include the number of individuals affected when notifying individuals of unauthorized access to health information (i.e., a breach). 

Text of the bill

Expand all
Sec. 4. Clarifying cybersecurity responsibilities at the Department of Health and Human Services Changed · Sep 30

Where this section came from

  1. Dec 2, 2025 · Introduced in Senate Referred to Senate Committee on Health, Education, Labor, and Pensions, Dec 2
  2. Sep 30, 2026 · Engrossed in Senate S.Amdt. 5819: In the nature of a substitute. Official page ›
What changed in the text

Part (a) A In general. The Secretary shall delegate a representative to lead oversight and coordination of title activities III within the Department of Health and Human Services to support internal and external cybersecurity resilience within the Healthcare and Public Health Sector, including coordination and communication with other public and private entities related to preparedness for, and responses to, cybersecurity incidents, consistent with applicable provisions of the Public Health Service Act (42 U.S.C. 241 201 et seq .) .), is other amended applicable by laws, adding and at National the Security end Memorandum–22 the (April following: 30, [Inserted 2024; into relating the to law: critical 310C. infrastructure Oversight security of and cybersecurity resilience). Such activities . The shall Secretary, not acting include through implementation the or Assistant enforcement Secretary of for part Preparedness 160 and Response, subparts in A coordination and with C the of Director part 164 of the title Cybersecurity 45, and Code Infrastructure of Security Federal Agency Regulations pursuant (or to successor section regulations) 2218 (commonly of known as the Homeland HIPAA Security Act Rule). of (b) 2002 Reports. (1) Report on delegation. Not later than 60 days after delegating a representative under subsection (a), and any time a new representative is delegated under such subsection , the Secretary shall lead submit oversight to the Committee on Health, Education, Labor, and coordination Pensions of activities the within Senate and the Department Committee of on Health Energy and Human Commerce Services of the House of Representatives a report that describes how such representative will implement steps to support improve internal and external cybersecurity resiliency resilience within the Healthcare and Public Health Sector . ( as 2) defined Annual in report. section Not 2 later than 1 year after the date of enactment of this Act, and annually thereafter, the Secretary shall submit to the Committee on Health , Care Education, Cybersecurity Labor, and Resiliency Pensions Act of 2025), the including Senate coordination and communication the with Committee other on public Energy and private Commerce entities of related the to House preparedness of for, Representatives a report on the state of cybersecurity in the Healthcare and responses Public to Health Sector , including— (A) an assessment of the most significant cybersecurity incidents, threats consistent and with vulnerabilities applicable facing provisions the Healthcare and Public Health Sector; (B) a summary of this major Act, cybersecurity other incidents applicable affecting laws, the Healthcare and Presidential Public Policy Health Directive Sector 21 during the preceding year; ( February C) 12, an 2013 assessment of the overall cybersecurity posture of the Healthcare and Public Health Sector ; relating (D) a description of actions taken by the Department of Health and Human Services to critical improve infrastructure cybersecurity; security and (E) recommendations to improve Healthcare and resilience). Public ] Health Sector cybersecurity.

(a) In general. The Secretary shall delegate a representative to lead oversight and coordination of activities within the Department of Health and Human Services to support internal and external cybersecurity resilience within the Healthcare and Public Health Sector, including coordination and communication with other public and private entities related to preparedness for, and responses to, cybersecurity incidents, consistent with applicable provisions of the Public Health Service Act (42 U.S.C. 201 et seq.), other applicable laws, and National Security Memorandum–22 (April 30, 2024; relating to critical infrastructure security and resilience). Such activities shall not include implementation or enforcement of part 160 and subparts A and C of part 164 of title 45, Code of Federal Regulations (or successor regulations) (commonly known as the HIPAA Security Rule).

(b) Reports

(1) Report on delegation. Not later than 60 days after delegating a representative under subsection (a), and any time a new representative is delegated under such subsection, the Secretary shall submit to the Committee on Health, Education, Labor, and Pensions of the Senate and the Committee on Energy and Commerce of the House of Representatives a report that describes how such representative will implement steps to improve internal and external cybersecurity resilience within the Healthcare and Public Health Sector.

(2) Annual report. Not later than 1 year after the date of enactment of this Act, and annually thereafter, the Secretary shall submit to the Committee on Health, Education, Labor, and Pensions of the Senate and the Committee on Energy and Commerce of the House of Representatives a report on the state of cybersecurity in the Healthcare and Public Health Sector, including—

(A) an assessment of the most significant cybersecurity threats and vulnerabilities facing the Healthcare and Public Health Sector;

(B) a summary of major cybersecurity incidents affecting the Healthcare and Public Health Sector during the preceding year;

(C) an assessment of the overall cybersecurity posture of the Healthcare and Public Health Sector;

(D) a description of actions taken by the Department of Health and Human Services to improve cybersecurity; and

(E) recommendations to improve Healthcare and Public Health Sector cybersecurity.