The Health Information Privacy and Accountability Act is nothing to take lightly. Privacy is an important issue in this country and the basis of the doctor-patient relationship. Failing to respect that privacy is a breach of trust that threatens to undermine the healthcare system in our country. For this reason, healthcare providers that break this trust by violating the Health Information Privacy and Accountability Act must face penalties appropriate to their violation. Here is a breakdown on some of the tiers of violations and the penalties that they incur.