Operational Best Practices for HIPAA Security - AWS Config

Operational Best Practices for HIPAA Security

Conformance packs provide a general-purpose compliance framework designed to enable you to create security, operational or cost-optimization governance checks using managed or custom AWS Config rules and AWS Config remediation actions. Conformance Packs, as sample templates, are not designed to fully ensure compliance with a specific governance or compliance standard. You are responsible for making your own assessment of whether your use of the Services meets applicable legal and regulatory requirements.

The following provides a sample mapping between the Health Insurance Portability and Accountability Act (HIPAA) and AWS managed Config rules. Each Config rule applies to a specific AWS resource, and relates to one or more HIPAA controls. A HIPAA control can be related to multiple Config rules. Refer to the table below for more detail and guidance related to these mappings.

This Conformance Pack was validated by AWS Security Assurance Services LLC (AWS SAS), which is a team of Payment Card Industry Qualified Security Assessors (QSAs), HITRUST Certified Common Security Framework Practitioners (CCSFPs), and compliance professionals certified to provide guidance and assessments for various industry frameworks. AWS SAS professionals designed this Conformance Pack to enable a customer to align to a subset of the HIPAA.

AWS Region: All supported AWS Regions except Middle East (Bahrain)

Control ID Control Description AWS Config Rule Guidance
164.308(a)(1)(ii)(A) (A) Risk analysis (Required). Conduct an accurate and thorough assessment of the potential risks and vulnerabilities to the confidentiality, integrity, and availability of electronic protected health information held by the covered entity. annual-risk-assessment-performed (Process Check) Perform an annual risk assessment on your organization. Risk assessments can assist in determining the likelihood and impact of identified risks and/or vulnerabilities affecting an organization.
164.308(a)(1)(ii)(B) (B) Risk management (Required). Implement security measures sufficient to reduce risks and vulnerabilities to a reasonable and appropriate level to comply with Section 164.306(a).

alb-http-to-https-redirection-check

To help protect data in transit, ensure that your Application Load Balancer automatically redirects unencrypted HTTP requests to HTTPS. Because sensitive data can exist, enable encryption in transit to help protect that data.
164.308(a)(1)(ii)(B) (B) Risk management (Required). Implement security measures sufficient to reduce risks and vulnerabilities to a reasonable and appropriate level to comply with Section 164.306(a).

autoscaling-group-elb-healthcheck-required

The Elastic Load Balancer (ELB) health checks for Amazon Elastic Compute Cloud (Amazon EC2) Auto Scaling groups support maintenance of adequate capacity and availability. The load balancer periodically sends pings, attempts connections, or sends requests to test Amazon EC2 instances health in an auto-scaling group. If an instance is not reporting back, traffic is sent to a new Amazon EC2 instance.
164.308(a)(1)(ii)(B) (B) Risk management (Required). Implement security measures sufficient to reduce risks and vulnerabilities to a reasonable and appropriate level to comply with Section 164.306(a).

cloud-trail-encryption-enabled

Because sensitive data may exist and to help protect data at rest, ensure encryption is enabled for your AWS CloudTrail trails.
164.308(a)(1)(ii)(B) (B) Risk management (Required). Implement security measures sufficient to reduce risks and vulnerabilities to a reasonable and appropriate level to comply with Section 164.306(a).

cloud-trail-log-file-validation-enabled

Utilize AWS CloudTrail log file validation to check the integrity of CloudTrail logs. Log file validation helps determine if a log file was modified or deleted or unchanged after CloudTrail delivered it. This feature is built using industry standard algorithms: SHA-256 for hashing and SHA-256 with RSA for digital signing. This makes it computationally infeasible to modify, delete or forge CloudTrail log files without detection.
164.308(a)(1)(ii)(B) (B) Risk management (Required). Implement security measures sufficient to reduce risks and vulnerabilities to a reasonable and appropriate level to comply with Section 164.306(a).

codebuild-project-envvar-awscred-check

Ensure authentication credentials AWS_ACCESS_KEY_ID and AWS_SECRET_ACCESS_KEY do not exist within AWS Codebuild project environments. Do not store these variables in clear text. Storing these variables in clear text leads to unintended data exposure and unauthorized access.
164.308(a)(1)(ii)(B) (B) Risk management (Required). Implement security measures sufficient to reduce risks and vulnerabilities to a reasonable and appropriate level to comply with Section 164.306(a).

codebuild-project-source-repo-url-check

Ensure the GitHub or Bitbucket source repository URL does not contain personal access tokens, user name and password within AWS Codebuild project environments. Use OAuth instead of personal access tokens or a user name and password to grant authorization for accessing GitHub or Bitbucket repositories.
164.308(a)(1)(ii)(B) (B) Risk management (Required). Implement security measures sufficient to reduce risks and vulnerabilities to a reasonable and appropriate level to comply with Section 164.306(a).

db-instance-backup-enabled

The backup feature of Amazon RDS creates backups of your databases and transaction logs. Amazon RDS automatically creates a storage volume snapshot of your DB instance, backing up the entire DB instance. The system allows you to set specific retention periods to meet your resilience requirements.
164.308(a)(1)(ii)(B) (B) Risk management (Required). Implement security measures sufficient to reduce risks and vulnerabilities to a reasonable and appropriate level to comply with Section 164.306(a).

dms-replication-not-public

Manage access to the AWS Cloud by ensuring DMS replication instances cannot be publicly accessed. DMS replication instances can contain sensitive information and access control is required for such accounts.
164.308(a)(1)(ii)(B) (B) Risk management (Required). Implement security measures sufficient to reduce risks and vulnerabilities to a reasonable and appropriate level to comply with Section 164.306(a).

dynamodb-autoscaling-enabled

Amazon DynamoDB auto scaling uses the AWS Application Auto Scaling service to adjust provisioned throughput capacity that automatically responds to actual traffic patterns. This enables a table or a global secondary index to increase its provisioned read/write capacity to handle sudden increases in traffic, without throttling.
164.308(a)(1)(ii)(B) (B) Risk management (Required). Implement security measures sufficient to reduce risks and vulnerabilities to a reasonable and appropriate level to comply with Section 164.306(a).

dynamodb-pitr-enabled

Enable this rule to check that information has been backed up. It also maintains the backups by ensuring that point-in-time recovery is enabled in Amazon DynamoDB. The recovery maintains continuous backups of your table for the last 35 days.
164.308(a)(1)(ii)(B) (B) Risk management (Required). Implement security measures sufficient to reduce risks and vulnerabilities to a reasonable and appropriate level to comply with Section 164.306(a).

dynamodb-throughput-limit-check

Enable this rule to ensure that provisioned throughput capacity is checked on your Amazon DynamoDB tables. This is the amount of read/write activity that each table can support. DynamoDB uses this information to reserve sufficient system resources to meet your throughput requirements. This rule generates an alert when the throughput approaches the maximum limit for a customer's account. This rule allows you to optionally set accountRCUThresholdPercentage (Config Default: 80) and accountWCUThresholdPercentage (Config Default: 80) parameters. The actual values should reflect your organization's policies.
164.308(a)(1)(ii)(B) (B) Risk management (Required). Implement security measures sufficient to reduce risks and vulnerabilities to a reasonable and appropriate level to comply with Section 164.306(a).

ebs-snapshot-public-restorable-check

Manage access to the AWS Cloud by ensuring EBS snapshots are not publicly restorable. EBS volume snapshots can contain sensitive information and access control is required for such accounts.
164.308(a)(1)(ii)(B) (B) Risk management (Required). Implement security measures sufficient to reduce risks and vulnerabilities to a reasonable and appropriate level to comply with Section 164.306(a).

ec2-ebs-encryption-by-default

To help protect data at rest, ensure that encryption is enabled for your Amazon Elastic Block Store (Amazon EBS) volumes. Because sensitive data can exist at rest in these volumes, enable encryption at rest to help protect that data.
164.308(a)(1)(ii)(B) (B) Risk management (Required). Implement security measures sufficient to reduce risks and vulnerabilities to a reasonable and appropriate level to comply with Section 164.306(a).

ec2-instance-no-public-ip

Manage access to the AWS Cloud by ensuring Amazon Elastic Compute Cloud (Amazon EC2) instances cannot be publicly accessed. Amazon EC2 instances can contain sensitive information and access control is required for such accounts.
164.308(a)(1)(ii)(B) (B) Risk management (Required). Implement security measures sufficient to reduce risks and vulnerabilities to a reasonable and appropriate level to comply with Section 164.306(a).

ec2-instances-in-vpc

Deploy Amazon Elastic Compute Cloud (Amazon EC2) instances within an Amazon Virtual Private Cloud (Amazon VPC) to enable secure communication between an instance and other services within the amazon VPC, without requiring an internet gateway, NAT device, or VPN connection. All traffic remains securely within the AWS Cloud. Because of their logical isolation, domains that reside within an Amazon VPC have an extra layer of security when compared to domains that use public endpoints. Assign Amazon EC2 instances to an Amazon VPC to properly manage access.
164.308(a)(1)(ii)(B) (B) Risk management (Required). Implement security measures sufficient to reduce risks and vulnerabilities to a reasonable and appropriate level to comply with Section 164.306(a).

ec2-stopped-instance

Enable this rule to help with the baseline configuration of Amazon Elastic Compute Cloud (Amazon EC2) instances by checking whether Amazon EC2 instances have been stopped for more than the allowed number of days, according to your organization's standards.
164.308(a)(1)(ii)(B) (B) Risk management (Required). Implement security measures sufficient to reduce risks and vulnerabilities to a reasonable and appropriate level to comply with Section 164.306(a).

efs-encrypted-check

Because sensitive data can exist and to help protect data at rest, ensure encryption is enabled for your Amazon Elastic File System (EFS).
164.308(a)(1)(ii)(B) (B) Risk management (Required). Implement security measures sufficient to reduce risks and vulnerabilities to a reasonable and appropriate level to comply with Section 164.306(a).

elasticache-redis-cluster-automatic-backup-check

When automatic backups are enabled, Amazon ElastiCache creates a backup of the cluster on a daily basis. The backup can be retained for a number of days as specified by your organization. Automatic backups can help guard against data loss. If a failure occurs, you can create a new cluster, which restores your data from the most recent backup.
164.308(a)(1)(ii)(B) (B) Risk management (Required). Implement security measures sufficient to reduce risks and vulnerabilities to a reasonable and appropriate level to comply with Section 164.306(a).

elasticsearch-encrypted-at-rest

Because sensitive data can exist and to help protect data at rest, ensure encryption is enabled for your Amazon OpenSearch Service (OpenSearch Service) domains.
164.308(a)(1)(ii)(B) (B) Risk management (Required). Implement security measures sufficient to reduce risks and vulnerabilities to a reasonable and appropriate level to comply with Section 164.306(a).

elasticsearch-in-vpc-only

Manage access to the AWS Cloud by ensuring Amazon OpenSearch Service (OpenSearch Service) Domains are within an Amazon Virtual Private Cloud (Amazon VPC). An OpenSearch Service domain within an Amazon VPC enables secure communication between OpenSearch Service and other services within the Amazon VPC without the need for an internet gateway, NAT device, or VPN connection.
164.308(a)(1)(ii)(B) (B) Risk management (Required). Implement security measures sufficient to reduce risks and vulnerabilities to a reasonable and appropriate level to comply with Section 164.306(a).

opensearch-encrypted-at-rest

Because sensitive data can exist and to help protect data at rest, ensure encryption is enabled for your Amazon OpenSearch Service domains.
164.308(a)(1)(ii)(B) (B) Risk management (Required). Implement security measures sufficient to reduce risks and vulnerabilities to a reasonable and appropriate level to comply with Section 164.306(a).

opensearch-in-vpc-only

Manage access to the AWS Cloud by ensuring Amazon OpenSearch Service domains are within an Amazon Virtual Private Cloud (Amazon VPC). An Amazon OpenSearch Service domain within an Amazon VPC enables secure communication between Amazon OpenSearch Service and other services within the Amazon VPC without the need for an internet gateway, NAT device, or VPN connection.
164.308(a)(1)(ii)(B) (B) Risk management (Required). Implement security measures sufficient to reduce risks and vulnerabilities to a reasonable and appropriate level to comply with Section 164.306(a).

elb-acm-certificate-required

Because sensitive data can exist and to help protect data at transit, ensure encryption is enabled for your Elastic Load Balancing. Use AWS Certificate Manager to manage, provision and deploy public and private SSL/TLS certificates with AWS services and internal resources.
164.308(a)(1)(ii)(B) (B) Risk management (Required). Implement security measures sufficient to reduce risks and vulnerabilities to a reasonable and appropriate level to comply with Section 164.306(a).

elb-deletion-protection-enabled

This rule ensures that Elastic Load Balancing has deletion protection enabled. Use this feature to prevent your load balancer from being accidentally or maliciously deleted, which can lead to loss of availability for your applications.
164.308(a)(1)(ii)(B) (B) Risk management (Required). Implement security measures sufficient to reduce risks and vulnerabilities to a reasonable and appropriate level to comply with Section 164.306(a).

emr-master-no-public-ip

Manage access to the AWS Cloud by ensuring Amazon EMR cluster master nodes cannot be publicly accessed. Amazon EMR cluster master nodes can contain sensitive information and access control is required for such accounts.
164.308(a)(1)(ii)(B) (B) Risk management (Required). Implement security measures sufficient to reduce risks and vulnerabilities to a reasonable and appropriate level to comply with Section 164.306(a).

encrypted-volumes

Because sensitive data can exist and to help protect data at rest, ensure encryption is enabled for your Amazon Elastic Block Store (Amazon EBS) volumes.
164.308(a)(1)(ii)(B) (B) Risk management (Required). Implement security measures sufficient to reduce risks and vulnerabilities to a reasonable and appropriate level to comply with Section 164.306(a).

iam-policy-no-statements-with-admin-access

AWS Identity and Access Management (IAM) can help you incorporate the principles of least privilege and separation of duties with access permissions and authorizations, restricting policies from containing "Effect": "Allow" with "Action": "*" over "Resource": "*". Allowing users to have more privileges than needed to complete a task may violate the principle of least privilege and separation of duties.
164.308(a)(1)(ii)(B) (B) Risk management (Required). Implement security measures sufficient to reduce risks and vulnerabilities to a reasonable and appropriate level to comply with Section 164.306(a).

iam-root-access-key-check

Access to systems and assets can be controlled by checking that the root user does not have access keys attached to their AWS Identity and Access Management (IAM) role. Ensure that the root access keys are deleted. Instead, create and use role-based AWS accounts to help to incorporate the principle of least functionality.
164.308(a)(1)(ii)(B) (B) Risk management (Required). Implement security measures sufficient to reduce risks and vulnerabilities to a reasonable and appropriate level to comply with Section 164.306(a).

restricted-ssh

Amazon Elastic Compute Cloud (Amazon EC2) Security Groups can help manage network access by providing stateful filtering of ingress and egress network traffic to AWS resources. Not allowing ingress (or remote) traffic from 0.0.0.0/0 to port 22 on your resources help you restricting remote access.
164.308(a)(1)(ii)(B) (B) Risk management (Required). Implement security measures sufficient to reduce risks and vulnerabilities to a reasonable and appropriate level to comply with Section 164.306(a).

internet-gateway-authorized-vpc-only

Manage access to resources in the AWS Cloud by ensuring that internet gateways are only attached to authorized Amazon Virtual Private Cloud (Amazon VPC). Internet gateways allow bi-directional internet access to and from the Amazon VPC that can potentially lead to unauthorized access to Amazon VPC resources.
164.308(a)(1)(ii)(B) (B) Risk management (Required). Implement security measures sufficient to reduce risks and vulnerabilities to a reasonable and appropriate level to comply with Section 164.306(a).

kms-cmk-not-scheduled-for-deletion

To help protect data at rest, ensure necessary customer master keys (CMKs) are not scheduled for deletion in AWS Key Management Service (AWS KMS). Because key deletion is necessary at times, this rule can assist in checking for all keys scheduled for deletion, in case a key was scheduled unintentionally.
164.308(a)(1)(ii)(B) (B) Risk management (Required). Implement security measures sufficient to reduce risks and vulnerabilities to a reasonable and appropriate level to comply with Section 164.306(a).

lambda-function-public-access-prohibited

Manage access to resources in the AWS Cloud by ensuring AWS Lambda functions cannot be publicly accessed. Public access can potentially lead to degradation of availability of resources.
164.308(a)(1)(ii)(B) (B) Risk management (Required). Implement security measures sufficient to reduce risks and vulnerabilities to a reasonable and appropriate level to comply with Section 164.306(a).

rds-multi-az-support

Multi-AZ support in Amazon Relational Database Service (Amazon RDS) provides enhanced availability and durability for database instances. When you provision a Multi-AZ database instance, Amazon RDS automatically creates a primary database instance, and synchronously replicates the data to a standby instance in a different Availability Zone. Each Availability Zone runs on its own physically distinct, independent infrastructure, and is engineered to be highly reliable. In case of an infrastructure failure, Amazon RDS performs an automatic failover to the standby so that you can resume database operations as soon as the failover is complete.
164.308(a)(1)(ii)(B) (B) Risk management (Required). Implement security measures sufficient to reduce risks and vulnerabilities to a reasonable and appropriate level to comply with Section 164.306(a).

rds-snapshot-encrypted

Ensure that encryption is enabled for your Amazon Relational Database Service (Amazon RDS) snapshots. Because sensitive data can exist at rest, enable encryption at rest to help protect that data.
164.308(a)(1)(ii)(B) (B) Risk management (Required). Implement security measures sufficient to reduce risks and vulnerabilities to a reasonable and appropriate level to comply with Section 164.306(a).

rds-snapshots-public-prohibited

Manage access to resources in the AWS Cloud by ensuring that Amazon Relational Database Service (Amazon RDS) instances are not public. Amazon RDS database instances can contain sensitive information and principles and access control is required for such accounts.
164.308(a)(1)(ii)(B) (B) Risk management (Required). Implement security measures sufficient to reduce risks and vulnerabilities to a reasonable and appropriate level to comply with Section 164.306(a).

rds-storage-encrypted

To help protect data at rest, ensure that encryption is enabled for your Amazon Relational Database Service (Amazon RDS) instances. Because sensitive data can exist at rest in Amazon RDS instances, enable encryption at rest to help protect that data.
164.308(a)(1)(ii)(B) (B) Risk management (Required). Implement security measures sufficient to reduce risks and vulnerabilities to a reasonable and appropriate level to comply with Section 164.306(a).

redshift-cluster-configuration-check

To protect data at rest, ensure that encryption is enabled for your Amazon Redshift clusters. You must also ensure that required configurations are deployed on Amazon Redshift clusters. The audit logging should be enabled to provide information about connections and user activities in the database. This rule requires that a value is set for clusterDbEncrypted (Config Default : TRUE), and loggingEnabled (Config Default: TRUE). The actual values should reflect your organization's policies.
164.308(a)(1)(ii)(B) (B) Risk management (Required). Implement security measures sufficient to reduce risks and vulnerabilities to a reasonable and appropriate level to comply with Section 164.306(a).

redshift-cluster-public-access-check

Manage access to resources in the AWS Cloud by ensuring that Amazon Redshift clusters are not public. Amazon Redshift clusters can contain sensitive information and principles and access control is required for such accounts.
164.308(a)(1)(ii)(B) (B) Risk management (Required). Implement security measures sufficient to reduce risks and vulnerabilities to a reasonable and appropriate level to comply with Section 164.306(a).

redshift-require-tls-ssl

Ensure that your Amazon Redshift clusters require TLS/SSL encryption to connect to SQL clients. Because sensitive data can exist, enable encryption in transit to help protect that data.
164.308(a)(1)(ii)(B) (B) Risk management (Required). Implement security measures sufficient to reduce risks and vulnerabilities to a reasonable and appropriate level to comply with Section 164.306(a).

restricted-common-ports

Manage access to resources in the AWS Cloud by ensuring common ports are restricted on Amazon Elastic Compute Cloud (Amazon EC2) security groups. Not restricting access to ports to trusted sources can lead to attacks against the availability, integrity and confidentiality of systems. This rule allows you to optionally set blockedPort1 - blockedPort5 parameters (Config Defaults: 20,21,3389,3306,4333). The actual values should reflect your organization's policies.
164.308(a)(1)(ii)(B) (B) Risk management (Required). Implement security measures sufficient to reduce risks and vulnerabilities to a reasonable and appropriate level to comply with Section 164.306(a).

s3-bucket-default-lock-enabled

Ensure that your Amazon Simple Storage Service (Amazon S3) bucket has lock enabled, by default. Because sensitive data can exist at rest in S3 buckets, enforce object locks at rest to help protect that data.
164.308(a)(1)(ii)(B) (B) Risk management (Required). Implement security measures sufficient to reduce risks and vulnerabilities to a reasonable and appropriate level to comply with Section 164.306(a).

s3-bucket-public-read-prohibited

Manage access to resources in the AWS Cloud by only allowing authorized users, processes, and devices access to Amazon Simple Storage Service (Amazon S3) buckets. The management of access should be consistent with the classification of the data.
164.308(a)(1)(ii)(B) (B) Risk management (Required). Implement security measures sufficient to reduce risks and vulnerabilities to a reasonable and appropriate level to comply with Section 164.306(a).

s3-bucket-public-write-prohibited

Manage access to resources in the AWS Cloud by only allowing authorized users, processes, and devices access to Amazon Simple Storage Service (Amazon S3) buckets. The management of access should be consistent with the classification of the data.
164.308(a)(1)(ii)(B) (B) Risk management (Required). Implement security measures sufficient to reduce risks and vulnerabilities to a reasonable and appropriate level to comply with Section 164.306(a).

s3-bucket-replication-enabled

Amazon Simple Storage Service (Amazon S3) Cross-Region Replication (CRR) supports maintaining adequate capacity and availability. CRR enables automatic, asynchronous copying of objects across Amazon S3 buckets to help ensure that data availability is maintained.
164.308(a)(1)(ii)(B) (B) Risk management (Required). Implement security measures sufficient to reduce risks and vulnerabilities to a reasonable and appropriate level to comply with Section 164.306(a).

s3-bucket-server-side-encryption-enabled

To help protect data at rest, ensure encryption is enabled for your Amazon Simple Storage Service (Amazon S3) buckets. Because sensitive data can exist at rest in Amazon S3 buckets, enable encryption to help protect that data.
164.308(a)(1)(ii)(B) (B) Risk management (Required). Implement security measures sufficient to reduce risks and vulnerabilities to a reasonable and appropriate level to comply with Section 164.306(a).

s3-bucket-ssl-requests-only

To help protect data in transit, ensure that your Amazon Simple Storage Service (Amazon S3) buckets require requests to use Secure Socket Layer (SSL). Because sensitive data can exist, enable encryption in transit to help protect that data.
164.308(a)(1)(ii)(B) (B) Risk management (Required). Implement security measures sufficient to reduce risks and vulnerabilities to a reasonable and appropriate level to comply with Section 164.306(a).

s3-bucket-versioning-enabled

Amazon Simple Storage Service (Amazon S3) bucket versioning helps keep multiple variants of an object in the same Amazon S3 bucket. Use versioning to preserve, retrieve, and restore every version of every object stored in your Amazon S3 bucket. Versioning helps you to easily recover from unintended user actions and application failures.
164.308(a)(1)(ii)(B) (B) Risk management (Required). Implement security measures sufficient to reduce risks and vulnerabilities to a reasonable and appropriate level to comply with Section 164.306(a).

sagemaker-endpoint-configuration-kms-key-configured

To help protect data at rest, ensure encryption with AWS Key Management Service (AWS KMS) is enabled for your SageMaker endpoint. Because sensitive data can exist at rest in SageMaker endpoint, enable encryption at rest to help protect that data.
164.308(a)(1)(ii)(B) (B) Risk management (Required). Implement security measures sufficient to reduce risks and vulnerabilities to a reasonable and appropriate level to comply with Section 164.306(a).

sagemaker-notebook-instance-kms-key-configured

To help protect data at rest, ensure encryption with AWS Key Management Service (AWS KMS) is enabled for your SageMaker notebook. Because sensitive data can exist at rest in SageMaker notebook, enable encryption at rest to help protect that data.
164.308(a)(1)(ii)(B) (B) Risk management (Required). Implement security measures sufficient to reduce risks and vulnerabilities to a reasonable and appropriate level to comply with Section 164.306(a).

sagemaker-notebook-no-direct-internet-access

Manage access to resources in the AWS Cloud by ensuring that Amazon SageMaker notebooks do not allow direct internet access. By preventing direct internet access, you can keep sensitive data from being accessed by unauthorized users.
164.308(a)(1)(ii)(B) (B) Risk management (Required). Implement security measures sufficient to reduce risks and vulnerabilities to a reasonable and appropriate level to comply with Section 164.306(a).

sns-encrypted-kms

To help protect data at rest, ensure that your Amazon Simple Notification Service (Amazon SNS) topics require encryption using AWS Key Management Service (AWS KMS). Because sensitive data can exist at rest in published messages, enable encryption at rest to help protect that data.
164.308(a)(1)(ii)(B) (B) Risk management (Required). Implement security measures sufficient to reduce risks and vulnerabilities to a reasonable and appropriate level to comply with Section 164.306(a).

vpc-sg-open-only-to-authorized-ports

Manage access to resources in the AWS Cloud by ensuring common ports are restricted on Amazon Elastic Compute Cloud (Amazon EC2) Security Groups. Not restricting access on ports to trusted sources can lead to attacks against the availability, integrity and confidentiality of systems. By restricting access to resources within a security group from the internet (0.0.0.0/0) remote access can be controlled to internal systems.
164.308(a)(1)(ii)(B) (B) Risk management (Required). Implement security measures sufficient to reduce risks and vulnerabilities to a reasonable and appropriate level to comply with Section 164.306(a).

vpc-vpn-2-tunnels-up

Redundant Site-to-Site VPN tunnels can be implemented to achieve resilience requirements. It uses two tunnels to help ensure connectivity in case one of the Site-to-Site VPN connections becomes unavailable. To protect against a loss of connectivity, in case your customer gateway becomes unavailable, you can set up a second Site-to-Site VPN connection to your Amazon Virtual Private Cloud (Amazon VPC) and virtual private gateway by using a second customer gateway.
164.308(a)(1)(ii)(B) (B) Risk management (Required). Implement security measures sufficient to reduce risks and vulnerabilities to a reasonable and appropriate level to comply with Section 164.306(a).

ec2-instance-managed-by-systems-manager

An inventory of the software platforms and applications within the organization is possible by managing Amazon Elastic Compute Cloud (Amazon EC2) instances with AWS Systems Manager. Use AWS Systems Manager to provide detailed system configurations, operating system patch levels, services name and type, software installations, application name, publisher and version, and other details about your environment.
164.308(a)(1)(ii)(B) (B) Risk management (Required). Implement security measures sufficient to reduce risks and vulnerabilities to a reasonable and appropriate level to comply with Section 164.306(a).

ec2-managedinstance-patch-compliance-status-check

Enable this rule to help with identification and documentation of Amazon Elastic Compute Cloud (Amazon EC2) vulnerabilities. The rule checks if Amazon EC2 instance patch compliance in AWS Systems Manager as required by your organization's policies and procedures.
164.308(a)(1)(ii)(B) (B) Risk management (Required). Implement security measures sufficient to reduce risks and vulnerabilities to a reasonable and appropriate level to comply with Section 164.306(a).

ec2-managedinstance-association-compliance-status-check

Use AWS Systems Manager Associations to help with inventory of software platforms and applications within an organization. AWS Systems Manager assigns a configuration state to your managed instances and allows you to set baselines of operating system patch levels, software installations, application configurations, and other details about your environment.
164.308(a)(3)(i) (3)(i) Standard: Workforce security. Implement policies and procedures to ensure that all members of its workforce have appropriate access to electronic protected health information, as provided under paragraph (a)(4) of this section, and to prevent those workforce members who do not have access under paragraph (a)(4) of this section from obtaining access to electronic protected health information.

ec2-imdsv2-check

Ensure the Instance Metadata Service Version 2 (IMDSv2) method is enabled to help protect access and control of Amazon Elastic Compute Cloud (Amazon EC2) instance metadata. The IMDSv2 method uses session-based controls. With IMDSv2, controls can be implemented to restrict changes to instance metadata.
164.308(a)(3)(i) (3)(i) Standard: Workforce security. Implement policies and procedures to ensure that all members of its workforce have appropriate access to electronic protected health information, as provided under paragraph (a)(4) of this section, and to prevent those workforce members who do not have access under paragraph (a)(4) of this section from obtaining access to electronic protected health information.

emr-kerberos-enabled

The access permissions and authorizations can be managed and incorporated with the principles of least privilege and separation of duties, by enabling Kerberos for Amazon EMR clusters. In Kerberos, the services and the users that need to authenticate are known as principals. The principals exist within a Kerberos realm. Within the realm, a Kerberos server is known as the key distribution center (KDC). It provides a means for the principals to authenticate. The KDC authenticates by issuing tickets for authentication. The KDC maintains a database of the principals within its realm, their passwords, and other administrative information about each principal.
164.308(a)(3)(i) (3)(i) Standard: Workforce security. Implement policies and procedures to ensure that all members of its workforce have appropriate access to electronic protected health information, as provided under paragraph (a)(4) of this section, and to prevent those workforce members who do not have access under paragraph (a)(4) of this section from obtaining access to electronic protected health information.

iam-customer-policy-blocked-kms-actions

AWS Identity and Access Management (IAM) can help you incorporate the principles of least privilege and separation of duties with access permissions and authorizations, restricting policies from containing blocked actions on all AWS Key Management Service keys. Having more privileges than needed to complete a task may violate the principle of least privilege and separation of duties. This rule allows you to set the blockedActionsPatterns parameter. (AWS Foundational Security Best Practices value: kms:Decrypt, kms:ReEncryptFrom). The actual values should reflect your organization's policies
164.308(a)(3)(i) (3)(i) Standard: Workforce security. Implement policies and procedures to ensure that all members of its workforce have appropriate access to electronic protected health information, as provided under paragraph (a)(4) of this section, and to prevent those workforce members who do not have access under paragraph (a)(4) of this section from obtaining access to electronic protected health information.

iam-inline-policy-blocked-kms-actions

Ensure an AWS Identity and Access Management (IAM) user, IAM role or IAM group does not have an inline policy to allow blocked actions on all AWS Key Management Service keys. AWS recommends to use managed policies instead of inline policies. The managed policies allow reusability, versioning, rolling back, and delegating permissions management. This rule allows you to set the blockedActionsPatterns parameter. (AWS Foundational Security Best Practices value: kms:Decrypt, kms:ReEncryptFrom). The actual values should reflect your organization's policies.
164.308(a)(3)(i) (3)(i) Standard: Workforce security. Implement policies and procedures to ensure that all members of its workforce have appropriate access to electronic protected health information, as provided under paragraph (a)(4) of this section, and to prevent those workforce members who do not have access under paragraph (a)(4) of this section from obtaining access to electronic protected health information.

iam-no-inline-policy-check

Ensure an AWS Identity and Access Management (IAM) user, IAM role or IAM group does not have an inline policy to control access to systems and assets. AWS recommends to use managed policies instead of inline policies. The managed policies allow reusability, versioning and rolling back, and delegating permissions management.
164.308(a)(3)(i) (3)(i) Standard: Workforce security. Implement policies and procedures to ensure that all members of its workforce have appropriate access to electronic protected health information, as provided under paragraph (a)(4) of this section, and to prevent those workforce members who do not have access under paragraph (a)(4) of this section from obtaining access to electronic protected health information.

iam-policy-no-statements-with-admin-access

AWS Identity and Access Management (IAM) can help you incorporate the principles of least privilege and separation of duties with access permissions and authorizations, restricting policies from containing "Effect": "Allow" with "Action": "*" over "Resource": "*". Allowing users to have more privileges than needed to complete a task may violate the principle of least privilege and separation of duties.
164.308(a)(3)(i) (3)(i) Standard: Workforce security. Implement policies and procedures to ensure that all members of its workforce have appropriate access to electronic protected health information, as provided under paragraph (a)(4) of this section, and to prevent those workforce members who do not have access under paragraph (a)(4) of this section from obtaining access to electronic protected health information.

iam-root-access-key-check

Access to systems and assets can be controlled by checking that the root user does not have access keys attached to their AWS Identity and Access Management (IAM) role. Ensure that the root access keys are deleted. Instead, create and use role-based AWS accounts to help to incorporate the principle of least functionality.
164.308(a)(3)(i) (3)(i) Standard: Workforce security. Implement policies and procedures to ensure that all members of its workforce have appropriate access to electronic protected health information, as provided under paragraph (a)(4) of this section, and to prevent those workforce members who do not have access under paragraph (a)(4) of this section from obtaining access to electronic protected health information.

iam-user-no-policies-check

This rule ensures AWS Identity and Access Management (IAM) policies are attached only to groups or roles to control access to systems and assets. Assigning privileges at the group or the role level helps to reduce opportunity for an identity to receive or retain excessive privileges.
164.308(a)(3)(i) (3)(i) Standard: Workforce security. Implement policies and procedures to ensure that all members of its workforce have appropriate access to electronic protected health information, as provided under paragraph (a)(4) of this section, and to prevent those workforce members who do not have access under paragraph (a)(4) of this section from obtaining access to electronic protected health information.

iam-user-unused-credentials-check

AWS Identity and Access Management (IAM) can help you with access permissions and authorizations by checking for IAM passwords and access keys that are not used for a specified time period. If these unused credentials are identified, you should disable and/or remove the credentials, as this may violate the principle of least privilege. This rule requires you to set a value to the maxCredentialUsageAge (Config Default: 90). The actual value should reflect your organization's policies.
164.308(a)(3)(i) (3)(i) Standard: Workforce security. Implement policies and procedures to ensure that all members of its workforce have appropriate access to electronic protected health information, as provided under paragraph (a)(4) of this section, and to prevent those workforce members who do not have access under paragraph (a)(4) of this section from obtaining access to electronic protected health information.

iam-policy-no-statements-with-full-access

Ensure IAM Actions are restricted to only those actions that are needed. Allowing users to have more privileges than needed to complete a task may violate the principle of least privilege and separation of duties.
164.308(a)(3)(i) (3)(i) Standard: Workforce security. Implement policies and procedures to ensure that all members of its workforce have appropriate access to electronic protected health information, as provided under paragraph (a)(4) of this section, and to prevent those workforce members who do not have access under paragraph (a)(4) of this section from obtaining access to electronic protected health information.

ec2-instance-profile-attached

EC2 instance profiles pass an IAM role to an EC2 instance. Attaching an instance profile to your instances can assist with least privilege and permissions management.
164.308(a)(3)(i) (3)(i) Standard: Workforce security. Implement policies and procedures to ensure that all members of its workforce have appropriate access to electronic protected health information, as provided under paragraph (a)(4) of this section, and to prevent those workforce members who do not have access under paragraph (a)(4) of this section from obtaining access to electronic protected health information.

dms-replication-not-public

Manage access to the AWS Cloud by ensuring DMS replication instances cannot be publicly accessed. DMS replication instances can contain sensitive information and access control is required for such accounts.
164.308(a)(3)(i) (3)(i) Standard: Workforce security. Implement policies and procedures to ensure that all members of its workforce have appropriate access to electronic protected health information, as provided under paragraph (a)(4) of this section, and to prevent those workforce members who do not have access under paragraph (a)(4) of this section from obtaining access to electronic protected health information.

ebs-snapshot-public-restorable-check

Manage access to the AWS Cloud by ensuring EBS snapshots are not publicly restorable. EBS volume snapshots can contain sensitive information and access control is required for such accounts.
164.308(a)(3)(i) (3)(i) Standard: Workforce security. Implement policies and procedures to ensure that all members of its workforce have appropriate access to electronic protected health information, as provided under paragraph (a)(4) of this section, and to prevent those workforce members who do not have access under paragraph (a)(4) of this section from obtaining access to electronic protected health information.

ec2-instance-no-public-ip

Manage access to the AWS Cloud by ensuring Amazon Elastic Compute Cloud (Amazon EC2) instances cannot be publicly accessed. Amazon EC2 instances can contain sensitive information and access control is required for such accounts.
164.308(a)(3)(i) (3)(i) Standard: Workforce security. Implement policies and procedures to ensure that all members of its workforce have appropriate access to electronic protected health information, as provided under paragraph (a)(4) of this section, and to prevent those workforce members who do not have access under paragraph (a)(4) of this section from obtaining access to electronic protected health information.

