HIPAA Title II, The Administrative Simplification provisions were establish for a variety of reasons. The main rationale was to take advantage of twenty-first century technology, and increase efficiency by eliminating redundant and manual processes. By establishing electronic health information systems, electronic protected health information (ePHI) became Congress’ top priority, on how healthcare organizations should deal with such vital and confidential information. The aim of this paper is to examine an in-depth look at HIPAA’s Title II on how technology has enhanced the way healthcare organizations conduct their business activities on a daily basis, while specifically addressing the privacy and security issues that many are concerned about. This paper will explain the background and history behind HIPAA and Title II, including Congress’ goals and objectives for this act, and then will go into great detail about the three basic rules that HIPAA, and more specifically Title II, are all about.