Lance's Corner

NYSAG Takes Action Against Health Care Provider for Cybersecurity Breach

Oct 30, 2024

Per the notice below, the New York State Attorney General (NYSAG) has taken action against a health care provider for failing to adequately address the cybersecurity of patient data.

Attorney General James Secures $2.25 Million from Capital Region Health Care Provider to Protect Patient Data

Cyberattacks on AENT Compromised the Medical Records of Over 200,000 New Yorkers, AENT to Pay Penalty and Invest $2.25 Million in Data Security

New York Attorney General Letitia James today secured $2.25 million from a Capital Region health care provider, Albany ENT & Allergy Services, P.C. (AENT) for failing to protect the private information and medical data of New Yorkers.  In 2023, AENT suffered two cyberattacks that compromised the medical records of over 200,000 New York patients.  The Office of the Attorney General (OAG) found that AENT did not maintain reasonable safeguards to protect patient data and did not adequately respond to the cyberattacks on its systems.  Today’s agreement requires AENT to pay $500,000 in penalties and invest $2.25 million to strengthen its information security practices to protect patient data.

“No one should have to worry about having their data stolen simply because they visited a doctor,” said Attorney General James.  “Health care facilities need to take protecting patients’ private information seriously, and that means investing to protect data and responding quickly if breaches occur.  Today’s agreement with AENT will strengthen its cybersecurity and protect the private information of New Yorkers who rely on this Capital Region medical provider.  I urge all health care facilities and general companies to follow guidance from my office on how to have more secure systems to protect New Yorkers’ data.”

AENT operates specialized medical facilities in the Capital Region with expertise in medical and surgical needs involving the ears, nose, and throat.  In 2023, AENT suffered ransomware attacks from two different threat actors on two separate occasions, only 10 days apart.  After the second attack, AENT hired a different cybersecurity firm, which identified the vulnerability that allowed hackers to access its system and corrected those vulnerabilities before restoring the system.  AENT determined that the cyberattacks were able to access AENT data storage devices containing the patient records of 213,935 New Yorkers.  These patient records included information such as name, address, date of birth, driver’s license number, social security number, diagnosis, conditions, lab results, medications, and other treatment information.  AENT initially disclosed that the records included the social security numbers of over 120,000 New Yorkers.  The OAG investigation determined that AENT had not initially disclosed to the state the exposure of over 80,000 New York resident driver’s license numbers.  The investigation also discovered that AENT’s data storage devices continued to host unprotected private information months after the two ransomware incidents occurred.  AENT did not internally employ anyone with information security expertise and outsourced its information security program to two third-party vendors.  The OAG investigation concluded that AENT failed to adequately monitor the third-party vendors responsible for their cybersecurity functions.  As a result, those vendors did not timely install critical security software updates, adequately log and monitor network activity, properly encrypt consumers’ private information before and after the attacks, utilize multi-factor authentication for all remote access, or otherwise maintain a reasonable information security program.  As a result of today’s agreement, AENT will invest $2.25 million in its information security program over five years and offer affected consumers one year of free credit monitoring.  AENT is also required to establish and maintain:

  • A comprehensive information security program to protect private information;
  • An inventory of all the private information on its networks, systems, and devices;
  • Encryption of all private information, whether stored or transmitted;
  • Multi-factor authentication on devices that remotely access resources and data;
  • Controls to monitor and log all security and operational activity;
  • A process to confirm critical security updates are installed in a timely manner;
  • An incident response plan for potential data security events; and
  • Oversight of information security vendors.

AENT is also required to pay $1 million in penalties and costs to the state, of which $500,000 will be suspended so long as the company spends $2.25 million over the next five years to upgrade and maintain its information security program.

Attorney General James has taken major actions to hold companies accountable for having poor cybersecurity and to improve data security practices.  In August 2024, Attorney General James and a multistate coalition secured $4.5 million from a biotech company for failing to protect patient data.  In July 2024, Attorney General James launched two privacy guides, a Business Guide to Website Privacy Controls and a Consumer Guide to Tracking on the Web, to help businesses and consumers protect themselves.  In July 2024, Attorney General James issued a consumer alert to raise awareness about free credit monitoring and identity theft protection services available for millions of consumers impacted by the Change Healthcare data breach.  In March 2024, Attorney General James led a bipartisan coalition of 41 attorneys general in sending a letter to Meta Platforms, Inc (Meta) addressing the recent rise of Facebook and Instagram account takeovers by scammers and frauds.  In January 2024, Attorney General James reached an agreement with a Hudson Valley health care provider to invest $1.2 million to protect patient data.

USDOL Issues Comprehensive Employer Guidance on Long COVID

The United States Department of Labor (USDOL) has issued a comprehensive set of resources that can be accessed below for employers on dealing with Long COVID.

Supporting Employees with Long COVID: A Guide for Employers

The “Supporting Employees with Long COVID” guide from the USDOL-funded Employer Assistance and Resource Network on Disability Inclusion (EARN) and Job Accommodation Network (JAN) addresses the basics of Long COVID, including its intersection with mental health, and common workplace supports for different symptoms.  It also explores employers’ responsibilities to provide reasonable accommodations and answers frequently asked questions about Long COVID and employment, including inquiries related to telework and leave.