elasticsearch-in-vpc-only

Manage access to the AWS Cloud by ensuring Amazon OpenSearch Service (OpenSearch Service) Domains are within an Amazon Virtual Private Cloud (Amazon VPC). An OpenSearch Service domain within an Amazon VPC enables secure communication between OpenSearch Service and other services within the Amazon VPC without the need for an internet gateway, NAT device, or VPN connection.
164.308(a)(3)(i) (3)(i) Standard: Workforce security. Implement policies and procedures to ensure that all members of its workforce have appropriate access to electronic protected health information, as provided under paragraph (a)(4) of this section, and to prevent those workforce members who do not have access under paragraph (a)(4) of this section from obtaining access to electronic protected health information.

emr-master-no-public-ip

Manage access to the AWS Cloud by ensuring Amazon EMR cluster master nodes cannot be publicly accessed. Amazon EMR cluster master nodes can contain sensitive information and access control is required for such accounts.
164.308(a)(3)(i) (3)(i) Standard: Workforce security. Implement policies and procedures to ensure that all members of its workforce have appropriate access to electronic protected health information, as provided under paragraph (a)(4) of this section, and to prevent those workforce members who do not have access under paragraph (a)(4) of this section from obtaining access to electronic protected health information.

ec2-instances-in-vpc

Deploy Amazon Elastic Compute Cloud (Amazon EC2) instances within an Amazon Virtual Private Cloud (Amazon VPC) to enable secure communication between an instance and other services within the amazon VPC, without requiring an internet gateway, NAT device, or VPN connection. All traffic remains securely within the AWS Cloud. Because of their logical isolation, domains that reside within an Amazon VPC have an extra layer of security when compared to domains that use public endpoints. Assign Amazon EC2 instances to an Amazon VPC to properly manage access.
164.308(a)(3)(i) (3)(i) Standard: Workforce security. Implement policies and procedures to ensure that all members of its workforce have appropriate access to electronic protected health information, as provided under paragraph (a)(4) of this section, and to prevent those workforce members who do not have access under paragraph (a)(4) of this section from obtaining access to electronic protected health information.

internet-gateway-authorized-vpc-only

Manage access to resources in the AWS Cloud by ensuring that internet gateways are only attached to authorized Amazon Virtual Private Cloud (Amazon VPC). Internet gateways allow bi-directional internet access to and from the Amazon VPC that can potentially lead to unauthorized access to Amazon VPC resources.
164.308(a)(3)(i) (3)(i) Standard: Workforce security. Implement policies and procedures to ensure that all members of its workforce have appropriate access to electronic protected health information, as provided under paragraph (a)(4) of this section, and to prevent those workforce members who do not have access under paragraph (a)(4) of this section from obtaining access to electronic protected health information.

lambda-function-public-access-prohibited

Manage access to resources in the AWS Cloud by ensuring AWS Lambda functions cannot be publicly accessed. Public access can potentially lead to degradation of availability of resources.
164.308(a)(3)(i) (3)(i) Standard: Workforce security. Implement policies and procedures to ensure that all members of its workforce have appropriate access to electronic protected health information, as provided under paragraph (a)(4) of this section, and to prevent those workforce members who do not have access under paragraph (a)(4) of this section from obtaining access to electronic protected health information.

rds-instance-public-access-check

Manage access to resources in the AWS Cloud by ensuring that Amazon Relational Database Service (Amazon RDS) instances are not public. Amazon RDS database instances can contain sensitive information, and principles and access control is required for such accounts.
164.308(a)(3)(i) (3)(i) Standard: Workforce security. Implement policies and procedures to ensure that all members of its workforce have appropriate access to electronic protected health information, as provided under paragraph (a)(4) of this section, and to prevent those workforce members who do not have access under paragraph (a)(4) of this section from obtaining access to electronic protected health information.

rds-snapshots-public-prohibited

Manage access to resources in the AWS Cloud by ensuring that Amazon Relational Database Service (Amazon RDS) instances are not public. Amazon RDS database instances can contain sensitive information and principles and access control is required for such accounts.
164.308(a)(3)(i) (3)(i) Standard: Workforce security. Implement policies and procedures to ensure that all members of its workforce have appropriate access to electronic protected health information, as provided under paragraph (a)(4) of this section, and to prevent those workforce members who do not have access under paragraph (a)(4) of this section from obtaining access to electronic protected health information.

redshift-cluster-public-access-check

Manage access to resources in the AWS Cloud by ensuring that Amazon Redshift clusters are not public. Amazon Redshift clusters can contain sensitive information and principles and access control is required for such accounts.
164.308(a)(3)(i) (3)(i) Standard: Workforce security. Implement policies and procedures to ensure that all members of its workforce have appropriate access to electronic protected health information, as provided under paragraph (a)(4) of this section, and to prevent those workforce members who do not have access under paragraph (a)(4) of this section from obtaining access to electronic protected health information.

s3-account-level-public-access-blocks-periodic

Manage access to resources in the AWS Cloud by ensuring that Amazon Simple Storage Service (Amazon S3) buckets cannot be publicly accessed. This rule helps keeping sensitive data safe from unauthorized remote users by preventing public access. This rule allows you to optionally set the ignorePublicAcls (Config Default: True), blockPublicPolicy (Config Default: True), blockPublicAcls (Config Default: True), and restrictPublicBuckets parameters (Config Default: True). The actual values should reflect your organization's policies.
164.308(a)(3)(i) (3)(i) Standard: Workforce security. Implement policies and procedures to ensure that all members of its workforce have appropriate access to electronic protected health information, as provided under paragraph (a)(4) of this section, and to prevent those workforce members who do not have access under paragraph (a)(4) of this section from obtaining access to electronic protected health information.

s3-bucket-public-read-prohibited

Manage access to resources in the AWS Cloud by only allowing authorized users, processes, and devices access to Amazon Simple Storage Service (Amazon S3) buckets. The management of access should be consistent with the classification of the data.
164.308(a)(3)(i) (3)(i) Standard: Workforce security. Implement policies and procedures to ensure that all members of its workforce have appropriate access to electronic protected health information, as provided under paragraph (a)(4) of this section, and to prevent those workforce members who do not have access under paragraph (a)(4) of this section from obtaining access to electronic protected health information.

s3-bucket-public-write-prohibited

Manage access to resources in the AWS Cloud by only allowing authorized users, processes, and devices access to Amazon Simple Storage Service (Amazon S3) buckets. The management of access should be consistent with the classification of the data.
164.308(a)(3)(i) (3)(i) Standard: Workforce security. Implement policies and procedures to ensure that all members of its workforce have appropriate access to electronic protected health information, as provided under paragraph (a)(4) of this section, and to prevent those workforce members who do not have access under paragraph (a)(4) of this section from obtaining access to electronic protected health information.

sagemaker-notebook-no-direct-internet-access

Manage access to resources in the AWS Cloud by ensuring that Amazon SageMaker notebooks do not allow direct internet access. By preventing direct internet access, you can keep sensitive data from being accessed by unauthorized users.
164.308(a)(3)(i) (3)(i) Standard: Workforce security. Implement policies and procedures to ensure that all members of its workforce have appropriate access to electronic protected health information, as provided under paragraph (a)(4) of this section, and to prevent those workforce members who do not have access under paragraph (a)(4) of this section from obtaining access to electronic protected health information.

subnet-auto-assign-public-ip-disabled

Manage access to the AWS Cloud by ensuring Amazon Virtual Private Cloud (VPC) subnets are not automatically assigned a public IP address. Amazon Elastic Compute Cloud (EC2) instances that are launched into subnets that have this attribute enabled have a public IP address assigned to their primary network interface.
164.308(a)(3)(i) (3)(i) Standard: Workforce security. Implement policies and procedures to ensure that all members of its workforce have appropriate access to electronic protected health information, as provided under paragraph (a)(4) of this section, and to prevent those workforce members who do not have access under paragraph (a)(4) of this section from obtaining access to electronic protected health information.

s3-bucket-level-public-access-prohibited

Manage access to resources in the AWS Cloud by ensuring that Amazon Simple Storage Service (Amazon S3) buckets cannot be publicly accessed. This rule helps keeping sensitive data safe from unauthorized remote users by preventing public access at the bucket level.
164.308(a)(3)(i) (3)(i) Standard: Workforce security. Implement policies and procedures to ensure that all members of its workforce have appropriate access to electronic protected health information, as provided under paragraph (a)(4) of this section, and to prevent those workforce members who do not have access under paragraph (a)(4) of this section from obtaining access to electronic protected health information.

ecs-task-definition-user-for-host-mode-check

If a task definition has elevated privileges it is because the customer has specifically opted-in to those configurations. This control checks for unexpected privilege escalation when a task definition has host networking enabled but the customer has not opted-in to elevated privileges.
164.308(a)(3)(i) (3)(i) Standard: Workforce security. Implement policies and procedures to ensure that all members of its workforce have appropriate access to electronic protected health information, as provided under paragraph (a)(4) of this section, and to prevent those workforce members who do not have access under paragraph (a)(4) of this section from obtaining access to electronic protected health information.

ecs-containers-readonly-access

Enabling read only access to Amazon Elastic Container Service (ECS) containers can assist in adhering to the principal of least privilege. This option can reduces attack vectors as the container instance’s filesystem cannot be modified unless it has explicit read-write permissions.
164.308(a)(3)(i) (3)(i) Standard: Workforce security. Implement policies and procedures to ensure that all members of its workforce have appropriate access to electronic protected health information, as provided under paragraph (a)(4) of this section, and to prevent those workforce members who do not have access under paragraph (a)(4) of this section from obtaining access to electronic protected health information.

ssm-document-not-public

Ensure AWS Systems Manager (SSM) documents are not public, as this may allow unintended access to your SSM documents. A public SSM document can expose information about your account, resources and internal processes.
164.308(a)(3)(i) (3)(i) Standard: Workforce security. Implement policies and procedures to ensure that all members of its workforce have appropriate access to electronic protected health information, as provided under paragraph (a)(4) of this section, and to prevent those workforce members who do not have access under paragraph (a)(4) of this section from obtaining access to electronic protected health information.

s3-bucket-acl-prohibited

This rule checks to see if Access Control Lists (ACLs) are used to for access control on Amazon S3 Buckets. ACLs are legacy access control mechanisms for Amazon S3 buckets that predate AWS Identity and Access Management (IAM). Instead of ACLs, it is a best practice to use IAM policies or S3 bucket policies to more easily manage access to your S3 buckets.
164.308(a)(3)(i) (3)(i) Standard: Workforce security. Implement policies and procedures to ensure that all members of its workforce have appropriate access to electronic protected health information, as provided under paragraph (a)(4) of this section, and to prevent those workforce members who do not have access under paragraph (a)(4) of this section from obtaining access to electronic protected health information.

codebuild-project-envvar-awscred-check

Ensure authentication credentials AWS_ACCESS_KEY_ID and AWS_SECRET_ACCESS_KEY do not exist within AWS Codebuild project environments. Do not store these variables in clear text. Storing these variables in clear text leads to unintended data exposure and unauthorized access.
164.308(a)(3)(i) (3)(i) Standard: Workforce security. Implement policies and procedures to ensure that all members of its workforce have appropriate access to electronic protected health information, as provided under paragraph (a)(4) of this section, and to prevent those workforce members who do not have access under paragraph (a)(4) of this section from obtaining access to electronic protected health information.

codebuild-project-source-repo-url-check

Ensure the GitHub or Bitbucket source repository URL does not contain personal access tokens, user name and password within AWS Codebuild project environments. Use OAuth instead of personal access tokens or a user name and password to grant authorization for accessing GitHub or Bitbucket repositories.
164.308(a)(3)(i) (3)(i) Standard: Workforce security. Implement policies and procedures to ensure that all members of its workforce have appropriate access to electronic protected health information, as provided under paragraph (a)(4) of this section, and to prevent those workforce members who do not have access under paragraph (a)(4) of this section from obtaining access to electronic protected health information.

restricted-common-ports

Manage access to resources in the AWS Cloud by ensuring common ports are restricted on Amazon Elastic Compute Cloud (Amazon EC2) security groups. Not restricting access to ports to trusted sources can lead to attacks against the availability, integrity and confidentiality of systems. This rule allows you to optionally set blockedPort1 - blockedPort5 parameters (Config Defaults: 20,21,3389,3306,4333). The actual values should reflect your organization's policies.
164.308(a)(3)(i) (3)(i) Standard: Workforce security. Implement policies and procedures to ensure that all members of its workforce have appropriate access to electronic protected health information, as provided under paragraph (a)(4) of this section, and to prevent those workforce members who do not have access under paragraph (a)(4) of this section from obtaining access to electronic protected health information.

restricted-ssh

Amazon Elastic Compute Cloud (Amazon EC2) Security Groups can help manage network access by providing stateful filtering of ingress and egress network traffic to AWS resources. Not allowing ingress (or remote) traffic from 0.0.0.0/0 to port 22 on your resources help you restricting remote access.
164.308(a)(3)(i) (3)(i) Standard: Workforce security. Implement policies and procedures to ensure that all members of its workforce have appropriate access to electronic protected health information, as provided under paragraph (a)(4) of this section, and to prevent those workforce members who do not have access under paragraph (a)(4) of this section from obtaining access to electronic protected health information.

autoscaling-launch-config-public-ip-disabled

If you configure your Network Interfaces with a public IP address, then the associated resources to those Network Interfaces are reachable from the internet. EC2 resources should not be publicly accessible, as this may allow unintended access to your applications or servers.
164.308(a)(3)(i) (3)(i) Standard: Workforce security. Implement policies and procedures to ensure that all members of its workforce have appropriate access to electronic protected health information, as provided under paragraph (a)(4) of this section, and to prevent those workforce members who do not have access under paragraph (a)(4) of this section from obtaining access to electronic protected health information.

opensearch-in-vpc-only

Manage access to the AWS Cloud by ensuring Amazon OpenSearch Service domains are within an Amazon Virtual Private Cloud (Amazon VPC). An Amazon OpenSearch Service domain within an Amazon VPC enables secure communication between Amazon OpenSearch Service and other services within the Amazon VPC without the need for an internet gateway, NAT device, or VPN connection.
164.308(a)(3)(ii)(A) (A) Authorization and/or supervision (Addressable). Implement procedures for the authorization and/or supervision of workforce members who work with electronic protected health information or in locations where it might be accessed.

emr-kerberos-enabled

The access permissions and authorizations can be managed and incorporated with the principles of least privilege and separation of duties, by enabling Kerberos for Amazon EMR clusters. In Kerberos, the services and the users that need to authenticate are known as principals. The principals exist within a Kerberos realm. Within the realm, a Kerberos server is known as the key distribution center (KDC). It provides a means for the principals to authenticate. The KDC authenticates by issuing tickets for authentication. The KDC maintains a database of the principals within its realm, their passwords, and other administrative information about each principal.
164.308(a)(3)(ii)(A) (A) Authorization and/or supervision (Addressable). Implement procedures for the authorization and/or supervision of workforce members who work with electronic protected health information or in locations where it might be accessed.

iam-customer-policy-blocked-kms-actions

AWS Identity and Access Management (IAM) can help you incorporate the principles of least privilege and separation of duties with access permissions and authorizations, restricting policies from containing blocked actions on all AWS Key Management Service keys. Having more privileges than needed to complete a task may violate the principle of least privilege and separation of duties. This rule allows you to set the blockedActionsPatterns parameter. (AWS Foundational Security Best Practices value: kms:Decrypt, kms:ReEncryptFrom). The actual values should reflect your organization's policies
164.308(a)(3)(ii)(A) (A) Authorization and/or supervision (Addressable). Implement procedures for the authorization and/or supervision of workforce members who work with electronic protected health information or in locations where it might be accessed.

iam-inline-policy-blocked-kms-actions

Ensure an AWS Identity and Access Management (IAM) user, IAM role or IAM group does not have an inline policy to allow blocked actions on all AWS Key Management Service keys. AWS recommends to use managed policies instead of inline policies. The managed policies allow reusability, versioning, rolling back, and delegating permissions management. This rule allows you to set the blockedActionsPatterns parameter. (AWS Foundational Security Best Practices value: kms:Decrypt, kms:ReEncryptFrom). The actual values should reflect your organization's policies.
164.308(a)(3)(ii)(A) (A) Authorization and/or supervision (Addressable). Implement procedures for the authorization and/or supervision of workforce members who work with electronic protected health information or in locations where it might be accessed.

iam-no-inline-policy-check

Ensure an AWS Identity and Access Management (IAM) user, IAM role or IAM group does not have an inline policy to control access to systems and assets. AWS recommends to use managed policies instead of inline policies. The managed policies allow reusability, versioning and rolling back, and delegating permissions management.
164.308(a)(3)(ii)(A) (A) Authorization and/or supervision (Addressable). Implement procedures for the authorization and/or supervision of workforce members who work with electronic protected health information or in locations where it might be accessed.

iam-policy-no-statements-with-admin-access

AWS Identity and Access Management (IAM) can help you incorporate the principles of least privilege and separation of duties with access permissions and authorizations, restricting policies from containing "Effect": "Allow" with "Action": "*" over "Resource": "*". Allowing users to have more privileges than needed to complete a task may violate the principle of least privilege and separation of duties.
164.308(a)(3)(ii)(A) (A) Authorization and/or supervision (Addressable). Implement procedures for the authorization and/or supervision of workforce members who work with electronic protected health information or in locations where it might be accessed.

iam-user-no-policies-check

This rule ensures AWS Identity and Access Management (IAM) policies are attached only to groups or roles to control access to systems and assets. Assigning privileges at the group or the role level helps to reduce opportunity for an identity to receive or retain excessive privileges.
164.308(a)(3)(ii)(A) (A) Authorization and/or supervision (Addressable). Implement procedures for the authorization and/or supervision of workforce members who work with electronic protected health information or in locations where it might be accessed.

iam-policy-no-statements-with-full-access

Ensure IAM Actions are restricted to only those actions that are needed. Allowing users to have more privileges than needed to complete a task may violate the principle of least privilege and separation of duties.
164.308(a)(3)(ii)(A) (A) Authorization and/or supervision (Addressable). Implement procedures for the authorization and/or supervision of workforce members who work with electronic protected health information or in locations where it might be accessed.

ec2-instance-profile-attached

EC2 instance profiles pass an IAM role to an EC2 instance. Attaching an instance profile to your instances can assist with least privilege and permissions management.
164.308(a)(3)(ii)(A) (A) Authorization and/or supervision (Addressable). Implement procedures for the authorization and/or supervision of workforce members who work with electronic protected health information or in locations where it might be accessed.

ecs-task-definition-user-for-host-mode-check

If a task definition has elevated privileges it is because the customer has specifically opted-in to those configurations. This control checks for unexpected privilege escalation when a task definition has host networking enabled but the customer has not opted-in to elevated privileges.
164.308(a)(3)(ii)(A) (A) Authorization and/or supervision (Addressable). Implement procedures for the authorization and/or supervision of workforce members who work with electronic protected health information or in locations where it might be accessed.

ecs-containers-readonly-access

Enabling read only access to Amazon Elastic Container Service (ECS) containers can assist in adhering to the principal of least privilege. This option can reduces attack vectors as the container instance’s filesystem cannot be modified unless it has explicit read-write permissions.
164.308(a)(3)(ii)(A) (A) Authorization and/or supervision (Addressable). Implement procedures for the authorization and/or supervision of workforce members who work with electronic protected health information or in locations where it might be accessed.

cloud-trail-cloud-watch-logs-enabled

Use Amazon CloudWatch to centrally collect and manage log event activity. Inclusion of AWS CloudTrail data provides details of API call activity within your AWS account.
164.308(a)(3)(ii)(A) (A) Authorization and/or supervision (Addressable). Implement procedures for the authorization and/or supervision of workforce members who work with electronic protected health information or in locations where it might be accessed.

cloudtrail-enabled

AWS CloudTrail can help in non-repudiation by recording AWS Management Console actions and API calls. You can identify the users and AWS accounts that called an AWS service, the source IP address where the calls generated, and the timings of the calls. Details of captured data are seen within AWS CloudTrail Record Contents.
164.308(a)(3)(ii)(A) (A) Authorization and/or supervision (Addressable). Implement procedures for the authorization and/or supervision of workforce members who work with electronic protected health information or in locations where it might be accessed.

cloudtrail-s3-dataevents-enabled

The collection of Simple Storage Service (Amazon S3) data events helps in detecting any anomalous activity. The details include AWS account information that accessed an Amazon S3 bucket, IP address, and time of event.
164.308(a)(3)(ii)(A) (A) Authorization and/or supervision (Addressable). Implement procedures for the authorization and/or supervision of workforce members who work with electronic protected health information or in locations where it might be accessed.

multi-region-cloudtrail-enabled

AWS CloudTrail records AWS Management Console actions and API calls. You can identify which users and accounts called AWS, the source IP address from where the calls were made, and when the calls occurred. CloudTrail will deliver log files from all AWS Regions to your S3 bucket if MULTI_REGION_CLOUD_TRAIL_ENABLED is enabled. Additionally, when AWS launches a new Region, CloudTrail will create the same trail in the new Region. As a result, you will receive log files containing API activity for the new Region without taking any action.
164.308(a)(3)(ii)(A) (A) Authorization and/or supervision (Addressable). Implement procedures for the authorization and/or supervision of workforce members who work with electronic protected health information or in locations where it might be accessed.

rds-logging-enabled

To help with logging and monitoring within your environment, ensure Amazon Relational Database Service (Amazon RDS) logging is enabled. With Amazon RDS logging, you can capture events such as connections, disconnections, queries, or tables queried.
164.308(a)(3)(ii)(A) (A) Authorization and/or supervision (Addressable). Implement procedures for the authorization and/or supervision of workforce members who work with electronic protected health information or in locations where it might be accessed.

s3-bucket-logging-enabled

Amazon Simple Storage Service (Amazon S3) server access logging provides a method to monitor the network for potential cybersecurity events. The events are monitored by capturing detailed records for the requests that are made to an Amazon S3 bucket. Each access log record provides details about a single access request. The details include the requester, bucket name, request time, request action, response status, and an error code, if relevant.
164.308(a)(3)(ii)(A) (A) Authorization and/or supervision (Addressable). Implement procedures for the authorization and/or supervision of workforce members who work with electronic protected health information or in locations where it might be accessed.

vpc-flow-logs-enabled

The VPC flow logs provide detailed records for information about the IP traffic going to and from network interfaces in your Amazon Virtual Private Cloud (Amazon VPC). By default, the flow log record includes values for the different components of the IP flow, including the source, destination, and protocol.
164.308(a)(3)(ii)(A) (A) Authorization and/or supervision (Addressable). Implement procedures for the authorization and/or supervision of workforce members who work with electronic protected health information or in locations where it might be accessed.

elasticsearch-logs-to-cloudwatch

Ensure Amazon OpenSearch Service domains have error logs enabled and streamed to Amazon CloudWatch Logs for retention and response. Domain error logs can assist with security and access audits, and can help to diagnose availability issues.
164.308(a)(3)(ii)(A) (A) Authorization and/or supervision (Addressable). Implement procedures for the authorization and/or supervision of workforce members who work with electronic protected health information or in locations where it might be accessed.

opensearch-logs-to-cloudwatch

Ensure Amazon OpenSearch Service domains have error logs enabled and streamed to Amazon CloudWatch Logs for retention and response. OpenSearch Service error logs can assist with security and access audits, and can help to diagnose availability issues.
164.308(a)(3)(ii)(B) (B) Workforce clearance procedure (Addressable). Implement procedures to determine that the access of a workforce member to electronic protected health information is appropriate.

emr-kerberos-enabled

The access permissions and authorizations can be managed and incorporated with the principles of least privilege and separation of duties, by enabling Kerberos for Amazon EMR clusters. In Kerberos, the services and the users that need to authenticate are known as principals. The principals exist within a Kerberos realm. Within the realm, a Kerberos server is known as the key distribution center (KDC). It provides a means for the principals to authenticate. The KDC authenticates by issuing tickets for authentication. The KDC maintains a database of the principals within its realm, their passwords, and other administrative information about each principal.
164.308(a)(3)(ii)(B) (B) Workforce clearance procedure (Addressable). Implement procedures to determine that the access of a workforce member to electronic protected health information is appropriate.

iam-no-inline-policy-check

Ensure an AWS Identity and Access Management (IAM) user, IAM role or IAM group does not have an inline policy to control access to systems and assets. AWS recommends to use managed policies instead of inline policies. The managed policies allow reusability, versioning and rolling back, and delegating permissions management.
164.308(a)(3)(ii)(B) (B) Workforce clearance procedure (Addressable). Implement procedures to determine that the access of a workforce member to electronic protected health information is appropriate.

iam-policy-no-statements-with-admin-access

AWS Identity and Access Management (IAM) can help you incorporate the principles of least privilege and separation of duties with access permissions and authorizations, restricting policies from containing "Effect": "Allow" with "Action": "*" over "Resource": "*". Allowing users to have more privileges than needed to complete a task may violate the principle of least privilege and separation of duties.
164.308(a)(3)(ii)(B) (B) Workforce clearance procedure (Addressable). Implement procedures to determine that the access of a workforce member to electronic protected health information is appropriate.

iam-user-no-policies-check

This rule ensures AWS Identity and Access Management (IAM) policies are attached only to groups or roles to control access to systems and assets. Assigning privileges at the group or the role level helps to reduce opportunity for an identity to receive or retain excessive privileges.
164.308(a)(3)(ii)(B) (B) Workforce clearance procedure (Addressable). Implement procedures to determine that the access of a workforce member to electronic protected health information is appropriate.

iam-policy-no-statements-with-full-access

Ensure IAM Actions are restricted to only those actions that are needed. Allowing users to have more privileges than needed to complete a task may violate the principle of least privilege and separation of duties.
164.308(a)(3)(ii)(B) (B) Workforce clearance procedure (Addressable). Implement procedures to determine that the access of a workforce member to electronic protected health information is appropriate.

restricted-common-ports

Manage access to resources in the AWS Cloud by ensuring common ports are restricted on Amazon Elastic Compute Cloud (Amazon EC2) security groups. Not restricting access to ports to trusted sources can lead to attacks against the availability, integrity and confidentiality of systems. This rule allows you to optionally set blockedPort1 - blockedPort5 parameters (Config Defaults: 20,21,3389,3306,4333). The actual values should reflect your organization's policies.
164.308(a)(3)(ii)(B) (B) Workforce clearance procedure (Addressable). Implement procedures to determine that the access of a workforce member to electronic protected health information is appropriate.

restricted-ssh

Amazon Elastic Compute Cloud (Amazon EC2) Security Groups can help manage network access by providing stateful filtering of ingress and egress network traffic to AWS resources. Not allowing ingress (or remote) traffic from 0.0.0.0/0 to port 22 on your resources help you restricting remote access.
164.308(a)(3)(ii)(B) (B) Workforce clearance procedure (Addressable). Implement procedures to determine that the access of a workforce member to electronic protected health information is appropriate.

ssm-document-not-public

Ensure AWS Systems Manager (SSM) documents are not public, as this may allow unintended access to your SSM documents. A public SSM document can expose information about your account, resources and internal processes.
164.308(a)(3)(ii)(B) (B) Workforce clearance procedure (Addressable). Implement procedures to determine that the access of a workforce member to electronic protected health information is appropriate.

ecs-containers-readonly-access

Enabling read only access to Amazon Elastic Container Service (ECS) containers can assist in adhering to the principal of least privilege. This option can reduces attack vectors as the container instance’s filesystem cannot be modified unless it has explicit read-write permissions.
164.308(a)(3)(ii)(B) (B) Workforce clearance procedure (Addressable). Implement procedures to determine that the access of a workforce member to electronic protected health information is appropriate.

autoscaling-launch-config-public-ip-disabled

If you configure your Network Interfaces with a public IP address, then the associated resources to those Network Interfaces are reachable from the internet. EC2 resources should not be publicly accessible, as this may allow unintended access to your applications or servers.
164.308(a)(3)(ii)(B) (B) Workforce clearance procedure (Addressable). Implement procedures to determine that the access of a workforce member to electronic protected health information is appropriate.

s3-bucket-acl-prohibited

This rule checks to see if Access Control Lists (ACLs) are used to for access control on Amazon S3 Buckets. ACLs are legacy access control mechanisms for Amazon S3 buckets that predate AWS Identity and Access Management (IAM). Instead of ACLs, it is a best practice to use IAM policies or S3 bucket policies to more easily manage access to your S3 buckets.
164.308(a)(3)(ii)(C) (C) Termination procedures (Addressable). Implement procedures for terminating access to electronic protected health information when the employment of a workforce member ends or as required by determinations made as specified in paragraph (a)(3)(ii)(B) of this section.

access-keys-rotated

The credentials are audited for authorized devices, users, and processes by ensuring IAM access keys are rotated as per organizational policy. Changing the access keys on a regular schedule is a security best practice. It shortens the period an access key is active and reduces the business impact if the keys are compromised. This rule requires an access key rotation value (Config Default: 90). The actual value should reflect your organization's policies.
164.308(a)(4)(i) (4)(i) Standard: Information access management. Implement policies and procedures for authorizing access to electronic protected health information that are consistent with the applicable requirements of subpart E of this part.

emr-kerberos-enabled

The access permissions and authorizations can be managed and incorporated with the principles of least privilege and separation of duties, by enabling Kerberos for Amazon EMR clusters. In Kerberos, the services and the users that need to authenticate are known as principals. The principals exist within a Kerberos realm. Within the realm, a Kerberos server is known as the key distribution center (KDC). It provides a means for the principals to authenticate. The KDC authenticates by issuing tickets for authentication. The KDC maintains a database of the principals within its realm, their passwords, and other administrative information about each principal.
164.308(a)(4)(i) (4)(i) Standard: Information access management. Implement policies and procedures for authorizing access to electronic protected health information that are consistent with the applicable requirements of subpart E of this part.

iam-no-inline-policy-check

Ensure an AWS Identity and Access Management (IAM) user, IAM role or IAM group does not have an inline policy to control access to systems and assets. AWS recommends to use managed policies instead of inline policies. The managed policies allow reusability, versioning and rolling back, and delegating permissions management.
164.308(a)(4)(i) (4)(i) Standard: Information access management. Implement policies and procedures for authorizing access to electronic protected health information that are consistent with the applicable requirements of subpart E of this part.

iam-policy-no-statements-with-admin-access

AWS Identity and Access Management (IAM) can help you incorporate the principles of least privilege and separation of duties with access permissions and authorizations, restricting policies from containing "Effect": "Allow" with "Action": "*" over "Resource": "*". Allowing users to have more privileges than needed to complete a task may violate the principle of least privilege and separation of duties.
164.308(a)(4)(i) (4)(i) Standard: Information access management. Implement policies and procedures for authorizing access to electronic protected health information that are consistent with the applicable requirements of subpart E of this part.

iam-user-no-policies-check

This rule ensures AWS Identity and Access Management (IAM) policies are attached only to groups or roles to control access to systems and assets. Assigning privileges at the group or the role level helps to reduce opportunity for an identity to receive or retain excessive privileges.
164.308(a)(4)(i) (4)(i) Standard: Information access management. Implement policies and procedures for authorizing access to electronic protected health information that are consistent with the applicable requirements of subpart E of this part.

iam-policy-no-statements-with-full-access

Ensure IAM Actions are restricted to only those actions that are needed. Allowing users to have more privileges than needed to complete a task may violate the principle of least privilege and separation of duties.
164.308(a)(4)(i) (4)(i) Standard: Information access management. Implement policies and procedures for authorizing access to electronic protected health information that are consistent with the applicable requirements of subpart E of this part.

restricted-common-ports

Manage access to resources in the AWS Cloud by ensuring common ports are restricted on Amazon Elastic Compute Cloud (Amazon EC2) security groups. Not restricting access to ports to trusted sources can lead to attacks against the availability, integrity and confidentiality of systems. This rule allows you to optionally set blockedPort1 - blockedPort5 parameters (Config Defaults: 20,21,3389,3306,4333). The actual values should reflect your organization's policies.
164.308(a)(4)(i) (4)(i) Standard: Information access management. Implement policies and procedures for authorizing access to electronic protected health information that are consistent with the applicable requirements of subpart E of this part.

restricted-ssh

Amazon Elastic Compute Cloud (Amazon EC2) Security Groups can help manage network access by providing stateful filtering of ingress and egress network traffic to AWS resources. Not allowing ingress (or remote) traffic from 0.0.0.0/0 to port 22 on your resources help you restricting remote access.
164.308(a)(4)(i) (4)(i) Standard: Information access management. Implement policies and procedures for authorizing access to electronic protected health information that are consistent with the applicable requirements of subpart E of this part.

ssm-document-not-public

Ensure AWS Systems Manager (SSM) documents are not public, as this may allow unintended access to your SSM documents. A public SSM document can expose information about your account, resources and internal processes.
164.308(a)(4)(i) (4)(i) Standard: Information access management. Implement policies and procedures for authorizing access to electronic protected health information that are consistent with the applicable requirements of subpart E of this part.

ecs-containers-readonly-access

Enabling read only access to Amazon Elastic Container Service (ECS) containers can assist in adhering to the principal of least privilege. This option can reduces attack vectors as the container instance’s filesystem cannot be modified unless it has explicit read-write permissions.
164.308(a)(4)(i) (4)(i) Standard: Information access management. Implement policies and procedures for authorizing access to electronic protected health information that are consistent with the applicable requirements of subpart E of this part.

s3-bucket-acl-prohibited

This rule checks to see if Access Control Lists (ACLs) are used to for access control on Amazon S3 Buckets. ACLs are legacy access control mechanisms for Amazon S3 buckets that predate AWS Identity and Access Management (IAM). Instead of ACLs, it is a best practice to use IAM policies or S3 bucket policies to more easily manage access to your S3 buckets.
164.308(a)(4)(ii)(A) (A) Isolating health care clearinghouse functions (Required). If a health care clearinghouse is part of a larger organization, the clearinghouse must implement policies and procedures that protect the electronic protected health information of the clearinghouse from unauthorized access by the larger organization.

ec2-imdsv2-check

Ensure the Instance Metadata Service Version 2 (IMDSv2) method is enabled to help protect access and control of Amazon Elastic Compute Cloud (Amazon EC2) instance metadata. The IMDSv2 method uses session-based controls. With IMDSv2, controls can be implemented to restrict changes to instance metadata.
164.308(a)(4)(ii)(A) (A) Isolating health care clearinghouse functions (Required). If a health care clearinghouse is part of a larger organization, the clearinghouse must implement policies and procedures that protect the electronic protected health information of the clearinghouse from unauthorized access by the larger organization.

emr-kerberos-enabled

The access permissions and authorizations can be managed and incorporated with the principles of least privilege and separation of duties, by enabling Kerberos for Amazon EMR clusters. In Kerberos, the services and the users that need to authenticate are known as principals. The principals exist within a Kerberos realm. Within the realm, a Kerberos server is known as the key distribution center (KDC). It provides a means for the principals to authenticate. The KDC authenticates by issuing tickets for authentication. The KDC maintains a database of the principals within its realm, their passwords, and other administrative information about each principal.
164.308(a)(4)(ii)(A) (A) Isolating health care clearinghouse functions (Required). If a health care clearinghouse is part of a larger organization, the clearinghouse must implement policies and procedures that protect the electronic protected health information of the clearinghouse from unauthorized access by the larger organization.

iam-customer-policy-blocked-kms-actions

AWS Identity and Access Management (IAM) can help you incorporate the principles of least privilege and separation of duties with access permissions and authorizations, restricting policies from containing blocked actions on all AWS Key Management Service keys. Having more privileges than needed to complete a task may violate the principle of least privilege and separation of duties. This rule allows you to set the blockedActionsPatterns parameter. (AWS Foundational Security Best Practices value: kms:Decrypt, kms:ReEncryptFrom). The actual values should reflect your organization's policies
164.308(a)(4)(ii)(A) (A) Isolating health care clearinghouse functions (Required). If a health care clearinghouse is part of a larger organization, the clearinghouse must implement policies and procedures that protect the electronic protected health information of the clearinghouse from unauthorized access by the larger organization.

iam-inline-policy-blocked-kms-actions

Ensure an AWS Identity and Access Management (IAM) user, IAM role or IAM group does not have an inline policy to allow blocked actions on all AWS Key Management Service keys. AWS recommends to use managed policies instead of inline policies. The managed policies allow reusability, versioning, rolling back, and delegating permissions management. This rule allows you to set the blockedActionsPatterns parameter. (AWS Foundational Security Best Practices value: kms:Decrypt, kms:ReEncryptFrom). The actual values should reflect your organization's policies.
164.308(a)(4)(ii)(A) (A) Isolating health care clearinghouse functions (Required). If a health care clearinghouse is part of a larger organization, the clearinghouse must implement policies and procedures that protect the electronic protected health information of the clearinghouse from unauthorized access by the larger organization.

