CVE-2026-126426
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Authentication Bypass in OpenEMR via Session Hijacking

Vulnerability report for CVE-2026-126426, including description, CVSS score, EPSS score, affected products, exploitability, helpful resources, and attack-flow context.

Publication date: 2026-11-13

Last updated on: 2026-11-13

Assigner: VulnCheck

Description

OpenEMR 5.0.2 before 8.5.0 contains a missing authentication vulnerability in mfa_registrations.php and mfa_u2f.php that allows session hijackers to delete MFA factors or register U2F keys without password re-entry. Attackers holding a victim's authenticated session can remove all second factors or add their own U2F key, bypassing MFA at later logins with the password.

CVSS Scores

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Meta Information

Published
2026-11-13
Last Modified
2026-11-13
Generated
2026-11-13
AI Q&A
2026-11-13
EPSS Evaluated
N/A
NVD
EUVD

Affected Vendors & Products

Showing 3 associated CPEs
Vendor Product Version / Range
openemr openemr to 8.5.0 (exc)
openemr openemr to 8.4.1 (inc)
openemr openemr to 8.4.2 (inc)

Helpful Resources

Exploitability

CWE
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KEV
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CWE ID Description
CWE-306 The product does not perform any authentication for functionality that requires a provable user identity or consumes a significant amount of resources.

Attack-Flow Graph

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Executive Summary

OpenEMR 5.0.2 before 8.5.0 has a missing authentication flaw in mfa_registrations.php and mfa_u2f.php. Session hijackers can delete multi-factor authentication (MFA) factors or register U2F keys without re-entering the password. Attackers with a victim's authenticated session can remove all second factors or add their own U2F key, bypassing MFA during future logins with just the password.

Detection Guidance

Check OpenEMR versions below 8.5.0 for vulnerable files mfa_registrations.php and mfa_u2f.php. Review server logs for unauthorized access to these files or unusual MFA factor deletions.

Impact Analysis

If exploited, attackers can bypass MFA protections, gaining unauthorized access to accounts even if MFA is enabled. This could lead to data breaches, unauthorized modifications, or complete account takeover if combined with other vulnerabilities.

Compliance Impact

This vulnerability could violate compliance requirements that mandate MFA for access control, such as GDPR's security principles or HIPAA's access controls. Failure to protect MFA integrity may result in non-compliance penalties or legal consequences.

Mitigation Strategies

Upgrade OpenEMR to version 8.5.0 or later. Review and revoke any suspicious sessions or MFA registrations. Implement additional monitoring for unauthorized changes to MFA settings.

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