diff --git a/tests/test_compliance_monitor.py b/tests/test_compliance_monitor.py
new file mode 100644
index 000000000..920e09a51
--- /dev/null
+++ b/tests/test_compliance_monitor.py
@@ -0,0 +1,56 @@
+import os
+import sys
+import importlib.util
+
+# Load the module dynamically since it has a hyphen in the filename
+spec = importlib.util.spec_from_file_location(
+    "compliance_monitor",
+    os.path.join(os.path.dirname(__file__), "..", "security", "compliance-monitor.py")
+)
+compliance_monitor = importlib.util.module_from_spec(spec)
+spec.loader.exec_module(compliance_monitor)
+
+ComplianceMonitor = compliance_monitor.ComplianceMonitor
+
+class TestComplianceMonitorHIPAA:
+    def test_hipaa_compliance_all_pass(self):
+        monitor = ComplianceMonitor()
+        result = monitor.monitor_hipaa_compliance()
+
+        assert result["framework"] == "HIPAA"
+        assert result["compliance_score"] == 100.0
+        assert result["status"] == "compliant"
+        assert all(result["checks"].values())
+
+    def test_hipaa_compliance_some_fail(self):
+        monitor = ComplianceMonitor()
+
+        # Override a few methods to simulate failure
+        monitor.check_administrative_safeguards = lambda: False
+        monitor.check_technical_safeguards = lambda: False
+
+        result = monitor.monitor_hipaa_compliance()
+
+        assert result["framework"] == "HIPAA"
+        assert result["compliance_score"] == 60.0
+        assert result["status"] == "non_compliant"
+        assert result["checks"]["administrative_safeguards"] is False
+        assert result["checks"]["technical_safeguards"] is False
+        assert result["checks"]["physical_safeguards"] is True
+
+    def test_hipaa_compliance_all_fail(self):
+        monitor = ComplianceMonitor()
+
+        # Override all methods to simulate failure
+        monitor.check_administrative_safeguards = lambda: False
+        monitor.check_physical_safeguards = lambda: False
+        monitor.check_technical_safeguards = lambda: False
+        monitor.check_breach_notification = lambda: False
+        monitor.check_baa = lambda: False
+
+        result = monitor.monitor_hipaa_compliance()
+
+        assert result["framework"] == "HIPAA"
+        assert result["compliance_score"] == 0.0
+        assert result["status"] == "non_compliant"
+        assert not any(result["checks"].values())