iam-no-inline-policy-check

Ensure an AWS Identity and Access Management (IAM) user, IAM role or IAM group does not have an inline policy to control access to systems and assets. AWS recommends to use managed policies instead of inline policies. The managed policies allow reusability, versioning and rolling back, and delegating permissions management.
164.308(a)(4)(ii)(A) (A) Isolating health care clearinghouse functions (Required). If a health care clearinghouse is part of a larger organization, the clearinghouse must implement policies and procedures that protect the electronic protected health information of the clearinghouse from unauthorized access by the larger organization.

iam-policy-no-statements-with-admin-access

AWS Identity and Access Management (IAM) can help you incorporate the principles of least privilege and separation of duties with access permissions and authorizations, restricting policies from containing "Effect": "Allow" with "Action": "*" over "Resource": "*". Allowing users to have more privileges than needed to complete a task may violate the principle of least privilege and separation of duties.
164.308(a)(4)(ii)(A) (A) Isolating health care clearinghouse functions (Required). If a health care clearinghouse is part of a larger organization, the clearinghouse must implement policies and procedures that protect the electronic protected health information of the clearinghouse from unauthorized access by the larger organization.

iam-root-access-key-check

Access to systems and assets can be controlled by checking that the root user does not have access keys attached to their AWS Identity and Access Management (IAM) role. Ensure that the root access keys are deleted. Instead, create and use role-based AWS accounts to help to incorporate the principle of least functionality.
164.308(a)(4)(ii)(A) (A) Isolating health care clearinghouse functions (Required). If a health care clearinghouse is part of a larger organization, the clearinghouse must implement policies and procedures that protect the electronic protected health information of the clearinghouse from unauthorized access by the larger organization.

iam-user-no-policies-check

This rule ensures AWS Identity and Access Management (IAM) policies are attached only to groups or roles to control access to systems and assets. Assigning privileges at the group or the role level helps to reduce opportunity for an identity to receive or retain excessive privileges.
164.308(a)(4)(ii)(A) (A) Isolating health care clearinghouse functions (Required). If a health care clearinghouse is part of a larger organization, the clearinghouse must implement policies and procedures that protect the electronic protected health information of the clearinghouse from unauthorized access by the larger organization.

iam-user-unused-credentials-check

AWS Identity and Access Management (IAM) can help you with access permissions and authorizations by checking for IAM passwords and access keys that are not used for a specified time period. If these unused credentials are identified, you should disable and/or remove the credentials, as this may violate the principle of least privilege. This rule requires you to set a value to the maxCredentialUsageAge (Config Default: 90). The actual value should reflect your organization's policies.
164.308(a)(4)(ii)(A) (A) Isolating health care clearinghouse functions (Required). If a health care clearinghouse is part of a larger organization, the clearinghouse must implement policies and procedures that protect the electronic protected health information of the clearinghouse from unauthorized access by the larger organization.

iam-policy-no-statements-with-full-access

Ensure IAM Actions are restricted to only those actions that are needed. Allowing users to have more privileges than needed to complete a task may violate the principle of least privilege and separation of duties.
164.308(a)(4)(ii)(A) (A) Isolating health care clearinghouse functions (Required). If a health care clearinghouse is part of a larger organization, the clearinghouse must implement policies and procedures that protect the electronic protected health information of the clearinghouse from unauthorized access by the larger organization.

ec2-instance-profile-attached

EC2 instance profiles pass an IAM role to an EC2 instance. Attaching an instance profile to your instances can assist with least privilege and permissions management.
164.308(a)(4)(ii)(A) (A) Isolating health care clearinghouse functions (Required). If a health care clearinghouse is part of a larger organization, the clearinghouse must implement policies and procedures that protect the electronic protected health information of the clearinghouse from unauthorized access by the larger organization.

dms-replication-not-public

Manage access to the AWS Cloud by ensuring DMS replication instances cannot be publicly accessed. DMS replication instances can contain sensitive information and access control is required for such accounts.
164.308(a)(4)(ii)(A) (A) Isolating health care clearinghouse functions (Required). If a health care clearinghouse is part of a larger organization, the clearinghouse must implement policies and procedures that protect the electronic protected health information of the clearinghouse from unauthorized access by the larger organization.

ebs-snapshot-public-restorable-check

Manage access to the AWS Cloud by ensuring EBS snapshots are not publicly restorable. EBS volume snapshots can contain sensitive information and access control is required for such accounts.
164.308(a)(4)(ii)(A) (A) Isolating health care clearinghouse functions (Required). If a health care clearinghouse is part of a larger organization, the clearinghouse must implement policies and procedures that protect the electronic protected health information of the clearinghouse from unauthorized access by the larger organization.

ec2-instance-no-public-ip

Manage access to the AWS Cloud by ensuring Amazon Elastic Compute Cloud (Amazon EC2) instances cannot be publicly accessed. Amazon EC2 instances can contain sensitive information and access control is required for such accounts.
164.308(a)(4)(ii)(A) (A) Isolating health care clearinghouse functions (Required). If a health care clearinghouse is part of a larger organization, the clearinghouse must implement policies and procedures that protect the electronic protected health information of the clearinghouse from unauthorized access by the larger organization.

elasticsearch-in-vpc-only

Manage access to the AWS Cloud by ensuring Amazon OpenSearch Service (OpenSearch Service) Domains are within an Amazon Virtual Private Cloud (Amazon VPC). An OpenSearch Service domain within an Amazon VPC enables secure communication between OpenSearch Service and other services within the Amazon VPC without the need for an internet gateway, NAT device, or VPN connection.
164.308(a)(4)(ii)(A) (A) Isolating health care clearinghouse functions (Required). If a health care clearinghouse is part of a larger organization, the clearinghouse must implement policies and procedures that protect the electronic protected health information of the clearinghouse from unauthorized access by the larger organization.

emr-master-no-public-ip

Manage access to the AWS Cloud by ensuring Amazon EMR cluster master nodes cannot be publicly accessed. Amazon EMR cluster master nodes can contain sensitive information and access control is required for such accounts.
164.308(a)(4)(ii)(A) (A) Isolating health care clearinghouse functions (Required). If a health care clearinghouse is part of a larger organization, the clearinghouse must implement policies and procedures that protect the electronic protected health information of the clearinghouse from unauthorized access by the larger organization.

ec2-instances-in-vpc

Deploy Amazon Elastic Compute Cloud (Amazon EC2) instances within an Amazon Virtual Private Cloud (Amazon VPC) to enable secure communication between an instance and other services within the amazon VPC, without requiring an internet gateway, NAT device, or VPN connection. All traffic remains securely within the AWS Cloud. Because of their logical isolation, domains that reside within an Amazon VPC have an extra layer of security when compared to domains that use public endpoints. Assign Amazon EC2 instances to an Amazon VPC to properly manage access.
164.308(a)(4)(ii)(A) (A) Isolating health care clearinghouse functions (Required). If a health care clearinghouse is part of a larger organization, the clearinghouse must implement policies and procedures that protect the electronic protected health information of the clearinghouse from unauthorized access by the larger organization.

internet-gateway-authorized-vpc-only

Manage access to resources in the AWS Cloud by ensuring that internet gateways are only attached to authorized Amazon Virtual Private Cloud (Amazon VPC). Internet gateways allow bi-directional internet access to and from the Amazon VPC that can potentially lead to unauthorized access to Amazon VPC resources.
164.308(a)(4)(ii)(A) (A) Isolating health care clearinghouse functions (Required). If a health care clearinghouse is part of a larger organization, the clearinghouse must implement policies and procedures that protect the electronic protected health information of the clearinghouse from unauthorized access by the larger organization.

lambda-function-public-access-prohibited

Manage access to resources in the AWS Cloud by ensuring AWS Lambda functions cannot be publicly accessed. Public access can potentially lead to degradation of availability of resources.
164.308(a)(4)(ii)(A) (A) Isolating health care clearinghouse functions (Required). If a health care clearinghouse is part of a larger organization, the clearinghouse must implement policies and procedures that protect the electronic protected health information of the clearinghouse from unauthorized access by the larger organization.

rds-instance-public-access-check

Manage access to resources in the AWS Cloud by ensuring that Amazon Relational Database Service (Amazon RDS) instances are not public. Amazon RDS database instances can contain sensitive information, and principles and access control is required for such accounts.
164.308(a)(4)(ii)(A) (A) Isolating health care clearinghouse functions (Required). If a health care clearinghouse is part of a larger organization, the clearinghouse must implement policies and procedures that protect the electronic protected health information of the clearinghouse from unauthorized access by the larger organization.

rds-snapshots-public-prohibited

Manage access to resources in the AWS Cloud by ensuring that Amazon Relational Database Service (Amazon RDS) instances are not public. Amazon RDS database instances can contain sensitive information and principles and access control is required for such accounts.
164.308(a)(4)(ii)(A) (A) Isolating health care clearinghouse functions (Required). If a health care clearinghouse is part of a larger organization, the clearinghouse must implement policies and procedures that protect the electronic protected health information of the clearinghouse from unauthorized access by the larger organization.

redshift-cluster-public-access-check

Manage access to resources in the AWS Cloud by ensuring that Amazon Redshift clusters are not public. Amazon Redshift clusters can contain sensitive information and principles and access control is required for such accounts.
164.308(a)(4)(ii)(A) (A) Isolating health care clearinghouse functions (Required). If a health care clearinghouse is part of a larger organization, the clearinghouse must implement policies and procedures that protect the electronic protected health information of the clearinghouse from unauthorized access by the larger organization.

s3-account-level-public-access-blocks-periodic

Manage access to resources in the AWS Cloud by ensuring that Amazon Simple Storage Service (Amazon S3) buckets cannot be publicly accessed. This rule helps keeping sensitive data safe from unauthorized remote users by preventing public access. This rule allows you to optionally set the ignorePublicAcls (Config Default: True), blockPublicPolicy (Config Default: True), blockPublicAcls (Config Default: True), and restrictPublicBuckets parameters (Config Default: True). The actual values should reflect your organization's policies.
164.308(a)(4)(ii)(A) (A) Isolating health care clearinghouse functions (Required). If a health care clearinghouse is part of a larger organization, the clearinghouse must implement policies and procedures that protect the electronic protected health information of the clearinghouse from unauthorized access by the larger organization.

s3-bucket-public-read-prohibited

Manage access to resources in the AWS Cloud by only allowing authorized users, processes, and devices access to Amazon Simple Storage Service (Amazon S3) buckets. The management of access should be consistent with the classification of the data.
164.308(a)(4)(ii)(A) (A) Isolating health care clearinghouse functions (Required). If a health care clearinghouse is part of a larger organization, the clearinghouse must implement policies and procedures that protect the electronic protected health information of the clearinghouse from unauthorized access by the larger organization.

s3-bucket-public-write-prohibited

Manage access to resources in the AWS Cloud by only allowing authorized users, processes, and devices access to Amazon Simple Storage Service (Amazon S3) buckets. The management of access should be consistent with the classification of the data.
164.308(a)(4)(ii)(A) (A) Isolating health care clearinghouse functions (Required). If a health care clearinghouse is part of a larger organization, the clearinghouse must implement policies and procedures that protect the electronic protected health information of the clearinghouse from unauthorized access by the larger organization.

sagemaker-notebook-no-direct-internet-access

Manage access to resources in the AWS Cloud by ensuring that Amazon SageMaker notebooks do not allow direct internet access. By preventing direct internet access, you can keep sensitive data from being accessed by unauthorized users.
164.308(a)(4)(ii)(A) (A) Isolating health care clearinghouse functions (Required). If a health care clearinghouse is part of a larger organization, the clearinghouse must implement policies and procedures that protect the electronic protected health information of the clearinghouse from unauthorized access by the larger organization.

subnet-auto-assign-public-ip-disabled

Manage access to the AWS Cloud by ensuring Amazon Virtual Private Cloud (VPC) subnets are not automatically assigned a public IP address. Amazon Elastic Compute Cloud (EC2) instances that are launched into subnets that have this attribute enabled have a public IP address assigned to their primary network interface.
164.308(a)(4)(ii)(A) (A) Isolating health care clearinghouse functions (Required). If a health care clearinghouse is part of a larger organization, the clearinghouse must implement policies and procedures that protect the electronic protected health information of the clearinghouse from unauthorized access by the larger organization.

s3-bucket-level-public-access-prohibited

Manage access to resources in the AWS Cloud by ensuring that Amazon Simple Storage Service (Amazon S3) buckets cannot be publicly accessed. This rule helps keeping sensitive data safe from unauthorized remote users by preventing public access at the bucket level.
164.308(a)(4)(ii)(A) (A) Isolating health care clearinghouse functions (Required). If a health care clearinghouse is part of a larger organization, the clearinghouse must implement policies and procedures that protect the electronic protected health information of the clearinghouse from unauthorized access by the larger organization.

ecs-task-definition-user-for-host-mode-check

If a task definition has elevated privileges it is because the customer has specifically opted-in to those configurations. This control checks for unexpected privilege escalation when a task definition has host networking enabled but the customer has not opted-in to elevated privileges.
164.308(a)(4)(ii)(A) (A) Isolating health care clearinghouse functions (Required). If a health care clearinghouse is part of a larger organization, the clearinghouse must implement policies and procedures that protect the electronic protected health information of the clearinghouse from unauthorized access by the larger organization.

codebuild-project-envvar-awscred-check

Ensure authentication credentials AWS_ACCESS_KEY_ID and AWS_SECRET_ACCESS_KEY do not exist within AWS Codebuild project environments. Do not store these variables in clear text. Storing these variables in clear text leads to unintended data exposure and unauthorized access.
164.308(a)(4)(ii)(A) (A) Isolating health care clearinghouse functions (Required). If a health care clearinghouse is part of a larger organization, the clearinghouse must implement policies and procedures that protect the electronic protected health information of the clearinghouse from unauthorized access by the larger organization.

codebuild-project-source-repo-url-check

Ensure the GitHub or Bitbucket source repository URL does not contain personal access tokens, user name and password within AWS Codebuild project environments. Use OAuth instead of personal access tokens or a user name and password to grant authorization for accessing GitHub or Bitbucket repositories.
164.308(a)(4)(ii)(A) (A) Isolating health care clearinghouse functions (Required). If a health care clearinghouse is part of a larger organization, the clearinghouse must implement policies and procedures that protect the electronic protected health information of the clearinghouse from unauthorized access by the larger organization.

restricted-common-ports

Manage access to resources in the AWS Cloud by ensuring common ports are restricted on Amazon Elastic Compute Cloud (Amazon EC2) security groups. Not restricting access to ports to trusted sources can lead to attacks against the availability, integrity and confidentiality of systems. This rule allows you to optionally set blockedPort1 - blockedPort5 parameters (Config Defaults: 20,21,3389,3306,4333). The actual values should reflect your organization's policies.
164.308(a)(4)(ii)(A) (A) Isolating health care clearinghouse functions (Required). If a health care clearinghouse is part of a larger organization, the clearinghouse must implement policies and procedures that protect the electronic protected health information of the clearinghouse from unauthorized access by the larger organization.

restricted-ssh

Amazon Elastic Compute Cloud (Amazon EC2) Security Groups can help manage network access by providing stateful filtering of ingress and egress network traffic to AWS resources. Not allowing ingress (or remote) traffic from 0.0.0.0/0 to port 22 on your resources help you restricting remote access.
164.308(a)(4)(ii)(A) (A) Isolating health care clearinghouse functions (Required). If a health care clearinghouse is part of a larger organization, the clearinghouse must implement policies and procedures that protect the electronic protected health information of the clearinghouse from unauthorized access by the larger organization.

autoscaling-launch-config-public-ip-disabled

If you configure your Network Interfaces with a public IP address, then the associated resources to those Network Interfaces are reachable from the internet. EC2 resources should not be publicly accessible, as this may allow unintended access to your applications or servers.
164.308(a)(4)(ii)(A) (A) Isolating health care clearinghouse functions (Required). If a health care clearinghouse is part of a larger organization, the clearinghouse must implement policies and procedures that protect the electronic protected health information of the clearinghouse from unauthorized access by the larger organization.

ecs-containers-readonly-access

Enabling read only access to Amazon Elastic Container Service (ECS) containers can assist in adhering to the principal of least privilege. This option can reduces attack vectors as the container instance’s filesystem cannot be modified unless it has explicit read-write permissions.
164.308(a)(4)(ii)(A) (A) Isolating health care clearinghouse functions (Required). If a health care clearinghouse is part of a larger organization, the clearinghouse must implement policies and procedures that protect the electronic protected health information of the clearinghouse from unauthorized access by the larger organization.

ssm-document-not-public

Ensure AWS Systems Manager (SSM) documents are not public, as this may allow unintended access to your SSM documents. A public SSM document can expose information about your account, resources and internal processes.
164.308(a)(4)(ii)(A) (A) Isolating health care clearinghouse functions (Required). If a health care clearinghouse is part of a larger organization, the clearinghouse must implement policies and procedures that protect the electronic protected health information of the clearinghouse from unauthorized access by the larger organization.

s3-bucket-acl-prohibited

This rule checks to see if Access Control Lists (ACLs) are used to for access control on Amazon S3 Buckets. ACLs are legacy access control mechanisms for Amazon S3 buckets that predate AWS Identity and Access Management (IAM). Instead of ACLs, it is a best practice to use IAM policies or S3 bucket policies to more easily manage access to your S3 buckets.
164.308(a)(4)(ii)(A) (A) Isolating health care clearinghouse functions (Required). If a health care clearinghouse is part of a larger organization, the clearinghouse must implement policies and procedures that protect the electronic protected health information of the clearinghouse from unauthorized access by the larger organization.

opensearch-in-vpc-only

Manage access to the AWS Cloud by ensuring Amazon OpenSearch Service domains are within an Amazon Virtual Private Cloud (Amazon VPC). An Amazon OpenSearch Service domain within an Amazon VPC enables secure communication between Amazon OpenSearch Service and other services within the Amazon VPC without the need for an internet gateway, NAT device, or VPN connection.
164.308(a)(4)(ii)(B) (B) Access authorization (Addressable). Implement policies and procedures for granting access to electronic protected health information, for example, through access to a workstation, transaction, program, process, or other mechanism.

iam-policy-no-statements-with-admin-access

AWS Identity and Access Management (IAM) can help you incorporate the principles of least privilege and separation of duties with access permissions and authorizations, restricting policies from containing "Effect": "Allow" with "Action": "*" over "Resource": "*". Allowing users to have more privileges than needed to complete a task may violate the principle of least privilege and separation of duties.
164.308(a)(4)(ii)(B) (B) Access authorization (Addressable). Implement policies and procedures for granting access to electronic protected health information, for example, through access to a workstation, transaction, program, process, or other mechanism.

iam-user-no-policies-check

This rule ensures AWS Identity and Access Management (IAM) policies are attached only to groups or roles to control access to systems and assets. Assigning privileges at the group or the role level helps to reduce opportunity for an identity to receive or retain excessive privileges.
164.308(a)(4)(ii)(B) (B) Access authorization (Addressable). Implement policies and procedures for granting access to electronic protected health information, for example, through access to a workstation, transaction, program, process, or other mechanism.

access-keys-rotated

The credentials are audited for authorized devices, users, and processes by ensuring IAM access keys are rotated as per organizational policy. Changing the access keys on a regular schedule is a security best practice. It shortens the period an access key is active and reduces the business impact if the keys are compromised. This rule requires an access key rotation value (Config Default: 90). The actual value should reflect your organization's policies.
164.308(a)(4)(ii)(B) (B) Access authorization (Addressable). Implement policies and procedures for granting access to electronic protected health information, for example, through access to a workstation, transaction, program, process, or other mechanism.

iam-root-access-key-check

Access to systems and assets can be controlled by checking that the root user does not have access keys attached to their AWS Identity and Access Management (IAM) role. Ensure that the root access keys are deleted. Instead, create and use role-based AWS accounts to help to incorporate the principle of least functionality.
164.308(a)(4)(ii)(B) (B) Access authorization (Addressable). Implement policies and procedures for granting access to electronic protected health information, for example, through access to a workstation, transaction, program, process, or other mechanism.

iam-password-policy

The identities and the credentials are issued, managed, and verified based on an organizational IAM password policy. They meet or exceed requirements as stated by NIST SP 800-63 and the AWS Foundational Security Best Practices standard for password strength. This rule allows you to optionally set RequireUppercaseCharacters (AWS Foundational Security Best Practices value: true), RequireLowercaseCharacters (AWS Foundational Security Best Practices value: true), RequireSymbols (AWS Foundational Security Best Practices value: true), RequireNumbers (AWS Foundational Security Best Practices value: true), MinimumPasswordLength (AWS Foundational Security Best Practices value: 14), PasswordReusePrevention (AWS Foundational Security Best Practices value: 24), and MaxPasswordAge (AWS Foundational Security Best Practices value: 90) for your IAM Password Policy. The actual values should reflect your organization's policies.
164.308(a)(4)(ii)(B) (B) Access authorization (Addressable). Implement policies and procedures for granting access to electronic protected health information, for example, through access to a workstation, transaction, program, process, or other mechanism.

iam-user-unused-credentials-check

AWS Identity and Access Management (IAM) can help you with access permissions and authorizations by checking for IAM passwords and access keys that are not used for a specified time period. If these unused credentials are identified, you should disable and/or remove the credentials, as this may violate the principle of least privilege. This rule requires you to set a value to the maxCredentialUsageAge (Config Default: 90). The actual value should reflect your organization's policies.
164.308(a)(4)(ii)(B) (B) Access authorization (Addressable). Implement policies and procedures for granting access to electronic protected health information, for example, through access to a workstation, transaction, program, process, or other mechanism.

secretsmanager-rotation-enabled-check

This rule ensures AWS Secrets Manager secrets have rotation enabled. Rotating secrets on a regular schedule can shorten the period a secret is active, and potentially reduce the business impact if the secret is compromised.
164.308(a)(4)(ii)(B) (B) Access authorization (Addressable). Implement policies and procedures for granting access to electronic protected health information, for example, through access to a workstation, transaction, program, process, or other mechanism.

emr-kerberos-enabled

The access permissions and authorizations can be managed and incorporated with the principles of least privilege and separation of duties, by enabling Kerberos for Amazon EMR clusters. In Kerberos, the services and the users that need to authenticate are known as principals. The principals exist within a Kerberos realm. Within the realm, a Kerberos server is known as the key distribution center (KDC). It provides a means for the principals to authenticate. The KDC authenticates by issuing tickets for authentication. The KDC maintains a database of the principals within its realm, their passwords, and other administrative information about each principal.
164.308(a)(4)(ii)(B) (B) Access authorization (Addressable). Implement policies and procedures for granting access to electronic protected health information, for example, through access to a workstation, transaction, program, process, or other mechanism.

iam-customer-policy-blocked-kms-actions

AWS Identity and Access Management (IAM) can help you incorporate the principles of least privilege and separation of duties with access permissions and authorizations, restricting policies from containing blocked actions on all AWS Key Management Service keys. Having more privileges than needed to complete a task may violate the principle of least privilege and separation of duties. This rule allows you to set the blockedActionsPatterns parameter. (AWS Foundational Security Best Practices value: kms:Decrypt, kms:ReEncryptFrom). The actual values should reflect your organization's policies
164.308(a)(4)(ii)(B) (B) Access authorization (Addressable). Implement policies and procedures for granting access to electronic protected health information, for example, through access to a workstation, transaction, program, process, or other mechanism.

iam-inline-policy-blocked-kms-actions

Ensure an AWS Identity and Access Management (IAM) user, IAM role or IAM group does not have an inline policy to allow blocked actions on all AWS Key Management Service keys. AWS recommends to use managed policies instead of inline policies. The managed policies allow reusability, versioning, rolling back, and delegating permissions management. This rule allows you to set the blockedActionsPatterns parameter. (AWS Foundational Security Best Practices value: kms:Decrypt, kms:ReEncryptFrom). The actual values should reflect your organization's policies.
164.308(a)(4)(ii)(B) (B) Access authorization (Addressable). Implement policies and procedures for granting access to electronic protected health information, for example, through access to a workstation, transaction, program, process, or other mechanism.

iam-no-inline-policy-check

Ensure an AWS Identity and Access Management (IAM) user, IAM role or IAM group does not have an inline policy to control access to systems and assets. AWS recommends to use managed policies instead of inline policies. The managed policies allow reusability, versioning and rolling back, and delegating permissions management.
164.308(a)(4)(ii)(B) (B) Access authorization (Addressable). Implement policies and procedures for granting access to electronic protected health information, for example, through access to a workstation, transaction, program, process, or other mechanism.

iam-user-mfa-enabled

Enable this rule to restrict access to resources in the AWS Cloud. This rule ensures multi-factor authentication (MFA) is enabled for all IAM users. MFA adds an extra layer of protection on top of a user name and password. Reduce the incidents of compromised accounts by requiring MFA for IAM users.
164.308(a)(4)(ii)(B) (B) Access authorization (Addressable). Implement policies and procedures for granting access to electronic protected health information, for example, through access to a workstation, transaction, program, process, or other mechanism.

iam-policy-no-statements-with-full-access

Ensure IAM Actions are restricted to only those actions that are needed. Allowing users to have more privileges than needed to complete a task may violate the principle of least privilege and separation of duties.
164.308(a)(4)(ii)(B) (B) Access authorization (Addressable). Implement policies and procedures for granting access to electronic protected health information, for example, through access to a workstation, transaction, program, process, or other mechanism.

ec2-instance-profile-attached

EC2 instance profiles pass an IAM role to an EC2 instance. Attaching an instance profile to your instances can assist with least privilege and permissions management.
164.308(a)(4)(ii)(B) (B) Access authorization (Addressable). Implement policies and procedures for granting access to electronic protected health information, for example, through access to a workstation, transaction, program, process, or other mechanism.

restricted-common-ports

Manage access to resources in the AWS Cloud by ensuring common ports are restricted on Amazon Elastic Compute Cloud (Amazon EC2) security groups. Not restricting access to ports to trusted sources can lead to attacks against the availability, integrity and confidentiality of systems. This rule allows you to optionally set blockedPort1 - blockedPort5 parameters (Config Defaults: 20,21,3389,3306,4333). The actual values should reflect your organization's policies.
164.308(a)(4)(ii)(B) (B) Access authorization (Addressable). Implement policies and procedures for granting access to electronic protected health information, for example, through access to a workstation, transaction, program, process, or other mechanism.

restricted-ssh

Amazon Elastic Compute Cloud (Amazon EC2) Security Groups can help manage network access by providing stateful filtering of ingress and egress network traffic to AWS resources. Not allowing ingress (or remote) traffic from 0.0.0.0/0 to port 22 on your resources help you restricting remote access.
164.308(a)(4)(ii)(B) (B) Access authorization (Addressable). Implement policies and procedures for granting access to electronic protected health information, for example, through access to a workstation, transaction, program, process, or other mechanism.

ssm-document-not-public

Ensure AWS Systems Manager (SSM) documents are not public, as this may allow unintended access to your SSM documents. A public SSM document can expose information about your account, resources and internal processes.
164.308(a)(4)(ii)(B) (B) Access authorization (Addressable). Implement policies and procedures for granting access to electronic protected health information, for example, through access to a workstation, transaction, program, process, or other mechanism.

ecs-containers-readonly-access

Enabling read only access to Amazon Elastic Container Service (ECS) containers can assist in adhering to the principal of least privilege. This option can reduces attack vectors as the container instance’s filesystem cannot be modified unless it has explicit read-write permissions.
164.308(a)(4)(ii)(B) (B) Access authorization (Addressable). Implement policies and procedures for granting access to electronic protected health information, for example, through access to a workstation, transaction, program, process, or other mechanism.

s3-bucket-acl-prohibited

This rule checks to see if Access Control Lists (ACLs) are used to for access control on Amazon S3 Buckets. ACLs are legacy access control mechanisms for Amazon S3 buckets that predate AWS Identity and Access Management (IAM). Instead of ACLs, it is a best practice to use IAM policies or S3 bucket policies to more easily manage access to your S3 buckets.
164.308(a)(4)(ii)(C) (C) Access establishment and modification (Addressable). Implement policies and procedures that, based upon the entity's access authorization policies, establish, document, review, and modify a user's right of access to a workstation, transaction, program, or process.

ec2-imdsv2-check

Ensure the Instance Metadata Service Version 2 (IMDSv2) method is enabled to help protect access and control of Amazon Elastic Compute Cloud (Amazon EC2) instance metadata. The IMDSv2 method uses session-based controls. With IMDSv2, controls can be implemented to restrict changes to instance metadata.
164.308(a)(4)(ii)(C) (C) Access establishment and modification (Addressable). Implement policies and procedures that, based upon the entity's access authorization policies, establish, document, review, and modify a user's right of access to a workstation, transaction, program, or process.

emr-kerberos-enabled

The access permissions and authorizations can be managed and incorporated with the principles of least privilege and separation of duties, by enabling Kerberos for Amazon EMR clusters. In Kerberos, the services and the users that need to authenticate are known as principals. The principals exist within a Kerberos realm. Within the realm, a Kerberos server is known as the key distribution center (KDC). It provides a means for the principals to authenticate. The KDC authenticates by issuing tickets for authentication. The KDC maintains a database of the principals within its realm, their passwords, and other administrative information about each principal.
164.308(a)(4)(ii)(C) (C) Access establishment and modification (Addressable). Implement policies and procedures that, based upon the entity's access authorization policies, establish, document, review, and modify a user's right of access to a workstation, transaction, program, or process.

iam-customer-policy-blocked-kms-actions

AWS Identity and Access Management (IAM) can help you incorporate the principles of least privilege and separation of duties with access permissions and authorizations, restricting policies from containing blocked actions on all AWS Key Management Service keys. Having more privileges than needed to complete a task may violate the principle of least privilege and separation of duties. This rule allows you to set the blockedActionsPatterns parameter. (AWS Foundational Security Best Practices value: kms:Decrypt, kms:ReEncryptFrom). The actual values should reflect your organization's policies
164.308(a)(4)(ii)(C) (C) Access establishment and modification (Addressable). Implement policies and procedures that, based upon the entity's access authorization policies, establish, document, review, and modify a user's right of access to a workstation, transaction, program, or process.

iam-inline-policy-blocked-kms-actions

Ensure an AWS Identity and Access Management (IAM) user, IAM role or IAM group does not have an inline policy to allow blocked actions on all AWS Key Management Service keys. AWS recommends to use managed policies instead of inline policies. The managed policies allow reusability, versioning, rolling back, and delegating permissions management. This rule allows you to set the blockedActionsPatterns parameter. (AWS Foundational Security Best Practices value: kms:Decrypt, kms:ReEncryptFrom). The actual values should reflect your organization's policies.
164.308(a)(4)(ii)(C) (C) Access establishment and modification (Addressable). Implement policies and procedures that, based upon the entity's access authorization policies, establish, document, review, and modify a user's right of access to a workstation, transaction, program, or process.

iam-no-inline-policy-check

Ensure an AWS Identity and Access Management (IAM) user, IAM role or IAM group does not have an inline policy to control access to systems and assets. AWS recommends to use managed policies instead of inline policies. The managed policies allow reusability, versioning and rolling back, and delegating permissions management.
164.308(a)(4)(ii)(C) (C) Access establishment and modification (Addressable). Implement policies and procedures that, based upon the entity's access authorization policies, establish, document, review, and modify a user's right of access to a workstation, transaction, program, or process.

iam-policy-no-statements-with-admin-access

AWS Identity and Access Management (IAM) can help you incorporate the principles of least privilege and separation of duties with access permissions and authorizations, restricting policies from containing "Effect": "Allow" with "Action": "*" over "Resource": "*". Allowing users to have more privileges than needed to complete a task may violate the principle of least privilege and separation of duties.
164.308(a)(4)(ii)(C) (C) Access establishment and modification (Addressable). Implement policies and procedures that, based upon the entity's access authorization policies, establish, document, review, and modify a user's right of access to a workstation, transaction, program, or process.

iam-root-access-key-check

Access to systems and assets can be controlled by checking that the root user does not have access keys attached to their AWS Identity and Access Management (IAM) role. Ensure that the root access keys are deleted. Instead, create and use role-based AWS accounts to help to incorporate the principle of least functionality.
164.308(a)(4)(ii)(C) (C) Access establishment and modification (Addressable). Implement policies and procedures that, based upon the entity's access authorization policies, establish, document, review, and modify a user's right of access to a workstation, transaction, program, or process.

iam-user-no-policies-check

This rule ensures AWS Identity and Access Management (IAM) policies are attached only to groups or roles to control access to systems and assets. Assigning privileges at the group or the role level helps to reduce opportunity for an identity to receive or retain excessive privileges.
164.308(a)(4)(ii)(C) (C) Access establishment and modification (Addressable). Implement policies and procedures that, based upon the entity's access authorization policies, establish, document, review, and modify a user's right of access to a workstation, transaction, program, or process.

iam-user-unused-credentials-check

AWS Identity and Access Management (IAM) can help you with access permissions and authorizations by checking for IAM passwords and access keys that are not used for a specified time period. If these unused credentials are identified, you should disable and/or remove the credentials, as this may violate the principle of least privilege. This rule requires you to set a value to the maxCredentialUsageAge (Config Default: 90). The actual value should reflect your organization's policies.
164.308(a)(4)(ii)(C) (C) Access establishment and modification (Addressable). Implement policies and procedures that, based upon the entity's access authorization policies, establish, document, review, and modify a user's right of access to a workstation, transaction, program, or process.

iam-policy-no-statements-with-full-access

Ensure IAM Actions are restricted to only those actions that are needed. Allowing users to have more privileges than needed to complete a task may violate the principle of least privilege and separation of duties.
164.308(a)(4)(ii)(C) (C) Access establishment and modification (Addressable). Implement policies and procedures that, based upon the entity's access authorization policies, establish, document, review, and modify a user's right of access to a workstation, transaction, program, or process.

ec2-instance-profile-attached

EC2 instance profiles pass an IAM role to an EC2 instance. Attaching an instance profile to your instances can assist with least privilege and permissions management.
164.308(a)(4)(ii)(C) (C) Access establishment and modification (Addressable). Implement policies and procedures that, based upon the entity's access authorization policies, establish, document, review, and modify a user's right of access to a workstation, transaction, program, or process.

dms-replication-not-public

Manage access to the AWS Cloud by ensuring DMS replication instances cannot be publicly accessed. DMS replication instances can contain sensitive information and access control is required for such accounts.
164.308(a)(4)(ii)(C) (C) Access establishment and modification (Addressable). Implement policies and procedures that, based upon the entity's access authorization policies, establish, document, review, and modify a user's right of access to a workstation, transaction, program, or process.

ebs-snapshot-public-restorable-check

Manage access to the AWS Cloud by ensuring EBS snapshots are not publicly restorable. EBS volume snapshots can contain sensitive information and access control is required for such accounts.
164.308(a)(4)(ii)(C) (C) Access establishment and modification (Addressable). Implement policies and procedures that, based upon the entity's access authorization policies, establish, document, review, and modify a user's right of access to a workstation, transaction, program, or process.

ec2-instance-no-public-ip

Manage access to the AWS Cloud by ensuring Amazon Elastic Compute Cloud (Amazon EC2) instances cannot be publicly accessed. Amazon EC2 instances can contain sensitive information and access control is required for such accounts.
164.308(a)(4)(ii)(C) (C) Access establishment and modification (Addressable). Implement policies and procedures that, based upon the entity's access authorization policies, establish, document, review, and modify a user's right of access to a workstation, transaction, program, or process.

elasticsearch-in-vpc-only

Manage access to the AWS Cloud by ensuring Amazon OpenSearch Service (OpenSearch Service) Domains are within an Amazon Virtual Private Cloud (Amazon VPC). An OpenSearch Service domain within an Amazon VPC enables secure communication between OpenSearch Service and other services within the Amazon VPC without the need for an internet gateway, NAT device, or VPN connection.
164.308(a)(4)(ii)(C) (C) Access establishment and modification (Addressable). Implement policies and procedures that, based upon the entity's access authorization policies, establish, document, review, and modify a user's right of access to a workstation, transaction, program, or process.

emr-master-no-public-ip

Manage access to the AWS Cloud by ensuring Amazon EMR cluster master nodes cannot be publicly accessed. Amazon EMR cluster master nodes can contain sensitive information and access control is required for such accounts.
164.308(a)(4)(ii)(C) (C) Access establishment and modification (Addressable). Implement policies and procedures that, based upon the entity's access authorization policies, establish, document, review, and modify a user's right of access to a workstation, transaction, program, or process.

ec2-instances-in-vpc

Deploy Amazon Elastic Compute Cloud (Amazon EC2) instances within an Amazon Virtual Private Cloud (Amazon VPC) to enable secure communication between an instance and other services within the amazon VPC, without requiring an internet gateway, NAT device, or VPN connection. All traffic remains securely within the AWS Cloud. Because of their logical isolation, domains that reside within an Amazon VPC have an extra layer of security when compared to domains that use public endpoints. Assign Amazon EC2 instances to an Amazon VPC to properly manage access.
164.308(a)(4)(ii)(C) (C) Access establishment and modification (Addressable). Implement policies and procedures that, based upon the entity's access authorization policies, establish, document, review, and modify a user's right of access to a workstation, transaction, program, or process.

