Therapy HIPAA Hub
HIGH URGENCY — Washington

HIPAA Compliance for Telehealth Therapists in Seattle, Washington — 2026 Guide

Washington state's My Health MY Data Act (2023) creates additional obligations for telehealth therapists. This guide covers what telehealth therapists in Seattle must do before the February 16, 2026 HIPAA deadline — and the most common violations that trigger OCR audits in Washington.

$43,000

Average HIPAA fine in Washington

WA state law went into effect March 2024 — most therapists unaware.

Source: HHS Office for Civil Rights enforcement data, 2025

Top HIPAA Violations for Telehealth Therapists in Seattle

1

No informed consent for telehealth recording

2

Unencrypted session notes synced to personal cloud

3

Missing BAA with teletherapy platform

The #1 Tech Compliance Gap for Telehealth Therapists

Washington's My Health MY Data Act adds extra requirements beyond HIPAA

SimplePractice solves this with a signed BAA, encrypted messaging, and HIPAA-compliant telehealth — all in one platform.

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Frequently Asked Questions

Does a telehealth therapist in Seattle need to comply with HIPAA?

Washington state's My Health MY Data Act (2023) creates additional obligations for telehealth therapists.

What is the average HIPAA fine in Washington?

The average HIPAA fine for therapy practices in Washington is $43,000. WA state law went into effect March 2024 — most therapists unaware.

What is the February 2026 HIPAA deadline?

By February 16, 2026, all covered entities including therapy practices must update their Notice of Privacy Practices (NPP) to reflect the new HIPAA Privacy Rule requirements around patient rights and data access. Failure to update is an automatic violation.

What is SimplePractice and does it solve HIPAA compliance?

SimplePractice is a HIPAA-compliant practice management platform used by 225,000+ therapists. It includes a signed Business Associate Agreement (BAA), encrypted client messaging, HIPAA-compliant telehealth, and documentation tools. It does not replace a full Security Risk Assessment but covers most day-to-day compliance gaps.