Sarbanes-Oxley Act (SOX)

 

The most contentious aspect of SOX is Section 404, which requires management and the external auditor to report on the adequacy of the company's internal control over financial reporting (ICFR). This is the most costly (and, therefore, most important) aspect of the legislation for companies to implement, as documenting and testing important financial manual and automated controls requires enormous effort.

 

Both management and the external auditor are responsible for performing their assessment in the context of a top-down risk assessment, which requires management to base both the scope of its assessment and evidence gathered on risk. Both the Public Company Accounting Oversight Board (PCAOB) and Securities Exchange Commission (SEC) recently issued guidance on this topic to help alleviate the significant costs of compliance and better focus the assessment on the most critical risk areas.

 

The SEC identifies the Committee of Sponsoring Organizations of the Treadway Commission (COSO) framework by name as a methodology for achieving compliance.   According to the COSO framework, internal control consists of five interrelated components.  These components provide an effective framework for describing and analyzing the internal control system implemented in an organization. The five components are the following:

 

Control environment: The control environment sets the tone of an organization, influencing the control consciousness of its people. It is the foundation for all other components of internal control, providing discipline and structure. Control environment factors include the integrity, ethical values, management's operating style, delegation of authority systems, as well as the processes for managing and developing people in the organization.

 

Risk assessment: Every entity faces a variety of risks from external and internal sources that must be assessed. A precondition to risk assessment is establishment of objectives and thus risk assessment is the identification and analysis of relevant risks to achievement of assigned objectives. Risk assessment is a prerequisite for determining how the risks should be managed.

 

Control activities: Control activities are the policies and procedures that help ensure management directives are carried out. They help ensure that necessary actions are taken to address risks to achievement of the entity's objectives. Control activities occur throughout the organization, at all levels and in all functions. They include a range of activities as diverse as approvals, authorizations, verifications, reconciliations, reviews of operating performance, security of assets and segregation of duties.

 

Information and communication: Information systems play a key role in internal control systems as they produce reports, including operational, financial and compliance-related information that make it possible to run and control the business. In a broader sense, effective communication must ensure information flows down, across and up the organization. Effective communication should also be ensured with external parties, such as customers, suppliers, regulators and shareholders.

 

Monitoring: Internal control systems need to be monitored—a process that assesses the quality of the system's performance over time. This is accomplished through ongoing monitoring activities or separate evaluations. Internal control deficiencies detected through these monitoring activities should be reported upstream and corrective actions should be taken to ensure continuous improvement of the system.

 

Health Insurance Portability & Accountability Act (HIPAA)

 

Title II of HIPAA defines numerous offenses relating to health care and sets civil and criminal penalties for them. It also creates several programs to control fraud and abuse within the health care system.  However, the most significant provisions of Title II are its Administrative Simplification (AS) rules.  The relevant rules to the Healthcare Industry are the Privacy Rule and the Security Rule.

 

The Privacy Rule establishes regulations for the use and disclosure of Protected Health Information (PHI). PHI is any information about health status, provision of health care, or payment for health care that can be linked to an individual. This is interpreted rather broadly and includes any part of a patient’s medical record or payment history.

 

A covered entity may disclose PHI to facilitate treatment, payment, or health care operations or if the covered entity has obtained authorization from the individual. However, when a covered entity discloses any PHI, it must make a reasonable effort to disclose only the minimum necessary information required to achieve its purpose.

 

The Privacy Rule gives individuals the right to request that a covered entity correct any inaccurate PHI. It also requires covered entities to take reasonable steps to ensure the confidentiality of communications with individuals. For example, an individual can ask to be called at his or her work number, instead of home or cell phone number.

 

The Privacy Rule requires covered entities to notify individuals of uses of their PHI. Covered entities must also keep track of disclosures of PHI and document privacy policies and procedures. They must appoint a Privacy Official and a contact person responsible for receiving complaints and train all members of their workforce in procedures regarding PHI.