internet-gateway-authorized-vpc-only

Manage access to resources in the AWS Cloud by ensuring that internet gateways are only attached to authorized Amazon Virtual Private Cloud (Amazon VPC). Internet gateways allow bi-directional internet access to and from the Amazon VPC that can potentially lead to unauthorized access to Amazon VPC resources.
164.308(a)(4)(ii)(C) (C) Access establishment and modification (Addressable). Implement policies and procedures that, based upon the entity's access authorization policies, establish, document, review, and modify a user's right of access to a workstation, transaction, program, or process.

lambda-function-public-access-prohibited

Manage access to resources in the AWS Cloud by ensuring AWS Lambda functions cannot be publicly accessed. Public access can potentially lead to degradation of availability of resources.
164.308(a)(4)(ii)(C) (C) Access establishment and modification (Addressable). Implement policies and procedures that, based upon the entity's access authorization policies, establish, document, review, and modify a user's right of access to a workstation, transaction, program, or process.

rds-instance-public-access-check

Manage access to resources in the AWS Cloud by ensuring that Amazon Relational Database Service (Amazon RDS) instances are not public. Amazon RDS database instances can contain sensitive information, and principles and access control is required for such accounts.
164.308(a)(4)(ii)(C) (C) Access establishment and modification (Addressable). Implement policies and procedures that, based upon the entity's access authorization policies, establish, document, review, and modify a user's right of access to a workstation, transaction, program, or process.

rds-snapshots-public-prohibited

Manage access to resources in the AWS Cloud by ensuring that Amazon Relational Database Service (Amazon RDS) instances are not public. Amazon RDS database instances can contain sensitive information and principles and access control is required for such accounts.
164.308(a)(4)(ii)(C) (C) Access establishment and modification (Addressable). Implement policies and procedures that, based upon the entity's access authorization policies, establish, document, review, and modify a user's right of access to a workstation, transaction, program, or process.

redshift-cluster-public-access-check

Manage access to resources in the AWS Cloud by ensuring that Amazon Redshift clusters are not public. Amazon Redshift clusters can contain sensitive information and principles and access control is required for such accounts.
164.308(a)(4)(ii)(C) (C) Access establishment and modification (Addressable). Implement policies and procedures that, based upon the entity's access authorization policies, establish, document, review, and modify a user's right of access to a workstation, transaction, program, or process.

s3-account-level-public-access-blocks-periodic

Manage access to resources in the AWS Cloud by ensuring that Amazon Simple Storage Service (Amazon S3) buckets cannot be publicly accessed. This rule helps keeping sensitive data safe from unauthorized remote users by preventing public access. This rule allows you to optionally set the ignorePublicAcls (Config Default: True), blockPublicPolicy (Config Default: True), blockPublicAcls (Config Default: True), and restrictPublicBuckets parameters (Config Default: True). The actual values should reflect your organization's policies.
164.308(a)(4)(ii)(C) (C) Access establishment and modification (Addressable). Implement policies and procedures that, based upon the entity's access authorization policies, establish, document, review, and modify a user's right of access to a workstation, transaction, program, or process.

s3-bucket-public-read-prohibited

Manage access to resources in the AWS Cloud by only allowing authorized users, processes, and devices access to Amazon Simple Storage Service (Amazon S3) buckets. The management of access should be consistent with the classification of the data.
164.308(a)(4)(ii)(C) (C) Access establishment and modification (Addressable). Implement policies and procedures that, based upon the entity's access authorization policies, establish, document, review, and modify a user's right of access to a workstation, transaction, program, or process.

s3-bucket-public-write-prohibited

Manage access to resources in the AWS Cloud by only allowing authorized users, processes, and devices access to Amazon Simple Storage Service (Amazon S3) buckets. The management of access should be consistent with the classification of the data.
164.308(a)(4)(ii)(C) (C) Access establishment and modification (Addressable). Implement policies and procedures that, based upon the entity's access authorization policies, establish, document, review, and modify a user's right of access to a workstation, transaction, program, or process.

sagemaker-notebook-no-direct-internet-access

Manage access to resources in the AWS Cloud by ensuring that Amazon SageMaker notebooks do not allow direct internet access. By preventing direct internet access, you can keep sensitive data from being accessed by unauthorized users.
164.308(a)(4)(ii)(C) (C) Access establishment and modification (Addressable). Implement policies and procedures that, based upon the entity's access authorization policies, establish, document, review, and modify a user's right of access to a workstation, transaction, program, or process.

subnet-auto-assign-public-ip-disabled

Manage access to the AWS Cloud by ensuring Amazon Virtual Private Cloud (VPC) subnets are not automatically assigned a public IP address. Amazon Elastic Compute Cloud (EC2) instances that are launched into subnets that have this attribute enabled have a public IP address assigned to their primary network interface.
164.308(a)(4)(ii)(C) (C) Access establishment and modification (Addressable). Implement policies and procedures that, based upon the entity's access authorization policies, establish, document, review, and modify a user's right of access to a workstation, transaction, program, or process.

s3-bucket-level-public-access-prohibited

Manage access to resources in the AWS Cloud by ensuring that Amazon Simple Storage Service (Amazon S3) buckets cannot be publicly accessed. This rule helps keeping sensitive data safe from unauthorized remote users by preventing public access at the bucket level.
164.308(a)(4)(ii)(C) (C) Access establishment and modification (Addressable). Implement policies and procedures that, based upon the entity's access authorization policies, establish, document, review, and modify a user's right of access to a workstation, transaction, program, or process.

ecs-task-definition-user-for-host-mode-check

If a task definition has elevated privileges it is because the customer has specifically opted-in to those configurations. This control checks for unexpected privilege escalation when a task definition has host networking enabled but the customer has not opted-in to elevated privileges.
164.308(a)(4)(ii)(C) (C) Access establishment and modification (Addressable). Implement policies and procedures that, based upon the entity's access authorization policies, establish, document, review, and modify a user's right of access to a workstation, transaction, program, or process.

codebuild-project-envvar-awscred-check

Ensure authentication credentials AWS_ACCESS_KEY_ID and AWS_SECRET_ACCESS_KEY do not exist within AWS Codebuild project environments. Do not store these variables in clear text. Storing these variables in clear text leads to unintended data exposure and unauthorized access.
164.308(a)(4)(ii)(C) (C) Access establishment and modification (Addressable). Implement policies and procedures that, based upon the entity's access authorization policies, establish, document, review, and modify a user's right of access to a workstation, transaction, program, or process.

codebuild-project-source-repo-url-check

Ensure the GitHub or Bitbucket source repository URL does not contain personal access tokens, user name and password within AWS Codebuild project environments. Use OAuth instead of personal access tokens or a user name and password to grant authorization for accessing GitHub or Bitbucket repositories.
164.308(a)(4)(ii)(C) (C) Access establishment and modification (Addressable). Implement policies and procedures that, based upon the entity's access authorization policies, establish, document, review, and modify a user's right of access to a workstation, transaction, program, or process.

restricted-common-ports

Manage access to resources in the AWS Cloud by ensuring common ports are restricted on Amazon Elastic Compute Cloud (Amazon EC2) security groups. Not restricting access to ports to trusted sources can lead to attacks against the availability, integrity and confidentiality of systems. This rule allows you to optionally set blockedPort1 - blockedPort5 parameters (Config Defaults: 20,21,3389,3306,4333). The actual values should reflect your organization's policies.
164.308(a)(4)(ii)(C) (C) Access establishment and modification (Addressable). Implement policies and procedures that, based upon the entity's access authorization policies, establish, document, review, and modify a user's right of access to a workstation, transaction, program, or process.

restricted-ssh

Amazon Elastic Compute Cloud (Amazon EC2) Security Groups can help manage network access by providing stateful filtering of ingress and egress network traffic to AWS resources. Not allowing ingress (or remote) traffic from 0.0.0.0/0 to port 22 on your resources help you restricting remote access.
164.308(a)(4)(ii)(C) (C) Access establishment and modification (Addressable). Implement policies and procedures that, based upon the entity's access authorization policies, establish, document, review, and modify a user's right of access to a workstation, transaction, program, or process.

autoscaling-launch-config-public-ip-disabled

If you configure your Network Interfaces with a public IP address, then the associated resources to those Network Interfaces are reachable from the internet. EC2 resources should not be publicly accessible, as this may allow unintended access to your applications or servers.
164.308(a)(4)(ii)(C) (C) Access establishment and modification (Addressable). Implement policies and procedures that, based upon the entity's access authorization policies, establish, document, review, and modify a user's right of access to a workstation, transaction, program, or process.

ecs-containers-readonly-access

Enabling read only access to Amazon Elastic Container Service (ECS) containers can assist in adhering to the principal of least privilege. This option can reduces attack vectors as the container instance’s filesystem cannot be modified unless it has explicit read-write permissions.
164.308(a)(4)(ii)(C) (C) Access establishment and modification (Addressable). Implement policies and procedures that, based upon the entity's access authorization policies, establish, document, review, and modify a user's right of access to a workstation, transaction, program, or process.

ssm-document-not-public

Ensure AWS Systems Manager (SSM) documents are not public, as this may allow unintended access to your SSM documents. A public SSM document can expose information about your account, resources and internal processes.
164.308(a)(4)(ii)(C) (C) Access establishment and modification (Addressable). Implement policies and procedures that, based upon the entity's access authorization policies, establish, document, review, and modify a user's right of access to a workstation, transaction, program, or process.

s3-bucket-acl-prohibited

This rule checks to see if Access Control Lists (ACLs) are used to for access control on Amazon S3 Buckets. ACLs are legacy access control mechanisms for Amazon S3 buckets that predate AWS Identity and Access Management (IAM). Instead of ACLs, it is a best practice to use IAM policies or S3 bucket policies to more easily manage access to your S3 buckets.
164.308(a)(4)(ii)(C) (C) Access establishment and modification (Addressable). Implement policies and procedures that, based upon the entity's access authorization policies, establish, document, review, and modify a user's right of access to a workstation, transaction, program, or process.

opensearch-in-vpc-only

Manage access to the AWS Cloud by ensuring Amazon OpenSearch Service domains are within an Amazon Virtual Private Cloud (Amazon VPC). An Amazon OpenSearch Service domain within an Amazon VPC enables secure communication between Amazon OpenSearch Service and other services within the Amazon VPC without the need for an internet gateway, NAT device, or VPN connection.
164.308(a)(5)(ii)(A) (A) Security reminders (Addressable). Periodic security updates.

ec2-managedinstance-patch-compliance-status-check

Enable this rule to help with identification and documentation of Amazon Elastic Compute Cloud (Amazon EC2) vulnerabilities. The rule checks if Amazon EC2 instance patch compliance in AWS Systems Manager as required by your organization's policies and procedures.
164.308(a)(5)(ii)(A) (A) Security reminders (Addressable). Periodic security updates.

elastic-beanstalk-managed-updates-enabled

Enabling managed platform updates for an Amazon Elastic Beanstalk environment ensures that the latest available platform fixes, updates, and features for the environment are installed. Keeping up to date with patch installation is a best practice in securing systems.
164.308(a)(5)(ii)(A) (A) Security reminders (Addressable). Periodic security updates.

redshift-cluster-maintenancesettings-check

This rule ensures that Amazon Redshift clusters have the preferred settings for your organization. Specifically, that they have preferred maintenance windows and automated snapshot retention periods for the database. This rule requires you to set the allowVersionUpgrade. The default is true. It also lets you optionally set the preferredMaintenanceWindow (the default is sat:16:00-sat:16:30), and the automatedSnapshotRetentionPeriod (the default is 1). The actual values should reflect your organization's policies.
164.308(a)(5)(ii)(A) (A) Security reminders (Addressable). Periodic security updates.

rds-automatic-minor-version-upgrade-enabled

Enable automatic minor version upgrades on your Amazon Relational Database Service (RDS) instances to ensure the latest minor version updates to the Relational Database Management System (RDBMS) are installed, which may include security patches and bug fixes.
164.308(a)(5)(ii)(B) (B) Protection from malicious software (Addressable). Procedures for guarding against, detecting, and reporting malicious software.

ec2-instance-managed-by-systems-manager

An inventory of the software platforms and applications within the organization is possible by managing Amazon Elastic Compute Cloud (Amazon EC2) instances with AWS Systems Manager. Use AWS Systems Manager to provide detailed system configurations, operating system patch levels, services name and type, software installations, application name, publisher and version, and other details about your environment.
164.308(a)(5)(ii)(B) (B) Protection from malicious software (Addressable). Procedures for guarding against, detecting, and reporting malicious software.

ec2-managedinstance-association-compliance-status-check

Use AWS Systems Manager Associations to help with inventory of software platforms and applications within an organization. AWS Systems Manager assigns a configuration state to your managed instances and allows you to set baselines of operating system patch levels, software installations, application configurations, and other details about your environment.
164.308(a)(5)(ii)(B) (B) Protection from malicious software (Addressable). Procedures for guarding against, detecting, and reporting malicious software.

ec2-managedinstance-patch-compliance-status-check

Enable this rule to help with identification and documentation of Amazon Elastic Compute Cloud (Amazon EC2) vulnerabilities. The rule checks if Amazon EC2 instance patch compliance in AWS Systems Manager as required by your organization's policies and procedures.
164.308(a)(5)(ii)(C) (C) Log-in monitoring (Addressable). Procedures for monitoring log-in attempts and reporting discrepancies.

guardduty-enabled-centralized

Amazon GuardDuty can help to monitor and detect potential cybersecurity events by using threat intelligence feeds. These include lists of malicious IPs and machine learning to identify unexpected, unauthorized, and malicious activity within your AWS Cloud environment.
164.308(a)(5)(ii)(C) (C) Log-in monitoring (Addressable). Procedures for monitoring log-in attempts and reporting discrepancies.

cloudtrail-enabled

AWS CloudTrail can help in non-repudiation by recording AWS Management Console actions and API calls. You can identify the users and AWS accounts that called an AWS service, the source IP address where the calls generated, and the timings of the calls. Details of captured data are seen within AWS CloudTrail Record Contents.
164.308(a)(5)(ii)(C) (C) Log-in monitoring (Addressable). Procedures for monitoring log-in attempts and reporting discrepancies.

rds-logging-enabled

To help with logging and monitoring within your environment, ensure Amazon Relational Database Service (Amazon RDS) logging is enabled. With Amazon RDS logging, you can capture events such as connections, disconnections, queries, or tables queried.
164.308(a)(5)(ii)(D) (D) Password management (Addressable). Procedures for creating, changing, and safeguarding passwords.

iam-password-policy

The identities and the credentials are issued, managed, and verified based on an organizational IAM password policy. They meet or exceed requirements as stated by NIST SP 800-63 and the AWS Foundational Security Best Practices standard for password strength. This rule allows you to optionally set RequireUppercaseCharacters (AWS Foundational Security Best Practices value: true), RequireLowercaseCharacters (AWS Foundational Security Best Practices value: true), RequireSymbols (AWS Foundational Security Best Practices value: true), RequireNumbers (AWS Foundational Security Best Practices value: true), MinimumPasswordLength (AWS Foundational Security Best Practices value: 14), PasswordReusePrevention (AWS Foundational Security Best Practices value: 24), and MaxPasswordAge (AWS Foundational Security Best Practices value: 90) for your IAM Password Policy. The actual values should reflect your organization's policies.
164.308(a)(6)(i) (6)(i) Standard: Security incident procedures. Implement policies and procedures to address security incidents.

securityhub-enabled

AWS Security Hub helps to monitor unauthorized personnel, connections, devices, and software. AWS Security Hub aggregates, organizes, and prioritizes the security alerts, or findings, from multiple AWS services. Some such services are Amazon Security Hub, Amazon Inspector, Amazon Macie, AWS Identity and Access Management (IAM) Access Analyzer, and AWS Firewall Manager, and AWS Partner solutions.
164.308(a)(6)(ii) (ii) Implementation specification: Response and Reporting (Required). Identify and respond to suspected or known security incidents; mitigate, to the extent practicable, harmful effects of security incidents that are known to the covered entity; and document security incidents and their outcomes.

guardduty-enabled-centralized

Amazon GuardDuty can help to monitor and detect potential cybersecurity events by using threat intelligence feeds. These include lists of malicious IPs and machine learning to identify unexpected, unauthorized, and malicious activity within your AWS Cloud environment.
164.308(a)(7)(i) (7)(i) Standard: Contingency plan. Establish (and implement as needed) policies and procedures for responding to an emergency or other occurrence (for example, fire, vandalism, system failure, and natural disaster) that damages systems that contain electronic protected health information.

dynamodb-autoscaling-enabled

Amazon DynamoDB auto scaling uses the AWS Application Auto Scaling service to adjust provisioned throughput capacity that automatically responds to actual traffic patterns. This enables a table or a global secondary index to increase its provisioned read/write capacity to handle sudden increases in traffic, without throttling.
164.308(a)(7)(i) (7)(i) Standard: Contingency plan. Establish (and implement as needed) policies and procedures for responding to an emergency or other occurrence (for example, fire, vandalism, system failure, and natural disaster) that damages systems that contain electronic protected health information.

elb-cross-zone-load-balancing-enabled

Enable cross-zone load balancing for your Elastic Load Balancers (ELBs) to help maintain adequate capacity and availability. The cross-zone load balancing reduces the need to maintain equivalent numbers of instances in each enabled availability zone. It also improves your application's ability to handle the loss of one or more instances.
164.308(a)(7)(i) (7)(i) Standard: Contingency plan. Establish (and implement as needed) policies and procedures for responding to an emergency or other occurrence (for example, fire, vandalism, system failure, and natural disaster) that damages systems that contain electronic protected health information.

elb-deletion-protection-enabled

This rule ensures that Elastic Load Balancing has deletion protection enabled. Use this feature to prevent your load balancer from being accidentally or maliciously deleted, which can lead to loss of availability for your applications.
164.308(a)(7)(i) (7)(i) Standard: Contingency plan. Establish (and implement as needed) policies and procedures for responding to an emergency or other occurrence (for example, fire, vandalism, system failure, and natural disaster) that damages systems that contain electronic protected health information.

rds-cluster-deletion-protection-enabled

Ensure Amazon Relational Database Service (Amazon RDS) instances have deletion protection enabled. Use deletion protection to prevent your Amazon RDS instances from being accidentally or maliciously deleted, which can lead to loss of availability for your applications.
164.308(a)(7)(i) (7)(i) Standard: Contingency plan. Establish (and implement as needed) policies and procedures for responding to an emergency or other occurrence (for example, fire, vandalism, system failure, and natural disaster) that damages systems that contain electronic protected health information.

rds-multi-az-support

Multi-AZ support in Amazon Relational Database Service (Amazon RDS) provides enhanced availability and durability for database instances. When you provision a Multi-AZ database instance, Amazon RDS automatically creates a primary database instance, and synchronously replicates the data to a standby instance in a different Availability Zone. Each Availability Zone runs on its own physically distinct, independent infrastructure, and is engineered to be highly reliable. In case of an infrastructure failure, Amazon RDS performs an automatic failover to the standby so that you can resume database operations as soon as the failover is complete.
164.308(a)(7)(i) (7)(i) Standard: Contingency plan. Establish (and implement as needed) policies and procedures for responding to an emergency or other occurrence (for example, fire, vandalism, system failure, and natural disaster) that damages systems that contain electronic protected health information.

vpc-vpn-2-tunnels-up

Redundant Site-to-Site VPN tunnels can be implemented to achieve resilience requirements. It uses two tunnels to help ensure connectivity in case one of the Site-to-Site VPN connections becomes unavailable. To protect against a loss of connectivity, in case your customer gateway becomes unavailable, you can set up a second Site-to-Site VPN connection to your Amazon Virtual Private Cloud (Amazon VPC) and virtual private gateway by using a second customer gateway.
164.308(a)(7)(i) (7)(i) Standard: Contingency plan. Establish (and implement as needed) policies and procedures for responding to an emergency or other occurrence (for example, fire, vandalism, system failure, and natural disaster) that damages systems that contain electronic protected health information.

db-instance-backup-enabled

The backup feature of Amazon RDS creates backups of your databases and transaction logs. Amazon RDS automatically creates a storage volume snapshot of your DB instance, backing up the entire DB instance. The system allows you to set specific retention periods to meet your resilience requirements.
164.308(a)(7)(i) (7)(i) Standard: Contingency plan. Establish (and implement as needed) policies and procedures for responding to an emergency or other occurrence (for example, fire, vandalism, system failure, and natural disaster) that damages systems that contain electronic protected health information.

dynamodb-in-backup-plan

To help with data back-up processes, ensure your Amazon DynamoDB tables are a part of an AWS Backup plan. AWS Backup is a fully managed backup service with a policy-based backup solution. This solution simplifies your backup management and enables you to meet your business and regulatory backup compliance requirements.
164.308(a)(7)(i) (7)(i) Standard: Contingency plan. Establish (and implement as needed) policies and procedures for responding to an emergency or other occurrence (for example, fire, vandalism, system failure, and natural disaster) that damages systems that contain electronic protected health information.

dynamodb-pitr-enabled

Enable this rule to check that information has been backed up. It also maintains the backups by ensuring that point-in-time recovery is enabled in Amazon DynamoDB. The recovery maintains continuous backups of your table for the last 35 days.
164.308(a)(7)(i) (7)(i) Standard: Contingency plan. Establish (and implement as needed) policies and procedures for responding to an emergency or other occurrence (for example, fire, vandalism, system failure, and natural disaster) that damages systems that contain electronic protected health information.

ebs-in-backup-plan

To help with data back-up processes, ensure your Amazon Elastic Block Store (Amazon EBS) volumes are a part of an AWS Backup plan. AWS Backup is a fully managed backup service with a policy-based backup solution. This solution simplifies your backup management and enables you to meet your business and regulatory backup compliance requirements.
164.308(a)(7)(i) (7)(i) Standard: Contingency plan. Establish (and implement as needed) policies and procedures for responding to an emergency or other occurrence (for example, fire, vandalism, system failure, and natural disaster) that damages systems that contain electronic protected health information.

efs-in-backup-plan

To help with data back-up processes, ensure your Amazon Elastic File System (Amazon EFS) file systems are a part of an AWS Backup plan. AWS Backup is a fully managed backup service with a policy-based backup solution. This solution simplifies your backup management and enables you to meet your business and regulatory backup compliance requirements.
164.308(a)(7)(i) (7)(i) Standard: Contingency plan. Establish (and implement as needed) policies and procedures for responding to an emergency or other occurrence (for example, fire, vandalism, system failure, and natural disaster) that damages systems that contain electronic protected health information.

elasticache-redis-cluster-automatic-backup-check

When automatic backups are enabled, Amazon ElastiCache creates a backup of the cluster on a daily basis. The backup can be retained for a number of days as specified by your organization. Automatic backups can help guard against data loss. If a failure occurs, you can create a new cluster, which restores your data from the most recent backup.
164.308(a)(7)(i) (7)(i) Standard: Contingency plan. Establish (and implement as needed) policies and procedures for responding to an emergency or other occurrence (for example, fire, vandalism, system failure, and natural disaster) that damages systems that contain electronic protected health information.

rds-in-backup-plan

To help with data back-up processes, ensure your Amazon Relational Database Service (Amazon RDS) instances are a part of an AWS Backup plan. AWS Backup is a fully managed backup service with a policy-based backup solution. This solution simplifies your backup management and enables you to meet your business and regulatory backup compliance requirements.
164.308(a)(7)(i) (7)(i) Standard: Contingency plan. Establish (and implement as needed) policies and procedures for responding to an emergency or other occurrence (for example, fire, vandalism, system failure, and natural disaster) that damages systems that contain electronic protected health information.

redshift-backup-enabled

To help with data back-up processes, ensure your Amazon Redshift clusters have automated snapshots. When automated snapshots are enabled for a cluster, Redshift periodically takes snapshots of that cluster. By default, Redshift takes a snapshot every eight hours or every 5 GB per node of data changes, or whichever comes first.
164.308(a)(7)(i) (7)(i) Standard: Contingency plan. Establish (and implement as needed) policies and procedures for responding to an emergency or other occurrence (for example, fire, vandalism, system failure, and natural disaster) that damages systems that contain electronic protected health information.

s3-bucket-replication-enabled

Amazon Simple Storage Service (Amazon S3) Cross-Region Replication (CRR) supports maintaining adequate capacity and availability. CRR enables automatic, asynchronous copying of objects across Amazon S3 buckets to help ensure that data availability is maintained.
164.308(a)(7)(i) (7)(i) Standard: Contingency plan. Establish (and implement as needed) policies and procedures for responding to an emergency or other occurrence (for example, fire, vandalism, system failure, and natural disaster) that damages systems that contain electronic protected health information.

s3-bucket-versioning-enabled

Amazon Simple Storage Service (Amazon S3) bucket versioning helps keep multiple variants of an object in the same Amazon S3 bucket. Use versioning to preserve, retrieve, and restore every version of every object stored in your Amazon S3 bucket. Versioning helps you to easily recover from unintended user actions and application failures.
164.308(a)(7)(i) (7)(i) Standard: Contingency plan. Establish (and implement as needed) policies and procedures for responding to an emergency or other occurrence (for example, fire, vandalism, system failure, and natural disaster) that damages systems that contain electronic protected health information.

s3-version-lifecycle-policy-check

Ensure Amazon S3 lifecycle policies are configured to help define actions that you want Amazon S3 to take during an object's lifetime (for example, transition objects to another storage class, archive them, or delete them after a specified period of time).
164.308(a)(7)(ii)(A) (A) Data backup plan (Required). Establish and implement procedures to create and maintain retrievable exact copies of electronic protected health information.

db-instance-backup-enabled

The backup feature of Amazon RDS creates backups of your databases and transaction logs. Amazon RDS automatically creates a storage volume snapshot of your DB instance, backing up the entire DB instance. The system allows you to set specific retention periods to meet your resilience requirements.
164.308(a)(7)(ii)(A) (A) Data backup plan (Required). Establish and implement procedures to create and maintain retrievable exact copies of electronic protected health information.

dynamodb-in-backup-plan

To help with data back-up processes, ensure your Amazon DynamoDB tables are a part of an AWS Backup plan. AWS Backup is a fully managed backup service with a policy-based backup solution. This solution simplifies your backup management and enables you to meet your business and regulatory backup compliance requirements.
164.308(a)(7)(ii)(A) (A) Data backup plan (Required). Establish and implement procedures to create and maintain retrievable exact copies of electronic protected health information.

dynamodb-pitr-enabled

Enable this rule to check that information has been backed up. It also maintains the backups by ensuring that point-in-time recovery is enabled in Amazon DynamoDB. The recovery maintains continuous backups of your table for the last 35 days.
164.308(a)(7)(ii)(A) (A) Data backup plan (Required). Establish and implement procedures to create and maintain retrievable exact copies of electronic protected health information.

ebs-in-backup-plan

To help with data back-up processes, ensure your Amazon Elastic Block Store (Amazon EBS) volumes are a part of an AWS Backup plan. AWS Backup is a fully managed backup service with a policy-based backup solution. This solution simplifies your backup management and enables you to meet your business and regulatory backup compliance requirements.
164.308(a)(7)(ii)(A) (A) Data backup plan (Required). Establish and implement procedures to create and maintain retrievable exact copies of electronic protected health information.

efs-in-backup-plan

To help with data back-up processes, ensure your Amazon Elastic File System (Amazon EFS) file systems are a part of an AWS Backup plan. AWS Backup is a fully managed backup service with a policy-based backup solution. This solution simplifies your backup management and enables you to meet your business and regulatory backup compliance requirements.
164.308(a)(7)(ii)(A) (A) Data backup plan (Required). Establish and implement procedures to create and maintain retrievable exact copies of electronic protected health information.

elasticache-redis-cluster-automatic-backup-check

When automatic backups are enabled, Amazon ElastiCache creates a backup of the cluster on a daily basis. The backup can be retained for a number of days as specified by your organization. Automatic backups can help guard against data loss. If a failure occurs, you can create a new cluster, which restores your data from the most recent backup.
164.308(a)(7)(ii)(A) (A) Data backup plan (Required). Establish and implement procedures to create and maintain retrievable exact copies of electronic protected health information.

rds-in-backup-plan

To help with data back-up processes, ensure your Amazon Relational Database Service (Amazon RDS) instances are a part of an AWS Backup plan. AWS Backup is a fully managed backup service with a policy-based backup solution. This solution simplifies your backup management and enables you to meet your business and regulatory backup compliance requirements.
164.308(a)(7)(ii)(A) (A) Data backup plan (Required). Establish and implement procedures to create and maintain retrievable exact copies of electronic protected health information.

redshift-backup-enabled

To help with data back-up processes, ensure your Amazon Redshift clusters have automated snapshots. When automated snapshots are enabled for a cluster, Redshift periodically takes snapshots of that cluster. By default, Redshift takes a snapshot every eight hours or every 5 GB per node of data changes, or whichever comes first.
164.308(a)(7)(ii)(A) (A) Data backup plan (Required). Establish and implement procedures to create and maintain retrievable exact copies of electronic protected health information.

s3-bucket-replication-enabled

Amazon Simple Storage Service (Amazon S3) Cross-Region Replication (CRR) supports maintaining adequate capacity and availability. CRR enables automatic, asynchronous copying of objects across Amazon S3 buckets to help ensure that data availability is maintained.
164.308(a)(7)(ii)(A) (A) Data backup plan (Required). Establish and implement procedures to create and maintain retrievable exact copies of electronic protected health information.

s3-bucket-versioning-enabled

Amazon Simple Storage Service (Amazon S3) bucket versioning helps keep multiple variants of an object in the same Amazon S3 bucket. Use versioning to preserve, retrieve, and restore every version of every object stored in your Amazon S3 bucket. Versioning helps you to easily recover from unintended user actions and application failures.
164.308(a)(7)(ii)(A) (A) Data backup plan (Required). Establish and implement procedures to create and maintain retrievable exact copies of electronic protected health information.

s3-version-lifecycle-policy-check

Ensure Amazon S3 lifecycle policies are configured to help define actions that you want Amazon S3 to take during an object's lifetime (for example, transition objects to another storage class, archive them, or delete them after a specified period of time).
164.308(a)(7)(ii)(A) (A) Data backup plan (Required). Establish and implement procedures to create and maintain retrievable exact copies of electronic protected health information.

redshift-cluster-maintenancesettings-check

This rule ensures that Amazon Redshift clusters have the preferred settings for your organization. Specifically, that they have preferred maintenance windows and automated snapshot retention periods for the database. This rule requires you to set the allowVersionUpgrade. The default is true. It also lets you optionally set the preferredMaintenanceWindow (the default is sat:16:00-sat:16:30), and the automatedSnapshotRetentionPeriod (the default is 1). The actual values should reflect your organization's policies.
164.308(a)(7)(ii)(B) (B) Disaster recovery plan (Required). Establish (and implement as needed) procedures to restore any loss of data.

db-instance-backup-enabled

The backup feature of Amazon RDS creates backups of your databases and transaction logs. Amazon RDS automatically creates a storage volume snapshot of your DB instance, backing up the entire DB instance. The system allows you to set specific retention periods to meet your resilience requirements.
164.308(a)(7)(ii)(B) (B) Disaster recovery plan (Required). Establish (and implement as needed) procedures to restore any loss of data.

dynamodb-in-backup-plan

To help with data back-up processes, ensure your Amazon DynamoDB tables are a part of an AWS Backup plan. AWS Backup is a fully managed backup service with a policy-based backup solution. This solution simplifies your backup management and enables you to meet your business and regulatory backup compliance requirements.
164.308(a)(7)(ii)(B) (B) Disaster recovery plan (Required). Establish (and implement as needed) procedures to restore any loss of data.

dynamodb-pitr-enabled

Enable this rule to check that information has been backed up. It also maintains the backups by ensuring that point-in-time recovery is enabled in Amazon DynamoDB. The recovery maintains continuous backups of your table for the last 35 days.
164.308(a)(7)(ii)(B) (B) Disaster recovery plan (Required). Establish (and implement as needed) procedures to restore any loss of data.

ebs-in-backup-plan

To help with data back-up processes, ensure your Amazon Elastic Block Store (Amazon EBS) volumes are a part of an AWS Backup plan. AWS Backup is a fully managed backup service with a policy-based backup solution. This solution simplifies your backup management and enables you to meet your business and regulatory backup compliance requirements.
164.308(a)(7)(ii)(B) (B) Disaster recovery plan (Required). Establish (and implement as needed) procedures to restore any loss of data.

efs-in-backup-plan

To help with data back-up processes, ensure your Amazon Elastic File System (Amazon EFS) file systems are a part of an AWS Backup plan. AWS Backup is a fully managed backup service with a policy-based backup solution. This solution simplifies your backup management and enables you to meet your business and regulatory backup compliance requirements.
164.308(a)(7)(ii)(B) (B) Disaster recovery plan (Required). Establish (and implement as needed) procedures to restore any loss of data.

elasticache-redis-cluster-automatic-backup-check

When automatic backups are enabled, Amazon ElastiCache creates a backup of the cluster on a daily basis. The backup can be retained for a number of days as specified by your organization. Automatic backups can help guard against data loss. If a failure occurs, you can create a new cluster, which restores your data from the most recent backup.
164.308(a)(7)(ii)(B) (B) Disaster recovery plan (Required). Establish (and implement as needed) procedures to restore any loss of data.

rds-in-backup-plan

To help with data back-up processes, ensure your Amazon Relational Database Service (Amazon RDS) instances are a part of an AWS Backup plan. AWS Backup is a fully managed backup service with a policy-based backup solution. This solution simplifies your backup management and enables you to meet your business and regulatory backup compliance requirements.
164.308(a)(7)(ii)(B) (B) Disaster recovery plan (Required). Establish (and implement as needed) procedures to restore any loss of data.

redshift-backup-enabled

To help with data back-up processes, ensure your Amazon Redshift clusters have automated snapshots. When automated snapshots are enabled for a cluster, Redshift periodically takes snapshots of that cluster. By default, Redshift takes a snapshot every eight hours or every 5 GB per node of data changes, or whichever comes first.
164.308(a)(7)(ii)(B) (B) Disaster recovery plan (Required). Establish (and implement as needed) procedures to restore any loss of data.

s3-bucket-replication-enabled

Amazon Simple Storage Service (Amazon S3) Cross-Region Replication (CRR) supports maintaining adequate capacity and availability. CRR enables automatic, asynchronous copying of objects across Amazon S3 buckets to help ensure that data availability is maintained.
164.308(a)(7)(ii)(B) (B) Disaster recovery plan (Required). Establish (and implement as needed) procedures to restore any loss of data.

s3-bucket-versioning-enabled

Amazon Simple Storage Service (Amazon S3) bucket versioning helps keep multiple variants of an object in the same Amazon S3 bucket. Use versioning to preserve, retrieve, and restore every version of every object stored in your Amazon S3 bucket. Versioning helps you to easily recover from unintended user actions and application failures.
164.308(a)(7)(ii)(B) (B) Disaster recovery plan (Required). Establish (and implement as needed) procedures to restore any loss of data.

s3-version-lifecycle-policy-check

Ensure Amazon S3 lifecycle policies are configured to help define actions that you want Amazon S3 to take during an object's lifetime (for example, transition objects to another storage class, archive them, or delete them after a specified period of time).
164.308(a)(7)(ii)(C) (C) Emergency mode operation plan (Required). Establish (and implement as needed) procedures to enable continuation of critical business processes for protection of the security of electronic protected health information while operating in emergency mode.

dynamodb-autoscaling-enabled

Amazon DynamoDB auto scaling uses the AWS Application Auto Scaling service to adjust provisioned throughput capacity that automatically responds to actual traffic patterns. This enables a table or a global secondary index to increase its provisioned read/write capacity to handle sudden increases in traffic, without throttling.
164.308(a)(7)(ii)(C) (C) Emergency mode operation plan (Required). Establish (and implement as needed) procedures to enable continuation of critical business processes for protection of the security of electronic protected health information while operating in emergency mode.

elb-cross-zone-load-balancing-enabled

Enable cross-zone load balancing for your Elastic Load Balancers (ELBs) to help maintain adequate capacity and availability. The cross-zone load balancing reduces the need to maintain equivalent numbers of instances in each enabled availability zone. It also improves your application's ability to handle the loss of one or more instances.
164.308(a)(7)(ii)(C) (C) Emergency mode operation plan (Required). Establish (and implement as needed) procedures to enable continuation of critical business processes for protection of the security of electronic protected health information while operating in emergency mode.

