Is Twilio SendGrid HIPAA compliant? (2020 update)

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Is SendGrid Twilio HIPAA Compliant? (2020 Update) | Paubox

Since Paubox is a Business Associate to thousands of customers, we’ve been wondering if they are able to use Twilio SendGrid in a HIPAA compliant manner.

As context, in 2018 we wrote the post, Can I Use SendGrid and be HIPAA Compliant?

Now that SendGrid has been acquired, we’re doing another post in 2020 to see if circumstances have changed (SendGrid was not HIPAA compliant in 2018).

In fact, we’ve noticed more vendors, customers, and prospects asking about HIPAA compliant services.

This is especially true now as we see an accelerated, long overdue adoption of digital transformation in healthcare.

We know the HIPAA industry is vast, so we can empathize with just how many people need to use cloud services in this sector.

Today we will determine if Twilio SendGrid offers HIPAA compliant email service or not.

Twilio SendGrid

Twilio SendGrid is a leading email API platform. Formerly known as SendGrid, the new combined name is the result of its acquisition by Twilio in 2019.

What is a Business Associate?

A Business Associate is a person or company that performs certain functions or activities that involve the use or disclosure of protected health information (PHI) for a Covered Entity.

In a nutshell, the role of a Business Associate is to help Covered Entities comply with the HIPAA Privacy Rule

Read full article: What does it mean to be a Business Associate?

Secure email for modern healthcare. Right out of the box.

Business Associate Agreement provisions

If a Business Associate provides services to a Covered Entity, then a Business Associate Agreement (BAA) must be in place.

A BAA is a written contract between a Covered Entity and a Business Associate and is required by law for HIPAA compliance.

At a minimum, a Business Associate Agreement contains 10 provisions.

Read full article: Business Associate Agreement Provisions

Twilio SendGrid and the Business Associate Agreement

We checked the Twilio SendGrid site, as well as SendGrid’s standalone site, for mention of their ability to sign a Business Associate Agreement (BAA).

We found the following pages:

On those pages, we can see that:

  • Twilio does offer HIPAA compliant products and services and is willing to sign a BAA for them.
  • SendGrid is still not HIPAA compliant.
  • SendGrid is not a product listed by Twilio as a HIPAA eligible product.

Does Twilio SendGrid offer HIPAA Compliant Service?

The Business Associate Agreement (BAA) is a key component to HIPAA compliance between a Covered Entity and a Business Associate.

We were able to learn the following about Twilio SendGrid about their ability to be considered a HIPAA compliant solution:

  • Twilio SendGrid is still not HIPAA compliant.
  • While Twilio does offer HIPAA products and services, SendGrid Twilio is not one of them.

Conclusion: Twilio SendGrid is not HIPAA compliant.

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About the author

Hoala Greevy

Founder of Paubox. Kayak fishing when I can. Native Hawaiian CEO.

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