The proposed New York Health Information Privacy Act (NYHIPA), currently awaiting Governor Kathy Hochul’s signature, represents a major step in the state’s approach to protecting personal health data in the digital age. At its core, the bill aims to establish stronger privacy protections and restrict the use and sale of health-related data without explicit user consent. Supporters see it as a necessary evolution of data privacy laws, addressing gaps in federal regulations like HIPAA and responding to growing consumer concerns.

However, while the bill’s intent is clear, its practical implications are far more complex. If enacted, NYHIPA could create significant operational and financial burdens for digital health companies, insurers, and other businesses handling health information. It also raises pressing questions about the future of innovation in health technology, data-driven research, and even the fundamental business models that underpin much of today’s digital healthcare ecosystem. As New York weighs this decision, stakeholders must consider not only the benefits of stronger privacy protections but also the unintended consequences that could hinder the growth of the state’s thriving health tech sector.

In recent years, states across the country have introduced privacy laws that aim to strengthen consumer protections in response to widespread data breaches and growing concerns about corporate data practices. California’s Consumer Privacy Act (CCPA) and Privacy Rights Act (CPRA), Illinois’s Biometric Information Privacy Act (BIPA), and similar laws have set the stage for a complex web of state-led privacy regulations. At the federal level, the Federal Trade Commission (FTC) has intensified its scrutiny of health data practices, issuing warnings and imposing fines on companies that fail to protect consumer privacy.

New York’s legislation stands out because it casts a wide net in defining what constitutes “regulated health information.” Unlike HIPAA, which primarily governs hospitals, insurers, and healthcare providers, NYHIPA extends its scope to include any company that collects health-related data from New York residents. This means that digital health apps, wellness platforms, employers offering health benefits, and even non-traditional healthcare-adjacent businesses could be subject to its requirements. Companies would need to overhaul their data collection and consent practices, develop new compliance systems, and ensure that they are aligned with both state and federal regulations.

While these measures are intended to protect consumers, they also introduce significant challenges. Businesses operating in New York may find themselves facing higher compliance costs, which could be particularly burdensome for startups and mid-sized companies that lack the resources of larger corporations. If companies are forced to invest heavily in compliance, they may pass these costs onto consumers or scale back their services, limiting access to innovative digital health solutions. There is also the risk that companies could choose to leave New York or avoid entering the state altogether, putting New York at a competitive disadvantage in the rapidly growing health tech sector.

Beyond the financial and operational burdens, there is also concern about the unintended consequences this law could have on innovation. Many of the advances in health technology rely on data-driven insights to improve patient outcomes, streamline care coordination, and develop more personalized treatment plans. Overly restrictive regulations may limit the ability of companies to leverage data in ways that could be beneficial to patients and providers alike. If businesses are forced to navigate a regulatory minefield, some may choose to take a more cautious approach, slowing down progress in areas where data-driven innovation could make a meaningful difference.

At the same time, there is no denying that security threats and consumer expectations are changing. Cyberattacks on healthcare systems have become more frequent, with ransomware attacks targeting hospitals and breaches exposing millions of patient records. Consumers are becoming increasingly aware of how their data is being used and are demanding greater control over their personal information. Across the country, there is a growing push for opt-in models and stricter limitations on the use of personally identifiable information. Whether or not NYHIPA becomes law, companies should expect privacy regulations to become stricter in the coming years and take proactive steps to enhance security and transparency.

For businesses, adapting to this new landscape will require a strategic approach. Companies that process health-related data will need to closely examine how they collect, store, and use information. Those that can demonstrate a commitment to privacy and data security may find themselves with a competitive advantage as consumers become more discerning about which platforms they trust. At the same time, industry leaders should engage in policy discussions to ensure that privacy regulations are designed in a way that balances consumer protection with the need for continued innovation.

New York has an opportunity to be a leader in health data privacy, but it must do so without stifling the industry that relies on responsible data use to drive advancements in health care. Governor Hochul’s decision on NYHIPA will set an important precedent for the future of digital health regulation, not just in New York but across the country. If done right, this legislation could serve as a model for balancing privacy protections with business realities. If not, it risks becoming a case study in how regulatory overreach can do more harm than good.