elb-deletion-protection-enabled

This rule ensures that Elastic Load Balancing has deletion protection enabled. Use this feature to prevent your load balancer from being accidentally or maliciously deleted, which can lead to loss of availability for your applications.
164.308(a)(7)(ii)(C) (C) Emergency mode operation plan (Required). Establish (and implement as needed) procedures to enable continuation of critical business processes for protection of the security of electronic protected health information while operating in emergency mode.

rds-cluster-deletion-protection-enabled

Ensure Amazon Relational Database Service (Amazon RDS) instances have deletion protection enabled. Use deletion protection to prevent your Amazon RDS instances from being accidentally or maliciously deleted, which can lead to loss of availability for your applications.
164.308(a)(7)(ii)(C) (C) Emergency mode operation plan (Required). Establish (and implement as needed) procedures to enable continuation of critical business processes for protection of the security of electronic protected health information while operating in emergency mode.

rds-multi-az-support

Multi-AZ support in Amazon Relational Database Service (Amazon RDS) provides enhanced availability and durability for database instances. When you provision a Multi-AZ database instance, Amazon RDS automatically creates a primary database instance, and synchronously replicates the data to a standby instance in a different Availability Zone. Each Availability Zone runs on its own physically distinct, independent infrastructure, and is engineered to be highly reliable. In case of an infrastructure failure, Amazon RDS performs an automatic failover to the standby so that you can resume database operations as soon as the failover is complete.
164.308(a)(7)(ii)(C) (C) Emergency mode operation plan (Required). Establish (and implement as needed) procedures to enable continuation of critical business processes for protection of the security of electronic protected health information while operating in emergency mode.

vpc-vpn-2-tunnels-up

Redundant Site-to-Site VPN tunnels can be implemented to achieve resilience requirements. It uses two tunnels to help ensure connectivity in case one of the Site-to-Site VPN connections becomes unavailable. To protect against a loss of connectivity, in case your customer gateway becomes unavailable, you can set up a second Site-to-Site VPN connection to your Amazon Virtual Private Cloud (Amazon VPC) and virtual private gateway by using a second customer gateway.
164.308(a)(8) (8) Standard: Evaluation. Perform a periodic technical and nontechnical evaluation, based initially upon the standards implemented under this rule and subsequently, in response to environmental or operational changes affecting the security of electronic protected health information, that establishes the extent to which an entity's security policies and procedures meet the requirements of this subpart.

securityhub-enabled

AWS Security Hub helps to monitor unauthorized personnel, connections, devices, and software. AWS Security Hub aggregates, organizes, and prioritizes the security alerts, or findings, from multiple AWS services. Some such services are Amazon Security Hub, Amazon Inspector, Amazon Macie, AWS Identity and Access Management (IAM) Access Analyzer, and AWS Firewall Manager, and AWS Partner solutions.
164.308(a)(8) (8) Standard: Evaluation. Perform a periodic technical and nontechnical evaluation, based initially upon the standards implemented under this rule and subsequently, in response to environmental or operational changes affecting the security of electronic protected health information, that establishes the extent to which an entity's security policies and procedures meet the requirements of this subpart.

guardduty-enabled-centralized

Amazon GuardDuty can help to monitor and detect potential cybersecurity events by using threat intelligence feeds. These include lists of malicious IPs and machine learning to identify unexpected, unauthorized, and malicious activity within your AWS Cloud environment.
164.312(a)(1) (a)(1) Standard: Access control. Implement technical policies and procedures for electronic information systems that maintain electronic protected health information to allow access only to those persons or software programs that have been granted access rights as specified in 164.308(a)(4).

ec2-imdsv2-check

Ensure the Instance Metadata Service Version 2 (IMDSv2) method is enabled to help protect access and control of Amazon Elastic Compute Cloud (Amazon EC2) instance metadata. The IMDSv2 method uses session-based controls. With IMDSv2, controls can be implemented to restrict changes to instance metadata.
164.312(a)(1) (a)(1) Standard: Access control. Implement technical policies and procedures for electronic information systems that maintain electronic protected health information to allow access only to those persons or software programs that have been granted access rights as specified in 164.308(a)(4).

emr-kerberos-enabled

The access permissions and authorizations can be managed and incorporated with the principles of least privilege and separation of duties, by enabling Kerberos for Amazon EMR clusters. In Kerberos, the services and the users that need to authenticate are known as principals. The principals exist within a Kerberos realm. Within the realm, a Kerberos server is known as the key distribution center (KDC). It provides a means for the principals to authenticate. The KDC authenticates by issuing tickets for authentication. The KDC maintains a database of the principals within its realm, their passwords, and other administrative information about each principal.
164.312(a)(1) (a)(1) Standard: Access control. Implement technical policies and procedures for electronic information systems that maintain electronic protected health information to allow access only to those persons or software programs that have been granted access rights as specified in 164.308(a)(4).

iam-customer-policy-blocked-kms-actions

AWS Identity and Access Management (IAM) can help you incorporate the principles of least privilege and separation of duties with access permissions and authorizations, restricting policies from containing blocked actions on all AWS Key Management Service keys. Having more privileges than needed to complete a task may violate the principle of least privilege and separation of duties. This rule allows you to set the blockedActionsPatterns parameter. (AWS Foundational Security Best Practices value: kms:Decrypt, kms:ReEncryptFrom). The actual values should reflect your organization's policies
164.312(a)(1) (a)(1) Standard: Access control. Implement technical policies and procedures for electronic information systems that maintain electronic protected health information to allow access only to those persons or software programs that have been granted access rights as specified in 164.308(a)(4).

iam-inline-policy-blocked-kms-actions

Ensure an AWS Identity and Access Management (IAM) user, IAM role or IAM group does not have an inline policy to allow blocked actions on all AWS Key Management Service keys. AWS recommends to use managed policies instead of inline policies. The managed policies allow reusability, versioning, rolling back, and delegating permissions management. This rule allows you to set the blockedActionsPatterns parameter. (AWS Foundational Security Best Practices value: kms:Decrypt, kms:ReEncryptFrom). The actual values should reflect your organization's policies.
164.312(a)(1) (a)(1) Standard: Access control. Implement technical policies and procedures for electronic information systems that maintain electronic protected health information to allow access only to those persons or software programs that have been granted access rights as specified in 164.308(a)(4).

iam-no-inline-policy-check

Ensure an AWS Identity and Access Management (IAM) user, IAM role or IAM group does not have an inline policy to control access to systems and assets. AWS recommends to use managed policies instead of inline policies. The managed policies allow reusability, versioning and rolling back, and delegating permissions management.
164.312(a)(1) (a)(1) Standard: Access control. Implement technical policies and procedures for electronic information systems that maintain electronic protected health information to allow access only to those persons or software programs that have been granted access rights as specified in 164.308(a)(4).

iam-policy-no-statements-with-admin-access

AWS Identity and Access Management (IAM) can help you incorporate the principles of least privilege and separation of duties with access permissions and authorizations, restricting policies from containing "Effect": "Allow" with "Action": "*" over "Resource": "*". Allowing users to have more privileges than needed to complete a task may violate the principle of least privilege and separation of duties.
164.312(a)(1) (a)(1) Standard: Access control. Implement technical policies and procedures for electronic information systems that maintain electronic protected health information to allow access only to those persons or software programs that have been granted access rights as specified in 164.308(a)(4).

iam-root-access-key-check

Access to systems and assets can be controlled by checking that the root user does not have access keys attached to their AWS Identity and Access Management (IAM) role. Ensure that the root access keys are deleted. Instead, create and use role-based AWS accounts to help to incorporate the principle of least functionality.
164.312(a)(1) (a)(1) Standard: Access control. Implement technical policies and procedures for electronic information systems that maintain electronic protected health information to allow access only to those persons or software programs that have been granted access rights as specified in 164.308(a)(4).

iam-user-no-policies-check

This rule ensures AWS Identity and Access Management (IAM) policies are attached only to groups or roles to control access to systems and assets. Assigning privileges at the group or the role level helps to reduce opportunity for an identity to receive or retain excessive privileges.
164.312(a)(1) (a)(1) Standard: Access control. Implement technical policies and procedures for electronic information systems that maintain electronic protected health information to allow access only to those persons or software programs that have been granted access rights as specified in 164.308(a)(4).

iam-user-unused-credentials-check

AWS Identity and Access Management (IAM) can help you with access permissions and authorizations by checking for IAM passwords and access keys that are not used for a specified time period. If these unused credentials are identified, you should disable and/or remove the credentials, as this may violate the principle of least privilege. This rule requires you to set a value to the maxCredentialUsageAge (Config Default: 90). The actual value should reflect your organization's policies.
164.312(a)(1) (a)(1) Standard: Access control. Implement technical policies and procedures for electronic information systems that maintain electronic protected health information to allow access only to those persons or software programs that have been granted access rights as specified in 164.308(a)(4).

iam-policy-no-statements-with-full-access

Ensure IAM Actions are restricted to only those actions that are needed. Allowing users to have more privileges than needed to complete a task may violate the principle of least privilege and separation of duties.
164.312(a)(1) (a)(1) Standard: Access control. Implement technical policies and procedures for electronic information systems that maintain electronic protected health information to allow access only to those persons or software programs that have been granted access rights as specified in 164.308(a)(4).

ec2-instance-profile-attached

EC2 instance profiles pass an IAM role to an EC2 instance. Attaching an instance profile to your instances can assist with least privilege and permissions management.
164.312(a)(1) (a)(1) Standard: Access control. Implement technical policies and procedures for electronic information systems that maintain electronic protected health information to allow access only to those persons or software programs that have been granted access rights as specified in 164.308(a)(4).

dms-replication-not-public

Manage access to the AWS Cloud by ensuring DMS replication instances cannot be publicly accessed. DMS replication instances can contain sensitive information and access control is required for such accounts.
164.312(a)(1) (a)(1) Standard: Access control. Implement technical policies and procedures for electronic information systems that maintain electronic protected health information to allow access only to those persons or software programs that have been granted access rights as specified in 164.308(a)(4).

ebs-snapshot-public-restorable-check

Manage access to the AWS Cloud by ensuring EBS snapshots are not publicly restorable. EBS volume snapshots can contain sensitive information and access control is required for such accounts.
164.312(a)(1) (a)(1) Standard: Access control. Implement technical policies and procedures for electronic information systems that maintain electronic protected health information to allow access only to those persons or software programs that have been granted access rights as specified in 164.308(a)(4).

ec2-instance-no-public-ip

Manage access to the AWS Cloud by ensuring Amazon Elastic Compute Cloud (Amazon EC2) instances cannot be publicly accessed. Amazon EC2 instances can contain sensitive information and access control is required for such accounts.
164.312(a)(1) (a)(1) Standard: Access control. Implement technical policies and procedures for electronic information systems that maintain electronic protected health information to allow access only to those persons or software programs that have been granted access rights as specified in 164.308(a)(4).

elasticsearch-in-vpc-only

Manage access to the AWS Cloud by ensuring Amazon OpenSearch Service (OpenSearch Service) Domains are within an Amazon Virtual Private Cloud (Amazon VPC). An OpenSearch Service domain within an Amazon VPC enables secure communication between OpenSearch Service and other services within the Amazon VPC without the need for an internet gateway, NAT device, or VPN connection.
164.312(a)(1) (a)(1) Standard: Access control. Implement technical policies and procedures for electronic information systems that maintain electronic protected health information to allow access only to those persons or software programs that have been granted access rights as specified in 164.308(a)(4).

emr-master-no-public-ip

Manage access to the AWS Cloud by ensuring Amazon EMR cluster master nodes cannot be publicly accessed. Amazon EMR cluster master nodes can contain sensitive information and access control is required for such accounts.
164.312(a)(1) (a)(1) Standard: Access control. Implement technical policies and procedures for electronic information systems that maintain electronic protected health information to allow access only to those persons or software programs that have been granted access rights as specified in 164.308(a)(4).

ec2-instances-in-vpc

Deploy Amazon Elastic Compute Cloud (Amazon EC2) instances within an Amazon Virtual Private Cloud (Amazon VPC) to enable secure communication between an instance and other services within the amazon VPC, without requiring an internet gateway, NAT device, or VPN connection. All traffic remains securely within the AWS Cloud. Because of their logical isolation, domains that reside within an Amazon VPC have an extra layer of security when compared to domains that use public endpoints. Assign Amazon EC2 instances to an Amazon VPC to properly manage access.
164.312(a)(1) (a)(1) Standard: Access control. Implement technical policies and procedures for electronic information systems that maintain electronic protected health information to allow access only to those persons or software programs that have been granted access rights as specified in 164.308(a)(4).

internet-gateway-authorized-vpc-only

Manage access to resources in the AWS Cloud by ensuring that internet gateways are only attached to authorized Amazon Virtual Private Cloud (Amazon VPC). Internet gateways allow bi-directional internet access to and from the Amazon VPC that can potentially lead to unauthorized access to Amazon VPC resources.
164.312(a)(1) (a)(1) Standard: Access control. Implement technical policies and procedures for electronic information systems that maintain electronic protected health information to allow access only to those persons or software programs that have been granted access rights as specified in 164.308(a)(4).

lambda-function-public-access-prohibited

Manage access to resources in the AWS Cloud by ensuring AWS Lambda functions cannot be publicly accessed. Public access can potentially lead to degradation of availability of resources.
164.312(a)(1) (a)(1) Standard: Access control. Implement technical policies and procedures for electronic information systems that maintain electronic protected health information to allow access only to those persons or software programs that have been granted access rights as specified in 164.308(a)(4).

rds-instance-public-access-check

Manage access to resources in the AWS Cloud by ensuring that Amazon Relational Database Service (Amazon RDS) instances are not public. Amazon RDS database instances can contain sensitive information, and principles and access control is required for such accounts.
164.312(a)(1) (a)(1) Standard: Access control. Implement technical policies and procedures for electronic information systems that maintain electronic protected health information to allow access only to those persons or software programs that have been granted access rights as specified in 164.308(a)(4).

rds-snapshots-public-prohibited

Manage access to resources in the AWS Cloud by ensuring that Amazon Relational Database Service (Amazon RDS) instances are not public. Amazon RDS database instances can contain sensitive information and principles and access control is required for such accounts.
164.312(a)(1) (a)(1) Standard: Access control. Implement technical policies and procedures for electronic information systems that maintain electronic protected health information to allow access only to those persons or software programs that have been granted access rights as specified in 164.308(a)(4).

redshift-cluster-public-access-check

Manage access to resources in the AWS Cloud by ensuring that Amazon Redshift clusters are not public. Amazon Redshift clusters can contain sensitive information and principles and access control is required for such accounts.
164.312(a)(1) (a)(1) Standard: Access control. Implement technical policies and procedures for electronic information systems that maintain electronic protected health information to allow access only to those persons or software programs that have been granted access rights as specified in 164.308(a)(4).

s3-account-level-public-access-blocks-periodic

Manage access to resources in the AWS Cloud by ensuring that Amazon Simple Storage Service (Amazon S3) buckets cannot be publicly accessed. This rule helps keeping sensitive data safe from unauthorized remote users by preventing public access. This rule allows you to optionally set the ignorePublicAcls (Config Default: True), blockPublicPolicy (Config Default: True), blockPublicAcls (Config Default: True), and restrictPublicBuckets parameters (Config Default: True). The actual values should reflect your organization's policies.
164.312(a)(1) (a)(1) Standard: Access control. Implement technical policies and procedures for electronic information systems that maintain electronic protected health information to allow access only to those persons or software programs that have been granted access rights as specified in 164.308(a)(4).

s3-bucket-public-read-prohibited

Manage access to resources in the AWS Cloud by only allowing authorized users, processes, and devices access to Amazon Simple Storage Service (Amazon S3) buckets. The management of access should be consistent with the classification of the data.
164.312(a)(1) (a)(1) Standard: Access control. Implement technical policies and procedures for electronic information systems that maintain electronic protected health information to allow access only to those persons or software programs that have been granted access rights as specified in 164.308(a)(4).

s3-bucket-public-write-prohibited

Manage access to resources in the AWS Cloud by only allowing authorized users, processes, and devices access to Amazon Simple Storage Service (Amazon S3) buckets. The management of access should be consistent with the classification of the data.
164.312(a)(1) (a)(1) Standard: Access control. Implement technical policies and procedures for electronic information systems that maintain electronic protected health information to allow access only to those persons or software programs that have been granted access rights as specified in 164.308(a)(4).

sagemaker-notebook-no-direct-internet-access

Manage access to resources in the AWS Cloud by ensuring that Amazon SageMaker notebooks do not allow direct internet access. By preventing direct internet access, you can keep sensitive data from being accessed by unauthorized users.
164.312(a)(1) (a)(1) Standard: Access control. Implement technical policies and procedures for electronic information systems that maintain electronic protected health information to allow access only to those persons or software programs that have been granted access rights as specified in 164.308(a)(4).

subnet-auto-assign-public-ip-disabled

Manage access to the AWS Cloud by ensuring Amazon Virtual Private Cloud (VPC) subnets are not automatically assigned a public IP address. Amazon Elastic Compute Cloud (EC2) instances that are launched into subnets that have this attribute enabled have a public IP address assigned to their primary network interface.
164.312(a)(1) (a)(1) Standard: Access control. Implement technical policies and procedures for electronic information systems that maintain electronic protected health information to allow access only to those persons or software programs that have been granted access rights as specified in 164.308(a)(4).

s3-bucket-level-public-access-prohibited

Manage access to resources in the AWS Cloud by ensuring that Amazon Simple Storage Service (Amazon S3) buckets cannot be publicly accessed. This rule helps keeping sensitive data safe from unauthorized remote users by preventing public access at the bucket level.
164.312(a)(1) (a)(1) Standard: Access control. Implement technical policies and procedures for electronic information systems that maintain electronic protected health information to allow access only to those persons or software programs that have been granted access rights as specified in 164.308(a)(4).

ecs-task-definition-user-for-host-mode-check

If a task definition has elevated privileges it is because the customer has specifically opted-in to those configurations. This control checks for unexpected privilege escalation when a task definition has host networking enabled but the customer has not opted-in to elevated privileges.
164.312(a)(1) (a)(1) Standard: Access control. Implement technical policies and procedures for electronic information systems that maintain electronic protected health information to allow access only to those persons or software programs that have been granted access rights as specified in 164.308(a)(4).

codebuild-project-envvar-awscred-check

Ensure authentication credentials AWS_ACCESS_KEY_ID and AWS_SECRET_ACCESS_KEY do not exist within AWS Codebuild project environments. Do not store these variables in clear text. Storing these variables in clear text leads to unintended data exposure and unauthorized access.
164.312(a)(1) (a)(1) Standard: Access control. Implement technical policies and procedures for electronic information systems that maintain electronic protected health information to allow access only to those persons or software programs that have been granted access rights as specified in 164.308(a)(4).

codebuild-project-source-repo-url-check

Ensure the GitHub or Bitbucket source repository URL does not contain personal access tokens, user name and password within AWS Codebuild project environments. Use OAuth instead of personal access tokens or a user name and password to grant authorization for accessing GitHub or Bitbucket repositories.
164.312(a)(1) (a)(1) Standard: Access control. Implement technical policies and procedures for electronic information systems that maintain electronic protected health information to allow access only to those persons or software programs that have been granted access rights as specified in 164.308(a)(4).

restricted-common-ports

Manage access to resources in the AWS Cloud by ensuring common ports are restricted on Amazon Elastic Compute Cloud (Amazon EC2) security groups. Not restricting access to ports to trusted sources can lead to attacks against the availability, integrity and confidentiality of systems. This rule allows you to optionally set blockedPort1 - blockedPort5 parameters (Config Defaults: 20,21,3389,3306,4333). The actual values should reflect your organization's policies.
164.312(a)(1) (a)(1) Standard: Access control. Implement technical policies and procedures for electronic information systems that maintain electronic protected health information to allow access only to those persons or software programs that have been granted access rights as specified in 164.308(a)(4).

restricted-ssh

Amazon Elastic Compute Cloud (Amazon EC2) Security Groups can help manage network access by providing stateful filtering of ingress and egress network traffic to AWS resources. Not allowing ingress (or remote) traffic from 0.0.0.0/0 to port 22 on your resources help you restricting remote access.
164.312(a)(1) (a)(1) Standard: Access control. Implement technical policies and procedures for electronic information systems that maintain electronic protected health information to allow access only to those persons or software programs that have been granted access rights as specified in 164.308(a)(4).

autoscaling-launch-config-public-ip-disabled

If you configure your Network Interfaces with a public IP address, then the associated resources to those Network Interfaces are reachable from the internet. EC2 resources should not be publicly accessible, as this may allow unintended access to your applications or servers.
164.312(a)(1) (a)(1) Standard: Access control. Implement technical policies and procedures for electronic information systems that maintain electronic protected health information to allow access only to those persons or software programs that have been granted access rights as specified in 164.308(a)(4).

ecs-containers-readonly-access

Enabling read only access to Amazon Elastic Container Service (ECS) containers can assist in adhering to the principal of least privilege. This option can reduces attack vectors as the container instance’s filesystem cannot be modified unless it has explicit read-write permissions.
164.312(a)(1) (a)(1) Standard: Access control. Implement technical policies and procedures for electronic information systems that maintain electronic protected health information to allow access only to those persons or software programs that have been granted access rights as specified in 164.308(a)(4).

ssm-document-not-public

Ensure AWS Systems Manager (SSM) documents are not public, as this may allow unintended access to your SSM documents. A public SSM document can expose information about your account, resources and internal processes.
164.312(a)(1) (a)(1) Standard: Access control. Implement technical policies and procedures for electronic information systems that maintain electronic protected health information to allow access only to those persons or software programs that have been granted access rights as specified in 164.308(a)(4).

s3-bucket-acl-prohibited

This rule checks to see if Access Control Lists (ACLs) are used to for access control on Amazon S3 Buckets. ACLs are legacy access control mechanisms for Amazon S3 buckets that predate AWS Identity and Access Management (IAM). Instead of ACLs, it is a best practice to use IAM policies or S3 bucket policies to more easily manage access to your S3 buckets.
164.312(a)(1) (a)(1) Standard: Access control. Implement technical policies and procedures for electronic information systems that maintain electronic protected health information to allow access only to those persons or software programs that have been granted access rights as specified in ¤ 164.308(a)(4).

opensearch-in-vpc-only

Manage access to the AWS Cloud by ensuring Amazon OpenSearch Service domains are within an Amazon Virtual Private Cloud (Amazon VPC). An Amazon OpenSearch Service domain within an Amazon VPC enables secure communication between Amazon OpenSearch Service and other services within the Amazon VPC without the need for an internet gateway, NAT device, or VPN connection.
164.312(a)(2)(i) (2) Implementation specifications: (i) Unique user identification (Required). Assign a unique name and/or number for identifying and tracking user identity.

iam-root-access-key-check

Access to systems and assets can be controlled by checking that the root user does not have access keys attached to their AWS Identity and Access Management (IAM) role. Ensure that the root access keys are deleted. Instead, create and use role-based AWS accounts to help to incorporate the principle of least functionality.
164.312(a)(2)(ii) (ii) Emergency access procedure (Required). Establish (and implement as needed) procedures for obtaining necessary electronic protected health information during an emergency.

db-instance-backup-enabled

The backup feature of Amazon RDS creates backups of your databases and transaction logs. Amazon RDS automatically creates a storage volume snapshot of your DB instance, backing up the entire DB instance. The system allows you to set specific retention periods to meet your resilience requirements.
164.312(a)(2)(ii) (ii) Emergency access procedure (Required). Establish (and implement as needed) procedures for obtaining necessary electronic protected health information during an emergency.

dynamodb-pitr-enabled

Enable this rule to check that information has been backed up. It also maintains the backups by ensuring that point-in-time recovery is enabled in Amazon DynamoDB. The recovery maintains continuous backups of your table for the last 35 days.
164.312(a)(2)(ii) (ii) Emergency access procedure (Required). Establish (and implement as needed) procedures for obtaining necessary electronic protected health information during an emergency.

elasticache-redis-cluster-automatic-backup-check

When automatic backups are enabled, Amazon ElastiCache creates a backup of the cluster on a daily basis. The backup can be retained for a number of days as specified by your organization. Automatic backups can help guard against data loss. If a failure occurs, you can create a new cluster, which restores your data from the most recent backup.
164.312(a)(2)(ii) (ii) Emergency access procedure (Required). Establish (and implement as needed) procedures for obtaining necessary electronic protected health information during an emergency.

s3-bucket-replication-enabled

Amazon Simple Storage Service (Amazon S3) Cross-Region Replication (CRR) supports maintaining adequate capacity and availability. CRR enables automatic, asynchronous copying of objects across Amazon S3 buckets to help ensure that data availability is maintained.
164.312(a)(2)(ii) (ii) Emergency access procedure (Required). Establish (and implement as needed) procedures for obtaining necessary electronic protected health information during an emergency.

s3-bucket-versioning-enabled

Amazon Simple Storage Service (Amazon S3) bucket versioning helps keep multiple variants of an object in the same Amazon S3 bucket. Use versioning to preserve, retrieve, and restore every version of every object stored in your Amazon S3 bucket. Versioning helps you to easily recover from unintended user actions and application failures.
164.312(a)(2)(ii) (ii) Emergency access procedure (Required). Establish (and implement as needed) procedures for obtaining necessary electronic protected health information during an emergency.

dynamodb-in-backup-plan

To help with data back-up processes, ensure your Amazon DynamoDB tables are a part of an AWS Backup plan. AWS Backup is a fully managed backup service with a policy-based backup solution. This solution simplifies your backup management and enables you to meet your business and regulatory backup compliance requirements.
164.312(a)(2)(ii) (ii) Emergency access procedure (Required). Establish (and implement as needed) procedures for obtaining necessary electronic protected health information during an emergency.

ebs-in-backup-plan

To help with data back-up processes, ensure your Amazon Elastic Block Store (Amazon EBS) volumes are a part of an AWS Backup plan. AWS Backup is a fully managed backup service with a policy-based backup solution. This solution simplifies your backup management and enables you to meet your business and regulatory backup compliance requirements.
164.312(a)(2)(ii) (ii) Emergency access procedure (Required). Establish (and implement as needed) procedures for obtaining necessary electronic protected health information during an emergency.

efs-in-backup-plan

To help with data back-up processes, ensure your Amazon Elastic File System (Amazon EFS) file systems are a part of an AWS Backup plan. AWS Backup is a fully managed backup service with a policy-based backup solution. This solution simplifies your backup management and enables you to meet your business and regulatory backup compliance requirements.
164.312(a)(2)(ii) (ii) Emergency access procedure (Required). Establish (and implement as needed) procedures for obtaining necessary electronic protected health information during an emergency.

redshift-backup-enabled

To help with data back-up processes, ensure your Amazon Redshift clusters have automated snapshots. When automated snapshots are enabled for a cluster, Redshift periodically takes snapshots of that cluster. By default, Redshift takes a snapshot every eight hours or every 5 GB per node of data changes, or whichever comes first.
164.312(a)(2)(ii) (ii) Emergency access procedure (Required). Establish (and implement as needed) procedures for obtaining necessary electronic protected health information during an emergency.

rds-in-backup-plan

To help with data back-up processes, ensure your Amazon Relational Database Service (Amazon RDS) instances are a part of an AWS Backup plan. AWS Backup is a fully managed backup service with a policy-based backup solution. This solution simplifies your backup management and enables you to meet your business and regulatory backup compliance requirements.
164.312(a)(2)(ii) (ii) Emergency access procedure (Required). Establish (and implement as needed) procedures for obtaining necessary electronic protected health information during an emergency.

ec2-resources-protected-by-backup-plan

To help with data back-up processes, ensure your Amazon Elastic Compute Cloud (Amazon EC2) resources are a part of an AWS Backup plan. AWS Backup is a fully managed backup service with a policy-based backup solution. This solution simplifies your backup management and enables you to meet your business and regulatory backup compliance requirements.
164.312(a)(2)(ii) (ii) Emergency access procedure (Required). Establish (and implement as needed) procedures for obtaining necessary electronic protected health information during an emergency.

aurora-resources-protected-by-backup-plan

To help with data back-up processes, ensure your Amazon Aurora resources are a part of an AWS Backup plan. AWS Backup is a fully managed backup service with a policy-based backup solution. This solution simplifies your backup management and enables you to meet your business and regulatory backup compliance requirements.
164.312(a)(2)(ii) (ii) Emergency access procedure (Required). Establish (and implement as needed) procedures for obtaining necessary electronic protected health information during an emergency.

backup-plan-min-frequency-and-min-retention-check

To help with data back-up processes, ensure your AWS Backup plan is set for a minimum frequency and retention. AWS Backup is a fully managed backup service with a policy-based backup solution. This solution simplifies your backup management and enables you to meet your business and regulatory backup compliance requirements. This rule allows you to set the requiredFrequencyValue (Config default: 1), requiredRetentionDays (Config default: 35) and requiredFrequencyUnit (Config default: days) parameters. The actual value should reflect your organizations requirements.
164.312(a)(2)(ii) (ii) Emergency access procedure (Required). Establish (and implement as needed) procedures for obtaining necessary electronic protected health information during an emergency.

backup-recovery-point-manual-deletion-disabled

Ensure that your AWS Backup recovery points have an attached resource-based policy which prevents deletion of recovery points. Using a resource-based policy to prevent deletion of recovery points can assist in preventing accidental or intentional deletion.
164.312(a)(2)(ii) (ii) Emergency access procedure (Required). Establish (and implement as needed) procedures for obtaining necessary electronic protected health information during an emergency.

backup-recovery-point-encrypted

Ensure that encryption is enabled for your AWS Backup recovery points. Because sensitive data can exist at rest, enable encryption at rest to help protect that data.
164.312(a)(2)(iv) (iv) Encryption and decryption (Addressable). Implement a mechanism to encrypt and decrypt electronic protected health information.

alb-http-to-https-redirection-check

To help protect data in transit, ensure that your Application Load Balancer automatically redirects unencrypted HTTP requests to HTTPS. Because sensitive data can exist, enable encryption in transit to help protect that data.
164.312(a)(2)(iv) (iv) Encryption and decryption (Addressable). Implement a mechanism to encrypt and decrypt electronic protected health information.

api-gw-ssl-enabled

Ensure Amazon API Gateway REST API stages are configured with SSL certificates to allow backend systems to authenticate that requests originate from API Gateway.
164.312(a)(2)(iv) (iv) Encryption and decryption (Addressable). Implement a mechanism to encrypt and decrypt electronic protected health information.

cloud-trail-encryption-enabled

Because sensitive data may exist and to help protect data at rest, ensure encryption is enabled for your AWS CloudTrail trails.
164.312(a)(2)(iv) (iv) Encryption and decryption (Addressable). Implement a mechanism to encrypt and decrypt electronic protected health information.

ec2-ebs-encryption-by-default

To help protect data at rest, ensure that encryption is enabled for your Amazon Elastic Block Store (Amazon EBS) volumes. Because sensitive data can exist at rest in these volumes, enable encryption at rest to help protect that data.
164.312(a)(2)(iv) (iv) Encryption and decryption (Addressable). Implement a mechanism to encrypt and decrypt electronic protected health information.

efs-encrypted-check

Because sensitive data can exist and to help protect data at rest, ensure encryption is enabled for your Amazon Elastic File System (EFS).
164.312(a)(2)(iv) (iv) Encryption and decryption (Addressable). Implement a mechanism to encrypt and decrypt electronic protected health information.

elasticsearch-encrypted-at-rest

Because sensitive data can exist and to help protect data at rest, ensure encryption is enabled for your Amazon OpenSearch Service (OpenSearch Service) domains.
164.312(a)(2)(iv) (iv) Encryption and decryption (Addressable). Implement a mechanism to encrypt and decrypt electronic protected health information.

elasticsearch-node-to-node-encryption-check

Ensure node-to-node encryption for Amazon OpenSearch Service is enabled. Node-to-node encryption enables TLS 1.2 encryption for all communications within the Amazon Virtual Private Cloud (Amazon VPC). Because sensitive data can exist, enable encryption in transit to help protect that data.
164.312(a)(2)(iv) (iv) Encryption and decryption (Addressable). Implement a mechanism to encrypt and decrypt electronic protected health information.

elb-acm-certificate-required

Because sensitive data can exist and to help protect data at transit, ensure encryption is enabled for your Elastic Load Balancing. Use AWS Certificate Manager to manage, provision and deploy public and private SSL/TLS certificates with AWS services and internal resources.
164.312(a)(2)(iv) (iv) Encryption and decryption (Addressable). Implement a mechanism to encrypt and decrypt electronic protected health information.

elb-predefined-security-policy-ssl-check

To help protect data in transit, ensure that your Classic Elastic Load Balancing SSL listeners are using a predefined security policy. Elastic Load Balancing provides predefined SSL negotiation configurations that are used for SSL negotiation when a connection is established between a client and your load balancer. The SSL negotiation configurations provide compatibility with a broad range of clients and use high-strength cryptographic algorithms. This rule requires that you set a predefined security policy for your SSL listeners. The default security policy is: ELBSecurityPolicy-TLS-1-2-2017-0. The actual value should reflect your organization's policies
164.312(a)(2)(iv) (iv) Encryption and decryption (Addressable). Implement a mechanism to encrypt and decrypt electronic protected health information.

elb-tls-https-listeners-only

Ensure that your Elastic Load Balancers (ELBs) are configured with SSL or HTTPS listeners. Because sensitive data can exist, enable encryption in transit to help protect that data.
164.312(a)(2)(iv) (iv) Encryption and decryption (Addressable). Implement a mechanism to encrypt and decrypt electronic protected health information.

encrypted-volumes

Because sensitive data can exist and to help protect data at rest, ensure encryption is enabled for your Amazon Elastic Block Store (Amazon EBS) volumes.
164.312(a)(2)(iv) (iv) Encryption and decryption (Addressable). Implement a mechanism to encrypt and decrypt electronic protected health information.

rds-snapshot-encrypted

Ensure that encryption is enabled for your Amazon Relational Database Service (Amazon RDS) snapshots. Because sensitive data can exist at rest, enable encryption at rest to help protect that data.
164.312(a)(2)(iv) (iv) Encryption and decryption (Addressable). Implement a mechanism to encrypt and decrypt electronic protected health information.

rds-storage-encrypted

To help protect data at rest, ensure that encryption is enabled for your Amazon Relational Database Service (Amazon RDS) instances. Because sensitive data can exist at rest in Amazon RDS instances, enable encryption at rest to help protect that data.
164.312(a)(2)(iv) (iv) Encryption and decryption (Addressable). Implement a mechanism to encrypt and decrypt electronic protected health information.

redshift-cluster-configuration-check

To protect data at rest, ensure that encryption is enabled for your Amazon Redshift clusters. You must also ensure that required configurations are deployed on Amazon Redshift clusters. The audit logging should be enabled to provide information about connections and user activities in the database. This rule requires that a value is set for clusterDbEncrypted (Config Default : TRUE), and loggingEnabled (Config Default: TRUE). The actual values should reflect your organization's policies.
164.312(a)(2)(iv) (iv) Encryption and decryption (Addressable). Implement a mechanism to encrypt and decrypt electronic protected health information.

redshift-require-tls-ssl

Ensure that your Amazon Redshift clusters require TLS/SSL encryption to connect to SQL clients. Because sensitive data can exist, enable encryption in transit to help protect that data.
164.312(a)(2)(iv) (iv) Encryption and decryption (Addressable). Implement a mechanism to encrypt and decrypt electronic protected health information.

s3-bucket-server-side-encryption-enabled

To help protect data at rest, ensure encryption is enabled for your Amazon Simple Storage Service (Amazon S3) buckets. Because sensitive data can exist at rest in Amazon S3 buckets, enable encryption to help protect that data.
164.312(a)(2)(iv) (iv) Encryption and decryption (Addressable). Implement a mechanism to encrypt and decrypt electronic protected health information.

s3-bucket-ssl-requests-only

To help protect data in transit, ensure that your Amazon Simple Storage Service (Amazon S3) buckets require requests to use Secure Socket Layer (SSL). Because sensitive data can exist, enable encryption in transit to help protect that data.
164.312(a)(2)(iv) (iv) Encryption and decryption (Addressable). Implement a mechanism to encrypt and decrypt electronic protected health information.

s3-default-encryption-kms

Ensure that encryption is enabled for your Amazon Simple Storage Service (Amazon S3) buckets. Because sensitive data can exist at rest in an Amazon S3 bucket, enable encryption at rest to help protect that data.
164.312(a)(2)(iv) (iv) Encryption and decryption (Addressable). Implement a mechanism to encrypt and decrypt electronic protected health information.

