Five HIPAA Violations Commonly Found in Next.js Healthcare Apps

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A security review of Next.js healthcare codebases has identified five recurring HIPAA compliance violations that developers frequently overlook. The most common issue involves unprotected API routes that expose patient records to anyone with the URL, violating HIPAA access control standard 164.312(a)(1). Next.js simplifies API route creation, but that convenience can lead developers to skip authentication and authorization checks entirely. The recommended fix requires verifying both who is making the request and whether that specific user is permitted to access the requested patient record. Developers are urged to audit their API routes before security reviews, as these gaps can result in serious regulatory consequences.

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