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When a breach affects 5 0 0 or more patient records, all of the following must occur except: Patient notification no later than 6 0

When a breach affects 500 or more patient records, all of the following must occur except:
Patient notification no later than 60 days after the discovery of the breach
An email to every patient whose record has been impacted by the breach.
Notification to a prominent local media outlet.
Notification to Health and Human Services of the breach.
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