{"id":51069,"date":"2023-03-17T13:32:07","date_gmt":"2023-03-17T13:32:07","guid":{"rendered":"https:\/\/packetstormsecurity.com\/news\/view\/34431\/Health-Leaders-Push-Feds-For-Cybersecurity-Requirements.html"},"modified":"2023-03-17T13:32:07","modified_gmt":"2023-03-17T13:32:07","slug":"health-leaders-push-feds-for-cybersecurity-requirements","status":"publish","type":"post","link":"https:\/\/www.threatshub.org\/blog\/health-leaders-push-feds-for-cybersecurity-requirements\/","title":{"rendered":"Health Leaders Push Feds For Cybersecurity Requirements"},"content":{"rendered":"
<\/div>\n

U.S. hospitals operate with minimal to no cybersecurity programs and face a bevy of challenges from staffing to COVID pandemic-related strains. These concerns prompted healthcare leaders to press legislators for federal incentives and new mandates for base-level cybersecurity standards.<\/p>\n

Kate Pierce, Fortified Health Security\u2019s senior virtual information security officer, outlined the current challenges facing healthcare at the Homeland and Governmental Affairs Committee on Thursday.<\/p>\n

But failure to implement best practice security isn’t necessarily rooted in a lack of lawmakers’ understanding.<\/p>\n

Under current regulations, healthcare delivery organizations are required to comply with the Health Insurance Portability and Accountability Act. The trouble is the Security Rule has just 42 controls<\/a>, compared to the NIST Cybersecurity Framework employed by most industries \u2014 except healthcare.<\/p>\n

And despite the minimum standards, a September 2020 CynergisTek report showed that just 76% of healthcare providers comply with the rule. These security gaps have left the industry with a heightened threat landscape, further compounded by a reliance on legacy platforms and an ever-expanding device inventory.<\/p>\n

Awareness of the issues is at an all time high, given the daily reports of hospital outages and massive data breaches; even congressional members have been impacted<\/a>.<\/p>\n

Further, healthcare organizations were required to perform risk assessments after the implementation of the HITECH Act in 2009, Pierce explained. \u201cSo everyone is now aware of where their risks are.\u201d But “they’re choosing to accept those risks in lieu of mostly financial reasons where they can’t afford or can’t staff their personnel to address those risks,\u201d she added.<\/p>\n

\u201cSmall and rural facilities are currently devastated by the pandemic with staffing shortages. They\u2019ve seen significant increases in cost with supply chain and technical costs skyrocketing,\u201d said Pierce. These facilities also tend to serve lower income patients, as the Medicaid population is typically higher in rural facilities.<\/p>\n

That means hospitals, already operating in the red, then have to wait for Medicaid reimbursement for payment, which historically lags and is lower than the average cost of care. These hospitals are facing high costs, combined with some entities running 5% to 10% below budget for their facilities.<\/p>\n

By moving to a required security model, \u201cI believe that those recommendations and guidance will be very helpful in moving that sector to secure their environments.\u201d Especially as the challenges facing these entities will only worsen with the continued expansion of digital health and connected devices and cybersecurity remains a second thought.<\/p>\n

\u201cCybersecurity initiatives cannot be considered in isolation,\u201d said Pierce. \u201cCybersecurity should be a built-in requirement for all hospitals with minimum standards, and Medicaid should be reimbursed at cost.\u201d<\/p>\n

This can be through hospital subsidies, in the form of grants, by increasing reimbursement for Medicaid services, or cyber incentive programs, as cybersecurity, or lack thereof, has a direct and immediate impact on patient care.<\/p>\n

Not another framework: Senate urged to use industry guidance<\/h2>\n

That\u2019s not to say the government needs to start from scratch on building a framework. As SC Media has extensively reported<\/a>, there\u2019s no shortage of recommendations or guidance \u2014 and much of it is freely available.<\/p>\n

The leading recommendation from healthcare stakeholder groups is to leverage existing guidance developed \u201cby the sector for the sector and jointly with the Department of Health and Human Services,\u201d Greg Garcia, executive director of cyber security for the Healthcare and Public Health Sector Coordinating Council, told the committee.<\/p>\n

