In a landmark decision aimed at easing the financial burden for millions of Americans, the Biden administration finalized a rule on Tuesday to eliminate medical debt from credit reports. The rule, which will take effect in March, marks a significant shift in how medical debt is treated in the U.S. financial system, potentially impacting the lives of around 15 million Americans.
The new regulation, championed by the Consumer Financial Protection Bureau (CFPB), ensures that medical bills will no longer appear on credit reports. Additionally, lenders will be prohibited from using medical information when making lending decisions. The rule represents a decisive move to protect consumers from the long-lasting financial damage caused by medical debt, a problem that has disproportionately affected vulnerable populations.
Medical debt has long been a pervasive issue in the United States. According to a 2021 analysis by the nonprofit Kaiser Family Foundation (KFF), approximately 1 in 12 adults in the country had medical debt. For many, unexpected health crises have not only upended their physical well-being but also left them in financial turmoil.
Medical debt on credit reports has often been a poor indicator of an individual’s financial responsibility. The CFPB’s research found that its presence on credit reports was a weak predictor of whether a borrower would repay a loan. Despite this, it has been a significant factor in loan denials, particularly for mortgages. The agency estimates that the new rule will lead to the approval of an additional 22,000 mortgages annually and that individuals with medical debt on their credit reports could see their credit scores rise by an average of 20 points.
CFPB Director Rohit Chopra emphasized that the rule addresses abusive practices in the credit reporting system. “People who get sick shouldn’t have their financial future upended,” Chopra stated. The CFPB’s rule closes a loophole that previously allowed debt collectors to leverage credit reporting as a means to coerce consumers into paying medical bills many of which were disputed or not owed.
This move builds on prior changes in 2023 when the three major U.S. credit bureaus Equifax, Experian, and TransUnion agreed to remove medical debts under $500 and previously paid medical debts from credit reports.
The elimination of medical debt from credit reports is expected to have far-reaching consequences. For one, it will reduce barriers to homeownership, allowing more families to qualify for mortgages and secure housing stability. Additionally, improved credit scores can provide access to better loan terms, lower interest rates, and greater financial flexibility.
The rule also represents a broader effort by the Biden administration to address economic inequalities and consumer protection. However, with the incoming administration led by President-elect Donald Trump, advocates and policymakers are preparing for potential rollbacks of such protections. The CFPB, in particular, has been a target of criticism from GOP lawmakers and allies, who have expressed concerns about regulatory overreach.
The finalization of this rule signals a step toward financial justice for millions of Americans burdened by medical debt. While systemic issues in healthcare affordability remain, the removal of medical debt from credit reports provides immediate relief and a chance for affected individuals to rebuild their financial health.
As this regulation takes effect in March, it will be a critical test of the resilience of consumer protections in an evolving political and economic landscape. For now, the rule offers hope for those who have faced the dual challenges of medical crises and financial instability.