Download the guide

Accommodation and Compliance: Long COVID

The Long COVID Accommodation and Compliance webpage from the USDOL-funded Job Accommodation Network (JAN) helps employers and employees understand strategies for supporting workers with Long COVID.  Topics include Long COVID in the context of disability under the Americans with Disabilities Act (ADA), specific accommodation ideas based on limitations or work-related functions, common situations and solutions, and questions to consider when identifying effective accommodations for employees with Long COVID.  Find this and other Long COVID resources from JAN, below:

Long COVID, Disability and Underserved Communities: Recommendations for Employers

The research-to-practice brief “Long COVID, Disability and Underserved Communities” synthesizes an extensive review of documents, literature and data sources, conducted by the USDOL-funded Employer Assistance and Resource Network on Disability Inclusion (EARN) on the impact of Long COVID on employment, with a focus on demographic differences.  It also outlines recommended actions organizations can take to create a supportive and inclusive workplace culture for people with Long COVID, especially those with disabilities who belong to other historically underserved groups.

Read the brief

Long COVID and Disability Accommodations in the Workplace

The policy brief “Long COVID and Disability Accommodations in the Workplace” explores Long COVID’s impact on the workforce and provides examples of policy actions different states are taking to help affected people remain at work or return when ready.  It was developed by the National Conference of State Legislatures (NCSL) as part of its involvement in USDOL’s State Exchange on Employment and Disability (SEED) initiative.

Download the policy brief

Understanding and Addressing the Workplace Challenges Related to Long COVID

The report “Understanding and Addressing the Workplace Challenges Related to Long COVID” summarizes key themes and takeaways from an ePolicyWorks national online dialogue through which members of the public were invited to share their experiences and insights regarding workplace challenges posed by Long COVID.  The dialogue took place during summer 2022 and was hosted by USDOL and its agencies in collaboration with the Centers for Disease Control and Prevention and the U.S. Surgeon General.

Download the report

Working with Long COVID

The USDOL-published “Working with Long COVID” fact sheet shares strategies for supporting workers with Long COVID, including accommodations for common symptoms and resources for further guidance and assistance with specific situations.

Download the fact sheet

COVID-19: Long-Term Symptoms

This USDOL motion graphic informs workers with Long COVID that they may be entitled to temporary or long-term supports to help them stay on the job or return to work when ready, and shares where they can find related assistance.

Watch the motion graphic

A Personal Story of Long COVID and Disability Disclosure

In the podcast “A Personal Story of Long COVID and Disability Disclosure,” Pam Bingham, senior program manager for Intuit’s Diversity, Equity and Inclusion in Tech team, shares her personal experience of navigating Long COVID symptoms at work.  The segment was produced by the USDOL-funded Partnership on Employment and Accessible Technology (PEAT) as part of its ongoing “Future of Work” podcast series.

Listen to the podcast

HHS OIG Issues Annual Report on State MFCUs

Per the notice below, the Office of the Inspector General (OIG) of the United States Department of Health and Human Services (HHS) has issued its annual report on the performance of state Medicaid Fraud Control Units (MFCUs).

Medicaid Fraud Control Units Fiscal Year 2023 Annual Report (OEI-09-24-00200) 

Medicaid Fraud Control Units (MFCUs) investigate and prosecute Medicaid provider fraud and patient abuse or neglect. OIG is the Federal agency that oversees and annually approves federal funding for MFCUs through a recertification process. This new report analyzed the statistical data on annual case outcomes—such as convictions, civil settlements and judgments, and recoveries—that the 53 MFCUs submitted for Fiscal Year 2023.  New York data is as follows:

Outcomes

  • Investigations1 - 556
  • Indicted/Charged - 9
  • Convictions - 8
  • Civil Settlements/Judgments - 28
  • Recoveries2 - $73,204,518

Resources

  • MFCU Expenditures3 - $55,964,293
  • Staff on Board4 - 257

1Investigations are defined as the total number of open investigations at the end of the fiscal year.

2Recoveries are defined as the amount of money that defendants are required to pay as a result of a settlement, judgment, or prefiling settlement in criminal and civil cases and may not reflect actual collections.  Recoveries may involve cases that include participation by other Federal and State agencies.

3MFCU and Medicaid Expenditures include both State and Federal expenditures.

4Staff on Board is defined as the total number of staff employed by the Unit at the end of the fiscal year.

Read the Full Report

View the Statistical Chart

Engage with the Interactive Map

GAO Issues Report on Medicaid Managed Care Service Denials and Appeal Outcomes

The United States Government Accountability Office (GAO) has issued a report on federal use of state data on Medicaid managed care service denials and appeal outcomes.  GAO found that federal oversight is limited because it doesn't require states to report on Medicaid managed care service denials or appeal outcomes and there has not been much progress on plans to analyze and make the data publicly available.  To read the GAO report on federal use of state data on Medicaid managed care service denials and appeal outcomes, use the first link below.  To read GAO highlights of the report on federal use of state data on Medicaid managed care service denials and appeal outcomes, use the second link below.
https://www.gao.gov/assets/d24106627.pdf  (GAO report on federal use of state data on Medicaid managed care service denials and appeal outcomes)
https://www.gao.gov/assets/d24106627_high.pdf  (GAO highlights on federal use of state data on Medicaid managed care service denials and appeal outcomes)

CMS Issues Latest Medicare Regulatory Activities Update

The Centers for Medicare and Medicaid Services (CMS) has issued its latest update on its regulatory activities in the Medicare program.  While dentistry is only minimally connected to the Medicare program, Medicare drives the majority of health care policies and insurance reimbursement policies throughout the country.  Therefore, it always pays to keep a close eye on what CMS is doing in Medicare.  To read the latest CMS update on its regulatory activities in Medicare, use the link below.
https://www.cms.gov/training-education/medicare-learning-network/newsletter/2024-03-14-mlnc