HIPAA is going to be severely tested in the post-Roe world

[FBaggins]

4. Also to state agencies if required by state law

But this jumps somewhat ahead. Almost all current bans target the clinic/doctor and few (any?) currently target the woman.

If a clinic chooses to violate that law... also violating a reporting requirement that is a HIPAA exception is pretty small beer. I doubt that any clinic will be able to defend "you can't prove that we're doing this because we've reported no procedures" - but I also doubt that the failure to report will be a substantial charge when compared to whatever the penalty is for operating such a clinic