TX HB4806

Limits recovery of past health care expenses in personal injury and wrongful death cases to amounts actually paid by third-party payors or the injured individual, or up to 150% of the median amount paid by nongovernmental insurers as reflected in the Texas All Payor Claims Database

Redefines noneconomic damages to include only physical pain and suffering, mental or emotional pain or anguish, and injury to reputation, removing categories like loss of consortium, disfigurement, loss of enjoyment of life, and physical impairment

Requires unanimous jury verdicts for awards of physical pain and suffering or mental/emotional anguish damages, and establishes thresholds triggering mandatory judicial review of noneconomic damage awards (e.g., $1 million for mental anguish in wrongful death cases)

Imposes extensive disclosure requirements on claimants, including letters of protection, referral relationships between attorneys and health care providers, and details of any financial arrangements that could result in rebates to attorneys or claimants

Restricts prejudgment interest to economic losses only, calculated from the date expenses were actually paid or losses actually incurred, rather than from the date of injury