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Debt Collection

Debt collection rights under Texas and federal laws.

Can medical debt be sent to collections?

Many people believe that medical debt is different from other kinds of debt. While there are a couple of protections for consumers who owe medical debt, in most cases it is no different.

Medical debt can be sent to a collections agency like any other debt. However, if it is owed to a non-profit hospital, they may be required to provide financial assistance to you before it is sent to collections.

Healthcare providers must send an itemized bill before the account can be sent to collections. The itemized bill must contain "plain language descriptions" of the services provided. 

Texas Law

Federal Law

Understanding the Law

Timely Billing

Texas has a "timely billing" law. It requires health care service providers to bill a patient no later than the first day of the 11th month after services were provided. If the bill is not sent within the timeframe in the law, the health care service provider cannot try to collect payment for certain charges. This includes:

  • charges a patient could be reimbursed for by a health plan, and
  • charges that a patient would not have owed if the provider billed them in a timely fashion.

Texas Law

Surprise Medical Bills

In 2019, a state law went into effect protecting consumers from surprise medical bills or "balance billing." A similar federal law was passed in 2022.

Texas Law

Federal Law

Understanding the Law

Medical Debt & Credit Reports

Medical Debt Under $500

In 2023, the 3 major credit reporting agencies announced that they will no longer report medical debt under $500.

Federal Regulations

In 2025 the Consumer Financial Protection Bureau (CFPB) finalized a federal rule to prohibit the use of medical debt in credit reports.

Note The library cannot tell you what the law means for your situation.

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