It’s likely that HIPAA was the first thing that came up when you were looking into compliance for your health, fitness, or well-being app. Most of the online developer guides, templates, and compliance checklists are written for the US market. It’s the privacy law that people talk about the most.
However, if you’re making an app for people in Australia, HIPAA probably doesn’t apply to you. Instead, the Privacy Act 1988 (Cth) and the Australian Privacy Principles (APPs) apply. These are a different set of rules with different requirements, obligations, and penalties.
There is a mistake that many business owners make before they come to us: they mix them up. It wastes time and effort making rules that don’t apply, or even worse, it gives people a false sense of security because “HIPAA compliant” doesn’t mean anything in Australia.
This guide breaks down what each law really covers, where they overlap, and what you need to do to make sure you follow the rules if you’re making an app in Australia.
The Health Insurance Portability and Accountability Act (HIPAA) is a US law that controls Protected Health Information (PHI). This is information that is handled by “covered entities” such as healthcare providers, health plans, and healthcare clearinghouses, as well as their “business associates” who work with that data.
It depends on the sector. If you handle protected health information (PHI) in one of those specific situations, HIPAA applies to you, no matter how much money you make or how big your business is. The Breach Notification Rule, the Security Rule, and the Privacy Rule are the most important parts of it.
Australia is only covered by HIPAA in a few specific cases that are set out in contracts. One example is if your company handles patient data under a Business Associate Agreement (BAA) for a US covered entity as a subcontractor. This means that HIPAA applies to you. Legal issues are not a problem if you only make apps for people in Australia.

Most businesses in Australia that gather personal data must follow the 13 Australian Privacy Principles that are part of the Privacy Act 1988. Health apps are part of this. Following these rules is the job of the Office of the Australian Information Commissioner (OAIC).
A few things make the Australian framework distinct:
| HIPAA (US) | Privacy Act / APPs (Australia) | |
| Scope | Sector-specific — health data only | Economy-wide — all personal information, with extra rules for sensitive/health data |
| Who’s covered | Covered entities & business associates handling PHI | Businesses with turnover over $3M, plus all health service providers regardless of size |
| Consent standard | Permitted uses defined by the Privacy Rule; authorisation required for certain disclosures | Express consent generally required to collect sensitive/health information |
| Governing body | US Department of Health & Human Services (HHS) | Office of the Australian Information Commissioner (OAIC) |
| Breach notification | Required under the Breach Notification Rule, with defined timeframes | Required under the Notifiable Data Breaches (NDB) scheme where serious harm is likely |
| Key documentation | Business Associate Agreement (BAA) | Privacy Policy + Collection Notices under APP 1 and APP 5 |
| Penalties | Tiered civil penalties, assessed case-by-case by OCR | Up to $50 million (or 3× the benefit obtained, or 30% of adjusted turnover) for serious interferences with privacy |
| Extraterritorial reach | Applies via contract to overseas vendors of US covered entities | Can apply directly to overseas businesses with an “Australian link” |
There is a real overlap; both frameworks want the same thing: for personal and health data to be handled safely, openly, and with the person’s knowledge. It’s not automatically compliant here if the build is HIPAA-compliant, and vice versa. This is because the rules on what counts as consent, who is exempt, and how breaches are reported differ.

Privacy and security aren’t add-ons that you add right before launch; they shape your data architecture, how you work with third-party apps, and how you welcome new users from the very first sprint. Privacy is built into everything we do at App Gurus. We make mobile apps and software for clients in Australia across healthcare, fitness, and wellness. It’s not something we add on at the end.
Getting in touch for a free consultation is the best way to ensure your health or wellness app meets all of Australia’s requirements from the start.
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Not at all. HIPAA is a law that only applies in the US. When it comes to Australian apps, the Privacy Act 1988 and the Australian Privacy Principles apply instead, unless you're legally processing data for a US institution.
Most of the time, yes, if the app is about health. Health service providers are covered by the Privacy Act, no matter how big or small their business is. The $3 million turnover exemption doesn't apply to them.
The OAIC can either investigate, require the problem to be fixed, or seek civil penalties. For serious or repeated breaches, penalties can reach tens of millions of dollars.
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