This product has charges associated with it for security hardening. Madarson IT HIPAA-hardened RHEL 8 AMI pre-configured with ePHI access controls, audit logging, and transmission security for healthcare workloads on AWS.
This is a repackaged software product wherein additional charges apply for HIPAA security hardening.
Madarson IT RHEL 8 AMI - Hardened for HIPAA Compliance
Deploy a Red Hat Enterprise Linux 8 AMI pre-hardened to address HIPAA Security Rule requirements for protecting electronic protected health information (ePHI). Built for covered entities, business associates, healthcare SaaS providers, and health IT teams on AWS, this image eliminates weeks of manual security configuration by delivering HIPAA-aligned technical controls out of the box.
What This AMI Delivers
Access Controls - Role-based access enforcement, restricted root login, sudo privilege separation, and session timeout policies to limit ePHI exposure to authorized personnel only
Audit Controls - Comprehensive auditd configuration capturing authentication events, privilege escalation, file access, and system modifications for HIPAA audit trail requirements
Transmission Security - Enforced TLS protocols, disabled legacy ciphers, and hardened SSH configuration to protect ePHI in transit
Integrity Controls - File integrity monitoring readiness, package verification, and secure boot configuration to detect unauthorized system modifications
Attack Surface Reduction - Unnecessary services disabled, unused ports closed, kernel parameters hardened, and removable media access restricted
Authentication Hardening - Password complexity enforcement, account lockout policies, and PAM module configuration aligned with HIPAA requirements
AWS Service Integration
AWS CloudTrail - API-level audit logging across your healthcare environment
Amazon CloudWatch - Security event monitoring and alerting for anomalous activity
AWS Systems Manager - Patch management and configuration compliance without opening inbound ports
Amazon S3 - Encrypted storage for audit logs and backups
AWS Config - Continuous compliance assessment against your HIPAA security baseline
AWS KMS - Encryption key management for ePHI data protection
Key Benefits
Accelerated HIPAA Readiness - Launch with pre-applied technical safeguards rather than configuring from a stock RHEL 8 instance.
Reduced Audit Burden - Pre-configured logging, access controls, and integrity monitoring map directly to HIPAA Security Rule requirements.
Healthcare-Focused Configuration - Every hardening decision targets ePHI protection, not generic security benchmarks.
Continuous Maintenance - Images are regularly updated to address emerging vulnerabilities while maintaining HIPAA-aligned configurations.
Getting Started
Subscribe and launch the AMI on your preferred EC2 instance type
Connect via SSH to verify the hardened configuration
Review applied security controls and audit logging configuration
Validate HIPAA alignment using OpenSCAP or your preferred scanning tool
Integrate with AWS CloudTrail, CloudWatch, and Config for continuous monitoring
Document your configuration as part of your HIPAA compliance program
Requirements and Limitations
A signed Business Associate Agreement (BAA) with AWS is required for HIPAA-covered workloads
This image addresses OS-level technical safeguards only; application-level controls, network architecture, IAM policies, and organizational policies remain the customer's responsibility
Customers must implement their own encryption strategy for ePHI stored on EBS volumes
This hardening complements NIST CSF and ISO 27001 but is specifically aligned to HIPAA Security Rule technical safeguard requirements
About Madarson IT
Madarson IT specializes in security-hardened OS images for regulated industries. Our HIPAA-hardened images deliver pre-configured compliance postures that save healthcare organizations significant implementation time, across multiple Linux distributions and compliance frameworks.
Disclaimer
This product helps organizations implement technical safeguards aligned with HIPAA Security Rule requirements. It does not guarantee HIPAA compliance.
Highlights
HIPAA Security Rule technical controls pre-applied including role-based access enforcement, restricted root login, comprehensive auditd logging of authentication and file access events, enforced TLS with disabled legacy ciphers, hardened SSH configuration, password complexity policies, account lockout enforcement, and PAM module configuration - all aligned to HIPAA technical safeguard requirements for protecting ePHI at the operating system level.
Accelerated path to HIPAA audit readiness for covered entities, business associates, and healthcare SaaS providers. Launch with pre-configured audit trails, access controls, and integrity monitoring that map directly to HIPAA Security Rule requirements - reducing the time from deployment to compliance-ready posture from weeks of manual configuration to minutes.
Designed for integration with HIPAA-eligible AWS services including CloudTrail, CloudWatch, Systems Manager, Config, and KMS. Images are continuously maintained with security updates that preserve HIPAA-aligned configurations, reducing ongoing compliance maintenance effort for health IT teams managing ePHI workloads on AWS.
