Honest 10-way comparison of HIPAA + US State Privacy Laws Vendor Comparison (CMIA · Texas MRPA · Washington My Health My Data · NY SHIELD · CCPA Medical Exemption) across Vanta · Drata · Secureframe · Compliancy · Aptible · Accountable · Sprinto · Hyperproof · Scrut · Thoropass platforms. No vendor sponsorship. Calling Matrix by buyer persona below — operator's siren-based read on which one to pick when you're forced to pick.
Honest read on positioning, ideal customer, and where each one is the wrong call. No vendor sponsorship, no affiliate links — operator-grade signal.
Multi-framework breadth with growing US state privacy law coverage. HIPAA shipped early, plus expanding state-by-state framework library (CCPA, NY SHIELD, WA MHMDA on the roadmap) layered on top. The pragmatic default for healthtech that needs more than a HIPAA-only vendor.
Multi-framework with state privacy framework support added 2024-2025. CCPA + state privacy posture mappings rolled out in the past 18 months. Strong evidence-collection automation. Closely matches Vanta on breadth, slightly different ergonomics.
Multi-framework breadth with state privacy laws structured as add-on modules. Strong on framework cross-mapping; state-privacy depth depends on which add-on tier you buy. Solid mid-market fit, slightly less mature on the WA MHMDA / consumer-health-app side.
HIPAA-pure-play with weaker state privacy framework mapping. Deepest HIPAA-specific workflows (training, BAAs, risk assessment, breach response) but state-privacy-law layer is largely absent — you'll need a second tool or manual tracking for CMIA, MRPA, MHMDA.
Infra + compliance hybrid with state-privacy framework mapping in the roadmap. Strong if you also need HIPAA-eligible hosting; state-privacy-law layer is still maturing. Best for engineering-heavy healthtech that wants infra + compliance from one vendor.
SMB-priced HIPAA platform with state privacy as a policy-template feature. Cheapest credible HIPAA tool for small clinics + early healthtech. State-privacy coverage is template-level (policy boilerplate) rather than a full framework-mapped library.
Multi-framework with state privacy in expansion roadmap. Strong continuous-monitoring story, growing into HIPAA + adjacent state laws. Better fit for global SaaS that also needs HIPAA than for US-only consumer-health buyers.
Enterprise GRC with the deepest state-by-state framework library in this set. If your buying problem is literally 'I need a maintained library covering CMIA + MRPA + MHMDA + NY SHIELD + CCPA + 30 other states,' Hyperproof is the one structurally built for it.
GRC platform with a dedicated state privacy law mapping module. Sits between mid-market multi-framework vendors and enterprise GRC. The state-privacy-law module is one of the more deliberate implementations in this set, second only to Hyperproof on coverage breadth.
Audit-firm-bundled platform with state-privacy guidance + audit support. Differentiates by bundling audit work + ongoing compliance. State-privacy guidance comes packaged with auditor counsel rather than a self-serve framework library.
Most comparison sites refuse to forced-rank because their revenue depends on staying neutral. SideGuy ranks because it doesn't take vendor money. Here's the call by buyer persona.
Your problem: California's CMIA (Confidentiality of Medical Information Act) is STRICTER than HIPAA in some areas — broader covered-entity definition, no enforcement-discretion safe harbors. You need a vendor that handles both layers, not one that pretends HIPAA covers CMIA. Start with the HIPAA megapage for the HIPAA-baseline read; this matrix layers CMIA on top.
Your problem: Texas Medical Records Privacy Act has UNIQUE training requirements (§181.101 — biennial training for handling PHI) plus state-level enforcement on top of HIPAA. You need a platform that tracks both training timelines AND HIPAA workforce training, not one that pretends HIPAA training cadence satisfies §181.101.
Your problem: WA MHMDA covers consumer health data EVEN FOR APPS THAT AREN'T HIPAA-COVERED. Wellness, fitness, fertility, mental-health apps — you need consent + breach + processor-flowdown all separate from HIPAA framing. Most HIPAA platforms don't cover this gap because they assume HIPAA scope.
Your problem: You sell to consumers across 30+ states. CCPA medical-data exemption isn't blanket — it carves out HIPAA-covered data only, not every health-adjacent dataset. NY SHIELD overlaps with HIPAA on breach but adds reasonable-safeguards obligations independent of HIPAA. You need a platform with a maintained state-by-state framework library — not a static checklist that goes stale every legislative cycle.
These rankings are SideGuy's lived-data + observed-buyer-pattern read as of 2026-05-11. They're directional, not gospel. The right answer for YOUR specific situation may diverge — text PJ for a 10-min operator-honest read on your actual buying context.
Vendor pricing + features + market positioning shift quarterly. SideGuy may earn referral commissions from some of these vendors, but rankings are independent — affiliate relationships never change rank order. Sister doctrines: /open/ live operator dashboard · install packs · operator network.
No. HIPAA is a FLOOR not a ceiling — states are explicitly allowed to be stricter, and most are. CMIA (California), MRPA (Texas), MHMDA (Washington), NY SHIELD, and dozens of other state laws layer ADDITIONAL obligations on top of HIPAA. Treat HIPAA as the baseline and state law as the actual binding standard wherever you do business.
Washington MHMDA and California CMIA. MHMDA expands scope to consumer health data outside the HIPAA-covered-entity definition entirely (wellness, fertility, mental-health apps). CMIA broadens California's covered-entity definition and removes some federal enforcement-discretion safe harbors. Both materially expand obligations beyond HIPAA's baseline rather than simply restating it.
Hyperproof, Scrut, and Vanta lead on breadth — their libraries treat state laws as first-class frameworks with their own controls and evidence. Drata added state privacy framework support 2024-2025. Smaller HIPAA-only vendors (Compliancy, Accountable) lag — they cover HIPAA deeply but offer state-privacy coverage at the policy-template level, not as a maintained framework library.
These fall under the FTC Health Breach Notification Rule plus state laws like Washington MHMDA — a different framework set, different vendor fit. Most HIPAA-pure-play platforms (Compliancy, Accountable, Aptible) assume HIPAA scope; they're the wrong fit for non-HIPAA consumer health apps. Hyperproof and Scrut, which treat state laws as standalone frameworks, are structurally better here.
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