Texas Civil Practice & Remedies Code § 74.301 – Limitations on Non-Economic Damages

Table of Contents

Statutory Text:

§ 74.301(a): In an action against a single health care provider, non-economic damages are capped at $250,000 per claimant.

§ 74.301(b): In actions against multiple health care institutions, the cap is $250,000 per institution, up to a maximum of $500,000.

§ 74.301(c): This does not affect economic or punitive damages.

What Are Non-Economic Damages?

Non-economic damages refer to intangible harms such as:

  • Pain and suffering

  • Emotional distress

  • Loss of companionship

  • Loss of enjoyment of life

  • Disfigurement or impairment

These are separate from economic damages like lost income or medical bills.

How the Cap Works Under § 74.301

Defendant TypeMaximum Non-Economic Damages
Single physician or provider$250,000 per claimant
One health care institution$250,000 per claimant
Two or more institutions combined$500,000 total per claimant

The total non-economic cap = $750,000 if both provider and two institutions are involved.

Example Scenario

A patient sues a doctor and two hospitals.

  • The doctor is capped at $250,000

  • Each hospital is capped at $250,000, but combined institutional cap is $500,000

  • Total maximum non-economic damages: $750,000

What Is Not Capped?

The following are not affected by § 74.301:

  • Economic damages (e.g., medical expenses, lost wages)

  • Exemplary (punitive) damages, which may be capped under § 41.008 but are not subject to § 74.301

Why This Cap Exists

The statute was part of Texas’s 2003 tort reform effort to:

  • Curb runaway jury awards

  • Stabilize insurance premiums for medical professionals

  • Promote predictability in health care litigation

Related Statutes

  • § 74.251 – Statute of Limitations for Malpractice Claims

  • § 74.001 – Definitions in Medical Liability Law

  • § 41.008 – Cap on Exemplary (Punitive) Damages

Texas Case Law Interpreting § 74.301

Confirmed the per-claimant cap applies regardless of the number of claims or types of injuries.

 

Clarified that when multiple institutions are sued, the combined cap cannot exceed $500,000 for non-economic damages.

 

Frequently Asked Questions About § 74.301

Houston Personal Injury Lawyer - Joel A. Gordon

Generally, $250,000 per individual provider and $500,000 combined for multiple institutions.

No. The cap is per claimant, not per injury. You cannot stack non-economic damages for separate injuries.

No. There is no cap on economic damages like lost income or medical bills.

Yes. The non-economic cap applies to both injury and death claims involving medical malpractice.

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