Medical dictation AI and transcription software: which sign a HIPAA BAA?
Dictation and transcription tools hear patient details, so HIPAA requires a Business Associate Agreement (BAA) with the vendor before you use one with patient data. Here are 23 clinical dictation tools, transcription services and speech-to-text APIs we track: whether the vendor signs a BAA, on which plans, the official source, and the date we last verified it.
13 of 23 offer a BAA on at least one plan. Last verified Oct 15, 2026. No tool is HIPAA compliant on its own: compliance also depends on your plan, settings and use.
AI medical dictation software
Products their vendors describe as turning a clinician’s speech into notes or reports.
| Tool | BAA | Plans with a BAA | Last verified | Official source |
|---|---|---|---|---|
| AWS HealthScribeAmazon Web Services | Signs a BAA | AWS accounts with the AWS BAA accepted (US East, N. Virginia) | Oct 11, 2026 | Amazon Web Services |
| ChartnoteChartnote | Signs a BAA | All accounts (free, trial, paid, enterprise) | Oct 13, 2026 | Chartnote |
| Microsoft Dragon CopilotMicrosoft | Signs a BAA | Dragon Copilot (enterprise, via Microsoft volume licensing: EA/EAS, EES, MOSA); Dragon Copilot Physician Practice / Flex editions | Oct 11, 2026 | Microsoft |
| Suki AssistantSuki | Signs a BAA | Suki Assistant / Suki Compose (per-user, organization sales) | Oct 11, 2026 | Suki |
| AugnitoAugnito (Augnito India Pvt. Ltd.) | Not confirmed | — | Oct 13, 2026 | Augnito India Pvt. Ltd. |
| nVoq VoicenVoq | Not confirmed | — | Oct 15, 2026 | nVoq |
| Philips SpeechLivePhilips SpeechLive | Not confirmed | — | Oct 15, 2026 | Philips SpeechLive |
| PowerScribe OneMicrosoft (Nuance) | Not confirmed | — | Oct 13, 2026 | Microsoft |
| Solventum Fluency DirectSolventum | Not confirmed | — | Oct 15, 2026 | Solventum |
| Tali AITali AI (11855760 Canada Inc.) | Not confirmed | — | Oct 13, 2026 | Tali AI |
HIPAA compliant transcription software: which services sign a BAA
Transcription apps and services for recorded audio. 3 of 6 offer a BAA on at least one plan.
| Tool | BAA | Plans with a BAA | Last verified | Official source |
|---|---|---|---|---|
| Plaud (NotePin / Note devices and app)Plaud | Some plans only | BAA on request (plan eligibility not stated) | Oct 11, 2026 | Plaud |
| RevRev.com, Inc. | Some plans only | HIPAA subscription (enterprise; Unlimited tier on pricing page); Rev AI speech-to-text APISome AI features excluded or partly covered | Oct 11, 2026 | Rev |
| SonixSonix | Some plans only | Enterprise | Oct 11, 2026 | Sonix |
| TrintTrint | Not confirmed | — | Oct 13, 2026 | Trint |
| DescriptDescript | No BAA | — | Oct 11, 2026 | Descript |
| Happy ScribeHappy Scribe | No BAA | — | Oct 11, 2026 | Happy Scribe |
Speech-to-text APIs for building dictation
For developers and EHR vendors adding dictation to their own software.
| Tool | BAA | Plans with a BAA | Last verified | Official source |
|---|---|---|---|---|
| Azure AI SpeechMicrosoft | Signs a BAA | Azure commercial customers | Oct 13, 2026 | Microsoft |
| Google Cloud Speech-to-TextGoogle Cloud | Signs a BAA | Google Cloud customers (with a Services Agreement)Some AI features excluded or partly covered | Oct 12, 2026 | |
| Amazon Transcribe (incl. Transcribe Medical)Amazon Web Services | Some plans only | AWS accounts (Sign up for AWS, advanced) | Oct 12, 2026 | Amazon Web Services |
| AssemblyAIAssemblyAI | Some plans only | Paid (upgraded) accounts | Oct 11, 2026 | AssemblyAI |
| DeepgramDeepgram | Some plans only | Enterprise | Oct 11, 2026 | Deepgram |
| ElevenLabsElevenLabs | Some plans only | EnterpriseSome AI features excluded or partly covered | Oct 11, 2026 | ElevenLabs |
| SpeechmaticsSpeechmatics | Not confirmed | — | Oct 13, 2026 | Speechmatics |
Ambient AI scribes
Ambient scribes listen to the whole visit and draft the note, rather than taking dictation. We track 36: which AI medical scribes sign a BAA.
Before you dictate patient details
- Get the BAA signed, on the plan you actually use. Free and individual plans are often excluded.
- Check whether the BAA covers the AI features you plan to use, such as summaries, chat and note drafting.
- Find out how long the vendor keeps audio and transcripts, and whether they train models on them.
- Check each integration, such as your EHR connector or a third-party app, which may need its own BAA.
FAQ
What is medical dictation AI?
Software that turns a clinician's speech into text: dictated notes and reports, transcripts of recorded audio, or structured notes drafted by AI. Because it hears patient details, the vendor handles protected health information, so HIPAA requires a Business Associate Agreement (BAA) with it.
Which AI medical dictation software signs a BAA?
Of the clinical dictation tools on this page, these offer a BAA on at least one plan: AWS HealthScribe, Chartnote, Microsoft Dragon Copilot, Suki Assistant. Check the plan: some vendors sign only for enterprise customers.
Is transcription software HIPAA compliant?
No transcription tool is HIPAA compliant on its own. Of the 6 transcription services we track, 3 offer a BAA on at least one plan. With a signed BAA, the right plan and the right settings, a practice can use them with patient audio.
Are AI summaries covered by the same BAA?
Not always. Some vendors sign a BAA for transcription but leave AI summaries, chat or third-party integrations out, or don't say. Each tool page lists what the vendor says about each AI feature.
More: HIPAA compliant AI: AI tools by BAA status · Transcription tools · Speech-to-text APIs
Cite this
AI Vendor BAA Check. (n.d.). Medical dictation AI and transcription software: which sign a HIPAA BAA? Retrieved October 15, 2026, from https://aivendorbaacheck.com/medical-dictation-ai