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§ 72.004.Offset for Medical Expenses Paid

Title 4. Liability in Tort · Chapter 72. Liability of Motor Vehicle Owner or Operator · Subchapter A. Liability to Guest · Last amended 1985 · Last verified August 29, 2026

In one sentenceSection 72.004 gives the owner, operator, or insurer an offset for medical expenses already paid, and forbids a direct action against the insurer.

Full Text of § 72.004

Text sizeJump to: (a) (b)

(a)The owner or operator or his liability insurance carrier is entitled to an offset against any award made to the guest on a liability claim in an amount equal to the amount paid by the owner, operator, or insurance carrier for medical expenses of the guest.
(b)This section does not authorize a direct action against a liability insurance carrier.
End

Plain-English Summary

Two rules in one short section, and they work together.

Subsection (a): the owner or operator or his liability insurance carrier is entitled to an offset against any award made to the guest on a liability claim, equal to the amount paid by any of them for medical expenses of the guest.

The purpose is to make early payment safe. Without an offset, a driver or insurer who paid a passenger’s hospital bill immediately after a collision would be paying twice — once for the treatment and again in any judgment that included the same expenses. The rational response would be to pay nothing until the case ended.

Given that the guest is by definition a close relative, that would be a bad outcome for everyone.

Subsection (b) closes the door the first subsection opened. Naming the liability insurance carrier in subsection (a) invites the argument that the carrier is a proper party, so the section says expressly that it does not authorize a direct action against a liability insurance carrier.

Texas does not generally permit a direct action against a liability insurer before judgment against the insured, and this provision keeps that rule intact.

The offset is measured by amounts paid, not by amounts billed or incurred, so it tracks what left the payer’s hands.

Read it alongside the general damages provision on evidence of medical expenses paid, which reflects the same concern that an award should correspond to real economic loss.

Frequently Asked Questions

Can a driver deduct medical bills they already paid?

Yes. The owner, operator, or their liability carrier is entitled to an offset against the award equal to the medical expenses they paid.

Why does the offset exist?

So that paying a passenger’s medical bills early does not mean paying for the same treatment twice. Without it the rational course would be to pay nothing until the case ended.

Can I sue the insurance company directly?

No. Subsection (b) says the section does not authorize a direct action against a liability insurance carrier.

Amendment History

  • Acts 1985, 69th Leg., ch. 959, Sec. 1, eff. Sept. 1, 1985.
Source & verification. Section text is reproduced verbatim from Texas Legislature Online (statutes.capitol.texas.gov). Enacted by the Texas Legislature. Current through May 14, 2026. Last verified August 29, 2026. · Official source