Reorganize brain: projects/ top level, rename filenames, update homepage

- Moved everything from ideas/passepartout/ to projects/passepartout/
- Moved legal structures to projects/flags/
- Created missing _index.org files for all subdirectories
- Stripped redundant passepartout- prefix from filenames
- Rewrote root _index.org as generalized brain index (projects + concepts)
- Updated Hugo nav to Projects/Concepts
- Updated build script section descriptions
- Deleted stale ideas/passepartout-economics.md orphan
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:PROPERTIES:
:ID: 84fb5f8f-0527-4df0-b6b6-dbf3bcff8a7f
:ID: auto-hipaa
:CREATED: [2026-05-23 Sat]
:END:
#+title: HIPAA (Health Insurance Portability and Accountability Act)
#+filetags: :passepartout:compliance:framework:hipaa:
* HIPAA (Health Insurance Portability and Accountability Act)
** What it is
US federal law enacted 1996. Governs how protected health information (PHI)
is stored, transmitted, and accessed. Two relevant rules:
- **Privacy Rule:** controls use and disclosure of PHI. Patients have rights
to access, amend, and request accounting of disclosures. Minimum necessary
standard — only the minimum PHI needed for the task may be used.
- **Security Rule:** administrative, physical, and technical safeguards for
electronic PHI (ePHI). Requires access controls, audit controls, integrity
controls, person/entity authentication, and transmission security.
** Who must comply
Covered entities (health plans, healthcare clearinghouses, healthcare providers
who transmit any ePHI) and business associates (any vendor handling PHI on behalf
of a covered entity). Business Associate Agreements (BAAs) are mandatory.
** Penalties
Tiered civil penalties: $100-$50,000 per violation, up to $1.5M per year per
violation category. Criminal penalties for knowing misuse (up to 10 years
imprisonment). State AGs can also bring civil actions.
** Why it matters for Passepartout
HIPAA is the largest single compliance market in US healthcare — every hospital,
clinic, insurer, and health-tech vendor must comply. The [[id:c34940cc-090e-57c4-8020-e78b1d32b96c][HIPAA gate package]]
($50K/yr) encodes the Privacy Rule and Security Rule as ACL2-verifiable gate
constraints. Every PHI access attempt passes through the gate stack, producing
a machine-checkable audit trail that satisfies the Security Rule's audit control
requirement automatically. No separate logging infrastructure needed. Over a
five-year deployment, the accumulated fact store and proof history create
[[id:2f783eb4-638e-5afa-9b59-6224d086a712][infrastructure lock-in]] — switching to a competitor means discarding all of it.