TX SB30

Limits recoverable health care expenses in personal injury lawsuits to amounts actually paid by insurers or patients, or caps unpaid charges at 300% of Medicare rates (adjusted for inflation from May 1, 2025)

Replaces the "controverting affidavit" system with a simpler "notice of intent to controvert" process for defendants challenging medical expense reasonableness or necessity

Requires plaintiffs to disclose letters of protection, all provider invoices, financial relationships between attorneys and health care providers, and referral arrangements when attorneys refer clients to specific providers

Defines "physical pain and suffering" and "mental or emotional pain or anguish" with specific evidentiary requirements, including that physical pain must arise from observable injury or be objectively verifiable through medical testing

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