Failure to Treat in Texas
Average Settlement: $250,000 - $750,000 | Statute: 2 years from the date of the breach or the last date of the relevant course of treatment
About Failure to Treat
Failure to treat occurs when a healthcare provider correctly diagnoses a condition but fails to provide appropriate treatment, refer the patient to a specialist, or follow established treatment protocols. This form of malpractice can be particularly frustrating for patients who sought care, received a correct diagnosis, and then experienced harm because the necessary next steps were never taken. These cases often involve systemic issues such as overloaded physicians, poor follow-up systems, or cost-driven treatment decisions.
Texas Medical Malpractice Laws
Statute of Limitations
2 years from the date of the breach or the last date of the relevant course of treatment
Damage Cap
$250,000 non-economic damages per claimant against physicians and healthcare providers; $250,000 per hospital (up to $500,000 total against hospitals per claimant)
Discovery Rule
Texas applies the discovery rule in limited circumstances but has a strict 10-year statute of repose. The open courts provision of the Texas Constitution may provide relief in some cases.
Pre-Filing Requirements
Plaintiffs must serve an expert report within 120 days of filing the original petition. Failure to do so results in mandatory dismissal with prejudice.
Common Examples of Failure to Treat
- •Failing to prescribe appropriate medication after diagnosing a treatable condition
- •Not referring a patient to a specialist when the condition requires specialized care
- •Discharging a patient without an adequate treatment or follow-up plan
- •Ignoring or failing to act on abnormal test results that confirm a known diagnosis
- •Failure to provide appropriate post-surgical care or rehabilitation
- •Not ordering necessary follow-up imaging or biopsies after an initial diagnosis
- •Providing treatment that is outdated or inconsistent with current clinical guidelines
Key Facts
- ✓Failure to treat is legally distinct from misdiagnosis — the provider identified the condition correctly but did not act on it appropriately
- ✓Clinical practice guidelines from medical specialty organizations are often introduced as evidence to show what the standard treatment should have been
- ✓These cases frequently involve gaps in care coordination, particularly when multiple providers or healthcare systems are involved in a patient's treatment
- ✓Electronic health records that show a diagnosis was documented but no corresponding treatment plan was entered can be powerful evidence of failure to treat
- ✓Insurance-driven treatment denials may contribute to failure to treat, but the treating physician still has a legal duty to advocate for and pursue medically necessary care
- ✓Expert testimony in these cases typically focuses on what a competent physician in the same specialty would have done after reaching the same diagnosis
- ✓Texas's tort reform (HB 4, enacted 2003) significantly reduced medical malpractice filings through strict caps and expert report requirements.
- ✓An expert report must be served within 120 days of filing — failure results in mandatory dismissal with prejudice.
- ✓Texas follows a modified comparative responsibility system with a 51% bar.
- ✓Punitive damages are capped at the greater of $200,000 or two times economic damages plus non-economic damages up to $750,000.
- ✓The Texas Medical Liability Act provides specific procedures and requirements distinct from general tort claims.
Victim of Failure to Treat in Texas?
Get a free case evaluation. Most medical malpractice attorneys work on contingency.
Calculate Your Settlement →Failure to Treat in Other States
Other Malpractice Types in Texas
This information is for educational purposes only and is not legal advice. Consult a licensed medical malpractice attorney in Texas.