HB 1419 – Capping Noneconomic Damages Based on Medical Bills

HB 1419 – Proposed Caps on Noneconomic Damages

What the bill proposes:

HB 1419 aims to limit the amount of noneconomic damages—such as pain and suffering, mental anguish, and emotional distress—that can be awarded in personal injury and wrongful death lawsuits. The proposed caps are as follows:​

  • Physical Pain and Suffering: Capped at three times the amount awarded for past and future health care expenses.​

  • Mental or Emotional Pain and Anguish:

    • $1 million cap if the claim arises from an event primarily causing emotional injury.​

    • $250,000 cap if the claim arises from an event primarily causing bodily injury.​

Additionally, these caps are set to increase annually by 1.75% starting January 1, 2027. ​Texas Civil Justice League+2BillTrack50+2capitol.texas.gov+2

Real-Life Example: The Case of Jane Doe

Consider the case of Jane Doe, a 35-year-old schoolteacher involved in a severe car accident caused by a distracted driver. Jane sustained multiple injuries, including a traumatic brain injury (TBI) and several fractures, leading to significant medical expenses and profound noneconomic damages.​

Economic Damages:

  • Medical Expenses: Jane incurred $100,000 in past and future medical costs.​

  • Lost Wages: Due to her injuries, Jane was unable to work for six months, resulting in $30,000 in lost income.​

Noneconomic Damages:

  • Pain and Suffering: Chronic pain and physical limitations.​

  • Mental Anguish: Depression and anxiety stemming from the accident and its aftermath.​

  • Loss of Enjoyment of Life: Inability to participate in previously enjoyed activities, such as teaching and recreational hobbies.​

Under current law, a jury might award Jane a substantial sum for her noneconomic damages, recognizing the profound impact on her quality of life. However, under HB 1419, these damages would be subject to strict caps:​

  • Pain and Suffering Cap: Three times the medical expenses: 3 x $100,000 = $300,000.​

  • Mental Anguish Cap: Since the primary injury is bodily, the cap is $250,000.​

Therefore, despite a jury potentially valuing Jane's noneconomic damages at a higher amount, the maximum she could receive under HB 1419 would be $300,000 for pain and suffering and $250,000 for mental anguish, totaling $550,000.​

Impact on Personal Injury Lawyers

For attorneys representing clients like Jane, HB 1419 presents significant challenges:​

  • Reduced Negotiation Leverage: The imposed caps limit the potential for higher settlements, as defendants are aware of the maximum exposure.​

  • Case Selection Considerations: Firms may need to reassess the viability of taking on cases where the projected noneconomic damages exceed the statutory caps, especially given the costs associated with litigation.​

  • Client Counseling: Managing client expectations becomes more complex when statutory limits may prevent full compensation for their suffering.​

Impact on Letter of Protection (LOP) Providers

LOP providers—medical professionals who offer treatment with the understanding that payment will come from future legal settlements—could also be affected:​

  • Financial Risk: With caps on noneconomic damages, the total settlement amounts may be lower, potentially impacting the funds available to satisfy LOP agreements.​

  • Treatment Decisions: Providers might be more hesitant to offer extensive treatment under LOPs, knowing that recovery limitations could affect their reimbursement.​

  • Shift in Patient Demographics: Patients with severe injuries but lower economic damages might find it harder to secure treatment on a LOP basis, as providers assess the financial feasibility under the new caps.​

Impact on Injured Individuals

For accident victims like Jane:​

  • Undercompensation: The caps may prevent them from receiving full compensation that reflects the true extent of their noneconomic losses.​

  • Access to Care: Reduced willingness of providers to accept LOPs could limit access to necessary medical treatment, especially for those without health insurance.​

  • Financial Strain: Victims may face additional financial burdens if their compensation does not adequately cover both economic and noneconomic damages, potentially leading to debt or inadequate care.​

What’s Next for HB 1419

As of March 11, 2025, HB 1419 has been referred to the Judiciary & Civil Jurisprudence Committee. Stakeholders, including legal professionals, medical providers, and the public, should monitor the bill's progress and consider engaging with legislators to express support or concerns. ​

Final Thoughts

HB 1419 represents a significant shift in Texas tort law, aiming to standardize noneconomic damage awards but potentially at the expense of fully compensating injured individuals. Legal practitioners, LOP providers, and citizens must stay informed and proactive in understanding and responding to these proposed changes.

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HB 39 – Modifying Liability for Commercial Motor Vehicle Operators

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HB 4806 / SB 30 – Limiting Medical Damages and Noneconomic Compensation