 

The Security Rule complements the Privacy Rule. While the privacy pertains to all (PHI) protected heath information, including paper and Electronic. The Security rule deals specifically with (EPHI) electronic protected health information. It lays out three types of security safeguards required for compliance: administrative, physical, and technical. For each of these types, the Rule identifies various security standards, and for each standard, it names both required and addressable implementation specifications. Required specifications must be adopted and administered as dictated by the Rule. Addressable specifications are more flexible. Individual covered entities can evaluate their own situation and determine the best way to implement addressable specifications. The standards and specifications are as follows:

 

Administrative Safeguards - policies and procedures designed to clearly show how the entity will comply with the act

Covered entities (entities that must comply with HIPAA requirements) must adopt a written set of privacy procedures and designate a privacy officer to be responsible for developing and implementing all required policies and procedures.

 

The policies and procedures must reference management oversight and organizational buy-in to compliance with the documented security controls.

 

Procedures should clearly identify employees or classes of employees who will have access to electronic protected health information (EPHI). Access to EPHI must be restricted to only those employees who have a need for it to complete their job function.

 

The procedures must address access authorization, establishment, modification, and termination.

 

Entities must show that an appropriate ongoing training program regarding the handling of PHI is provided to employees performing health plan administrative functions.

 

Covered entities that out-source some of their business processes to a third party must ensure that their vendors also have a framework in place to comply with HIPAA requirements. Companies typically gain this assurance through clauses in the contracts stating that the vendor will meet the same data protection requirements that apply to the covered entity. Care must be taken to determine if the vendor further out-sources any data handling functions to other vendors and monitor whether appropriate contracts and controls are in place.

 

A contingency plan should be in place for responding to emergencies. Covered entities are responsible for backing up their data and having disaster recovery procedures in place. The plan should document data priority and failure analysis, testing activities, and change control procedures.

 

Internal audits play a key role in HIPAA compliance by reviewing operations with the goal of identifying potential security violations. Policies and procedures should specifically document the scope, frequency, and procedures of audits. Audits should be both routine and event-based.

 

Procedures should document instructions for addressing and responding to security breaches that are identified either during the audit or the normal course of operations.

 

Physical Safeguards - controlling physical access to protect against inappropriate access to protected data.

 

Controls must govern the introduction and removal of hardware and software from the network. (When equipment is retired it must be disposed of properly to ensure that PHI is not compromised.)

 

Access to equipment containing health information should be carefully controlled and monitored.

 

Access to hardware and software must be limited to properly authorized individuals.

 

Required access controls consist of facility security plans, maintenance records, and visitor sign-in and escorts.

 

Policies are required to address proper workstation use. Workstations should be removed from high traffic areas and monitor screens should not be in direct view of the public.

 

If the covered entities utilize contractors or agents, they too must be fully trained on their physical access responsibilities.

 

Technical Safeguards - controlling access to computer systems and enabling covered entities to protect communications containing PHI transmitted electronically over open networks from being intercepted by anyone other than the intended recipient.

 

Information systems housing PHI must be protected from intrusion. When information flows over open networks, some form of encryption must be utilized. If closed systems/networks are utilized, existing access controls are considered sufficient and encryption is optional.

 

Each covered entity is responsible for ensuring that the data within its systems has not been changed or erased in an unauthorized manner.

 

Data corroboration, including the use of check sum, double-keying, message authentication, and digital signature may be used to ensure data integrity.

Covered entities must also authenticate entities it communicates with.

 

Authentication consists of corroborating that an entity is who it claims to be. Examples of corroboration include: password systems, two or three-way handshakes, telephone callback, and token systems.

 

Covered entities must make documentation of their HIPAA practices available to the government to determine compliance.

 

In addition to policies and procedures and access records, information technology documentation should also include a written record of all configuration settings on the components of the network because these components are complex, configurable, and always changing.

