keto lyte Title II of HIPPA was created first for its Administrative Simplification rules, which require the Department of Health and Human Services to assist in advancing the efficiency and effectiveness of the health care system in Texas and all other states. Another aspect of Title II is its programs to monitor abuse and fraud within the health insurance and health care industries. Title II also sets both criminal and civil penalties for those who violate the laws. The Department of Health and Human Services established five main rules: the Security, Privacy, Enforcement, Unique Identifiers, and Transactions and Code Sets Rules.