State Guides

State-by-state patient protections: charity care mandates, medical debt laws, surprise billing rules and where to complain in each state.

State Guides

State All-Payer Claims Databases

Twenty-four states now operate all-payer claims databases that aggregate medical and pharmacy claims to reveal healthcare costs and billing patterns.

September 27, 2026

State Guides

State Medical Debt Statutes of Limitation

State statutes of limitations range from 2 to 10 years, after which medical collectors cannot sue—but the debt remains reportable for 7 years.

September 25, 2026

State Guides

State Bans on Home Liens for Medical Debt

Thirteen states now ban home liens for medical debt, shielding patients from foreclosure—but gaps remain in federal protection and other collection methods.

September 23, 2026

State Guides

State Requirements to Offer Payment Plans

Your state determines whether you can demand a payment plan or can only request one, and what protections apply if you negotiate.

September 19, 2026

State Guides

State Income Thresholds for Hospital Assistance

Most U.S. hospitals set income thresholds for free care using the Federal Poverty Level; 10 states enforce minimums, while individual hospital policies vary widely.

September 16, 2026

State Guides

State Presumptive Eligibility Rules for Charity Care

Presumptive eligibility lets hospitals grant charity care discounts automatically to low-income patients without requiring full applications—and your state may require it.

September 14, 2026

State Guides

State Caps on Hospital Collection Practices

Virginia and six other states now cap interest on medical bills and delay collection lawsuits, protecting patients from compounding debt.

September 13, 2026