Breach notification deadlines, medical records retention rules, PDMP requirements, and AG-notification thresholds across the 12 states in the Midwest region.
The Midwest region pairs Illinois's uniquely layered privacy regime (PIPA + BIPA + Genetic Information Privacy Act + Mental Health and Developmental Disabilities Confidentiality Act) with Ohio's hard-edged 45-day breach deadline under R.C. §1349.19 and Wisconsin's stricter-than-HIPAA 45-day clock under §134.98. Michigan's 750-resident AG-notification threshold catches most multi-site incidents; Minnesota's private right of action under §325E.61 exposes practices to parallel patient-initiated litigation alongside AG enforcement. Indiana's $150,000-per-deceptive-act penalty cap shapes settlement posture across the central Midwest. The Plains states (ND, SD, NE, KS) lean toward reactive enforcement but maintain AG-notification triggers as low as 250 residents — small practices can land on the AG's docket faster than in coastal states with higher thresholds. PDMP integration is uniformly deep: KASPER (KY-adjacent), OARRS (Ohio), INSPECT (Indiana), MAPS (Michigan), and Wisconsin ePDMP all require checks before every controlled-substance prescription, with delegation pathways for licensed staff.
Expedient breach · 10-yr retention
Illinois PMP
Expedient breach · 7-yr retention
INSPECT
Expedient breach · 10-yr retention
Iowa PMP
Expedient breach · 10-yr retention
K-TRACS
Expedient breach · 7-yr retention
MAPS
Expedient breach · 7-yr retention
MN PMP
Expedient breach · 7-yr retention
Missouri PDMP
Expedient breach · 10-yr retention
Nebraska PDMP
Expedient breach · 10-yr retention
ND PMP
45-day breach · 7-yr retention
OARRS
60-day breach · 10-yr retention
South Dakota PMP
45-day breach · 7-yr retention
WI ePDMP
GuardWell tracks state-specific breach deadlines, retention periods, PDMP queries, and mandatory reporting obligations for all 12 states in the Midwest region.
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