AWS Marketplace now accepts line of credit payments through the PNC Vendor Finance program. This program is available to select AWS customers in the US, excluding NV, NC, ND, TN, & VT.
Pricing is based on actual usage, with charges varying according to how much you consume. Subscriptions have no end date and may be canceled any time.
Additional AWS infrastructure costs may apply. Use the AWS Pricing Calculator to estimate your infrastructure costs.
If you are an AWS Free Tier customer with a free plan, you are eligible to subscribe to this offer. You can use free credits to cover the cost of eligible AWS infrastructure. See AWS Free Tier for more details. If you created an AWS account before July 15th, 2025, and qualify for the Legacy AWS Free Tier, Amazon EC2 charges for Micro instances are free for up to 750 hours per month. See Legacy AWS Free Tier for more details.
You pay by the hour for this hardened RHEL 8 image, billed per running instance. Pricing is not tiered by feature. Instead, each dimension maps to a specific EC2 instance type, so your rate depends on the compute size you choose. General-purpose (t2, t3, m-series), compute-optimized (c-series), memory-optimized (r-series), storage-optimized (d, h, i-series), and GPU (p, g-series) instances are all available. Larger instances with more CPU, memory, or GPU carry higher hourly rates. You add the software cost to standard AWS infrastructure charges, and you can start or stop anytime.
Top-of-mind questions for buyers
Am I charged the hourly software rate when my instance is stopped or paused?
The software rate meters running instance-hours only. A stopped instance does not accrue the hourly software charge. You may still pay standard AWS storage fees for the attached volume while the instance is stopped. Charges resume when you start the instance again.
What does one billing unit map to for this image?
One unit is one running EC2 instance of the type you select, billed per hour. Each instance you launch bills separately at its own instance-type rate. Running ten instances of the same type bills ten times the hourly rate for the hours each stays active.
What compliance controls come with this image regardless of instance type?
Every instance type runs the same hardened RHEL 8 image. Hardening aligns with HIPAA security controls, plus DISA STIG, PCI-DSS, and NIST frameworks. Images receive regular security patches and compliance updates. The compliance configuration does not change based on the compute size you choose.
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Vendor terms and conditions
Upon subscribing to this product, you must acknowledge and agree to the terms and conditions outlined in the vendor's End User License Agreement (EULA).
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Vendors are responsible for their product descriptions and other product content. AWS does not warrant that vendors' product descriptions or other product content are accurate, complete, reliable, current, or error-free.
An AMI is a virtual image that provides the information required to launch an instance. Amazon EC2 (Elastic Compute Cloud) instances are virtual servers on which you can run your applications and workloads, offering varying combinations of CPU, memory, storage, and networking resources. You can launch as many instances from as many different AMIs as you need.
Version release notes
Hardened Red Hat Enterprise Linux 8 image with HIPAA Benchmarks.
Select the instance and choose Connect.
Choose the EC2 Instance Connect tab.
For Connection type, choose Connect using EC2 Instance Connect.
Access the ec2 with the default username: "ec2-user"
For support inquiries, private offers, audit assistance, or questions about your HIPAA compliance needs, contact us at info@madarsonit.com.
Support Scope
Our support covers questions related to the hardened RHEL 8 HIPAA image including:
Hardening configuration inquiries
HIPAA technical safeguard alignment questions
Image update and patching information
Deployment guidance and troubleshooting
Private offer and volume licensing requests
Getting Started After Launch
Launch the AMI on your preferred EC2 instance type using your AWS account
Connect via SSH using the key pair specified during launch
Verify hardening controls are active by reviewing auditd configuration and service status
Integrate with AWS CloudTrail and CloudWatch for continuous monitoring
Run your preferred compliance scanning tool to validate the HIPAA-aligned configuration
Important Notes
This image addresses OS-level technical safeguards only
Application-level security, network configuration, and IAM policies remain customer responsibility
A signed AWS Business Associate Agreement (BAA) is required for HIPAA-covered workloads
Additional charges apply for the HIPAA security hardening applied to this image
For urgent security concerns related to the hardened image, please include "URGENT" in your email subject line when contacting info@madarsonit.com.
AWS infrastructure support
AWS Support is a one-on-one, fast-response support channel that is staffed 24x7x365 with experienced and technical support engineers. The service helps customers of all sizes and technical abilities to successfully utilize the products and features provided by Amazon Web Services.
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