sagemaker-endpoint-configuration-kms-key-configured

To help protect data at rest, ensure encryption with AWS Key Management Service (AWS KMS) is enabled for your SageMaker endpoint. Because sensitive data can exist at rest in SageMaker endpoint, enable encryption at rest to help protect that data.
164.312(a)(2)(iv) (iv) Encryption and decryption (Addressable). Implement a mechanism to encrypt and decrypt electronic protected health information.

sagemaker-notebook-instance-kms-key-configured

To help protect data at rest, ensure encryption with AWS Key Management Service (AWS KMS) is enabled for your SageMaker notebook. Because sensitive data can exist at rest in SageMaker notebook, enable encryption at rest to help protect that data.
164.312(a)(2)(iv) (iv) Encryption and decryption (Addressable). Implement a mechanism to encrypt and decrypt electronic protected health information.

sns-encrypted-kms

To help protect data at rest, ensure that your Amazon Simple Notification Service (Amazon SNS) topics require encryption using AWS Key Management Service (AWS KMS). Because sensitive data can exist at rest in published messages, enable encryption at rest to help protect that data.
164.312(a)(2)(iv) (iv) Encryption and decryption (Addressable). Implement a mechanism to encrypt and decrypt electronic protected health information.

secretsmanager-using-cmk

To help protect data at rest, ensure encryption with AWS Key Management Service (AWS KMS) is enabled for AWS Secrets Manager secrets. Because sensitive data can exist at rest in Secrets Manager secrets, enable encryption at rest to help protect that data.
164.312(a)(2)(iv) (iv) Encryption and decryption (Addressable). Implement a mechanism to encrypt and decrypt electronic protected health information.

elbv2-acm-certificate-required

Because sensitive data can exist and to help protect data at transit, ensure encryption is enabled for your Elastic Load Balancing. Use AWS Certificate Manager to manage, provision and deploy public and private SSL/TLS certificates with AWS services and internal resources.
164.312(a)(2)(iv) (iv) Encryption and decryption (Addressable). Implement a mechanism to encrypt and decrypt electronic protected health information.

opensearch-encrypted-at-rest

Because sensitive data can exist and to help protect data at rest, ensure encryption is enabled for your Amazon OpenSearch Service domains.
164.312(a)(2)(iv) (iv) Encryption and decryption (Addressable). Implement a mechanism to encrypt and decrypt electronic protected health information.

opensearch-https-required

Because sensitive data can exist and to help protect data in transit, ensure HTTPS is enabled for connections to your Amazon OpenSearch Service domains.
164.312(a)(2)(iv) (iv) Encryption and decryption (Addressable). Implement a mechanism to encrypt and decrypt electronic protected health information.

opensearch-node-to-node-encryption-check

Ensure node-to-node encryption for Amazon OpenSearch Service is enabled. Node-to-node encryption enables TLS 1.2 encryption for all communications within the Amazon Virtual Private Cloud (Amazon VPC). Because sensitive data can exist, enable encryption in transit to help protect that data.
164.312(a)(2)(iv) (iv) Encryption and decryption (Addressable). Implement a mechanism to encrypt and decrypt electronic protected health information.

kinesis-stream-encrypted

Because sensitive data can exist and to help protect data at rest, ensure encryption is enabled for your Amazon Kinesis Streams.
164.312(b) (b) Standard: Audit controls. Implement hardware, software, and/or procedural mechanisms that record and examine activity in information systems that contain or use electronic protected health information.

api-gw-execution-logging-enabled

API Gateway logging displays detailed views of users who accessed the API and the way they accessed the API. This insight enables visibility of user activities.
164.312(b) (b) Standard: Audit controls. Implement hardware, software, and/or procedural mechanisms that record and examine activity in information systems that contain or use electronic protected health information.

autoscaling-group-elb-healthcheck-required

The Elastic Load Balancer (ELB) health checks for Amazon Elastic Compute Cloud (Amazon EC2) Auto Scaling groups support maintenance of adequate capacity and availability. The load balancer periodically sends pings, attempts connections, or sends requests to test Amazon EC2 instances health in an auto-scaling group. If an instance is not reporting back, traffic is sent to a new Amazon EC2 instance.
164.312(b) (b) Standard: Audit controls. Implement hardware, software, and/or procedural mechanisms that record and examine activity in information systems that contain or use electronic protected health information.

cloud-trail-cloud-watch-logs-enabled

Use Amazon CloudWatch to centrally collect and manage log event activity. Inclusion of AWS CloudTrail data provides details of API call activity within your AWS account.
164.312(b) (b) Standard: Audit controls. Implement hardware, software, and/or procedural mechanisms that record and examine activity in information systems that contain or use electronic protected health information.

cloudtrail-enabled

AWS CloudTrail can help in non-repudiation by recording AWS Management Console actions and API calls. You can identify the users and AWS accounts that called an AWS service, the source IP address where the calls generated, and the timings of the calls. Details of captured data are seen within AWS CloudTrail Record Contents.
164.312(b) (b) Standard: Audit controls. Implement hardware, software, and/or procedural mechanisms that record and examine activity in information systems that contain or use electronic protected health information.

cloudtrail-s3-dataevents-enabled

The collection of Simple Storage Service (Amazon S3) data events helps in detecting any anomalous activity. The details include AWS account information that accessed an Amazon S3 bucket, IP address, and time of event.
164.312(b) (b) Standard: Audit controls. Implement hardware, software, and/or procedural mechanisms that record and examine activity in information systems that contain or use electronic protected health information.

cloudwatch-alarm-action-check

Amazon CloudWatch alarms alert when a metric breaches the threshold for a specified number of evaluation periods. The alarm performs one or more actions based on the value of the metric or expression relative to a threshold over a number of time periods. This rule requires a value for alarmActionRequired (Config Default: True), insufficientDataActionRequired (Config Default: True), okActionRequired (Config Default: False). The actual value should reflect the alarm actions for your environment.
164.312(b) (b) Standard: Audit controls. Implement hardware, software, and/or procedural mechanisms that record and examine activity in information systems that contain or use electronic protected health information.

dynamodb-throughput-limit-check

Enable this rule to ensure that provisioned throughput capacity is checked on your Amazon DynamoDB tables. This is the amount of read/write activity that each table can support. DynamoDB uses this information to reserve sufficient system resources to meet your throughput requirements. This rule generates an alert when the throughput approaches the maximum limit for a customer's account. This rule allows you to optionally set accountRCUThresholdPercentage (Config Default: 80) and accountWCUThresholdPercentage (Config Default: 80) parameters. The actual values should reflect your organization's policies.
164.312(b) (b) Standard: Audit controls. Implement hardware, software, and/or procedural mechanisms that record and examine activity in information systems that contain or use electronic protected health information.

elb-logging-enabled

Elastic Load Balancing activity is a central point of communication within an environment. Ensure ELB logging is enabled. The collected data provides detailed information about requests sent to the ELB. Each log contains information such as the time the request was received, the client's IP address, latencies, request paths, and server responses.
164.312(b) (b) Standard: Audit controls. Implement hardware, software, and/or procedural mechanisms that record and examine activity in information systems that contain or use electronic protected health information.

guardduty-enabled-centralized

Amazon GuardDuty can help to monitor and detect potential cybersecurity events by using threat intelligence feeds. These include lists of malicious IPs and machine learning to identify unexpected, unauthorized, and malicious activity within your AWS Cloud environment.
164.312(b) (b) Standard: Audit controls. Implement hardware, software, and/or procedural mechanisms that record and examine activity in information systems that contain or use electronic protected health information.

multi-region-cloudtrail-enabled

AWS CloudTrail records AWS Management Console actions and API calls. You can identify which users and accounts called AWS, the source IP address from where the calls were made, and when the calls occurred. CloudTrail will deliver log files from all AWS Regions to your S3 bucket if MULTI_REGION_CLOUD_TRAIL_ENABLED is enabled. Additionally, when AWS launches a new Region, CloudTrail will create the same trail in the new Region. As a result, you will receive log files containing API activity for the new Region without taking any action.
164.312(b) (b) Standard: Audit controls. Implement hardware, software, and/or procedural mechanisms that record and examine activity in information systems that contain or use electronic protected health information.

rds-enhanced-monitoring-enabled

Enable Amazon Relational Database Service (Amazon RDS) to help monitor Amazon RDS availability. This provides detailed visibility into the health of your Amazon RDS database instances. When the Amazon RDS storage is using more than one underlying physical device, Enhanced Monitoring collects the data for each device. Also, when the Amazon RDS database instance is running in a Multi-AZ deployment, the data for each device on the secondary host is collected, and the secondary host metrics.
164.312(b) (b) Standard: Audit controls. Implement hardware, software, and/or procedural mechanisms that record and examine activity in information systems that contain or use electronic protected health information.

rds-logging-enabled

To help with logging and monitoring within your environment, ensure Amazon Relational Database Service (Amazon RDS) logging is enabled. With Amazon RDS logging, you can capture events such as connections, disconnections, queries, or tables queried.
164.312(b) (b) Standard: Audit controls. Implement hardware, software, and/or procedural mechanisms that record and examine activity in information systems that contain or use electronic protected health information.

s3-bucket-logging-enabled

Amazon Simple Storage Service (Amazon S3) server access logging provides a method to monitor the network for potential cybersecurity events. The events are monitored by capturing detailed records for the requests that are made to an Amazon S3 bucket. Each access log record provides details about a single access request. The details include the requester, bucket name, request time, request action, response status, and an error code, if relevant.
164.312(b) (b) Standard: Audit controls. Implement hardware, software, and/or procedural mechanisms that record and examine activity in information systems that contain or use electronic protected health information.

securityhub-enabled

AWS Security Hub helps to monitor unauthorized personnel, connections, devices, and software. AWS Security Hub aggregates, organizes, and prioritizes the security alerts, or findings, from multiple AWS services. Some such services are Amazon Security Hub, Amazon Inspector, Amazon Macie, AWS Identity and Access Management (IAM) Access Analyzer, and AWS Firewall Manager, and AWS Partner solutions.
164.312(b) (b) Standard: Audit controls. Implement hardware, software, and/or procedural mechanisms that record and examine activity in information systems that contain or use electronic protected health information.

vpc-flow-logs-enabled

The VPC flow logs provide detailed records for information about the IP traffic going to and from network interfaces in your Amazon Virtual Private Cloud (Amazon VPC). By default, the flow log record includes values for the different components of the IP flow, including the source, destination, and protocol.
164.312(b) (b) Standard: Audit controls. Implement hardware, software, and/or procedural mechanisms that record and examine activity in information systems that contain or use electronic protected health information.

wafv2-logging-enabled

To help with logging and monitoring within your environment, enable AWS WAF (V2) logging on regional and global web ACLs. AWS WAF logging provides detailed information about the traffic that is analyzed by your web ACL. The logs record the time that AWS WAF received the request from your AWS resource, information about the request, and an action for the rule that each request matched.
164.312(b) (b) Standard: Audit controls. Implement hardware, software, and/or procedural mechanisms that record and examine activity in information systems that contain or use electronic protected health information.

elasticsearch-logs-to-cloudwatch

Ensure Amazon OpenSearch Service domains have error logs enabled and streamed to Amazon CloudWatch Logs for retention and response. Domain error logs can assist with security and access audits, and can help to diagnose availability issues.
164.312(b) (b) Standard: Audit controls. Implement hardware, software, and/or procedural mechanisms that record and examine activity in information systems that contain or use electronic protected health information.

redshift-cluster-configuration-check

To protect data at rest, ensure that encryption is enabled for your Amazon Redshift clusters. You must also ensure that required configurations are deployed on Amazon Redshift clusters. The audit logging should be enabled to provide information about connections and user activities in the database. This rule requires that a value is set for clusterDbEncrypted (Config Default : TRUE), and loggingEnabled (Config Default: TRUE). The actual values should reflect your organization's policies.
164.312(b) (b) Standard: Audit controls. Implement hardware, software, and/or procedural mechanisms that record and examine activity in information systems that contain or use electronic protected health information.

s3-event-notifications-enabled

Amazon S3 event notifications can alert relevant personnel of any accidental or intentional modifications on your bucket objects. Example alerts include: new object is creation, object removal, object restoration, lost and replicated objects.
164.312(b) (b) Standard: Audit controls. Implement hardware, software, and/or procedural mechanisms that record and examine activity in information systems that contain or use electronic protected health information.

opensearch-logs-to-cloudwatch

Ensure Amazon OpenSearch Service domains have error logs enabled and streamed to Amazon CloudWatch Logs for retention and response. OpenSearch Service error logs can assist with security and access audits, and can help to diagnose availability issues.
164.312(c)(1) (c)(1) Standard: Integrity. Implement policies and procedures to protect electronic protected health information from improper alteration or destruction.

s3-bucket-default-lock-enabled

Ensure that your Amazon Simple Storage Service (Amazon S3) bucket has lock enabled, by default. Because sensitive data can exist at rest in S3 buckets, enforce object locks at rest to help protect that data.
164.312(c)(1) (c)(1) Standard: Integrity. Implement policies and procedures to protect electronic protected health information from improper alteration or destruction.

s3-bucket-versioning-enabled

Amazon Simple Storage Service (Amazon S3) bucket versioning helps keep multiple variants of an object in the same Amazon S3 bucket. Use versioning to preserve, retrieve, and restore every version of every object stored in your Amazon S3 bucket. Versioning helps you to easily recover from unintended user actions and application failures.
164.312(c)(1) (c)(1) Standard: Integrity. Implement policies and procedures to protect electronic protected health information from improper alteration or destruction.

cloud-trail-log-file-validation-enabled

Utilize AWS CloudTrail log file validation to check the integrity of CloudTrail logs. Log file validation helps determine if a log file was modified or deleted or unchanged after CloudTrail delivered it. This feature is built using industry standard algorithms: SHA-256 for hashing and SHA-256 with RSA for digital signing. This makes it computationally infeasible to modify, delete or forge CloudTrail log files without detection.
164.312(c)(1) (c)(1) Standard: Integrity. Implement policies and procedures to protect electronic protected health information from improper alteration or destruction.

opensearch-https-required

Because sensitive data can exist and to help protect data in transit, ensure HTTPS is enabled for connections to your Amazon OpenSearch Service domains.
164.312(c)(1) (c)(1) Standard: Integrity. Implement policies and procedures to protect electronic protected health information from improper alteration or destruction.

opensearch-node-to-node-encryption-check

Ensure node-to-node encryption for Amazon OpenSearch Service is enabled. Node-to-node encryption enables TLS 1.2 encryption for all communications within the Amazon Virtual Private Cloud (Amazon VPC). Because sensitive data can exist, enable encryption in transit to help protect that data.
164.312(c)(2) (2) Implementation specification: Mechanism to authenticate electronic protected health information (Addressable). Implement electronic mechanisms to corroborate that electronic protected health information has not been altered or destroyed in an unauthorized manner.

cloud-trail-log-file-validation-enabled

Utilize AWS CloudTrail log file validation to check the integrity of CloudTrail logs. Log file validation helps determine if a log file was modified or deleted or unchanged after CloudTrail delivered it. This feature is built using industry standard algorithms: SHA-256 for hashing and SHA-256 with RSA for digital signing. This makes it computationally infeasible to modify, delete or forge CloudTrail log files without detection.
164.312(c)(2) (2) Implementation specification: Mechanism to authenticate electronic protected health information (Addressable). Implement electronic mechanisms to corroborate that electronic protected health information has not been altered or destroyed in an unauthorized manner.

s3-bucket-default-lock-enabled

Ensure that your Amazon Simple Storage Service (Amazon S3) bucket has lock enabled, by default. Because sensitive data can exist at rest in S3 buckets, enforce object locks at rest to help protect that data.
164.312(c)(2) (2) Implementation specification: Mechanism to authenticate electronic protected health information (Addressable). Implement electronic mechanisms to corroborate that electronic protected health information has not been altered or destroyed in an unauthorized manner.

s3-bucket-server-side-encryption-enabled

To help protect data at rest, ensure encryption is enabled for your Amazon Simple Storage Service (Amazon S3) buckets. Because sensitive data can exist at rest in Amazon S3 buckets, enable encryption to help protect that data.
164.312(c)(2) (2) Implementation specification: Mechanism to authenticate electronic protected health information (Addressable). Implement electronic mechanisms to corroborate that electronic protected health information has not been altered or destroyed in an unauthorized manner.

s3-bucket-ssl-requests-only

To help protect data in transit, ensure that your Amazon Simple Storage Service (Amazon S3) buckets require requests to use Secure Socket Layer (SSL). Because sensitive data can exist, enable encryption in transit to help protect that data.
164.312(c)(2) (2) Implementation specification: Mechanism to authenticate electronic protected health information (Addressable). Implement electronic mechanisms to corroborate that electronic protected health information has not been altered or destroyed in an unauthorized manner.

s3-bucket-versioning-enabled

Amazon Simple Storage Service (Amazon S3) bucket versioning helps keep multiple variants of an object in the same Amazon S3 bucket. Use versioning to preserve, retrieve, and restore every version of every object stored in your Amazon S3 bucket. Versioning helps you to easily recover from unintended user actions and application failures.
164.312(d) (d) Standard: Person or entity authentication. Implement procedures to verify that a person or entity seeking access to electronic protected health information is the one claimed.

iam-password-policy

The identities and the credentials are issued, managed, and verified based on an organizational IAM password policy. They meet or exceed requirements as stated by NIST SP 800-63 and the AWS Foundational Security Best Practices standard for password strength. This rule allows you to optionally set RequireUppercaseCharacters (AWS Foundational Security Best Practices value: true), RequireLowercaseCharacters (AWS Foundational Security Best Practices value: true), RequireSymbols (AWS Foundational Security Best Practices value: true), RequireNumbers (AWS Foundational Security Best Practices value: true), MinimumPasswordLength (AWS Foundational Security Best Practices value: 14), PasswordReusePrevention (AWS Foundational Security Best Practices value: 24), and MaxPasswordAge (AWS Foundational Security Best Practices value: 90) for your IAM Password Policy. The actual values should reflect your organization's policies.
164.312(d) (d) Standard: Person or entity authentication. Implement procedures to verify that a person or entity seeking access to electronic protected health information is the one claimed.

iam-user-mfa-enabled

Enable this rule to restrict access to resources in the AWS Cloud. This rule ensures multi-factor authentication (MFA) is enabled for all IAM users. MFA adds an extra layer of protection on top of a user name and password. Reduce the incidents of compromised accounts by requiring MFA for IAM users.
164.312(d) (d) Standard: Person or entity authentication. Implement procedures to verify that a person or entity seeking access to electronic protected health information is the one claimed.

mfa-enabled-for-iam-console-access

Manage access to resources in the AWS Cloud by ensuring that MFA is enabled for all AWS Identity and Access Management (IAM) users that have a console password. MFA adds an extra layer of protection on top of a user name and password. By requiring MFA for IAM users, you can reduce incidents of compromised accounts and keep sensitive data from being accessed by unauthorized users.
164.312(d) (d) Standard: Person or entity authentication. Implement procedures to verify that a person or entity seeking access to electronic protected health information is the one claimed.

root-account-hardware-mfa-enabled

Manage access to resources in the AWS Cloud by ensuring hardware MFA is enabled for the root user. The root user is the most privileged user in an AWS account. The MFA adds an extra layer of protection for a user name and password. By requiring MFA for the root user, you can reduce the incidents of compromised AWS accounts.
164.312(d) (d) Standard: Person or entity authentication. Implement procedures to verify that a person or entity seeking access to electronic protected health information is the one claimed.

root-account-mfa-enabled

Manage access to resources in the AWS Cloud by ensuring MFA is enabled for the root user. The root user is the most privileged user in an AWS account. The MFA adds an extra layer of protection for a user name and password. By requiring MFA for the root user, you can reduce the incidents of compromised AWS accounts.
164.312(e)(1) (e)(1) Standard: Transmission security. Implement technical security measures to guard against unauthorized access to electronic protected health information that is being transmitted over an electronic communications network.

alb-http-to-https-redirection-check

To help protect data in transit, ensure that your Application Load Balancer automatically redirects unencrypted HTTP requests to HTTPS. Because sensitive data can exist, enable encryption in transit to help protect that data.
164.312(e)(1) (e)(1) Standard: Transmission security. Implement technical security measures to guard against unauthorized access to electronic protected health information that is being transmitted over an electronic communications network.

api-gw-ssl-enabled

Ensure Amazon API Gateway REST API stages are configured with SSL certificates to allow backend systems to authenticate that requests originate from API Gateway.
164.312(e)(1) (e)(1) Standard: Transmission security. Implement technical security measures to guard against unauthorized access to electronic protected health information that is being transmitted over an electronic communications network.

elasticsearch-node-to-node-encryption-check

Ensure node-to-node encryption for Amazon OpenSearch Service is enabled. Node-to-node encryption enables TLS 1.2 encryption for all communications within the Amazon Virtual Private Cloud (Amazon VPC). Because sensitive data can exist, enable encryption in transit to help protect that data.
164.312(e)(1) (e)(1) Standard: Transmission security. Implement technical security measures to guard against unauthorized access to electronic protected health information that is being transmitted over an electronic communications network.

elb-acm-certificate-required

Because sensitive data can exist and to help protect data at transit, ensure encryption is enabled for your Elastic Load Balancing. Use AWS Certificate Manager to manage, provision and deploy public and private SSL/TLS certificates with AWS services and internal resources.
164.312(e)(1) (e)(1) Standard: Transmission security. Implement technical security measures to guard against unauthorized access to electronic protected health information that is being transmitted over an electronic communications network.

elb-predefined-security-policy-ssl-check

To help protect data in transit, ensure that your Classic Elastic Load Balancing SSL listeners are using a predefined security policy. Elastic Load Balancing provides predefined SSL negotiation configurations that are used for SSL negotiation when a connection is established between a client and your load balancer. The SSL negotiation configurations provide compatibility with a broad range of clients and use high-strength cryptographic algorithms. This rule requires that you set a predefined security policy for your SSL listeners. The default security policy is: ELBSecurityPolicy-TLS-1-2-2017-0. The actual value should reflect your organization's policies
164.312(e)(1) (e)(1) Standard: Transmission security. Implement technical security measures to guard against unauthorized access to electronic protected health information that is being transmitted over an electronic communications network.

elb-tls-https-listeners-only

Ensure that your Elastic Load Balancers (ELBs) are configured with SSL or HTTPS listeners. Because sensitive data can exist, enable encryption in transit to help protect that data.
164.312(e)(1) (e)(1) Standard: Transmission security. Implement technical security measures to guard against unauthorized access to electronic protected health information that is being transmitted over an electronic communications network.

redshift-require-tls-ssl

Ensure that your Amazon Redshift clusters require TLS/SSL encryption to connect to SQL clients. Because sensitive data can exist, enable encryption in transit to help protect that data.
164.312(e)(1) (e)(1) Standard: Transmission security. Implement technical security measures to guard against unauthorized access to electronic protected health information that is being transmitted over an electronic communications network.

s3-bucket-ssl-requests-only

To help protect data in transit, ensure that your Amazon Simple Storage Service (Amazon S3) buckets require requests to use Secure Socket Layer (SSL). Because sensitive data can exist, enable encryption in transit to help protect that data.
164.312(e)(1) (e)(1) Standard: Transmission security. Implement technical security measures to guard against unauthorized access to electronic protected health information that is being transmitted over an electronic communications network.

dms-replication-not-public

Manage access to the AWS Cloud by ensuring DMS replication instances cannot be publicly accessed. DMS replication instances can contain sensitive information and access control is required for such accounts.
164.312(e)(1) (e)(1) Standard: Transmission security. Implement technical security measures to guard against unauthorized access to electronic protected health information that is being transmitted over an electronic communications network.

ebs-snapshot-public-restorable-check

Manage access to the AWS Cloud by ensuring EBS snapshots are not publicly restorable. EBS volume snapshots can contain sensitive information and access control is required for such accounts.
164.312(e)(1) (e)(1) Standard: Transmission security. Implement technical security measures to guard against unauthorized access to electronic protected health information that is being transmitted over an electronic communications network.

ec2-instance-no-public-ip

Manage access to the AWS Cloud by ensuring Amazon Elastic Compute Cloud (Amazon EC2) instances cannot be publicly accessed. Amazon EC2 instances can contain sensitive information and access control is required for such accounts.
164.312(e)(1) (e)(1) Standard: Transmission security. Implement technical security measures to guard against unauthorized access to electronic protected health information that is being transmitted over an electronic communications network.

elasticsearch-in-vpc-only

Manage access to the AWS Cloud by ensuring Amazon OpenSearch Service (OpenSearch Service) Domains are within an Amazon Virtual Private Cloud (Amazon VPC). An OpenSearch Service domain within an Amazon VPC enables secure communication between OpenSearch Service and other services within the Amazon VPC without the need for an internet gateway, NAT device, or VPN connection.
164.312(e)(1) (e)(1) Standard: Transmission security. Implement technical security measures to guard against unauthorized access to electronic protected health information that is being transmitted over an electronic communications network.

emr-master-no-public-ip

Manage access to the AWS Cloud by ensuring Amazon EMR cluster master nodes cannot be publicly accessed. Amazon EMR cluster master nodes can contain sensitive information and access control is required for such accounts.
164.312(e)(1) (e)(1) Standard: Transmission security. Implement technical security measures to guard against unauthorized access to electronic protected health information that is being transmitted over an electronic communications network.

ec2-instances-in-vpc

Deploy Amazon Elastic Compute Cloud (Amazon EC2) instances within an Amazon Virtual Private Cloud (Amazon VPC) to enable secure communication between an instance and other services within the amazon VPC, without requiring an internet gateway, NAT device, or VPN connection. All traffic remains securely within the AWS Cloud. Because of their logical isolation, domains that reside within an Amazon VPC have an extra layer of security when compared to domains that use public endpoints. Assign Amazon EC2 instances to an Amazon VPC to properly manage access.
164.312(e)(1) (e)(1) Standard: Transmission security. Implement technical security measures to guard against unauthorized access to electronic protected health information that is being transmitted over an electronic communications network.

internet-gateway-authorized-vpc-only

Manage access to resources in the AWS Cloud by ensuring that internet gateways are only attached to authorized Amazon Virtual Private Cloud (Amazon VPC). Internet gateways allow bi-directional internet access to and from the Amazon VPC that can potentially lead to unauthorized access to Amazon VPC resources.
164.312(e)(1) (e)(1) Standard: Transmission security. Implement technical security measures to guard against unauthorized access to electronic protected health information that is being transmitted over an electronic communications network.

lambda-function-public-access-prohibited

Manage access to resources in the AWS Cloud by ensuring AWS Lambda functions cannot be publicly accessed. Public access can potentially lead to degradation of availability of resources.
164.312(e)(1) (e)(1) Standard: Transmission security. Implement technical security measures to guard against unauthorized access to electronic protected health information that is being transmitted over an electronic communications network.

no-unrestricted-route-to-igw

Ensure Amazon EC2 route tables do not have unrestricted routes to an internet gateway. Removing or limiting the access to the internet for workloads within Amazon VPCs can reduce unintended access within your environment.
164.312(e)(1) (e)(1) Standard: Transmission security. Implement technical security measures to guard against unauthorized access to electronic protected health information that is being transmitted over an electronic communications network.

rds-instance-public-access-check

Manage access to resources in the AWS Cloud by ensuring that Amazon Relational Database Service (Amazon RDS) instances are not public. Amazon RDS database instances can contain sensitive information, and principles and access control is required for such accounts.
164.312(e)(1) (e)(1) Standard: Transmission security. Implement technical security measures to guard against unauthorized access to electronic protected health information that is being transmitted over an electronic communications network.

rds-snapshots-public-prohibited

Manage access to resources in the AWS Cloud by ensuring that Amazon Relational Database Service (Amazon RDS) instances are not public. Amazon RDS database instances can contain sensitive information and principles and access control is required for such accounts.
164.312(e)(1) (e)(1) Standard: Transmission security. Implement technical security measures to guard against unauthorized access to electronic protected health information that is being transmitted over an electronic communications network.

redshift-cluster-public-access-check

Manage access to resources in the AWS Cloud by ensuring that Amazon Redshift clusters are not public. Amazon Redshift clusters can contain sensitive information and principles and access control is required for such accounts.
164.312(e)(1) (e)(1) Standard: Transmission security. Implement technical security measures to guard against unauthorized access to electronic protected health information that is being transmitted over an electronic communications network.

restricted-common-ports

Manage access to resources in the AWS Cloud by ensuring common ports are restricted on Amazon Elastic Compute Cloud (Amazon EC2) security groups. Not restricting access to ports to trusted sources can lead to attacks against the availability, integrity and confidentiality of systems. This rule allows you to optionally set blockedPort1 - blockedPort5 parameters (Config Defaults: 20,21,3389,3306,4333). The actual values should reflect your organization's policies.
164.312(e)(1) (e)(1) Standard: Transmission security. Implement technical security measures to guard against unauthorized access to electronic protected health information that is being transmitted over an electronic communications network.

restricted-ssh

Amazon Elastic Compute Cloud (Amazon EC2) Security Groups can help manage network access by providing stateful filtering of ingress and egress network traffic to AWS resources. Not allowing ingress (or remote) traffic from 0.0.0.0/0 to port 22 on your resources help you restricting remote access.
164.312(e)(1) (e)(1) Standard: Transmission security. Implement technical security measures to guard against unauthorized access to electronic protected health information that is being transmitted over an electronic communications network.

s3-account-level-public-access-blocks-periodic

Manage access to resources in the AWS Cloud by ensuring that Amazon Simple Storage Service (Amazon S3) buckets cannot be publicly accessed. This rule helps keeping sensitive data safe from unauthorized remote users by preventing public access. This rule allows you to optionally set the ignorePublicAcls (Config Default: True), blockPublicPolicy (Config Default: True), blockPublicAcls (Config Default: True), and restrictPublicBuckets parameters (Config Default: True). The actual values should reflect your organization's policies.
164.312(e)(1) (e)(1) Standard: Transmission security. Implement technical security measures to guard against unauthorized access to electronic protected health information that is being transmitted over an electronic communications network.

s3-bucket-level-public-access-prohibited

Manage access to resources in the AWS Cloud by ensuring that Amazon Simple Storage Service (Amazon S3) buckets cannot be publicly accessed. This rule helps keeping sensitive data safe from unauthorized remote users by preventing public access at the bucket level.
164.312(e)(1) (e)(1) Standard: Transmission security. Implement technical security measures to guard against unauthorized access to electronic protected health information that is being transmitted over an electronic communications network.

s3-bucket-public-read-prohibited

Manage access to resources in the AWS Cloud by only allowing authorized users, processes, and devices access to Amazon Simple Storage Service (Amazon S3) buckets. The management of access should be consistent with the classification of the data.
164.312(e)(1) (e)(1) Standard: Transmission security. Implement technical security measures to guard against unauthorized access to electronic protected health information that is being transmitted over an electronic communications network.

s3-bucket-public-write-prohibited

Manage access to resources in the AWS Cloud by only allowing authorized users, processes, and devices access to Amazon Simple Storage Service (Amazon S3) buckets. The management of access should be consistent with the classification of the data.
164.312(e)(1) (e)(1) Standard: Transmission security. Implement technical security measures to guard against unauthorized access to electronic protected health information that is being transmitted over an electronic communications network.

sagemaker-notebook-no-direct-internet-access

Manage access to resources in the AWS Cloud by ensuring that Amazon SageMaker notebooks do not allow direct internet access. By preventing direct internet access, you can keep sensitive data from being accessed by unauthorized users.
164.312(e)(1) (e)(1) Standard: Transmission security. Implement technical security measures to guard against unauthorized access to electronic protected health information that is being transmitted over an electronic communications network.

ssm-document-not-public

Ensure AWS Systems Manager (SSM) documents are not public, as this may allow unintended access to your SSM documents. A public SSM document can expose information about your account, resources and internal processes.
164.312(e)(1) (e)(1) Standard: Transmission security. Implement technical security measures to guard against unauthorized access to electronic protected health information that is being transmitted over an electronic communications network.

subnet-auto-assign-public-ip-disabled

Manage access to the AWS Cloud by ensuring Amazon Virtual Private Cloud (VPC) subnets are not automatically assigned a public IP address. Amazon Elastic Compute Cloud (EC2) instances that are launched into subnets that have this attribute enabled have a public IP address assigned to their primary network interface.
164.312(e)(1) (e)(1) Standard: Transmission security. Implement technical security measures to guard against unauthorized access to electronic protected health information that is being transmitted over an electronic communications network.

alb-waf-enabled

Ensure AWS WAF is enabled on Elastic Load Balancers (ELB) to help protect web applications. A WAF helps to protect your web applications or APIs against common web exploits. These web exploits may affect availability, compromise security, or consume excessive resources within your environment.
164.312(e)(1) (e)(1) Standard: Transmission security. Implement technical security measures to guard against unauthorized access to electronic protected health information that is being transmitted over an electronic communications network.

api-gw-associated-with-waf

AWS WAF enables you to configure a set of rules (called a web access control list (web ACL)) that allow, block, or count web requests based on customizable web security rules and conditions that you define. Ensure your Amazon API Gateway stage is associated with a WAF Web ACL to protect it from malicious attacks
164.312(e)(1) (e)(1) Standard: Transmission security. Implement technical security measures to guard against unauthorized access to electronic protected health information that is being transmitted over an electronic communications network.

vpc-default-security-group-closed

Amazon Elastic Compute Cloud (Amazon EC2) security groups can help in the management of network access by providing stateful filtering of ingress and egress network traffic to AWS resources. Restricting all the traffic on the default security group helps in restricting remote access to your AWS resources.
164.312(e)(1) (e)(1) Standard: Transmission security. Implement technical security measures to guard against unauthorized access to electronic protected health information that is being transmitted over an electronic communications network.

vpc-sg-open-only-to-authorized-ports

Manage access to resources in the AWS Cloud by ensuring common ports are restricted on Amazon Elastic Compute Cloud (Amazon EC2) Security Groups. Not restricting access on ports to trusted sources can lead to attacks against the availability, integrity and confidentiality of systems. By restricting access to resources within a security group from the internet (0.0.0.0/0) remote access can be controlled to internal systems.
164.312(e)(1) (e)(1) Standard: Transmission security. Implement technical security measures to guard against unauthorized access to electronic protected health information that is being transmitted over an electronic communications network.

autoscaling-launch-config-public-ip-disabled

If you configure your Network Interfaces with a public IP address, then the associated resources to those Network Interfaces are reachable from the internet. EC2 resources should not be publicly accessible, as this may allow unintended access to your applications or servers.
164.312(e)(1) (e)(1) Standard: Transmission security. Implement technical security measures to guard against unauthorized access to electronic protected health information that is being transmitted over an electronic communications network.

opensearch-https-required

Because sensitive data can exist and to help protect data in transit, ensure HTTPS is enabled for connections to your Amazon OpenSearch Service domains.
164.312(e)(1) (e)(1) Standard: Transmission security. Implement technical security measures to guard against unauthorized access to electronic protected health information that is being transmitted over an electronic communications network.

opensearch-in-vpc-only

Manage access to the AWS Cloud by ensuring Amazon OpenSearch Service domains are within an Amazon Virtual Private Cloud (Amazon VPC). An Amazon OpenSearch Service domain within an Amazon VPC enables secure communication between Amazon OpenSearch Service and other services within the Amazon VPC without the need for an internet gateway, NAT device, or VPN connection.
164.312(e)(1) (e)(1) Standard: Transmission security. Implement technical security measures to guard against unauthorized access to electronic protected health information that is being transmitted over an electronic communications network.

opensearch-node-to-node-encryption-check

Ensure node-to-node encryption for Amazon OpenSearch Service is enabled. Node-to-node encryption enables TLS 1.2 encryption for all communications within the Amazon Virtual Private Cloud (Amazon VPC). Because sensitive data can exist, enable encryption in transit to help protect that data.
164.312(e)(2)(i) (i) Integrity controls (Addressable). Implement security measures to ensure that electronically transmitted electronic protected health information is not improperly modified without detection until disposed of.

alb-http-to-https-redirection-check

To help protect data in transit, ensure that your Application Load Balancer automatically redirects unencrypted HTTP requests to HTTPS. Because sensitive data can exist, enable encryption in transit to help protect that data.
164.312(e)(2)(i) (i) Integrity controls (Addressable). Implement security measures to ensure that electronically transmitted electronic protected health information is not improperly modified without detection until disposed of.

api-gw-ssl-enabled

Ensure Amazon API Gateway REST API stages are configured with SSL certificates to allow backend systems to authenticate that requests originate from API Gateway.
164.312(e)(2)(i) (i) Integrity controls (Addressable). Implement security measures to ensure that electronically transmitted electronic protected health information is not improperly modified without detection until disposed of.

