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For many readers in the American healthcare space, there is a common familiarity with HIPAA. However, in Canada, there is a separate act established to create national standards for protecting patients. The analogous health information acts across the Canadian border are PIPEDA and PHIPA.
A HIPAA violation is noncompliance on the part of a HIPAA-covered entity with the standards set by the Health Insurance Portability and Accountability Act of 1996. Examples of HIPAA violations include: Unauthorized access to Protected Health Information (PHI) Failure to perform an organization-wide risk assessment.
The answer is simple: if an international company is handling or transmitting PHI of U.S. citizens, it is considered a business associate of a covered entity and is therefore subject to HIPAA regulations. This applies to companies of all sizes, whether they are a small startup or a large multinational corporation.
HIPAA is a US regulation it stands for Health Insurance Portability and Accountability Act (HIPAA). In the UK and the NHS we call it the Data protection act.
While HIPAA is not overtly extraterritorial, meaning it is not written to apply outside, it is written to protect the data of US citizens no matter where those citizens are in the world. So, to use another legal term, it is the de facto case that HIPAA applies outside the US.
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The law will require nearly universal health insurance coverage, prohibit various limits on health insurance coverage, require employers with 50 or more employees to provide health insurance coverage, create state health insurance exchanges, expand Medicaid and eliminate the donut hole in Medicare Part D prescription
HIPAA is a US federal law that governs the privacy and security of Personal Health Information (PHI) in the US. The General Data Protection Regulation (GDPR) is a legal framework that sets guidelines for the collection and processing of personal information from individuals who live in the European Union (EU).
The Privacy Rule protects all individually identifiable health information held or transmitted by a covered entity or its business associate, in any form or media, whether electronic, paper, or oral. The Privacy Rule calls this information protected health information (PHI).

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