HIPAA compliance for chiropractic practices in North Dakota
North Dakota's general breach-notification statute excludes HIPAA covered entities outright, so for covered chiropractic practices the federal rules govern and the state statute adds no separate notification duty. Patient Protect has not recorded any North Dakota rule that applies to chiropractic practices differently from other providers in the state — the statewide rules below are the ones that reach you.
North Dakota jurisdiction record verified against primary state authority August 2026. General reference, not legal advice.
Does this reach your practice?
Two questions have to be settled before any state rule matters: whether HIPAA reaches a practice like yours, and whether North Dakota's own law reaches a practice that HIPAA already covers.
Federal — is this practice a covered entity
Chiropractic practices that electronically bill health plans, check eligibility, request authorization, or have a billing service do so are HIPAA covered entities. Medicare participation and electronic claims make coverage straightforward for many practices. Once covered, the duties below are required.
State — how North Dakota law interacts with HIPAA
North Dakota's general breach-notification statute expressly excludes HIPAA covered entities from its scope. For chiropractic practices that qualify as covered entities under 45 CFR §160.103, the federal rules govern and the state statute below adds no separate notification duty.
N.D. Cent. Code § 51-30-06 provides that 'A covered entity, business associate, or subcontractor subject to breach notification requirements under title 45, Code of Federal Regulations, subpart D, part 164, is considered to be in compliance with this chapter.' This is a full deemed-compliance provision that EXPRESSLY names covered entities, business associates, AND subcontractors — one of the cleanest primary-text formulations in the dataset. § 51-30-06 also contains parallel deemed-compliance provisions for entities maintaining internal notification procedures and for financial institutions/trust companies/credit unions subject to the Federal Interagency Guidance. For HIPAA-regulated CEs, BAs, and subcontractors operating in North Dakota, HIPAA/HITECH-compliant breach handling under 45 CFR Part 164 Subpart D constitutes compliance with § 51-30 in full — including the § 51-30-02 250-individual AG-notice obligation, which is part of Chapter 51-30.
What North Dakota adds for chiropractic practices specifically
Rules that exist because of the combination — not federal HIPAA, which applies the same way everywhere, and not North Dakota's general breach law, which applies the same way to every business in the state.
No verified intersection rules recorded
Patient Protect has not recorded any North Dakota rule that applies to chiropractic practices differently from any other practice in the state. Where that is the case, the federal obligations and the North Dakota rules below are the whole picture, and the chiropractors guidance that applies nationally is the better starting point.
HIPAA compliance for chiropractic practices→North Dakota breach obligations
These apply to businesses generally rather than to chiropractic practices in particular, and they are shown after applicability because whether they reach you depends on the answer above.
North Dakotabreach data →Individual notice deadline
In the most expedient time possible and without unreasonable delay, consistent with (i) the legitimate needs of law enforcement as provided in § 51-30-04, and (ii) any measures necessary to determine the scope of the breach and to restore the integrity of the data system. No numeric outer bound.
The statute sets no numeric outer bound. It is shown for context: a HIPAA covered entity is outside this section, so HIPAA's own 60-day individual-notice window is the operative deadline.
State regulator notice
Not required of covered entities
Any person that experiences a breach of the security system shall disclose to the North Dakota Attorney General by mail or electronic mail any breach of the security system which exceeds 250 individuals. This is a direct state-AG-notice obligation triggered by breach size, not by individual-notice.
That exclusion turns on covered-entity status. A practice that conducts no HIPAA standard transaction — and, where the exclusion names covered entities only, a business associate — is not outside the section, and the requirement below applies to it as written. Stated trigger: Breaches exceeding 250 North Dakota individuals.
Source: N.D. Cent. Code § 51-30-02
What applies to chiropractic practices everywhere
Chiropractic practices combine medical records, high patient volume, imaging, insurance claims, open treatment environments, workers' compensation, and personal-injury documentation. Each creates a different pathway through which PHI can be exposed.
Federal obligations still have to be evidenced for chiropractic practices in North Dakota.
The risk assessment asks what your practice actually does — which systems hold records, who reaches them, which vendors touch them — and reports against the obligations that apply to you, including the North Dakota rules on this page.
Start the risk assessment