 

Documented risk analysis and risk management programs are required. Covered entities must carefully consider the risks of their operations as they implement systems to comply with the act. (The requirement of risk analysis and risk management implies that the act’s security requirements are a minimum standard and places responsibility on covered entities to take all reasonable precautions necessary to prevent PHI from being used for non-health purposes.)

 

Gramm-Leach-Bliley (GLB) Act

 

Many companies collect personal information from their customers, including names, addresses, and phone numbers; bank and credit card account numbers; income and credit histories; and Social Security numbers. The Gramm-Leach-Bliley (GLB) Act requires companies defined under the law as “financial institutions” to ensure the security and confidentiality of this type of information.  The definition of “financial institution” under the Act is broad, and includes many businesses that may not normally describe themselves that way.  The GLB Act applies to all businesses, regardless of size, that are “significantly engaged” in providing financial products or services. These include, for example, check-cashing businesses, payday lenders, mortgage brokers, nonbank lenders, real estate appraisers, and professional tax preparers.

 

The Federal Financial Institutions Examination Council (FFIEC) is a formal interagency body empowered to prescribe uniform principles, standards, and report forms for the federal examination of financial institutions by the Board of Governors of the Federal Reserve System (FRB), the Federal Deposit Insurance Corporation (FDIC), the National Credit Union Administration (NCUA), the Office of the Comptroller of the Currency (OCC), and the Office of Thrift Supervision (OTS), and to make recommendations to promote uniformity in the supervision of financial institutions.

 

Payment Card Industry, Data Security Standard (PCI/DSS)

 

The Payment Card Industry Security Standards Council was founded by American Express, Discover Financial Services, JCB, MasterCard Worldwide, and Visa International.  The PCI Security Standards Council created the Data Security Standards.  The Payment Card Industry (PCI) Data Security Standards apply to all members, merchants, and service providers that store, process or transmit credit or debit cardholder data.  Additionally, these security requirements apply to all “system components” which is defined as any network component, server, or application included in, or connected to, the cardholder data environment. Network components, include, but are not limited to, firewalls, switches, routers, wireless access points, network appliances, and other security appliances. Servers include, but are not limited to, Web, database, authentication, Domain Name Service (DNS), mail, proxy, and Network Time Protocol (NTP). Applications include all purchased and custom applications, including internal and external (Web) applications.

 

The following 12 Requirements comprise the Payment Card Industry Data Security Standard (PCI/DSS):

 

1. Install and maintain a firewall configuration to protect data.

2. Do not use vendor-supplied defaults for system passwords and other security parameters.

3. Protect Stored Data

4. Encrypt transmission of cardholder data and sensitive information across public networks

5. Use and regularly update anti-virus software

6. Develop and maintain secure systems and applications

7. Restrict access to data by business need-to-know

8. Assign a unique ID to each person with computer access

9. Restrict physical access to cardholder data

10. Track and monitor all access to network resources and cardholder data

11. Regularly test security systems and processes

12. Maintain a policy that addresses information security

 

ISO 17799

 

ISO 17799 provides best practice recommendations on information security management for use by those who are responsible for initiating, implementing or maintaining Information Security Management Systems (ISMS).  The Standard contains the twelve main sections:

·         Risk assessment and treatment

·         Security policy

·         Organization of information security

·         Asset management

·         Human resources security

·         Physical and environmental security

·         Access control

·         Information systems acquisition, development and maintenance

·         Information security incident management

·         Business continuity management

·         Compliance

 

CobiT

 

COBIT is an IT governance framework and supporting toolset that allows managers to bridge the gap between control requirements, technical issues and business risks. COBIT enables clear policy development and good practice for IT control throughout organizations. COBIT emphasizes regulatory compliance, helps organizations to increase the value attained from IT, enables alignment and simplifies implementation of the COBIT framework.

 

Personal Information Protection and Electronic Documents Act (PIPEDA)

 

This Canadian law establishes a right to the protection of personal information collected, used or disclosed in the course of commercial activities, in connection with the operation of a governmental work, undertaking, business whether internal to Canada or internationally.