elasticsearch-node-to-node-encryption-check

Ensure node-to-node encryption for Amazon OpenSearch Service is enabled. Node-to-node encryption enables TLS 1.2 encryption for all communications within the Amazon Virtual Private Cloud (Amazon VPC). Because sensitive data can exist, enable encryption in transit to help protect that data.
164.312(e)(2)(i) (i) Integrity controls (Addressable). Implement security measures to ensure that electronically transmitted electronic protected health information is not improperly modified without detection until disposed of.

elb-acm-certificate-required

Because sensitive data can exist and to help protect data at transit, ensure encryption is enabled for your Elastic Load Balancing. Use AWS Certificate Manager to manage, provision and deploy public and private SSL/TLS certificates with AWS services and internal resources.
164.312(e)(2)(i) (i) Integrity controls (Addressable). Implement security measures to ensure that electronically transmitted electronic protected health information is not improperly modified without detection until disposed of.

elb-predefined-security-policy-ssl-check

To help protect data in transit, ensure that your Classic Elastic Load Balancing SSL listeners are using a predefined security policy. Elastic Load Balancing provides predefined SSL negotiation configurations that are used for SSL negotiation when a connection is established between a client and your load balancer. The SSL negotiation configurations provide compatibility with a broad range of clients and use high-strength cryptographic algorithms. This rule requires that you set a predefined security policy for your SSL listeners. The default security policy is: ELBSecurityPolicy-TLS-1-2-2017-0. The actual value should reflect your organization's policies
164.312(e)(2)(i) (i) Integrity controls (Addressable). Implement security measures to ensure that electronically transmitted electronic protected health information is not improperly modified without detection until disposed of.

elb-tls-https-listeners-only

Ensure that your Elastic Load Balancers (ELBs) are configured with SSL or HTTPS listeners. Because sensitive data can exist, enable encryption in transit to help protect that data.
164.312(e)(2)(i) (i) Integrity controls (Addressable). Implement security measures to ensure that electronically transmitted electronic protected health information is not improperly modified without detection until disposed of.

redshift-require-tls-ssl

Ensure that your Amazon Redshift clusters require TLS/SSL encryption to connect to SQL clients. Because sensitive data can exist, enable encryption in transit to help protect that data.
164.312(e)(2)(i) (i) Integrity controls (Addressable). Implement security measures to ensure that electronically transmitted electronic protected health information is not improperly modified without detection until disposed of.

s3-bucket-ssl-requests-only

To help protect data in transit, ensure that your Amazon Simple Storage Service (Amazon S3) buckets require requests to use Secure Socket Layer (SSL). Because sensitive data can exist, enable encryption in transit to help protect that data.
164.312(e)(2)(i) (i) Integrity controls (Addressable). Implement security measures to ensure that electronically transmitted electronic protected health information is not improperly modified without detection until disposed of.

opensearch-https-required

Because sensitive data can exist and to help protect data in transit, ensure HTTPS is enabled for connections to your Amazon OpenSearch Service domains.
164.312(e)(2)(i) (i) Integrity controls (Addressable). Implement security measures to ensure that electronically transmitted electronic protected health information is not improperly modified without detection until disposed of.

opensearch-node-to-node-encryption-check

Ensure node-to-node encryption for Amazon OpenSearch Service is enabled. Node-to-node encryption enables TLS 1.2 encryption for all communications within the Amazon Virtual Private Cloud (Amazon VPC). Because sensitive data can exist, enable encryption in transit to help protect that data.
164.312(e)(2)(ii) (ii) Encryption (Addressable). Implement a mechanism to encrypt electronic protected health information whenever deemed appropriate.

alb-http-to-https-redirection-check

To help protect data in transit, ensure that your Application Load Balancer automatically redirects unencrypted HTTP requests to HTTPS. Because sensitive data can exist, enable encryption in transit to help protect that data.
164.312(e)(2)(ii) (ii) Encryption (Addressable). Implement a mechanism to encrypt electronic protected health information whenever deemed appropriate.

api-gw-ssl-enabled

Ensure Amazon API Gateway REST API stages are configured with SSL certificates to allow backend systems to authenticate that requests originate from API Gateway.
164.312(e)(2)(ii) (ii) Encryption (Addressable). Implement a mechanism to encrypt electronic protected health information whenever deemed appropriate.

cloud-trail-encryption-enabled

Because sensitive data may exist and to help protect data at rest, ensure encryption is enabled for your AWS CloudTrail trails.
164.312(e)(2)(ii) (ii) Encryption (Addressable). Implement a mechanism to encrypt electronic protected health information whenever deemed appropriate.

ec2-ebs-encryption-by-default

To help protect data at rest, ensure that encryption is enabled for your Amazon Elastic Block Store (Amazon EBS) volumes. Because sensitive data can exist at rest in these volumes, enable encryption at rest to help protect that data.
164.312(e)(2)(ii) (ii) Encryption (Addressable). Implement a mechanism to encrypt electronic protected health information whenever deemed appropriate.

efs-encrypted-check

Because sensitive data can exist and to help protect data at rest, ensure encryption is enabled for your Amazon Elastic File System (EFS).
164.312(e)(2)(ii) (ii) Encryption (Addressable). Implement a mechanism to encrypt electronic protected health information whenever deemed appropriate.

elasticsearch-encrypted-at-rest

Because sensitive data can exist and to help protect data at rest, ensure encryption is enabled for your Amazon OpenSearch Service (OpenSearch Service) domains.
164.312(e)(2)(ii) (ii) Encryption (Addressable). Implement a mechanism to encrypt electronic protected health information whenever deemed appropriate.

elasticsearch-node-to-node-encryption-check

Ensure node-to-node encryption for Amazon OpenSearch Service is enabled. Node-to-node encryption enables TLS 1.2 encryption for all communications within the Amazon Virtual Private Cloud (Amazon VPC). Because sensitive data can exist, enable encryption in transit to help protect that data.
164.312(e)(2)(ii) (ii) Encryption (Addressable). Implement a mechanism to encrypt electronic protected health information whenever deemed appropriate.

elb-acm-certificate-required

Because sensitive data can exist and to help protect data at transit, ensure encryption is enabled for your Elastic Load Balancing. Use AWS Certificate Manager to manage, provision and deploy public and private SSL/TLS certificates with AWS services and internal resources.
164.312(e)(2)(ii) (ii) Encryption (Addressable). Implement a mechanism to encrypt electronic protected health information whenever deemed appropriate.

elb-predefined-security-policy-ssl-check

To help protect data in transit, ensure that your Classic Elastic Load Balancing SSL listeners are using a predefined security policy. Elastic Load Balancing provides predefined SSL negotiation configurations that are used for SSL negotiation when a connection is established between a client and your load balancer. The SSL negotiation configurations provide compatibility with a broad range of clients and use high-strength cryptographic algorithms. This rule requires that you set a predefined security policy for your SSL listeners. The default security policy is: ELBSecurityPolicy-TLS-1-2-2017-0. The actual value should reflect your organization's policies
164.312(e)(2)(ii) (ii) Encryption (Addressable). Implement a mechanism to encrypt electronic protected health information whenever deemed appropriate.

elb-tls-https-listeners-only

Ensure that your Elastic Load Balancers (ELBs) are configured with SSL or HTTPS listeners. Because sensitive data can exist, enable encryption in transit to help protect that data.
164.312(e)(2)(ii) (ii) Encryption (Addressable). Implement a mechanism to encrypt electronic protected health information whenever deemed appropriate.

encrypted-volumes

Because sensitive data can exist and to help protect data at rest, ensure encryption is enabled for your Amazon Elastic Block Store (Amazon EBS) volumes.
164.312(e)(2)(ii) (ii) Encryption (Addressable). Implement a mechanism to encrypt electronic protected health information whenever deemed appropriate.

rds-snapshot-encrypted

Ensure that encryption is enabled for your Amazon Relational Database Service (Amazon RDS) snapshots. Because sensitive data can exist at rest, enable encryption at rest to help protect that data.
164.312(e)(2)(ii) (ii) Encryption (Addressable). Implement a mechanism to encrypt electronic protected health information whenever deemed appropriate.

rds-storage-encrypted

To help protect data at rest, ensure that encryption is enabled for your Amazon Relational Database Service (Amazon RDS) instances. Because sensitive data can exist at rest in Amazon RDS instances, enable encryption at rest to help protect that data.
164.312(e)(2)(ii) (ii) Encryption (Addressable). Implement a mechanism to encrypt electronic protected health information whenever deemed appropriate.

redshift-cluster-configuration-check

To protect data at rest, ensure that encryption is enabled for your Amazon Redshift clusters. You must also ensure that required configurations are deployed on Amazon Redshift clusters. The audit logging should be enabled to provide information about connections and user activities in the database. This rule requires that a value is set for clusterDbEncrypted (Config Default : TRUE), and loggingEnabled (Config Default: TRUE). The actual values should reflect your organization's policies.
164.312(e)(2)(ii) (ii) Encryption (Addressable). Implement a mechanism to encrypt electronic protected health information whenever deemed appropriate.

redshift-require-tls-ssl

Ensure that your Amazon Redshift clusters require TLS/SSL encryption to connect to SQL clients. Because sensitive data can exist, enable encryption in transit to help protect that data.
164.312(e)(2)(ii) (ii) Encryption (Addressable). Implement a mechanism to encrypt electronic protected health information whenever deemed appropriate.

s3-bucket-server-side-encryption-enabled

To help protect data at rest, ensure encryption is enabled for your Amazon Simple Storage Service (Amazon S3) buckets. Because sensitive data can exist at rest in Amazon S3 buckets, enable encryption to help protect that data.
164.312(e)(2)(ii) (ii) Encryption (Addressable). Implement a mechanism to encrypt electronic protected health information whenever deemed appropriate.

s3-bucket-ssl-requests-only

To help protect data in transit, ensure that your Amazon Simple Storage Service (Amazon S3) buckets require requests to use Secure Socket Layer (SSL). Because sensitive data can exist, enable encryption in transit to help protect that data.
164.312(e)(2)(ii) (ii) Encryption (Addressable). Implement a mechanism to encrypt electronic protected health information whenever deemed appropriate.

s3-default-encryption-kms

Ensure that encryption is enabled for your Amazon Simple Storage Service (Amazon S3) buckets. Because sensitive data can exist at rest in an Amazon S3 bucket, enable encryption at rest to help protect that data.
164.312(e)(2)(ii) (ii) Encryption (Addressable). Implement a mechanism to encrypt electronic protected health information whenever deemed appropriate.

sagemaker-endpoint-configuration-kms-key-configured

To help protect data at rest, ensure encryption with AWS Key Management Service (AWS KMS) is enabled for your SageMaker endpoint. Because sensitive data can exist at rest in SageMaker endpoint, enable encryption at rest to help protect that data.
164.312(e)(2)(ii) (ii) Encryption (Addressable). Implement a mechanism to encrypt electronic protected health information whenever deemed appropriate.

sagemaker-notebook-instance-kms-key-configured

To help protect data at rest, ensure encryption with AWS Key Management Service (AWS KMS) is enabled for your SageMaker notebook. Because sensitive data can exist at rest in SageMaker notebook, enable encryption at rest to help protect that data.
164.312(e)(2)(ii) (ii) Encryption (Addressable). Implement a mechanism to encrypt electronic protected health information whenever deemed appropriate.

sns-encrypted-kms

To help protect data at rest, ensure that your Amazon Simple Notification Service (Amazon SNS) topics require encryption using AWS Key Management Service (AWS KMS). Because sensitive data can exist at rest in published messages, enable encryption at rest to help protect that data.
164.312(e)(2)(ii) (ii) Encryption (Addressable). Implement a mechanism to encrypt electronic protected health information whenever deemed appropriate.

secretsmanager-using-cmk

To help protect data at rest, ensure encryption with AWS Key Management Service (AWS KMS) is enabled for AWS Secrets Manager secrets. Because sensitive data can exist at rest in Secrets Manager secrets, enable encryption at rest to help protect that data.
164.312(e)(2)(ii) (ii) Encryption (Addressable). Implement a mechanism to encrypt electronic protected health information whenever deemed appropriate.

elbv2-acm-certificate-required

Because sensitive data can exist and to help protect data at transit, ensure encryption is enabled for your Elastic Load Balancing. Use AWS Certificate Manager to manage, provision and deploy public and private SSL/TLS certificates with AWS services and internal resources.
164.312(e)(2)(ii) (ii) Encryption (Addressable). Implement a mechanism to encrypt electronic protected health information whenever deemed appropriate.

opensearch-encrypted-at-rest

Because sensitive data can exist and to help protect data at rest, ensure encryption is enabled for your Amazon OpenSearch Service domains.
164.312(e)(2)(ii) (ii) Encryption (Addressable). Implement a mechanism to encrypt electronic protected health information whenever deemed appropriate.

opensearch-https-required

Because sensitive data can exist and to help protect data in transit, ensure HTTPS is enabled for connections to your Amazon OpenSearch Service domains.
164.312(e)(2)(ii) (ii) Encryption (Addressable). Implement a mechanism to encrypt electronic protected health information whenever deemed appropriate.

opensearch-node-to-node-encryption-check

Ensure node-to-node encryption for Amazon OpenSearch Service is enabled. Node-to-node encryption enables TLS 1.2 encryption for all communications within the Amazon Virtual Private Cloud (Amazon VPC). Because sensitive data can exist, enable encryption in transit to help protect that data.
164.312(e)(2)(ii) (ii) Encryption (Addressable). Implement a mechanism to encrypt electronic protected health information whenever deemed appropriate.

kinesis-stream-encrypted

Because sensitive data can exist and to help protect data at rest, ensure encryption is enabled for your Amazon Kinesis Streams.
164.314(b)(1) (b)(1) Standard: Requirements for group health plans. Except when the only electronic protected health information disclosed to a plan sponsor is disclosed pursuant to ¤ 164.504(f)(1)(ii) or (iii), or as authorized under ¤ 164.508, a group health plan must ensure that its plan documents provide that the plan sponsor will reasonably and appropriately safeguard electronic protected health information created, received, maintained, or transmitted to or by the plan sponsor on behalf of the group health plan.

cloud-trail-encryption-enabled

Because sensitive data may exist and to help protect data at rest, ensure encryption is enabled for your AWS CloudTrail trails.
164.314(b)(1) (b)(1) Standard: Requirements for group health plans. Except when the only electronic protected health information disclosed to a plan sponsor is disclosed pursuant to ¤ 164.504(f)(1)(ii) or (iii), or as authorized under ¤ 164.508, a group health plan must ensure that its plan documents provide that the plan sponsor will reasonably and appropriately safeguard electronic protected health information created, received, maintained, or transmitted to or by the plan sponsor on behalf of the group health plan.

ec2-ebs-encryption-by-default

To help protect data at rest, ensure that encryption is enabled for your Amazon Elastic Block Store (Amazon EBS) volumes. Because sensitive data can exist at rest in these volumes, enable encryption at rest to help protect that data.
164.314(b)(1) (b)(1) Standard: Requirements for group health plans. Except when the only electronic protected health information disclosed to a plan sponsor is disclosed pursuant to ¤ 164.504(f)(1)(ii) or (iii), or as authorized under ¤ 164.508, a group health plan must ensure that its plan documents provide that the plan sponsor will reasonably and appropriately safeguard electronic protected health information created, received, maintained, or transmitted to or by the plan sponsor on behalf of the group health plan.

elasticsearch-encrypted-at-rest

Because sensitive data can exist and to help protect data at rest, ensure encryption is enabled for your Amazon OpenSearch Service (OpenSearch Service) domains.
164.314(b)(1) (b)(1) Standard: Requirements for group health plans. Except when the only electronic protected health information disclosed to a plan sponsor is disclosed pursuant to ¤ 164.504(f)(1)(ii) or (iii), or as authorized under ¤ 164.508, a group health plan must ensure that its plan documents provide that the plan sponsor will reasonably and appropriately safeguard electronic protected health information created, received, maintained, or transmitted to or by the plan sponsor on behalf of the group health plan.

elasticsearch-node-to-node-encryption-check

Ensure node-to-node encryption for Amazon OpenSearch Service is enabled. Node-to-node encryption enables TLS 1.2 encryption for all communications within the Amazon Virtual Private Cloud (Amazon VPC). Because sensitive data can exist, enable encryption in transit to help protect that data.
164.314(b)(1) (b)(1) Standard: Requirements for group health plans. Except when the only electronic protected health information disclosed to a plan sponsor is disclosed pursuant to ¤ 164.504(f)(1)(ii) or (iii), or as authorized under ¤ 164.508, a group health plan must ensure that its plan documents provide that the plan sponsor will reasonably and appropriately safeguard electronic protected health information created, received, maintained, or transmitted to or by the plan sponsor on behalf of the group health plan.

elb-tls-https-listeners-only

Ensure that your Elastic Load Balancers (ELBs) are configured with SSL or HTTPS listeners. Because sensitive data can exist, enable encryption in transit to help protect that data.
164.314(b)(1) (b)(1) Standard: Requirements for group health plans. Except when the only electronic protected health information disclosed to a plan sponsor is disclosed pursuant to ¤ 164.504(f)(1)(ii) or (iii), or as authorized under ¤ 164.508, a group health plan must ensure that its plan documents provide that the plan sponsor will reasonably and appropriately safeguard electronic protected health information created, received, maintained, or transmitted to or by the plan sponsor on behalf of the group health plan.

encrypted-volumes

Because sensitive data can exist and to help protect data at rest, ensure encryption is enabled for your Amazon Elastic Block Store (Amazon EBS) volumes.
164.314(b)(1) (b)(1) Standard: Requirements for group health plans. Except when the only electronic protected health information disclosed to a plan sponsor is disclosed pursuant to ¤ 164.504(f)(1)(ii) or (iii), or as authorized under ¤ 164.508, a group health plan must ensure that its plan documents provide that the plan sponsor will reasonably and appropriately safeguard electronic protected health information created, received, maintained, or transmitted to or by the plan sponsor on behalf of the group health plan.

opensearch-encrypted-at-rest

Because sensitive data can exist and to help protect data at rest, ensure encryption is enabled for your Amazon OpenSearch Service domains.
164.314(b)(1) (b)(1) Standard: Requirements for group health plans. Except when the only electronic protected health information disclosed to a plan sponsor is disclosed pursuant to ¤ 164.504(f)(1)(ii) or (iii), or as authorized under ¤ 164.508, a group health plan must ensure that its plan documents provide that the plan sponsor will reasonably and appropriately safeguard electronic protected health information created, received, maintained, or transmitted to or by the plan sponsor on behalf of the group health plan.

opensearch-https-required

Because sensitive data can exist and to help protect data in transit, ensure HTTPS is enabled for connections to your Amazon OpenSearch Service domains.
164.314(b)(1) (b)(1) Standard: Requirements for group health plans. Except when the only electronic protected health information disclosed to a plan sponsor is disclosed pursuant to ¤ 164.504(f)(1)(ii) or (iii), or as authorized under ¤ 164.508, a group health plan must ensure that its plan documents provide that the plan sponsor will reasonably and appropriately safeguard electronic protected health information created, received, maintained, or transmitted to or by the plan sponsor on behalf of the group health plan.

opensearch-node-to-node-encryption-check

Ensure node-to-node encryption for Amazon OpenSearch Service is enabled. Node-to-node encryption enables TLS 1.2 encryption for all communications within the Amazon Virtual Private Cloud (Amazon VPC). Because sensitive data can exist, enable encryption in transit to help protect that data.
164.314(b)(1) (b)(1) Standard: Requirements for group health plans. Except when the only electronic protected health information disclosed to a plan sponsor is disclosed pursuant to ¤ 164.504(f)(1)(ii) or (iii), or as authorized under ¤ 164.508, a group health plan must ensure that its plan documents provide that the plan sponsor will reasonably and appropriately safeguard electronic protected health information created, received, maintained, or transmitted to or by the plan sponsor on behalf of the group health plan.

rds-snapshot-encrypted

Ensure that encryption is enabled for your Amazon Relational Database Service (Amazon RDS) snapshots. Because sensitive data can exist at rest, enable encryption at rest to help protect that data.
164.314(b)(1) (b)(1) Standard: Requirements for group health plans. Except when the only electronic protected health information disclosed to a plan sponsor is disclosed pursuant to ¤ 164.504(f)(1)(ii) or (iii), or as authorized under ¤ 164.508, a group health plan must ensure that its plan documents provide that the plan sponsor will reasonably and appropriately safeguard electronic protected health information created, received, maintained, or transmitted to or by the plan sponsor on behalf of the group health plan.

rds-storage-encrypted

To help protect data at rest, ensure that encryption is enabled for your Amazon Relational Database Service (Amazon RDS) instances. Because sensitive data can exist at rest in Amazon RDS instances, enable encryption at rest to help protect that data.
164.314(b)(1) (b)(1) Standard: Requirements for group health plans. Except when the only electronic protected health information disclosed to a plan sponsor is disclosed pursuant to ¤ 164.504(f)(1)(ii) or (iii), or as authorized under ¤ 164.508, a group health plan must ensure that its plan documents provide that the plan sponsor will reasonably and appropriately safeguard electronic protected health information created, received, maintained, or transmitted to or by the plan sponsor on behalf of the group health plan.

redshift-cluster-public-access-check

Manage access to resources in the AWS Cloud by ensuring that Amazon Redshift clusters are not public. Amazon Redshift clusters can contain sensitive information and principles and access control is required for such accounts.
164.314(b)(1) (b)(1) Standard: Requirements for group health plans. Except when the only electronic protected health information disclosed to a plan sponsor is disclosed pursuant to ¤ 164.504(f)(1)(ii) or (iii), or as authorized under ¤ 164.508, a group health plan must ensure that its plan documents provide that the plan sponsor will reasonably and appropriately safeguard electronic protected health information created, received, maintained, or transmitted to or by the plan sponsor on behalf of the group health plan.

redshift-require-tls-ssl

Ensure that your Amazon Redshift clusters require TLS/SSL encryption to connect to SQL clients. Because sensitive data can exist, enable encryption in transit to help protect that data.
164.314(b)(1) (b)(1) Standard: Requirements for group health plans. Except when the only electronic protected health information disclosed to a plan sponsor is disclosed pursuant to ¤ 164.504(f)(1)(ii) or (iii), or as authorized under ¤ 164.508, a group health plan must ensure that its plan documents provide that the plan sponsor will reasonably and appropriately safeguard electronic protected health information created, received, maintained, or transmitted to or by the plan sponsor on behalf of the group health plan.

s3-bucket-public-read-prohibited

Manage access to resources in the AWS Cloud by only allowing authorized users, processes, and devices access to Amazon Simple Storage Service (Amazon S3) buckets. The management of access should be consistent with the classification of the data.
164.314(b)(1) (b)(1) Standard: Requirements for group health plans. Except when the only electronic protected health information disclosed to a plan sponsor is disclosed pursuant to ¤ 164.504(f)(1)(ii) or (iii), or as authorized under ¤ 164.508, a group health plan must ensure that its plan documents provide that the plan sponsor will reasonably and appropriately safeguard electronic protected health information created, received, maintained, or transmitted to or by the plan sponsor on behalf of the group health plan.

s3-bucket-public-write-prohibited

Manage access to resources in the AWS Cloud by only allowing authorized users, processes, and devices access to Amazon Simple Storage Service (Amazon S3) buckets. The management of access should be consistent with the classification of the data.
164.314(b)(1) (b)(1) Standard: Requirements for group health plans. Except when the only electronic protected health information disclosed to a plan sponsor is disclosed pursuant to ¤ 164.504(f)(1)(ii) or (iii), or as authorized under ¤ 164.508, a group health plan must ensure that its plan documents provide that the plan sponsor will reasonably and appropriately safeguard electronic protected health information created, received, maintained, or transmitted to or by the plan sponsor on behalf of the group health plan.

s3-bucket-server-side-encryption-enabled

To help protect data at rest, ensure encryption is enabled for your Amazon Simple Storage Service (Amazon S3) buckets. Because sensitive data can exist at rest in Amazon S3 buckets, enable encryption to help protect that data.
164.314(b)(1) (b)(1) Standard: Requirements for group health plans. Except when the only electronic protected health information disclosed to a plan sponsor is disclosed pursuant to ¤ 164.504(f)(1)(ii) or (iii), or as authorized under ¤ 164.508, a group health plan must ensure that its plan documents provide that the plan sponsor will reasonably and appropriately safeguard electronic protected health information created, received, maintained, or transmitted to or by the plan sponsor on behalf of the group health plan.

s3-bucket-ssl-requests-only

To help protect data in transit, ensure that your Amazon Simple Storage Service (Amazon S3) buckets require requests to use Secure Socket Layer (SSL). Because sensitive data can exist, enable encryption in transit to help protect that data.
164.314(b)(1) (b)(1) Standard: Requirements for group health plans. Except when the only electronic protected health information disclosed to a plan sponsor is disclosed pursuant to ¤ 164.504(f)(1)(ii) or (iii), or as authorized under ¤ 164.508, a group health plan must ensure that its plan documents provide that the plan sponsor will reasonably and appropriately safeguard electronic protected health information created, received, maintained, or transmitted to or by the plan sponsor on behalf of the group health plan.

s3-default-encryption-kms

Ensure that encryption is enabled for your Amazon Simple Storage Service (Amazon S3) buckets. Because sensitive data can exist at rest in an Amazon S3 bucket, enable encryption at rest to help protect that data.
164.314(b)(1) (b)(1) Standard: Requirements for group health plans. Except when the only electronic protected health information disclosed to a plan sponsor is disclosed pursuant to ¤ 164.504(f)(1)(ii) or (iii), or as authorized under ¤ 164.508, a group health plan must ensure that its plan documents provide that the plan sponsor will reasonably and appropriately safeguard electronic protected health information created, received, maintained, or transmitted to or by the plan sponsor on behalf of the group health plan.

sagemaker-endpoint-configuration-kms-key-configured

To help protect data at rest, ensure encryption with AWS Key Management Service (AWS KMS) is enabled for your SageMaker endpoint. Because sensitive data can exist at rest in SageMaker endpoint, enable encryption at rest to help protect that data.
164.314(b)(1) (b)(1) Standard: Requirements for group health plans. Except when the only electronic protected health information disclosed to a plan sponsor is disclosed pursuant to ¤ 164.504(f)(1)(ii) or (iii), or as authorized under ¤ 164.508, a group health plan must ensure that its plan documents provide that the plan sponsor will reasonably and appropriately safeguard electronic protected health information created, received, maintained, or transmitted to or by the plan sponsor on behalf of the group health plan.

sagemaker-notebook-instance-kms-key-configured

To help protect data at rest, ensure encryption with AWS Key Management Service (AWS KMS) is enabled for your SageMaker notebook. Because sensitive data can exist at rest in SageMaker notebook, enable encryption at rest to help protect that data.
164.314(b)(2) (2) Implementation specifications (Required). The plan documents of the group health plan must be amended to incorporate provisions to require the plan sponsor to — (i) Implement administrative, physical, and technical safeguards that reasonably and appropriately protect the confidentiality, integrity, and availability of the electronic protected health information that it creates, receives, maintains, or transmits on behalf of the group health plan; (ii) Ensure that the adequate separation required by ¤ 164.504(f)(2)(iii) is supported by reasonable and appropriate security measures; (iii) Ensure that any agent, including a subcontractor, to whom it provides this information agrees to implement reasonable and appropriate security measures to protect the information; and (iv) Report to the group health plan any security incident of which it becomes aware.

cloud-trail-encryption-enabled

Because sensitive data may exist and to help protect data at rest, ensure encryption is enabled for your AWS CloudTrail trails.
164.314(b)(2) (2) Implementation specifications (Required). The plan documents of the group health plan must be amended to incorporate provisions to require the plan sponsor to — (i) Implement administrative, physical, and technical safeguards that reasonably and appropriately protect the confidentiality, integrity, and availability of the electronic protected health information that it creates, receives, maintains, or transmits on behalf of the group health plan; (ii) Ensure that the adequate separation required by ¤ 164.504(f)(2)(iii) is supported by reasonable and appropriate security measures; (iii) Ensure that any agent, including a subcontractor, to whom it provides this information agrees to implement reasonable and appropriate security measures to protect the information; and (iv) Report to the group health plan any security incident of which it becomes aware.

ec2-ebs-encryption-by-default

To help protect data at rest, ensure that encryption is enabled for your Amazon Elastic Block Store (Amazon EBS) volumes. Because sensitive data can exist at rest in these volumes, enable encryption at rest to help protect that data.
164.314(b)(2) (2) Implementation specifications (Required). The plan documents of the group health plan must be amended to incorporate provisions to require the plan sponsor to — (i) Implement administrative, physical, and technical safeguards that reasonably and appropriately protect the confidentiality, integrity, and availability of the electronic protected health information that it creates, receives, maintains, or transmits on behalf of the group health plan; (ii) Ensure that the adequate separation required by ¤ 164.504(f)(2)(iii) is supported by reasonable and appropriate security measures; (iii) Ensure that any agent, including a subcontractor, to whom it provides this information agrees to implement reasonable and appropriate security measures to protect the information; and (iv) Report to the group health plan any security incident of which it becomes aware.

elasticsearch-encrypted-at-rest

Because sensitive data can exist and to help protect data at rest, ensure encryption is enabled for your Amazon OpenSearch Service (OpenSearch Service) domains.
164.314(b)(2) (2) Implementation specifications (Required). The plan documents of the group health plan must be amended to incorporate provisions to require the plan sponsor to — (i) Implement administrative, physical, and technical safeguards that reasonably and appropriately protect the confidentiality, integrity, and availability of the electronic protected health information that it creates, receives, maintains, or transmits on behalf of the group health plan; (ii) Ensure that the adequate separation required by ¤ 164.504(f)(2)(iii) is supported by reasonable and appropriate security measures; (iii) Ensure that any agent, including a subcontractor, to whom it provides this information agrees to implement reasonable and appropriate security measures to protect the information; and (iv) Report to the group health plan any security incident of which it becomes aware.

elasticsearch-node-to-node-encryption-check

Ensure node-to-node encryption for Amazon OpenSearch Service is enabled. Node-to-node encryption enables TLS 1.2 encryption for all communications within the Amazon Virtual Private Cloud (Amazon VPC). Because sensitive data can exist, enable encryption in transit to help protect that data.
164.314(b)(2) (2) Implementation specifications (Required). The plan documents of the group health plan must be amended to incorporate provisions to require the plan sponsor to — (i) Implement administrative, physical, and technical safeguards that reasonably and appropriately protect the confidentiality, integrity, and availability of the electronic protected health information that it creates, receives, maintains, or transmits on behalf of the group health plan; (ii) Ensure that the adequate separation required by ¤ 164.504(f)(2)(iii) is supported by reasonable and appropriate security measures; (iii) Ensure that any agent, including a subcontractor, to whom it provides this information agrees to implement reasonable and appropriate security measures to protect the information; and (iv) Report to the group health plan any security incident of which it becomes aware.

elb-tls-https-listeners-only

Ensure that your Elastic Load Balancers (ELBs) are configured with SSL or HTTPS listeners. Because sensitive data can exist, enable encryption in transit to help protect that data.
164.314(b)(2) (2) Implementation specifications (Required). The plan documents of the group health plan must be amended to incorporate provisions to require the plan sponsor to — (i) Implement administrative, physical, and technical safeguards that reasonably and appropriately protect the confidentiality, integrity, and availability of the electronic protected health information that it creates, receives, maintains, or transmits on behalf of the group health plan; (ii) Ensure that the adequate separation required by ¤ 164.504(f)(2)(iii) is supported by reasonable and appropriate security measures; (iii) Ensure that any agent, including a subcontractor, to whom it provides this information agrees to implement reasonable and appropriate security measures to protect the information; and (iv) Report to the group health plan any security incident of which it becomes aware.

encrypted-volumes

Because sensitive data can exist and to help protect data at rest, ensure encryption is enabled for your Amazon Elastic Block Store (Amazon EBS) volumes.
164.314(b)(2) (2) Implementation specifications (Required). The plan documents of the group health plan must be amended to incorporate provisions to require the plan sponsor to — (i) Implement administrative, physical, and technical safeguards that reasonably and appropriately protect the confidentiality, integrity, and availability of the electronic protected health information that it creates, receives, maintains, or transmits on behalf of the group health plan; (ii) Ensure that the adequate separation required by ¤ 164.504(f)(2)(iii) is supported by reasonable and appropriate security measures; (iii) Ensure that any agent, including a subcontractor, to whom it provides this information agrees to implement reasonable and appropriate security measures to protect the information; and (iv) Report to the group health plan any security incident of which it becomes aware.

opensearch-encrypted-at-rest

Because sensitive data can exist and to help protect data at rest, ensure encryption is enabled for your Amazon OpenSearch Service domains.
164.314(b)(2) (2) Implementation specifications (Required). The plan documents of the group health plan must be amended to incorporate provisions to require the plan sponsor to — (i) Implement administrative, physical, and technical safeguards that reasonably and appropriately protect the confidentiality, integrity, and availability of the electronic protected health information that it creates, receives, maintains, or transmits on behalf of the group health plan; (ii) Ensure that the adequate separation required by ¤ 164.504(f)(2)(iii) is supported by reasonable and appropriate security measures; (iii) Ensure that any agent, including a subcontractor, to whom it provides this information agrees to implement reasonable and appropriate security measures to protect the information; and (iv) Report to the group health plan any security incident of which it becomes aware.

opensearch-https-required

Because sensitive data can exist and to help protect data in transit, ensure HTTPS is enabled for connections to your Amazon OpenSearch Service domains.
164.314(b)(2) (2) Implementation specifications (Required). The plan documents of the group health plan must be amended to incorporate provisions to require the plan sponsor to — (i) Implement administrative, physical, and technical safeguards that reasonably and appropriately protect the confidentiality, integrity, and availability of the electronic protected health information that it creates, receives, maintains, or transmits on behalf of the group health plan; (ii) Ensure that the adequate separation required by ¤ 164.504(f)(2)(iii) is supported by reasonable and appropriate security measures; (iii) Ensure that any agent, including a subcontractor, to whom it provides this information agrees to implement reasonable and appropriate security measures to protect the information; and (iv) Report to the group health plan any security incident of which it becomes aware.

opensearch-node-to-node-encryption-check

Ensure node-to-node encryption for Amazon OpenSearch Service is enabled. Node-to-node encryption enables TLS 1.2 encryption for all communications within the Amazon Virtual Private Cloud (Amazon VPC). Because sensitive data can exist, enable encryption in transit to help protect that data.
164.314(b)(2) (2) Implementation specifications (Required). The plan documents of the group health plan must be amended to incorporate provisions to require the plan sponsor to — (i) Implement administrative, physical, and technical safeguards that reasonably and appropriately protect the confidentiality, integrity, and availability of the electronic protected health information that it creates, receives, maintains, or transmits on behalf of the group health plan; (ii) Ensure that the adequate separation required by ¤ 164.504(f)(2)(iii) is supported by reasonable and appropriate security measures; (iii) Ensure that any agent, including a subcontractor, to whom it provides this information agrees to implement reasonable and appropriate security measures to protect the information; and (iv) Report to the group health plan any security incident of which it becomes aware.

rds-snapshot-encrypted

Ensure that encryption is enabled for your Amazon Relational Database Service (Amazon RDS) snapshots. Because sensitive data can exist at rest, enable encryption at rest to help protect that data.
164.314(b)(2) (2) Implementation specifications (Required). The plan documents of the group health plan must be amended to incorporate provisions to require the plan sponsor to — (i) Implement administrative, physical, and technical safeguards that reasonably and appropriately protect the confidentiality, integrity, and availability of the electronic protected health information that it creates, receives, maintains, or transmits on behalf of the group health plan; (ii) Ensure that the adequate separation required by ¤ 164.504(f)(2)(iii) is supported by reasonable and appropriate security measures; (iii) Ensure that any agent, including a subcontractor, to whom it provides this information agrees to implement reasonable and appropriate security measures to protect the information; and (iv) Report to the group health plan any security incident of which it becomes aware.

rds-storage-encrypted

To help protect data at rest, ensure that encryption is enabled for your Amazon Relational Database Service (Amazon RDS) instances. Because sensitive data can exist at rest in Amazon RDS instances, enable encryption at rest to help protect that data.
164.314(b)(2) (2) Implementation specifications (Required). The plan documents of the group health plan must be amended to incorporate provisions to require the plan sponsor to — (i) Implement administrative, physical, and technical safeguards that reasonably and appropriately protect the confidentiality, integrity, and availability of the electronic protected health information that it creates, receives, maintains, or transmits on behalf of the group health plan; (ii) Ensure that the adequate separation required by ¤ 164.504(f)(2)(iii) is supported by reasonable and appropriate security measures; (iii) Ensure that any agent, including a subcontractor, to whom it provides this information agrees to implement reasonable and appropriate security measures to protect the information; and (iv) Report to the group health plan any security incident of which it becomes aware.

