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Colorado has started using a portal that adds additional levels of encryption to cloud based email to meet both HIPAA and CJIS standards. The state partnered with a company called Zix Corp (which I had never heard of before) to set it up. The contents of messages are encrypted and never readable when stored, and can only be read in the compose/read window of the logged-in user. In addition to encryption, the portal requires multi-stage authentication. I'm not sure what kind of cost we are talking about to do this, and it may not be particularly cost effective for private businesses. On the other hand, a data breach is not particularly cost effective either!