The HSCC Medical Device and Health IT Joint Security Plan (JSP) is a voluntary, total-product-lifecycle framework for medical technology security, published by the Healthcare and Public Health Sector Coordinating Council (HSCC) Cybersecurity Working Group. The original shipped in January 2019 with input from more than 80 organizations; HSCC published a major refresh, JSP version 2.0 (JSP2), in March 2024, reorganizing the framework around explicit security "activities" mapped to the product lifecycle and addressing the secure-by-design and secure-by-default goals of HSCC's own five-year Health Industry Cybersecurity Strategic Plan.
What is the Joint Security Plan actually for?
Medical device cybersecurity is a shared responsibility split across manufacturers, health IT vendors, and the healthcare delivery organizations that deploy the equipment, with no single party controlling the full lifecycle. HSCC built the JSP so these stakeholder groups — collectively "vendors" for medical device manufacturers (MDMs) and health IT vendors — have one consensus reference instead of each inventing its own lifecycle security process from scratch. HSCC frames the JSP as the industry's practical complement to formal government guidance: it is "security by design" applied across the complete lifecycle, from initial design through development, deployment, field support, and decommissioning, rather than a point-in-time certification exercise.
What's new in JSP2 compared to the 2019 original?
HSCC describes JSP2 as "important updates and a major refresh of the original JSP published in 2019," built from a cross-industry stakeholder review and lessons drawn from the MDIC Medical Device Cybersecurity Maturity: Industry Benchmarking Report 2022. The headline change is a refreshed Total Product Life Cycle Security Activities framework diagram, reorganizing what were previously framework "components" into explicit, actionable security activities a team can assign and track. JSP2 explicitly addresses Goals #6 and #7 of HSCC's Health Industry Cybersecurity Strategic Plan — goal #6 specifically calling for technology that is "secure-by-design and secure-by-default while reducing the burden and cost on technology users to maintain an effective security posture."
What lifecycle stages does it cover?
The JSP spans the full product lifecycle: building security controls and processes into design and development, managing product complaints linked to cybersecurity incidents, minimizing and remediating postmarket vulnerabilities, assessing the maturity of a manufacturer's own security program against the framework, and handling end-of-life — including product lifecycle policy, contractual terms (HSCC separately publishes Model Contract Language for Medtech), and disclosure of end-of-life/end-of-support status for the product and its components. For supply-chain-specific controls, JSP2 points to HSCC's companion Health Industry Cybersecurity Supply Chain Risk Management (HIC-SCRiM) guide rather than duplicating that content.
Is this a substitute for FDA guidance or AAMI SW96?
No — JSP2 is a voluntary industry framework, not an FDA-recognized consensus standard or a regulatory requirement, and it is not a substitute for FDA's premarket or postmarket cybersecurity expectations, or for the FDA-recognized AAMI SW96 risk-management standard. The relationship is complementary: FDA guidance and AAMI SW96 define what evidence a submission or a postmarket vulnerability-handling process needs to produce; JSP2 is HSCC's industry-authored operational playbook — shared vocabulary, maturity self-assessment, and lifecycle-stage activities — for how a manufacturer actually organizes the day-to-day work that produces that evidence.
SoftWSP's device and firmware security assessments inventory the components actually shipping in a medical device's firmware and the vulnerabilities affecting them — the kind of concrete, binary-level evidence a JSP2 postmarket-vulnerability or end-of-life activity, and the FDA submission behind it, both need. See device & firmware security services for how that fits into a broader TPLC security program.
This guide is based on the official Medical Device and Health IT Joint Security Plan Version 2.0 PDF (HSCC, March 2024), the JSP2 project page at healthsectorcouncil.org, and the original January 2019 JSP PDF and its release announcement, all read directly for this guide. The JSP is a living HSCC document; check healthsectorcouncil.org/jsp2/ for the current version before citing a specific framework detail.
Sources
- HSCC: Medical Device and Health IT Joint Security Plan Version 2.0 (full PDF, March 2024)
- HSCC: Medical Device and Health IT Joint Security Plan version 2 (JSP2) — project page
- HSCC: Medical Device and Health IT Joint Security Plan, Version 1 (January 2019, original PDF)
- HSCC: HSCC Releases the Medical Device and Health IT Joint Security Plan (2019 announcement)
Frequently asked questions
What is the HSCC Joint Security Plan?
The Medical Device and Health IT Joint Security Plan (JSP) is a voluntary, consensus-based total product lifecycle (TPLC) reference guide for developing, deploying and supporting cyber-secure medical technology, published by the Healthcare and Public Health Sector Coordinating Council (HSCC) Cybersecurity Working Group. The original JSP shipped in January 2019, built on more than 80 contributing organizations and the earlier Healthcare Industry Cybersecurity Task Force recommendations; HSCC published a major refresh, JSP version 2.0 (JSP2), in March 2024.
What changed between the 2019 JSP and JSP2 (2024)?
JSP2 is described by HSCC as offering 'important updates and a major refresh of the original JSP,' reorganizing the framework's components into explicit product security 'activities' tied to a refreshed Total Product Life Cycle Security Activities diagram, and incorporating lessons from the MDIC Medical Device Cybersecurity Maturity: Industry Benchmarking Report 2022 and a cross-industry stakeholder review. It also explicitly addresses Goals #6 and #7 of HSCC's Health Industry Cybersecurity Strategic Plan (HIC-SP), which call for technology that is secure-by-design and secure-by-default without shifting undue security burden onto the end user.
Is the Joint Security Plan mandatory?
No. It is a voluntary industry framework, not a regulation or an FDA-recognized consensus standard in the way AAMI SW96 or IEC 62304 are. Its value is as a shared reference both medical device manufacturers (MDMs) and health IT vendors can point to when describing how they manage product security across design, development, deployment, and end-of-life — and as a common vocabulary for the stakeholder conversations FDA premarket and postmarket cybersecurity guidance expects to have happened.
What lifecycle stages does JSP2 actually cover?
The full product lifecycle: incorporating security controls during design and development, managing field complaints linked to cybersecurity incidents, minimizing and remediating postmarket vulnerabilities, assessing the maturity of a security program, and end-of-life handling — including product lifecycle policy, contractual obligations, and end-of-life/end-of-support disclosure. JSP2 also references HSCC's separate Health Industry Cybersecurity Supply Chain Risk Management (HIC-SCRiM) guide for supply-chain-specific controls.
How does JSP2 relate to FDA guidance and AAMI SW96?
They are complementary, not competing. FDA's premarket and postmarket cybersecurity guidance and the FDA-recognized AAMI SW96 consensus standard (see our dedicated guides) set out what FDA expects in a 510(k)/PMA submission and in postmarket vulnerability handling. JSP2 is an industry-authored operational playbook for actually running that lifecycle day to day — shared responsibility language, maturity self-assessment, and lifecycle-stage activities — that a manufacturer can use to structure the processes FDA and AAMI SW96 then expect to see evidence of.
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