The Health Insurance Portability and Accountability Act (HIPAA) of 1996 established national standards for electronic healthcare transactions and identifiers. The HITECH Act modernized and strengthened HIPAA's privacy and security provisions due to increased data breaches. Under HIPAA, a breach is defined as the unauthorized acquisition, access, use or disclosure of unsecured patient health information. HIPAA fines for noncompliance can be up to $100 per violation with a yearly maximum of $25,000, while willful violations carry stiffer penalties including imprisonment.