Form: Cost-of-Breach DisclosureSource: IBM Cost of a Data BreachFiled: 28 Apr 2026
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Filing TX-20220224-houston-health-departmentHHS OCR Breach Register, Texas

Breach filing

Archived

Houston Health Department: 10,291 individuals, Feb 2022.

Houston Health Department reported a breach of unsecured protected health information to the HHS Office for Civil Rights on 24 February 2022. The filing records the organisation as a healthcare provider in Texas and lists 10,291 individuals affected, which makes it the 220th largest of the 633 Texas filings on the register and the 330th largest of the 718 filings submitted nationally in 2022. Among the 53 Texas filings made in 2022 it ranks 29th.

Individuals affected

10,291

As reported to HHS

Modelled cost (IBM 2025)

$1.65M

Method shown, not disclosed

Rank in TX

220th

of 633 Texas filings

Rank in 2022

330th

of 718 filings nationally

Section F.1 / The filing

As posted by HHS OCR

Every value below is the portal's own field for this filing, plus its rank within the register.

Covered entity type
Healthcare Provider
Individuals affected
10,291
Breach submission date
24 February 2022
Submission year
2022
Type of breach
Unauthorized Access/Disclosure
Location of breached information
Electronic Medical Record
Business associate present
No
Portal status
listed in the HHS OCR breach portal archive
Rank in Texas by size
220th of 633
Rank in 2022 nationally
330th of 718
Texas median filing
4,055 individuals
Register id (derived)
TX-20220224-houston-health-department

Section F.2 / In context

Where this filing sits in Texas and in 2022

OCR classifies the incident as unauthorized access or disclosure, with the breached information held in an electronic medical record system. Unauthorized Access/Disclosure is the type recorded on 155 of the 633 Texas filings (24%) and on 16% of all filings submitted in 2022. Electronic Medical Record appears on 7% of Texas filings.

No business associate is recorded on the filing; 27% of Texas filings do involve one. At 10,291 individuals the breach is 2.5 times the Texas median filing of 4,055 and 2.6 times the national median of 4,000 across all 7,884 filings. It sits in the 10,000 to 99,999 band, which holds 1,938 filings.

As of 28 August 2026 the case is listed in the HHS OCR breach portal archive. OCR's closing summary of the case is reproduced in full below.

Texas's breach notification statute (Tex. Bus. & Com. Code 521.053) requires notice to affected residents without unreasonable delay, no later than the 60th day after determining a breach occurred. Its attorney general threshold: 250 or more Texas residents. The HIPAA Breach Notification Rule ran alongside it: notice to affected individuals and to HHS without unreasonable delay and no later than 60 days after discovery, which is the clock that put this filing on the portal.

Multiplying 10,291 individuals by IBM's $160 customer-PII cost per record (Cost of a Data Breach 2025, the figure the site's calculator uses) gives a modelled $1.65M; the 2026 edition's $192 gives $1.98M. Both are modelled estimates with the method shown, not costs disclosed by Houston Health Department. For scale, IBM's 2026 average cost of a healthcare breach is $6.64M, so this filing models at 0.3 times the sector average.

Section F.3 / OCR closing summary

The portal's archived description, in full

Written by the Office for Civil Rights when the case was closed and reproduced verbatim from the HHS export.

The covered entity (CE), the Houston Health Department, reported that its business associate (BA) accidentally posted the protected health information (PHI) of 10,291 individuals on its website. The PHI involved included names, dates of birth, addresses, email addresses, lab results, and other treatment information. The CE notified HHS, affected individuals, the media, and provided substitute notice. In response to the breach, the CE provided complimentary credit monitoring services to affected individuals and implemented additional technical safeguards.

Section F.5 / Modelled cost

10,291 individuals through IBM's per-record figures

Modelled cost / method shown, not a disclosed cost

Modelled

IBM 2025 customer PII, $160 per record

$1.65M

10,291 x $160

IBM 2026 customer PII, $192 per record

$1.98M

10,291 x $192

Method: individuals affected, as reported by Houston Health Department to HHS, multiplied by IBM's customer-PII cost per record (Cost of a Data Breach 2025 Figure 6 and the 2026 edition). No cost has been disclosed by the entity for this filing; the figure is a planning estimate, not a fact about the breach. IBM's per-record figures come from mid-volume breaches and IBM cautions against applying them to breaches involving millions of records; the site's per-record page explains where the multiplication holds and where it breaks down.

Context: IBM's average cost of a healthcare breach is $6.64M in the 2026 report ($7.42M in 2025); the global average across all sectors was $4.44M in 2025.

Cost per record: method and limits / Healthcare breach cost, IBM 2026

Section F.6 / Notification clock

Texas statute and the HIPAA rule

State notification statute

Texas: Tex. Bus. & Com. Code 521.053

Notice to individuals
Without unreasonable delay, no later than the 60th day after determining a breach occurred
Attorney general threshold
250 or more Texas residents (No later than the 30th day after determining a breach occurred)
Private right of action
Limited: Indirect recovery via the Deceptive Trade Practices Act (up to treble economic damages for knowing violations)
Penalty
$2,000-$50,000 per violation; additional up to $100 per individual per day, capped at $250,000 per breach

The HIPAA Breach Notification Rule runs alongside the state statute: notice to affected individuals and to HHS without unreasonable delay and no later than 60 days after discovery.

Section F.7 / Peer filings

Texas filings closest in size

Neighbours by size rank among Texas filings in 2022, topped up from other years where 2022 has too few. Filings of 10,000 or more link to their own page.

Covered entityTypeIndividualsSubmitted
Valley Baptist Medical Center - HarlingenHealthcare Provider11,13712 Aug 2022
WellMed Medical ManagementHealthcare Provider10,50623 Sep 2022
Stephen Sims, MD, PA dba North Lakes Pain ConsultantsHealthcare Provider8,62027 May 2022
DataXportBusiness Associate8,1817 Jan 2022

Index / Companion schedules

Provenance

Source: U.S. Department of Health and Human Services, Office for Civil Rights, Breach Portal (breaches affecting 500 or more individuals), retrieved 2026-08-28. Public domain. Individuals affected and dates as reported by the covered entity.

Portal: ocrportal.hhs.gov breach report. Statutory basis: HITECH Act section 13402(e)(4): the Secretary must post a list of breaches of unsecured protected health information affecting 500 or more individuals. Breaches affecting fewer than 500 individuals are reported to OCR annually and are not posted, so they are not on this register. Status wording follows the portal's two tabs ("Cases Currently Under Investigation" and "Archive") as of 28 August 2026; a filing moves to the archive when OCR closes the case. Modelled costs on this site are a method applied to the reported count, using IBM Cost of a Data Breach per-record figures, and are never a cost disclosed by the entity. This row: hhs-breach-archive__2026-08-28.csv, export row 2646.

Corrections: if you represent a listed entity and the portal row has been amended, email [email protected] with the portal entry and we will re-pull the export.