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Medical Debt

Federal Judge Strikes Down Biden’s Medical Debt Credit Rule

In a striking legal turn, a federal judge has overturned a Biden-era rule that aimed to erase medical debt from credit reports—an initiative once hailed as a relief for millions facing financial strain due to illness. The court ruled that the Consumer Financial Protection Bureau overstepped its legal bounds, bringing the sweeping plan to a sudden halt. While former Vice President Kamala Harris championed the cause as part of her 2024 campaign, critics called it an overreach. The decision now sets the stage for renewed debate on credit, care, and control.

STORY HIGHLIGHTS

  • Federal Judge Sean Jordan strikes down Biden-era rule erasing medical debt from credit reports

  • Rule was expected to eliminate $50 billion in debt for 15 million Americans

  • Judge rules CFPB exceeded its authority under the Fair Credit Reporting Act

  • Kamala Harris had championed the policy during her 2024 presidential campaign

  • Consumer data groups celebrate the decision as a safeguard for reporting accuracy

  • Trump’s new spending bill also slashes Medicaid and imposes work requirements

  • The ruling is part of broader push to limit federal regulatory power under Trump

In a landmark decision that may significantly impact millions of Americans, a federal judge in Texas has reversed a rule introduced under the Biden administration that allowed medical debt to be removed from credit reports. The ruling has reignited a national debate about the role of government oversight in consumer credit reporting and the financial toll of healthcare costs in the United States.

The decision, delivered on Friday by U.S. District Judge Sean Jordan, comes at a time when the nation’s health care system and credit structure remain under close public and political scrutiny. Jordan, a 2019 appointee of former President Donald Trump, found that the Consumer Financial Protection Bureau (CFPB) had exceeded its statutory authority when it finalized the regulation earlier this year.

The rule, initially unveiled in January just before President Biden left office, sought to eliminate the burden of medical debt for millions. The administration had estimated that the move would remove nearly $50 billion in medical debt from the credit reports of roughly 15 million Americans—individuals who, often through no fault of their own, fell into financial distress due to illness or emergency care.

In his legal assessment, Judge Jordan cited the Fair Credit Reporting Act—legislation originally passed in 1970 and amended in 2003—as not granting the CFPB the power to categorically remove types of debt, such as medical expenses, from credit histories.

“The statute does not permit the agency to eliminate entire categories of debt,” Jordan wrote, emphasizing that while the CFPB can suggest or allow creditors to explore other categories of information, it cannot mandate such sweeping exclusions.

The rule had been celebrated by healthcare reform advocates and consumer protection groups as a long-overdue corrective measure for a flawed financial system that penalizes the sick. Then–Vice President Kamala Harris had championed the initiative during her 2024 presidential campaign, positioning medical debt forgiveness as a core component of her economic platform.

“No one should be denied economic opportunity because they got sick or experienced a medical emergency,” Harris had said in January, outlining her vision for expanding healthcare access and financial justice.

She further promised to deepen the Biden administration’s work by broadening debt relief policies and enforcing stricter regulations on what she described as “predatory debt-collection tactics.”

“We also reduced the burden of medical debt by increasing pathways to forgiveness and cracking down on predatory debt-collection tactics,” Harris added, pledging continued reform.

However, the regulation did not go unchallenged. It drew criticism from financial institutions and data industry groups who argued that such changes would disrupt the accuracy and reliability of credit reporting systems. Dan Smith, head of the Consumer Data Industry Association, issued a statement shortly after the court’s ruling, praising the decision.

“This is the right outcome for protecting the integrity of the system,” Smith said, suggesting that the CFPB’s rule threatened to erode the objectivity of credit reports used by lenders, insurers, and employers.

The ruling also aligns with a broader effort by the Trump administration to scale back what it views as federal overreach. Since returning to office, former President Trump has focused his administration’s efforts on identifying and eliminating what his Department of Government Efficiency panel refers to as “waste, fraud and abuse” in federal agencies. The CFPB has been a particular target in that campaign and has already faced budget cuts and staffing reductions.

Judge Jordan’s decision arrives just days after Trump signed a massive tax and spending bill into law that includes extensive cuts to Medicaid. The legislation, passed amid contentious debate, introduces new work requirements that may result in millions of Americans losing access to healthcare coverage.

As the nation braces for the broader consequences of these changes, consumer advocates warn that the ruling may represent a setback for low-income families already burdened by out-of-pocket medical costs. Whether Congress or the courts revisit the issue in the near future remains uncertain, but for now, medical debt will continue to appear on Americans’ credit reports—regardless of the circumstances under which it was incurred.

The court’s rejection of the Biden-era medical debt credit reporting rule marks a pivotal moment in the ongoing battle between financial regulation and individual economic relief. While the decision upholds the limits of agency authority under federal law, it simultaneously revives concerns over the burden of medical debt on millions of Americans. As debates over healthcare, credit fairness, and government reach intensify, the fate of debt relief remains uncertain—caught between the scales of legal interpretation and the struggles of everyday survival.

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