They expertly mapped the overlapping controls between SOC 2 and ISO 27001, which saved us from duplicating work.
Build HIPAA-compliant healthcare applications on Google Cloud Platform. Learn about BAA coverage, Cloud Run, Healthcare API, serverless architecture, and implementation best practices.
Google Cloud's BAA is accepted in the Cloud Console and covers all in-scope GCP products — including serverless services like Cloud Run, Cloud Functions, and BigQuery.
45 CFR Part 164 · HHS OCR · GCP BAA via Cloud Console · Last reviewed June 2026
You can run HIPAA-regulated PHI on Google Cloud by accepting its Business Associate Agreement (BAA) in the Cloud Console. The BAA covers a broad set of in-scope products, including serverless services such as Cloud Run and BigQuery. Under the shared responsibility model Google secures the infrastructure, while you remain responsible for encryption, access control, audit logging, and your application — so coverage alone does not make you compliant.
Key Takeaways
- Google Cloud lets a customer accept its HIPAA Business Associate Agreement (BAA) in the Cloud Console, and the BAA covers all in-scope GCP products — broad coverage that includes serverless services like Cloud Run, Cloud Functions, and BigQuery.
- GCP secures the physical infrastructure and hypervisor, while you remain responsible for configuration — customer-managed encryption keys (CMEK), IAM least privilege, Cloud Audit Logs, VPC Service Controls, and your application. This is the shared responsibility model.
- A BAA and covered services are prerequisites, not proof of compliance. You still need a Security Risk Assessment, correct configuration, audit logging, and BAAs with your US clients.
- Tranquility Cybersecurity (TCSA) designs and validates HIPAA-eligible GCP architectures — including serverless ones — for Indian healthcare and SaaS teams. Engagements are an indicative ₹1.5–4 lakh by scope.
GCP BAA Coverage
Google Cloud offers BAA coverage for ALL GCP services. This is unique among cloud providers.
Sign into GCP Console
Log in with admin credentials
Navigate to Compliance
Go to Compliance section in console
Review BAA Terms
All GCP services are covered under BAA
Accept BAA
Electronically accept the BAA agreement
Configure Services
Enable HIPAA-compliant configurations
Document Coverage
Maintain BAA documentation
Key Advantage: Unlike AWS and Azure, GCP covers ALL services under BAA, including Cloud Run, Cloud Functions, and BigQuery.
GCP HIPAA-Eligible Services
ALL GCP services are HIPAA-eligible. Here are the most commonly used for healthcare applications:
Cloud Healthcare API
FHIR, HL7v2, and DICOM data management
Cloud Run
Serverless containers for PHI processing
Cloud Storage
Object storage with encryption and retention
Cloud SQL
Managed MySQL, PostgreSQL, SQL Server
Cloud Functions
Serverless functions for event-driven PHI workflows
BigQuery
Data warehouse for healthcare analytics
GKE (Kubernetes Engine)
Managed Kubernetes with security controls
Cloud KMS
Key management for encryption
Cloud Logging
Centralized logging and audit trails
Cloud Monitoring
Infrastructure and application monitoring
VPC Service Controls
Security perimeter for sensitive data
Cloud Armor
DDoS protection and WAF
Note: For complete documentation, visit GCP HIPAA Compliance
Serverless HIPAA Architecture on GCP
GCP excels at serverless HIPAA-compliant architectures with Cloud Run and Cloud Functions:
Cloud Run
API endpoints for PHI access
Auto-scaling, pay-per-use, fully managed
Cloud Functions
Event-driven PHI processing
Serverless, triggered by events, cost-effective
Cloud Healthcare API
FHIR/HL7v2/DICOM storage
Healthcare-specific, HIPAA-compliant by default
BigQuery
PHI analytics and reporting
Petabyte-scale, SQL interface, ML integration
Cloud Storage
Medical imaging and documents
Durable, encrypted, lifecycle management
VPC Service Controls
Data perimeter security
Prevent data exfiltration, context-aware access
GCP HIPAA Architecture Best Practices
- Use VPC Service Controls for data perimeter
- Enable encryption at rest with CMEK
- Enable encryption in transit (TLS 1.2+)
- Implement Identity-Aware Proxy (IAP)
- Enable Cloud Audit Logs for all services
- Use Cloud Monitoring for alerting
- Implement Cloud Armor for DDoS protection
- Use Cloud KMS for key management
- Enable Binary Authorization for containers
- Implement least privilege with IAM
GCP HIPAA Cost Estimates
Typical monthly costs for a serverless healthcare application on GCP:
| Service | Estimated Cost | Usage |
|---|---|---|
| Cloud Run (1M requests) | $0.40/month | Serverless API |
| Cloud SQL (db-n1-standard-1) | $25-40/month | Database |
| Cloud Storage (Standard) | $20/TB/month | PHI storage |
| Cloud Logging | $0.50/GB ingested | Audit logs |
| Cloud KMS | $0.06/key/month | Encryption keys |
| Healthcare API | $0.01/GB stored | FHIR data |
Total Estimated Cost: $100-300/month for a serverless HIPAA-compliant application. GCP's serverless offerings can be significantly cheaper than traditional VM-based architectures.
GCP HIPAA Implementation Timeline
Week 1-2: Planning & BAA
Sign GCP BAA, design serverless architecture, select services
Week 3-4: Infrastructure Setup
Configure VPC Service Controls, set up encryption, implement IAM, enable logging
Week 5-6: Application Deployment
Deploy Cloud Run services, configure monitoring, set up Healthcare API, test workflows
Week 7-8: Security & Compliance
Security assessment, penetration testing, compliance documentation, training
In their words.
Quotes verbatim from G2. Company names added where the client confirmed them.
Instead of simply providing generic templates or checklists, their team took the time to understand our environment and requirements.
The team’s willingness to work with us and ease of communication.
They delivered the project with speed, accuracy, and cost-effectiveness.
My only regret is that we didn’t engage them sooner in our compliance journey, which would have saved us even more time.
They were always responsive and willing to go the extra mile whenever we had questions or needed guidance.
Managing the auditor relationship on our behalf was especially valuable — it took a lot of pressure off our internal team.
Their focus on ensuring that we were genuinely audit-ready rather than simply completing documentation.
The guidance was not generic or simply based on a standard checklist — they suggested practical approaches that made sense for our business.
What I like best is the hands-on support and clear guidance throughout the SOC 1 and SOC 2 process.
Frequently Asked Questions
How do I sign the Google Cloud HIPAA BAA?
Is Google Cloud HIPAA certified?
Does the GCP BAA really cover all services, including Cloud Run?
What is my responsibility under GCP's shared responsibility model?
Is GCP good for serverless HIPAA architectures?
Related Reading
HIPAA Cloud Compliance
Running PHI workloads on AWS, Azure and GCP compliantly.
Read moreHIPAA Knowledge Hub
Privacy Rule, Security Rule, BAAs, cloud guides and penalties.
Read moreHIPAA Security Rule
Administrative, physical and technical safeguards for ePHI.
Read moreBusiness Associate Agreements
What a BAA must contain and when you need one.
Read moreSOC 2 for Healthtech
Where SOC 2 meets HIPAA for healthcare SaaS selling into the US.
Read moreHIPAA Compliance
US health-data rules for healthtech and business associates.
Read more