 

PIPEDA establishes the following principles to govern the collection, use and disclosure of personal information:

 

(a)            accountability,

(b)           identifying the purposes for the collection of personal information,

(c)            obtaining consent,

(d)           limiting collection,

(e)            limiting use,

(f)             disclosure and retention,

(g)            ensuring accuracy,

(h)            providing adequate security,

(i)              making information management policies readily available,

(j)             providing individuals with access to information about themselves,

(k)           and giving individuals a right to challenge an organization's compliance with these principles.

 

A Privacy Commissioner has been created to receive complaints concerning violations of the principles, conduct investigations and attempt to resolve such complaints. Unresolved disputes relating to certain matters can be taken to the Canadian courts for resolution.

 

PIPEDA establishes a legislative scheme by which requirements in Canadian laws and regulations that contemplate the use of paper or do not expressly permit the use of electronic technology may be administered or complied with in the electronic environment.  Appropriate authorities are authorized to make regulations about how those requirements may be satisfied using electronic means.  In addition, the characteristics of secure electronic signatures are defined and described and grants authority to make regulations prescribing technologies or processes for the purpose of the definition "secure electronic signature".

 

California S.B. 1386

 

This law, operative since July 1, 2003, would require a state agency, or a person or business that conducts business in California, that owns or licenses computerized data that includes personal information, as defined, to disclose in specified ways, any breach of the security of the data, as defined, to any resident of California whose unencrypted personal information was, or is reasonably believed to have been, acquired by an unauthorized person.  The bill would permit the notifications required by its provisions to be delayed if a law enforcement agency determines that it would impede a criminal investigation.  The bill would require an agency, person, or business that maintains computerized data that includes personal information owned by another to notify the owner or licensee of the information of any breach of security of the data, as specified.

 

            This law:

          

·        Requires an agency, person, or business that conducts business in California and owns or licenses computerized data containing personal information to disclose any security breach to any resident of California whose unencrypted personal information was, or is reasonably believed to have been, acquired by an unauthorized person.

·        Requires disclosure to be made in the most expedient time frame possible consistent with the legitimate needs of law enforcement.

·        Defines "personal information" as an individual's first or first initial and last name in combination with any one or more of the following data elements, when either the name or the data elements are not encrypted:

   

(a) Social Security number;

(b) Driver's license number; or 

(c) California Identification Card; or an account, credit or debit card number in combination with any required security code or password that would permit access to the account.  The definition specifically excludes public information lawfully made available from government records.

 

·        Defines "notice" as being provided by one of three methods:  written notice; electronic notice consistent with federal law, or substitute notice.

·        Allows a substitute notice only upon demonstration that the cost of providing notice would exceed $250,000, or more than 500,000 people would be notified.  The substitute notice must consist of the following three actions:  email notice, posting notice on the notifier's web site, and notification of the major statewide media.

·        Permits an agency, person or business to comply with these provisions by utilizing their own notification procedures as part of an information security policy, as long as such procedures are otherwise consistent with the timing requirements of the law.

 

New York Information Security Breach & Notification Act (A.B. 4254)

 

The law requires entities that conduct business in New York state and own or license “private” data to notify state residents affected by any security breach that results in unauthorized acquisition of that data.  “Private” data is defined as unencrypted computerized information that can identify the individual, combined with one of the following data elements:  a) social security number, b) driver’s license or non-driver identification card number, or c) financial account information such as credit or debit card numbers in combination with access codes or PIN Numbers.  Private data is considered to be unencrypted when either the identifying information or the data element is not encrypted or is encrypted with a key that has also been acquired.  Notification must be made to affected persons by:  a) written notice, b) electronic notice if express consent is provided to receive information in that format, c) telephone notice, or d) under certain circumstances, email notice by conspicuous posting of the notice on the website of the affected business and notification to major statewide media.  If a person or business maintains, but does not own, the data that is unlawfully acquired, then the person or business must contact the entity that owns or licenses the use of the data.

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