HIPAA Compliance
HIPAA Compliance

Are Schools Subject to HIPAA? Understanding Privacy Laws in Education

May 28, 2025

Privacy laws in education can be a bit of a head-scratcher, especially when trying to distinguish between HIPAA and other privacy regulations like FERPA. You might be wondering if schools have to comply with HIPAA when they handle student health information. This blog post will guide you through the nuances of privacy laws in education, focusing on whether schools are subject to HIPAA, and what that means for educators, parents, and students alike.

The Basics of HIPAA and FERPA

First things first, let's unravel what HIPAA and FERPA actually are. HIPAA, the Health Insurance Portability and Accountability Act, was enacted in 1996 primarily to protect sensitive patient health information from being disclosed without the patient's consent or knowledge. It's like the bouncer of health information, ensuring only the right people have access.

FERPA, or the Family Educational Rights and Privacy Act, is more like the gatekeeper of educational records. Enacted in 1974, this law gives parents certain rights regarding their children's education records. Once a student turns 18 or attends a school beyond the high school level, those rights transfer to the student.

Both of these laws serve to protect privacy, but they operate in different arenas. HIPAA is mostly concerned with healthcare settings, while FERPA focuses on educational environments. So, where do schools fit in between these two? Let's explore that next.

When HIPAA Steps In

Generally, HIPAA applies to "covered entities", which include healthcare providers, health plans, and healthcare clearinghouses. Schools typically don't fall under these categories. However, there's a slight twist. If a school employs a healthcare provider, like a nurse or a therapist, and bills electronically for their services, then that specific component of the school might be subject to HIPAA.

Imagine a school with its own clinic. If that clinic is billing Medicaid for its services, it would need to comply with HIPAA for those transactions. But here's where it gets interesting: if the same clinic provides services without billing electronically, HIPAA wouldn't apply. It's all about those electronic transactions.

FERPA's Role in Schools

FERPA is the main player when it comes to privacy in schools. It covers educational records, which can sometimes include health information. For instance, a student's immunization records or records of counseling sessions held by school staff are protected under FERPA, not HIPAA.

FERPA gives parents the right to access their child's education records and request amendments to them. Schools must have written permission from the parent or eligible student to release any information from a student's education record. So, if you're a parent, FERPA is like your backstage pass to your child's educational information.

HIPAA vs. FERPA: The Overlapping Zone

There are scenarios where HIPAA and FERPA might seem to overlap, but they rarely do. The key distinction is the type of institution and how they handle records. If a student's health information is part of their educational record at a school that receives funding from the U.S. Department of Education, FERPA applies.

On the flip side, if a student receives care from a healthcare provider not affiliated with the school, HIPAA would govern those records. It's a bit like a Venn diagram where the two circles almost touch, but not quite. Each law has its own distinct domain.

How Schools Manage Student Health Information

Schools often have to handle student health information, whether it's managing allergies, chronic conditions, or general well-being. Under FERPA, schools are required to protect the confidentiality of this sensitive information, ensuring it's only accessible to those who need to know.

For instance, if a student has a peanut allergy, teachers and cafeteria staff need to be aware to prevent any mishaps. However, this information shouldn't be shared beyond what's necessary. Schools must carefully walk the line between ensuring student safety and maintaining privacy.

When HIPAA Might Apply in Schools

There are unique circumstances where HIPAA could come into play in a school setting. For example, if a school-based health center provides services to non-students or operates independently from the school, it might be considered a separate entity subject to HIPAA.

Another scenario could involve a school providing health services and billing a third party, like an insurance company. In this case, the school could be seen as a healthcare provider, bringing HIPAA into the picture. It's not common, but it's important to be aware of these nuances.

The Role of Technology in Maintaining Compliance

With the advent of technology, schools are increasingly using digital platforms to manage student information. This brings about new challenges in maintaining compliance with FERPA, and occasionally HIPAA. Schools need robust systems to ensure data is stored securely and access is appropriately restricted.

This is where tools like Feather can be incredibly helpful. Feather's HIPAA-compliant AI assists schools in managing health-related tasks efficiently. Whether it's summarizing health records or automating administrative tasks, Feather ensures that sensitive data is handled with care, all while boosting productivity.

Practical Tips for Educators and Administrators

For educators and school administrators, understanding these privacy laws and how they intersect is crucial. Here are some practical tips to keep in mind:

  • Know the laws: Familiarize yourself with both HIPAA and FERPA. While HIPAA might not directly apply to your school, understanding its principles can help guide best practices for handling health information.
  • Keep parents informed: Communication is key. Let parents know how their child's information is being protected and how they can access it.
  • Implement secure systems: Use reliable platforms and software to manage student records. Ensure these systems comply with FERPA standards.
  • Train staff: Regular training sessions can keep staff informed about privacy protocols and how to handle sensitive information responsibly.

Feather's Role in Enhancing Compliance

While navigating privacy laws can be tricky, leveraging technology can make it a lot easier. With Feather, schools can manage tasks like drafting letters, extracting data, and storing documents securely, all while ensuring compliance with privacy standards.

Feather offers an AI-powered assistant that's HIPAA-compliant, making it a great choice for schools that need to maintain the confidentiality of student health information. By automating repetitive tasks, Feather frees up educators to focus on what matters most: teaching and supporting students.

Common Misconceptions About HIPAA and Schools

There are several misconceptions about how HIPAA applies to schools. Some might think that any health information shared within a school automatically falls under HIPAA. However, as we've discussed, FERPA is usually the governing law in educational settings.

It's also a common belief that all school-based health services are subject to HIPAA. This isn't necessarily the case. The determining factor is often whether the service provider bills electronically. Understanding these distinctions can help clear up confusion and ensure compliance.

Why This Matters for Parents and Students

Parents and students have a vested interest in how schools manage personal information. Knowing that their data is protected can provide peace of mind. Additionally, understanding these laws empowers parents and students to exercise their rights, such as accessing records or requesting amendments.

By ensuring compliance with FERPA and understanding when HIPAA might apply, schools demonstrate their commitment to safeguarding student information. This builds trust and fosters a cooperative relationship between schools and families.

Final Thoughts

In the complex landscape of privacy laws, schools play a pivotal role in protecting student information. While HIPAA is generally not the main concern for schools, understanding its intersection with FERPA is essential. Tools like Feather make compliance more manageable by automating tasks and securely handling data, allowing educators to focus on what they do best—teaching. With the right processes and tools in place, schools can confidently navigate the intricacies of privacy laws and ensure the safety and privacy of all students.

Feather is a team of healthcare professionals, engineers, and AI researchers with over a decade of experience building secure, privacy-first products. With deep knowledge of HIPAA, data compliance, and clinical workflows, the team is focused on helping healthcare providers use AI safely and effectively to reduce admin burden and improve patient outcomes.

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