Texas Medical Malpractice Laws & Statutory Rules

Learn about time limits to file a medical malpractice lawsuit in Texas, statutory caps on damages, procedural requirements, and other state laws that could affect a medical malpractice claim.

If you're thinking about filing a medical malpractice claim in Texas, it's important to familiarize yourself with the different state laws that could have an impact on your case. In this article, we'll look at the time limit for filing a medical malpractice lawsuit in Texas courts, the "cap" on certain kinds of medical malpractice damages, and special procedural requirements concerning notice and expert witnesses.

Texas Statute of Limitations for Medical Malpractice Lawsuits 

Texas has a specific "statute of limitations" that puts a time limit on an injured patient's right to file a medical malpractice case in court. In Texas, a person injured by medical negligence has two years to bring a lawsuit to court. Typically, the two-year clock begins running on the date the injury was or could reasonably have been discovered -- which, in some cases, is not the same day the injury was inflicted.

If the medical error occurred as part of a course of continuous medical treatment, the two-year statute of limitations "clock" begins to run on the last day of treatment, unless the injury could have been discovered earlier.

Statute of Repose

Texas also observes a so-called "statute of repose" for medical malpractice lawsuits, which says that no matter when a medical malpractice-caused injury might have been discovered or treatment might have ended, a case must be brought within ten years of the date the negligent act occurred. Cases that are filed more than ten years after the date of injury will almost certainly be dismissed by the court.

Texas Caps "Non-Economic Damages" in Medical Malpractice Lawsuits

Texas is one of many states that place a legislative cap on damages in medical malpractice cases, although the Texas cap applies to non-economic damages only. Non-economic damages include compensation for pain and suffering, loss of enjoyment of life, anxiety and stress, and other subjective losses caused by the defendant's malpractice. Economic damages, which cover financial losses like medical bills and lost wages, are not capped in Texas.

Here are the highlights of the law (you can read the full text at Texas Civ. Prac. & Rem. Code section 74.301): There is a $250,000 "per claimant" cap on non-economic damages in medical malpractice cases against a single physician or other health care provider in Texas (that means per injured patient in a particular lawsuit against one defendant). For cases against multiple health care institutions, there is an overall cap of $500,000 per-claimant for non-economic damages. Finally, no single institution can be on the hook for more than $250,000 in non-economics, per-claimant.

Notice Requirements and Expert Reports 

Before an injured patient can file a medical malpractice lawsuit in the Texas civil court system, Texas Civil Practice & Remedies Code section 74.051 requires that the prospective plaintiff (usually through an attorney) provide written notice of the claim to each health care provider to be named in the lawsuit, at least 60 days before the case is filed. This notice must be sent via certified mail, return receipt requested.

Finally, in Texas, an injured patient (or his or her attorney) who files a medical malpractice lawsuit in court must also serve an expert report -- similar to an affidavit of merit -- on each defendant within 120 days of filing the lawsuit. The expert report must summarize:

  • the opinion of a qualified expert regarding the applicable standard of care
  • the way in which the defendant failed to meet that standard, and
  • the causal relationship between the failure and the harm inflicted on the plaintiff.

If the expert report is not filed within 120 days of the lawsuit's commencement, the court may dismiss the case.

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