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Texas medical
billing rights
Your protections under federal and Texas law when dealing with medical bills and debt collectors.
4 yrs
Statute of Limitations
Yes
Balance Billing Law
Yes
State Charity Care Law
Statute of Limitations: 4 Years
In Texas, creditors have 4 years to file a lawsuit to collect medical debt. The clock typically starts from the date of your last payment or the original date of service, whichever is later.
Warning: Making even a small payment may restart the statute of limitations in some states. Do not pay or acknowledge the debt without checking first.
Balance Billing Protections
Texas has state-level balance billing protections.
Strong. SB 1264 prohibits balance billing for emergency and certain facility-based services.
Check if your bill is protected →Charity Care & Financial Assistance
Texas has state-level charity care requirements.
Nonprofit hospitals must adopt charity care policies as condition of tax exemption. No state minimum requirements beyond federal.
Check your eligibility →Debt Collection Protections
No specific state delay beyond federal protections, but nonprofit hospitals must demonstrate charity care efforts for tax exemption.
Under federal law:
- ✓ You can demand debt validation within 30 days of first contact
- ✓ Collectors must stop collection activity until they validate the debt
- ✓ Medical debt under $500 cannot appear on your credit report
- ✓ Medical debt cannot appear on credit reports for at least 12 months
Federal rights that apply in Texas
- ✓ No Surprises Act protects against balance billing for emergency services and at in-network facilities.
- ✓ Medical debt under $500 cannot appear on credit reports (effective 2023).
- ✓ Medical debt cannot appear on credit reports until at least 12 months after date of service.
- ✓ Paid medical debt is removed from credit reports.
- ✓ FDCPA protects against abusive debt collection practices. You can demand debt validation within 30 days.
- ✓ IRS 501(r) requires nonprofit hospitals to offer financial assistance policies.
- ✓ Hospitals must provide a Good Faith Estimate to uninsured/self-pay patients before scheduled services.
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Frequently asked questions
What is the statute of limitations on medical debt in Texas?
The statute of limitations on medical debt in Texas is 4 years. After this period expires, creditors generally cannot file a lawsuit to collect the debt. However, collectors may still contact you — they just cannot threaten legal action. Making a partial payment may restart the clock in some cases.
Does Texas have balance billing protections?
Strong. SB 1264 prohibits balance billing for emergency and certain facility-based services.
Can I get charity care at hospitals in Texas?
Nonprofit hospitals must adopt charity care policies as condition of tax exemption. No state minimum requirements beyond federal.
This is an informational resource, not legal advice. Laws change frequently. Consult an attorney for complex situations. Last updated March 2026.