Medical debt can still appear on your credit report
The federal rule that would have stopped medical debt appearing on credit reports was set aside by a federal court on 11 July 2025 — before it ever took effect. So nothing changed for most people: a medical bill you still owe, or a collection of one, can still be reported.
Sources below are federal court records, the Federal Register, statute text and state attorney general pages. Checked 7 October 2026.
What happened, in order
- 14 January 2025 — the CFPB published the Prohibition on Creditors and Consumer Reporting Agencies Concerning Medical Information, at 90 Fed. Reg. 3276, written as part of Regulation V (12 CFR 1022). It was due to take effect 17 March 2025.
- Before it took effect — the rule was stayed twice while a court challenge ran, so it was never in force and nothing had to be unwound.
- 11 July 2025 — the U.S. District Court for the Eastern District of Texas set the rule aside and vacated it nationwide, “in its entirety”, and sent the case back to the Bureau. That is a vacatur under the Administrative Procedure Act, not a limited injunction: it nullifies the rule for everyone.
The case was Cornerstone Credit Union League v. Consumer Financial Protection Bureau, No. 4:25-cv-00016-SDJ (E.D. Tex.). One court, one decision — not three separate challenges. The court’s own words: “The Court VACATES and SETS ASIDE, in its entirety, the Consumer Financial Protection Bureau’s Final Rule … and remands this matter to the Director of the Bureau for further consideration.”
So can a medical debt appear on my credit report?
Yes, with an important limit on how it may be reported. Under 15 U.S.C. §1681b(g)(1)(C), medical debt may be furnished to a credit bureau only if it is reported using codes that do not identify the provider or the nature of the services, as required by 15 U.S.C. §1681c(a)(6)(A). In practice that means you may see a medical collection on your report with no hospital, clinic or provider name attached to it.
There is also a status rule: under 15 U.S.C. §1681s-2(a)(9), a company whose primary business is providing medical services is a “medical information furnisher” and must tell the credit bureau it holds that status.
New York and California still protect you
Two states enacted their own bans, and they are still on the books:
- New York — the Fair Medical Debt Reporting Act, Chapter 727 of the Laws of 2023, effective 13 December 2023. The New York Attorney General states that “consumer-reporting agencies like Experian, Equifax, or TransUnion cannot place or maintain any information about a medical debt on your credit report.”
- California — SB 1061, Chapter 520, Statutes of 2024, effective 1 January 2025, codified at California Civil Code §1785.20.6. The Attorney General of California states plainly: “In California, it remains illegal for medical debt to appear on credit reports.”
What to actually do about a medical collection
- Get your free reports from AnnualCreditReport.com and check all three. Note which bureaus show the item — not every bureau carries the same entry.
- Ask for the coded-reporting confirmation. Dispute the item and ask the bureau to confirm it is reported under §1681c(a)(6)(A) codes that do not identify the provider, and to name the provider and the original creditor. This is a concrete question with a statutory hook.
- Send your insurance explanation of benefits (EOB). This is the document that most often settles a medical dispute, because it shows what your insurer actually paid and who you owe.
- Dispute directly with the provider or collector at the address on your report, as well as with the bureau.
- Do not wait for a rule that is not coming. The federal rule is gone and the Bureau has not said it will not write another, but nothing is pending that removes your medical debt for you.
Where to send the dispute
The mailing addresses for Equifax, Experian and TransUnion are on one page, including the three different ZIP codes they publish for the same box: the verified bureau dispute addresses. If you have gone past the bureau, here is where to file by state.
Write your medical dispute letter
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Sources
- Final Judgment, Cornerstone Credit Union League v. CFPB, No. 4:25-cv-00016-SDJ (E.D. Tex. 11 July 2025) — the nationwide vacatur.
- CFPB — the rule page, which records the 11 July 2025 vacatur.
- 90 Fed. Reg. 3276 (14 Jan 2025), effective 17 March 2025 — the rule as published.
- 15 U.S.C. §1681b(g)(1)(C), §1681c(a)(6)(A), §1681s-2(a)(9) — what the law requires today.
- New York Attorney General — medical debt reporting and California Attorney General — SB 1061.