redshift-cluster-public-access-check

Manage access to resources in the AWS Cloud by ensuring that Amazon Redshift clusters are not public. Amazon Redshift clusters can contain sensitive information and principles and access control is required for such accounts.
164.314(b)(2) (2) Implementation specifications (Required). The plan documents of the group health plan must be amended to incorporate provisions to require the plan sponsor to — (i) Implement administrative, physical, and technical safeguards that reasonably and appropriately protect the confidentiality, integrity, and availability of the electronic protected health information that it creates, receives, maintains, or transmits on behalf of the group health plan; (ii) Ensure that the adequate separation required by ¤ 164.504(f)(2)(iii) is supported by reasonable and appropriate security measures; (iii) Ensure that any agent, including a subcontractor, to whom it provides this information agrees to implement reasonable and appropriate security measures to protect the information; and (iv) Report to the group health plan any security incident of which it becomes aware.

redshift-require-tls-ssl

Ensure that your Amazon Redshift clusters require TLS/SSL encryption to connect to SQL clients. Because sensitive data can exist, enable encryption in transit to help protect that data.
164.314(b)(2) (2) Implementation specifications (Required). The plan documents of the group health plan must be amended to incorporate provisions to require the plan sponsor to — (i) Implement administrative, physical, and technical safeguards that reasonably and appropriately protect the confidentiality, integrity, and availability of the electronic protected health information that it creates, receives, maintains, or transmits on behalf of the group health plan; (ii) Ensure that the adequate separation required by ¤ 164.504(f)(2)(iii) is supported by reasonable and appropriate security measures; (iii) Ensure that any agent, including a subcontractor, to whom it provides this information agrees to implement reasonable and appropriate security measures to protect the information; and (iv) Report to the group health plan any security incident of which it becomes aware.

s3-bucket-public-read-prohibited

Manage access to resources in the AWS Cloud by only allowing authorized users, processes, and devices access to Amazon Simple Storage Service (Amazon S3) buckets. The management of access should be consistent with the classification of the data.
164.314(b)(2) (2) Implementation specifications (Required). The plan documents of the group health plan must be amended to incorporate provisions to require the plan sponsor to — (i) Implement administrative, physical, and technical safeguards that reasonably and appropriately protect the confidentiality, integrity, and availability of the electronic protected health information that it creates, receives, maintains, or transmits on behalf of the group health plan; (ii) Ensure that the adequate separation required by ¤ 164.504(f)(2)(iii) is supported by reasonable and appropriate security measures; (iii) Ensure that any agent, including a subcontractor, to whom it provides this information agrees to implement reasonable and appropriate security measures to protect the information; and (iv) Report to the group health plan any security incident of which it becomes aware.

s3-bucket-public-write-prohibited

Manage access to resources in the AWS Cloud by only allowing authorized users, processes, and devices access to Amazon Simple Storage Service (Amazon S3) buckets. The management of access should be consistent with the classification of the data.
164.314(b)(2) (2) Implementation specifications (Required). The plan documents of the group health plan must be amended to incorporate provisions to require the plan sponsor to — (i) Implement administrative, physical, and technical safeguards that reasonably and appropriately protect the confidentiality, integrity, and availability of the electronic protected health information that it creates, receives, maintains, or transmits on behalf of the group health plan; (ii) Ensure that the adequate separation required by ¤ 164.504(f)(2)(iii) is supported by reasonable and appropriate security measures; (iii) Ensure that any agent, including a subcontractor, to whom it provides this information agrees to implement reasonable and appropriate security measures to protect the information; and (iv) Report to the group health plan any security incident of which it becomes aware.

s3-bucket-server-side-encryption-enabled

To help protect data at rest, ensure encryption is enabled for your Amazon Simple Storage Service (Amazon S3) buckets. Because sensitive data can exist at rest in Amazon S3 buckets, enable encryption to help protect that data.
164.314(b)(2) (2) Implementation specifications (Required). The plan documents of the group health plan must be amended to incorporate provisions to require the plan sponsor to — (i) Implement administrative, physical, and technical safeguards that reasonably and appropriately protect the confidentiality, integrity, and availability of the electronic protected health information that it creates, receives, maintains, or transmits on behalf of the group health plan; (ii) Ensure that the adequate separation required by ¤ 164.504(f)(2)(iii) is supported by reasonable and appropriate security measures; (iii) Ensure that any agent, including a subcontractor, to whom it provides this information agrees to implement reasonable and appropriate security measures to protect the information; and (iv) Report to the group health plan any security incident of which it becomes aware.

s3-bucket-ssl-requests-only

To help protect data in transit, ensure that your Amazon Simple Storage Service (Amazon S3) buckets require requests to use Secure Socket Layer (SSL). Because sensitive data can exist, enable encryption in transit to help protect that data.
164.314(b)(2) (2) Implementation specifications (Required). The plan documents of the group health plan must be amended to incorporate provisions to require the plan sponsor to — (i) Implement administrative, physical, and technical safeguards that reasonably and appropriately protect the confidentiality, integrity, and availability of the electronic protected health information that it creates, receives, maintains, or transmits on behalf of the group health plan; (ii) Ensure that the adequate separation required by ¤ 164.504(f)(2)(iii) is supported by reasonable and appropriate security measures; (iii) Ensure that any agent, including a subcontractor, to whom it provides this information agrees to implement reasonable and appropriate security measures to protect the information; and (iv) Report to the group health plan any security incident of which it becomes aware.

s3-default-encryption-kms

Ensure that encryption is enabled for your Amazon Simple Storage Service (Amazon S3) buckets. Because sensitive data can exist at rest in an Amazon S3 bucket, enable encryption at rest to help protect that data.
164.314(b)(2) (2) Implementation specifications (Required). The plan documents of the group health plan must be amended to incorporate provisions to require the plan sponsor to — (i) Implement administrative, physical, and technical safeguards that reasonably and appropriately protect the confidentiality, integrity, and availability of the electronic protected health information that it creates, receives, maintains, or transmits on behalf of the group health plan; (ii) Ensure that the adequate separation required by ¤ 164.504(f)(2)(iii) is supported by reasonable and appropriate security measures; (iii) Ensure that any agent, including a subcontractor, to whom it provides this information agrees to implement reasonable and appropriate security measures to protect the information; and (iv) Report to the group health plan any security incident of which it becomes aware.

sagemaker-endpoint-configuration-kms-key-configured

To help protect data at rest, ensure encryption with AWS Key Management Service (AWS KMS) is enabled for your SageMaker endpoint. Because sensitive data can exist at rest in SageMaker endpoint, enable encryption at rest to help protect that data.
164.314(b)(2) (2) Implementation specifications (Required). The plan documents of the group health plan must be amended to incorporate provisions to require the plan sponsor to — (i) Implement administrative, physical, and technical safeguards that reasonably and appropriately protect the confidentiality, integrity, and availability of the electronic protected health information that it creates, receives, maintains, or transmits on behalf of the group health plan; (ii) Ensure that the adequate separation required by ¤ 164.504(f)(2)(iii) is supported by reasonable and appropriate security measures; (iii) Ensure that any agent, including a subcontractor, to whom it provides this information agrees to implement reasonable and appropriate security measures to protect the information; and (iv) Report to the group health plan any security incident of which it becomes aware.

sagemaker-notebook-instance-kms-key-configured

To help protect data at rest, ensure encryption with AWS Key Management Service (AWS KMS) is enabled for your SageMaker notebook. Because sensitive data can exist at rest in SageMaker notebook, enable encryption at rest to help protect that data.
164.314(b)(2)(i) (2) Implementation specifications (Required). The plan documents of the group health plan must be amended to incorporate provisions to require the plan sponsor to — (i) Implement administrative, physical, and technical safeguards that reasonably and appropriately protect the confidentiality, integrity, and availability of the electronic protected health information that it creates, receives, maintains, or transmits on behalf of the group health plan;

iam-customer-policy-blocked-kms-actions

AWS Identity and Access Management (IAM) can help you incorporate the principles of least privilege and separation of duties with access permissions and authorizations, restricting policies from containing blocked actions on all AWS Key Management Service keys. Having more privileges than needed to complete a task may violate the principle of least privilege and separation of duties. This rule allows you to set the blockedActionsPatterns parameter. (AWS Foundational Security Best Practices value: kms:Decrypt, kms:ReEncryptFrom). The actual values should reflect your organization's policies
164.314(b)(2)(i) (2) Implementation specifications (Required). The plan documents of the group health plan must be amended to incorporate provisions to require the plan sponsor to — (i) Implement administrative, physical, and technical safeguards that reasonably and appropriately protect the confidentiality, integrity, and availability of the electronic protected health information that it creates, receives, maintains, or transmits on behalf of the group health plan;

iam-inline-policy-blocked-kms-actions

Ensure an AWS Identity and Access Management (IAM) user, IAM role or IAM group does not have an inline policy to allow blocked actions on all AWS Key Management Service keys. AWS recommends to use managed policies instead of inline policies. The managed policies allow reusability, versioning, rolling back, and delegating permissions management. This rule allows you to set the blockedActionsPatterns parameter. (AWS Foundational Security Best Practices value: kms:Decrypt, kms:ReEncryptFrom). The actual values should reflect your organization's policies.
164.314(b)(2)(i) (2) Implementation specifications (Required). The plan documents of the group health plan must be amended to incorporate provisions to require the plan sponsor to — (i) Implement administrative, physical, and technical safeguards that reasonably and appropriately protect the confidentiality, integrity, and availability of the electronic protected health information that it creates, receives, maintains, or transmits on behalf of the group health plan;

iam-policy-no-statements-with-admin-access

AWS Identity and Access Management (IAM) can help you incorporate the principles of least privilege and separation of duties with access permissions and authorizations, restricting policies from containing "Effect": "Allow" with "Action": "*" over "Resource": "*". Allowing users to have more privileges than needed to complete a task may violate the principle of least privilege and separation of duties.
164.314(b)(2)(i) (2) Implementation specifications (Required). The plan documents of the group health plan must be amended to incorporate provisions to require the plan sponsor to — (i) Implement administrative, physical, and technical safeguards that reasonably and appropriately protect the confidentiality, integrity, and availability of the electronic protected health information that it creates, receives, maintains, or transmits on behalf of the group health plan;

iam-root-access-key-check

Access to systems and assets can be controlled by checking that the root user does not have access keys attached to their AWS Identity and Access Management (IAM) role. Ensure that the root access keys are deleted. Instead, create and use role-based AWS accounts to help to incorporate the principle of least functionality.
164.314(b)(2)(i) (2) Implementation specifications (Required). The plan documents of the group health plan must be amended to incorporate provisions to require the plan sponsor to — (i) Implement administrative, physical, and technical safeguards that reasonably and appropriately protect the confidentiality, integrity, and availability of the electronic protected health information that it creates, receives, maintains, or transmits on behalf of the group health plan;

iam-user-no-policies-check

This rule ensures AWS Identity and Access Management (IAM) policies are attached only to groups or roles to control access to systems and assets. Assigning privileges at the group or the role level helps to reduce opportunity for an identity to receive or retain excessive privileges.
164.314(b)(2)(i) (2) Implementation specifications (Required). The plan documents of the group health plan must be amended to incorporate provisions to require the plan sponsor to — (i) Implement administrative, physical, and technical safeguards that reasonably and appropriately protect the confidentiality, integrity, and availability of the electronic protected health information that it creates, receives, maintains, or transmits on behalf of the group health plan;

iam-policy-no-statements-with-full-access

Ensure IAM Actions are restricted to only those actions that are needed. Allowing users to have more privileges than needed to complete a task may violate the principle of least privilege and separation of duties.
164.314(b)(2)(i) (2) Implementation specifications (Required). The plan documents of the group health plan must be amended to incorporate provisions to require the plan sponsor to — (i) Implement administrative, physical, and technical safeguards that reasonably and appropriately protect the confidentiality, integrity, and availability of the electronic protected health information that it creates, receives, maintains, or transmits on behalf of the group health plan;

ecs-task-definition-user-for-host-mode-check

If a task definition has elevated privileges it is because the customer has specifically opted-in to those configurations. This control checks for unexpected privilege escalation when a task definition has host networking enabled but the customer has not opted-in to elevated privileges.
164.314(b)(2)(i) (2) Implementation specifications (Required). The plan documents of the group health plan must be amended to incorporate provisions to require the plan sponsor to — (i) Implement administrative, physical, and technical safeguards that reasonably and appropriately protect the confidentiality, integrity, and availability of the electronic protected health information that it creates, receives, maintains, or transmits on behalf of the group health plan;

ecs-containers-readonly-access

Enabling read only access to Amazon Elastic Container Service (ECS) containers can assist in adhering to the principal of least privilege. This option can reduces attack vectors as the container instance’s filesystem cannot be modified unless it has explicit read-write permissions.
164.314(b)(2)(i) (2) Implementation specifications (Required). The plan documents of the group health plan must be amended to incorporate provisions to require the plan sponsor to — (i) Implement administrative, physical, and technical safeguards that reasonably and appropriately protect the confidentiality, integrity, and availability of the electronic protected health information that it creates, receives, maintains, or transmits on behalf of the group health plan;

s3-bucket-acl-prohibited

This rule checks to see if Access Control Lists (ACLs) are used to for access control on Amazon S3 Buckets. ACLs are legacy access control mechanisms for Amazon S3 buckets that predate AWS Identity and Access Management (IAM). Instead of ACLs, it is a best practice to use IAM policies or S3 bucket policies to more easily manage access to your S3 buckets.
164.314(b)(2)(i) (2) Implementation specifications (Required). The plan documents of the group health plan must be amended to incorporate provisions to require the plan sponsor to — (i) Implement administrative, physical, and technical safeguards that reasonably and appropriately protect the confidentiality, integrity, and availability of the electronic protected health information that it creates, receives, maintains, or transmits on behalf of the group health plan;

iam-password-policy

The identities and the credentials are issued, managed, and verified based on an organizational IAM password policy. They meet or exceed requirements as stated by NIST SP 800-63 and the AWS Foundational Security Best Practices standard for password strength. This rule allows you to optionally set RequireUppercaseCharacters (AWS Foundational Security Best Practices value: true), RequireLowercaseCharacters (AWS Foundational Security Best Practices value: true), RequireSymbols (AWS Foundational Security Best Practices value: true), RequireNumbers (AWS Foundational Security Best Practices value: true), MinimumPasswordLength (AWS Foundational Security Best Practices value: 14), PasswordReusePrevention (AWS Foundational Security Best Practices value: 24), and MaxPasswordAge (AWS Foundational Security Best Practices value: 90) for your IAM Password Policy. The actual values should reflect your organization's policies.
164.314(b)(2)(i) (2) Implementation specifications (Required). The plan documents of the group health plan must be amended to incorporate provisions to require the plan sponsor to — (i) Implement administrative, physical, and technical safeguards that reasonably and appropriately protect the confidentiality, integrity, and availability of the electronic protected health information that it creates, receives, maintains, or transmits on behalf of the group health plan;

acm-certificate-expiration-check

Ensure network integrity is protected by ensuring X509 certificates are issued by AWS ACM. These certificates must be valid and unexpired. This rule requires a value for daysToExpiration (AWS Foundational Security Best Practices value: 90). The actual value should reflect your organization's policies.
164.314(b)(2)(i) (2) Implementation specifications (Required). The plan documents of the group health plan must be amended to incorporate provisions to require the plan sponsor to — (i) Implement administrative, physical, and technical safeguards that reasonably and appropriately protect the confidentiality, integrity, and availability of the electronic protected health information that it creates, receives, maintains, or transmits on behalf of the group health plan;

alb-http-to-https-redirection-check

To help protect data in transit, ensure that your Application Load Balancer automatically redirects unencrypted HTTP requests to HTTPS. Because sensitive data can exist, enable encryption in transit to help protect that data.
164.314(b)(2)(i) (2) Implementation specifications (Required). The plan documents of the group health plan must be amended to incorporate provisions to require the plan sponsor to — (i) Implement administrative, physical, and technical safeguards that reasonably and appropriately protect the confidentiality, integrity, and availability of the electronic protected health information that it creates, receives, maintains, or transmits on behalf of the group health plan;

api-gw-ssl-enabled

Ensure Amazon API Gateway REST API stages are configured with SSL certificates to allow backend systems to authenticate that requests originate from API Gateway.
164.314(b)(2)(i) (2) Implementation specifications (Required). The plan documents of the group health plan must be amended to incorporate provisions to require the plan sponsor to — (i) Implement administrative, physical, and technical safeguards that reasonably and appropriately protect the confidentiality, integrity, and availability of the electronic protected health information that it creates, receives, maintains, or transmits on behalf of the group health plan;

elb-acm-certificate-required

Because sensitive data can exist and to help protect data at transit, ensure encryption is enabled for your Elastic Load Balancing. Use AWS Certificate Manager to manage, provision and deploy public and private SSL/TLS certificates with AWS services and internal resources.
164.314(b)(2)(i) (2) Implementation specifications (Required). The plan documents of the group health plan must be amended to incorporate provisions to require the plan sponsor to — (i) Implement administrative, physical, and technical safeguards that reasonably and appropriately protect the confidentiality, integrity, and availability of the electronic protected health information that it creates, receives, maintains, or transmits on behalf of the group health plan;

elb-predefined-security-policy-ssl-check

To help protect data in transit, ensure that your Classic Elastic Load Balancing SSL listeners are using a predefined security policy. Elastic Load Balancing provides predefined SSL negotiation configurations that are used for SSL negotiation when a connection is established between a client and your load balancer. The SSL negotiation configurations provide compatibility with a broad range of clients and use high-strength cryptographic algorithms. This rule requires that you set a predefined security policy for your SSL listeners. The default security policy is: ELBSecurityPolicy-TLS-1-2-2017-0. The actual value should reflect your organization's policies
164.314(b)(2)(i) (2) Implementation specifications (Required). The plan documents of the group health plan must be amended to incorporate provisions to require the plan sponsor to — (i) Implement administrative, physical, and technical safeguards that reasonably and appropriately protect the confidentiality, integrity, and availability of the electronic protected health information that it creates, receives, maintains, or transmits on behalf of the group health plan;

elb-tls-https-listeners-only

Ensure that your Elastic Load Balancers (ELBs) are configured with SSL or HTTPS listeners. Because sensitive data can exist, enable encryption in transit to help protect that data.
164.314(b)(2)(i) (2) Implementation specifications (Required). The plan documents of the group health plan must be amended to incorporate provisions to require the plan sponsor to — (i) Implement administrative, physical, and technical safeguards that reasonably and appropriately protect the confidentiality, integrity, and availability of the electronic protected health information that it creates, receives, maintains, or transmits on behalf of the group health plan;

s3-bucket-ssl-requests-only

To help protect data in transit, ensure that your Amazon Simple Storage Service (Amazon S3) buckets require requests to use Secure Socket Layer (SSL). Because sensitive data can exist, enable encryption in transit to help protect that data.
164.314(b)(2)(i) (2) Implementation specifications (Required). The plan documents of the group health plan must be amended to incorporate provisions to require the plan sponsor to — (i) Implement administrative, physical, and technical safeguards that reasonably and appropriately protect the confidentiality, integrity, and availability of the electronic protected health information that it creates, receives, maintains, or transmits on behalf of the group health plan;

elbv2-acm-certificate-required

Because sensitive data can exist and to help protect data at transit, ensure encryption is enabled for your Elastic Load Balancing. Use AWS Certificate Manager to manage, provision and deploy public and private SSL/TLS certificates with AWS services and internal resources.
164.314(b)(2)(i) (2) Implementation specifications (Required). The plan documents of the group health plan must be amended to incorporate provisions to require the plan sponsor to — (i) Implement administrative, physical, and technical safeguards that reasonably and appropriately protect the confidentiality, integrity, and availability of the electronic protected health information that it creates, receives, maintains, or transmits on behalf of the group health plan;

cloud-trail-encryption-enabled

Because sensitive data may exist and to help protect data at rest, ensure encryption is enabled for your AWS CloudTrail trails.
164.314(b)(2)(i) (2) Implementation specifications (Required). The plan documents of the group health plan must be amended to incorporate provisions to require the plan sponsor to — (i) Implement administrative, physical, and technical safeguards that reasonably and appropriately protect the confidentiality, integrity, and availability of the electronic protected health information that it creates, receives, maintains, or transmits on behalf of the group health plan;

ec2-ebs-encryption-by-default

To help protect data at rest, ensure that encryption is enabled for your Amazon Elastic Block Store (Amazon EBS) volumes. Because sensitive data can exist at rest in these volumes, enable encryption at rest to help protect that data.
164.314(b)(2)(i) (2) Implementation specifications (Required). The plan documents of the group health plan must be amended to incorporate provisions to require the plan sponsor to — (i) Implement administrative, physical, and technical safeguards that reasonably and appropriately protect the confidentiality, integrity, and availability of the electronic protected health information that it creates, receives, maintains, or transmits on behalf of the group health plan;

efs-encrypted-check

Because sensitive data can exist and to help protect data at rest, ensure encryption is enabled for your Amazon Elastic File System (EFS).
164.314(b)(2)(i) (2) Implementation specifications (Required). The plan documents of the group health plan must be amended to incorporate provisions to require the plan sponsor to — (i) Implement administrative, physical, and technical safeguards that reasonably and appropriately protect the confidentiality, integrity, and availability of the electronic protected health information that it creates, receives, maintains, or transmits on behalf of the group health plan;

elasticsearch-encrypted-at-rest

Because sensitive data can exist and to help protect data at rest, ensure encryption is enabled for your Amazon OpenSearch Service (OpenSearch Service) domains.
164.314(b)(2)(i) (2) Implementation specifications (Required). The plan documents of the group health plan must be amended to incorporate provisions to require the plan sponsor to — (i) Implement administrative, physical, and technical safeguards that reasonably and appropriately protect the confidentiality, integrity, and availability of the electronic protected health information that it creates, receives, maintains, or transmits on behalf of the group health plan;

elasticsearch-node-to-node-encryption-check

Ensure node-to-node encryption for Amazon OpenSearch Service is enabled. Node-to-node encryption enables TLS 1.2 encryption for all communications within the Amazon Virtual Private Cloud (Amazon VPC). Because sensitive data can exist, enable encryption in transit to help protect that data.
164.314(b)(2)(i) (2) Implementation specifications (Required). The plan documents of the group health plan must be amended to incorporate provisions to require the plan sponsor to — (i) Implement administrative, physical, and technical safeguards that reasonably and appropriately protect the confidentiality, integrity, and availability of the electronic protected health information that it creates, receives, maintains, or transmits on behalf of the group health plan;

encrypted-volumes

Because sensitive data can exist and to help protect data at rest, ensure encryption is enabled for your Amazon Elastic Block Store (Amazon EBS) volumes.
164.314(b)(2)(i) (2) Implementation specifications (Required). The plan documents of the group health plan must be amended to incorporate provisions to require the plan sponsor to — (i) Implement administrative, physical, and technical safeguards that reasonably and appropriately protect the confidentiality, integrity, and availability of the electronic protected health information that it creates, receives, maintains, or transmits on behalf of the group health plan;

rds-snapshot-encrypted

Ensure that encryption is enabled for your Amazon Relational Database Service (Amazon RDS) snapshots. Because sensitive data can exist at rest, enable encryption at rest to help protect that data.
164.314(b)(2)(i) (2) Implementation specifications (Required). The plan documents of the group health plan must be amended to incorporate provisions to require the plan sponsor to — (i) Implement administrative, physical, and technical safeguards that reasonably and appropriately protect the confidentiality, integrity, and availability of the electronic protected health information that it creates, receives, maintains, or transmits on behalf of the group health plan;

rds-storage-encrypted

To help protect data at rest, ensure that encryption is enabled for your Amazon Relational Database Service (Amazon RDS) instances. Because sensitive data can exist at rest in Amazon RDS instances, enable encryption at rest to help protect that data.
164.314(b)(2)(i) (2) Implementation specifications (Required). The plan documents of the group health plan must be amended to incorporate provisions to require the plan sponsor to — (i) Implement administrative, physical, and technical safeguards that reasonably and appropriately protect the confidentiality, integrity, and availability of the electronic protected health information that it creates, receives, maintains, or transmits on behalf of the group health plan;

redshift-cluster-configuration-check

To protect data at rest, ensure that encryption is enabled for your Amazon Redshift clusters. You must also ensure that required configurations are deployed on Amazon Redshift clusters. The audit logging should be enabled to provide information about connections and user activities in the database. This rule requires that a value is set for clusterDbEncrypted (Config Default : TRUE), and loggingEnabled (Config Default: TRUE). The actual values should reflect your organization's policies.
164.314(b)(2)(i) (2) Implementation specifications (Required). The plan documents of the group health plan must be amended to incorporate provisions to require the plan sponsor to — (i) Implement administrative, physical, and technical safeguards that reasonably and appropriately protect the confidentiality, integrity, and availability of the electronic protected health information that it creates, receives, maintains, or transmits on behalf of the group health plan;

redshift-require-tls-ssl

Ensure that your Amazon Redshift clusters require TLS/SSL encryption to connect to SQL clients. Because sensitive data can exist, enable encryption in transit to help protect that data.
164.314(b)(2)(i) (2) Implementation specifications (Required). The plan documents of the group health plan must be amended to incorporate provisions to require the plan sponsor to — (i) Implement administrative, physical, and technical safeguards that reasonably and appropriately protect the confidentiality, integrity, and availability of the electronic protected health information that it creates, receives, maintains, or transmits on behalf of the group health plan;

s3-bucket-server-side-encryption-enabled

To help protect data at rest, ensure encryption is enabled for your Amazon Simple Storage Service (Amazon S3) buckets. Because sensitive data can exist at rest in Amazon S3 buckets, enable encryption to help protect that data.
164.314(b)(2)(i) (2) Implementation specifications (Required). The plan documents of the group health plan must be amended to incorporate provisions to require the plan sponsor to — (i) Implement administrative, physical, and technical safeguards that reasonably and appropriately protect the confidentiality, integrity, and availability of the electronic protected health information that it creates, receives, maintains, or transmits on behalf of the group health plan;

s3-default-encryption-kms

Ensure that encryption is enabled for your Amazon Simple Storage Service (Amazon S3) buckets. Because sensitive data can exist at rest in an Amazon S3 bucket, enable encryption at rest to help protect that data.
164.314(b)(2)(i) (2) Implementation specifications (Required). The plan documents of the group health plan must be amended to incorporate provisions to require the plan sponsor to — (i) Implement administrative, physical, and technical safeguards that reasonably and appropriately protect the confidentiality, integrity, and availability of the electronic protected health information that it creates, receives, maintains, or transmits on behalf of the group health plan;

sagemaker-endpoint-configuration-kms-key-configured

To help protect data at rest, ensure encryption with AWS Key Management Service (AWS KMS) is enabled for your SageMaker endpoint. Because sensitive data can exist at rest in SageMaker endpoint, enable encryption at rest to help protect that data.
164.314(b)(2)(i) (2) Implementation specifications (Required). The plan documents of the group health plan must be amended to incorporate provisions to require the plan sponsor to — (i) Implement administrative, physical, and technical safeguards that reasonably and appropriately protect the confidentiality, integrity, and availability of the electronic protected health information that it creates, receives, maintains, or transmits on behalf of the group health plan;

sagemaker-notebook-instance-kms-key-configured

To help protect data at rest, ensure encryption with AWS Key Management Service (AWS KMS) is enabled for your SageMaker notebook. Because sensitive data can exist at rest in SageMaker notebook, enable encryption at rest to help protect that data.
164.314(b)(2)(i) (2) Implementation specifications (Required). The plan documents of the group health plan must be amended to incorporate provisions to require the plan sponsor to — (i) Implement administrative, physical, and technical safeguards that reasonably and appropriately protect the confidentiality, integrity, and availability of the electronic protected health information that it creates, receives, maintains, or transmits on behalf of the group health plan;

sns-encrypted-kms

To help protect data at rest, ensure that your Amazon Simple Notification Service (Amazon SNS) topics require encryption using AWS Key Management Service (AWS KMS). Because sensitive data can exist at rest in published messages, enable encryption at rest to help protect that data.
164.314(b)(2)(i) (2) Implementation specifications (Required). The plan documents of the group health plan must be amended to incorporate provisions to require the plan sponsor to — (i) Implement administrative, physical, and technical safeguards that reasonably and appropriately protect the confidentiality, integrity, and availability of the electronic protected health information that it creates, receives, maintains, or transmits on behalf of the group health plan;

dynamodb-autoscaling-enabled

Amazon DynamoDB auto scaling uses the AWS Application Auto Scaling service to adjust provisioned throughput capacity that automatically responds to actual traffic patterns. This enables a table or a global secondary index to increase its provisioned read/write capacity to handle sudden increases in traffic, without throttling.
164.314(b)(2)(i) (2) Implementation specifications (Required). The plan documents of the group health plan must be amended to incorporate provisions to require the plan sponsor to — (i) Implement administrative, physical, and technical safeguards that reasonably and appropriately protect the confidentiality, integrity, and availability of the electronic protected health information that it creates, receives, maintains, or transmits on behalf of the group health plan;

dynamodb-pitr-enabled

Enable this rule to check that information has been backed up. It also maintains the backups by ensuring that point-in-time recovery is enabled in Amazon DynamoDB. The recovery maintains continuous backups of your table for the last 35 days.
164.314(b)(2)(i) (2) Implementation specifications (Required). The plan documents of the group health plan must be amended to incorporate provisions to require the plan sponsor to — (i) Implement administrative, physical, and technical safeguards that reasonably and appropriately protect the confidentiality, integrity, and availability of the electronic protected health information that it creates, receives, maintains, or transmits on behalf of the group health plan;

elb-cross-zone-load-balancing-enabled

Enable cross-zone load balancing for your Elastic Load Balancers (ELBs) to help maintain adequate capacity and availability. The cross-zone load balancing reduces the need to maintain equivalent numbers of instances in each enabled availability zone. It also improves your application's ability to handle the loss of one or more instances.
164.314(b)(2)(i) (2) Implementation specifications (Required). The plan documents of the group health plan must be amended to incorporate provisions to require the plan sponsor to — (i) Implement administrative, physical, and technical safeguards that reasonably and appropriately protect the confidentiality, integrity, and availability of the electronic protected health information that it creates, receives, maintains, or transmits on behalf of the group health plan;

elb-deletion-protection-enabled

This rule ensures that Elastic Load Balancing has deletion protection enabled. Use this feature to prevent your load balancer from being accidentally or maliciously deleted, which can lead to loss of availability for your applications.
164.314(b)(2)(i) (2) Implementation specifications (Required). The plan documents of the group health plan must be amended to incorporate provisions to require the plan sponsor to — (i) Implement administrative, physical, and technical safeguards that reasonably and appropriately protect the confidentiality, integrity, and availability of the electronic protected health information that it creates, receives, maintains, or transmits on behalf of the group health plan;

rds-cluster-deletion-protection-enabled

Ensure Amazon Relational Database Service (Amazon RDS) instances have deletion protection enabled. Use deletion protection to prevent your Amazon RDS instances from being accidentally or maliciously deleted, which can lead to loss of availability for your applications.
164.314(b)(2)(i) (2) Implementation specifications (Required). The plan documents of the group health plan must be amended to incorporate provisions to require the plan sponsor to — (i) Implement administrative, physical, and technical safeguards that reasonably and appropriately protect the confidentiality, integrity, and availability of the electronic protected health information that it creates, receives, maintains, or transmits on behalf of the group health plan;

rds-multi-az-support

Multi-AZ support in Amazon Relational Database Service (Amazon RDS) provides enhanced availability and durability for database instances. When you provision a Multi-AZ database instance, Amazon RDS automatically creates a primary database instance, and synchronously replicates the data to a standby instance in a different Availability Zone. Each Availability Zone runs on its own physically distinct, independent infrastructure, and is engineered to be highly reliable. In case of an infrastructure failure, Amazon RDS performs an automatic failover to the standby so that you can resume database operations as soon as the failover is complete.
164.314(b)(2)(i) (2) Implementation specifications (Required). The plan documents of the group health plan must be amended to incorporate provisions to require the plan sponsor to — (i) Implement administrative, physical, and technical safeguards that reasonably and appropriately protect the confidentiality, integrity, and availability of the electronic protected health information that it creates, receives, maintains, or transmits on behalf of the group health plan;

s3-bucket-default-lock-enabled

Ensure that your Amazon Simple Storage Service (Amazon S3) bucket has lock enabled, by default. Because sensitive data can exist at rest in S3 buckets, enforce object locks at rest to help protect that data.
164.314(b)(2)(i) (2) Implementation specifications (Required). The plan documents of the group health plan must be amended to incorporate provisions to require the plan sponsor to — (i) Implement administrative, physical, and technical safeguards that reasonably and appropriately protect the confidentiality, integrity, and availability of the electronic protected health information that it creates, receives, maintains, or transmits on behalf of the group health plan;

vpc-vpn-2-tunnels-up

Redundant Site-to-Site VPN tunnels can be implemented to achieve resilience requirements. It uses two tunnels to help ensure connectivity in case one of the Site-to-Site VPN connections becomes unavailable. To protect against a loss of connectivity, in case your customer gateway becomes unavailable, you can set up a second Site-to-Site VPN connection to your Amazon Virtual Private Cloud (Amazon VPC) and virtual private gateway by using a second customer gateway.
164.314(b)(2)(i) (2) Implementation specifications (Required). The plan documents of the group health plan must be amended to incorporate provisions to require the plan sponsor to — (i) Implement administrative, physical, and technical safeguards that reasonably and appropriately protect the confidentiality, integrity, and availability of the electronic protected health information that it creates, receives, maintains, or transmits on behalf of the group health plan;

no-unrestricted-route-to-igw

Ensure Amazon EC2 route tables do not have unrestricted routes to an internet gateway. Removing or limiting the access to the internet for workloads within Amazon VPCs can reduce unintended access within your environment.
164.314(b)(2)(i) (2) Implementation specifications (Required). The plan documents of the group health plan must be amended to incorporate provisions to require the plan sponsor to — (i) Implement administrative, physical, and technical safeguards that reasonably and appropriately protect the confidentiality, integrity, and availability of the electronic protected health information that it creates, receives, maintains, or transmits on behalf of the group health plan;

opensearch-encrypted-at-rest

Because sensitive data can exist and to help protect data at rest, ensure encryption is enabled for your Amazon OpenSearch Service domains.
164.314(b)(2)(i) (2) Implementation specifications (Required). The plan documents of the group health plan must be amended to incorporate provisions to require the plan sponsor to — (i) Implement administrative, physical, and technical safeguards that reasonably and appropriately protect the confidentiality, integrity, and availability of the electronic protected health information that it creates, receives, maintains, or transmits on behalf of the group health plan;

opensearch-https-required

Because sensitive data can exist and to help protect data in transit, ensure HTTPS is enabled for connections to your Amazon OpenSearch Service domains.
164.314(b)(2)(i) (2) Implementation specifications (Required). The plan documents of the group health plan must be amended to incorporate provisions to require the plan sponsor to — (i) Implement administrative, physical, and technical safeguards that reasonably and appropriately protect the confidentiality, integrity, and availability of the electronic protected health information that it creates, receives, maintains, or transmits on behalf of the group health plan;

opensearch-in-vpc-only

Manage access to the AWS Cloud by ensuring Amazon OpenSearch Service domains are within an Amazon Virtual Private Cloud (Amazon VPC). An Amazon OpenSearch Service domain within an Amazon VPC enables secure communication between Amazon OpenSearch Service and other services within the Amazon VPC without the need for an internet gateway, NAT device, or VPN connection.
164.314(b)(2)(i) (2) Implementation specifications (Required). The plan documents of the group health plan must be amended to incorporate provisions to require the plan sponsor to — (i) Implement administrative, physical, and technical safeguards that reasonably and appropriately protect the confidentiality, integrity, and availability of the electronic protected health information that it creates, receives, maintains, or transmits on behalf of the group health plan;

opensearch-node-to-node-encryption-check

Ensure node-to-node encryption for Amazon OpenSearch Service is enabled. Node-to-node encryption enables TLS 1.2 encryption for all communications within the Amazon Virtual Private Cloud (Amazon VPC). Because sensitive data can exist, enable encryption in transit to help protect that data.
164.314(b)(2)(i) (2) Implementation specifications (Required). The plan documents of the group health plan must be amended to incorporate provisions to require the plan sponsor to — (i) Implement administrative, physical, and technical safeguards that reasonably and appropriately protect the confidentiality, integrity, and availability of the electronic protected health information that it creates, receives, maintains, or transmits on behalf of the group health plan;

kinesis-stream-encrypted

Because sensitive data can exist and to help protect data at rest, ensure encryption is enabled for your Amazon Kinesis Streams.

Template

The template is available on GitHub: Operational Best Practices for HIPAA Security.