Developed by the section 405d task group, the five-volume voluntary guidance will be updated in a few weeks as Health Industry Cybersecurity Practices 2023. Garcia added that these are developed practices of \u201cminimum security standards all health systems should be implementing.\u201d<\/p>\n

\u201cThere is a glut of information security best practices out there,\u201d said Garcia. The government just needs \u201cto pick one because there is a lot of confusion.\u201d HSCC advocates for the HICP, as it\u2019s \u201cprobably the best effort at a joint government industry publication offered freely accessible to all health systems.\u201d<\/p>\n

But once a framework is chosen, the Cybersecurity and Infrastructure Security Agency needs to \u201cfollow and push that along with\u201d the industry, he continued.<\/p>\n

As it stands, it\u2019s the small, rural, and other low-resourced entities that are unable to make use of available information, explained Pierce. \u201cIt’s not a priority currently because there are so many other things that are competing with it.\u201d That, and there may or may not be the staff to put those best practices into place.<\/p>\n

Particularly as these are just just a set of recommendations and not a requirement.<\/p>\n

The healthcare sector also needs help ensuring there is adequate staff to execute and implement those best practices, said Dresen.<\/p>\n

Ideally, the government would advocate or sponsor \u201cprogramming to help build a cyber educated workforce,\u201d explained Dresen. That way, there are enough qualified individuals to join these under-resourced entities to implement the best practices.<\/p>\n

In its current state, \u201cnearly all the staff in critical access hospitals or small facilities wear many hats,\u201d Pierce added. \u201cThey don’t specifically focus on cybersecurity.\u201d<\/p>\n

Some type of workforce program, previously introduced by Sen. Mark Warner, D-Va., \u201cwould be extremely useful in the context of healthcare\u201d and give these entities the \u201dability to hire people and get them implementing those best practices to support our protections,\u201d said Dresen.<\/p>\n

Beyond the echo chamber<\/h2>\n

The committee meeting provided insights industry stakeholders have been seeking from the government for several years. At a similar hearing in May 2022, Josh Corman<\/a>, founder of the voluntary organization of security professionals I am the Cavalry, warned that \u201cvoluntary practices, where we take our time, have not proven sufficient to transcend the market failures.\u201d <\/p>\n

Despite warning that there simply isn\u2019t \u201csufficient reach to these cyber-poor [organizations],\u201d it wasn\u2019t until Warner\u2019s policy options were released in the fall that it seemed like stakeholders\u2019 concerns were being heard. The paper mirrored Corman\u2019s previous warning, \u201cCongress wants action, entities must be incentivized to do so: \u201cwe need sticks and carrots.\u201d<\/p>\n

Christian Dameff, MD, an emergency room physician at the University of California San Diego, made similar statements in April 2022 to Congress.<\/a><\/p>\n

Healthcare sector leaders are growing worried that federal support will continue to take time. Pierce urged the committee \u201cto not delay any longer. \u201cMany [hospitals] are already on the brink of closure.\u201d<\/p>\n

\u201cWith the competing priorities\u2026 it’s very difficult to focus on something that is not required,\u201d said Pierce. \u201cIf I had 10 things to do today, and I knew that two of them were mandated\u2026 those are the things that I’ll focus on.\u201d As the government continues to seek recommendations, leadership must make it an imperative to implement best practice standards.<\/p>\n

But not \u201cwithout supporting us in achieving those standards,\u201d she concluded.<\/p>\n

READ MORE HERE<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"

READ MORE HERE…<\/p>\n","protected":false},"author":2,"featured_media":51070,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"colormag_page_layout":"default_layout","footnotes":""},"categories":[60],"tags":[372],"class_list":["post-51069","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-packet-storm","tag-headlinegovernmentusa"],"yoast_head":"\nHealth Leaders Push Feds For Cybersecurity Requirements 2026 | ThreatsHub Cybersecurity News<\/title>\n<meta name=\"description\" content=\"ThreatsHub Cybersecurity News | ThreatsHub.org | Cloud Security & Cyber Threats Analysis Hub. 100% Free OSINT Threat Intelligent and Cybersecurity News.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.threatshub.org\/blog\/health-leaders-push-feds-for-cybersecurity-requirements\/\" 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