Skip to content

Menu

LexBlog, Inc. logo
NetworkSub-MenuBrowse by SubjectBrowse by PublisherJoin the NetworkGet StartedSubscribeSupportContact
Search
Close

Medical Debt Under the Microscope: Insights from the CFPB’s 2022 FDCPA Report

By David N. Anthony, Jonathan Floyd, Stefanie Jackman & Ethan G. Ostroff on November 20, 2023
Email this postTweet this postLike this postShare this post on LinkedIn

On November 16, the Consumer Financial Protection Bureau (CFPB or Bureau) released its Fair Debt Collection Practices Act (FDCPA) Annual Report detailing the CFPB’s 2022 activities related to debt collection practices. This comprehensive document summarizes everything FDCPA-related undertaken by the agency during 2022, including enforcement actions, a summary of consumer complaints, education and outreach initiatives, and highlights from examinations it conducted. In addition to summarizing activities in the debt collection space from the past year, the report hints at potential future activities. Tellingly, the CFPB’s focus in 2022 was predominantly on medical debt, as highlighted by its press release announcing this report.

In the report’s overview, the CFPB represented that in 2022 it forwarded more than 60,000 debt collection complaints to companies for review and response. Of these, approximately 8,500 (or 15%) pertained to attempts to collect a medical bill. According to the Bureau, consumers raised a variety of issues, including attempts to collect on bills they did not owe and concerns about the quality of information received during the collections process. In response, many medical debt collectors closed the account, returned the account to their client, or deleted the item. According to the CFPB, this typically would occur without any follow-up questions from the collector to the person who disputed the debt, which raised questions for the Bureau as to whether there were deficiencies in the quality of information collectors receive at placement or sale of an unpaid medical bill.

In its report, the CFPB emphasized that collection activity on debts that are not actually owed or collecting the wrong amount may violate the FDCPA, its implementing regulation, and/or the Consumer Financial Protection Act’s prohibition on unfair, deceptive, or abusive acts or practices, none of which is new. This includes collecting for services the patients never received, collecting for more expensive versions of services than what were provided, or collecting amounts based on rates that are inconsistent with applicable state law.

Additionally, the Bureau noted that several states have proposed or enacted laws in recent years providing significant consumer protections with respect to the collection of and credit reporting on medical debts. According to the CFPB, preemption of state law with respect to medical bills is narrow under both the FDCPA and Fair Credit Reporting Act, and preemption would generally not apply to state restrictions on the collection, furnishing, and reporting of medical bills.

The CFPB’s report also incorporated a summary provided to the Bureau by the Federal Trade Commission (FTC) of its activities in the debt collection space. Highlights included:

  • Litigating two cases against debt collection operations who allegedly used a variety of illegal tactics to target small businesses;
  • Issuing more than $1.27 million in refunds to consumers harmed by allegedly unlawful debt collection practices;
  • Halting millions of dollars in debt collections that allegedly originated from illegal financing and sales practices; and
  • Providing tens of millions of people educational materials, in both English and Spanish, informing consumers about their rights, and educating debt collectors about their responsibilities, under the FDCPA and FTC Act.

 

Photo of David N. Anthony David N. Anthony

David Anthony handles litigation against consumer financial services businesses and other highly regulated companies across the United States. He is a strategic thinker who balances his extensive litigation experience with practical business advice to solve companies’ hardest problems.

Read more about David N. AnthonyEmailDavid N.'s Linkedin Profile
Photo of Stefanie Jackman Stefanie Jackman

Stefanie takes a holistic approach to working with clients both through compliance counseling and assessment relating to consumer products and services, as well as serving as a zealous advocate in government inquiries, investigations, and consumer litigation.

Read more about Stefanie JackmanEmailStefanie's Linkedin Profile
Photo of Ethan G. Ostroff Ethan G. Ostroff

Ethan’s practice focuses on financial services litigation and compliance counseling, as well as digital assets and blockchain technology. With a long track record of successful litigation results across the U.S., both bank and non-bank clients rely on him for comprehensive advice throughout their

…

Ethan’s practice focuses on financial services litigation and compliance counseling, as well as digital assets and blockchain technology. With a long track record of successful litigation results across the U.S., both bank and non-bank clients rely on him for comprehensive advice throughout their business cycle.

Read more about Ethan G. OstroffEmailEthan G.'s Linkedin Profile
Show more Show less
  • Posted in:
    Banking, Finance and Securities
  • Blog:
    Consumer Financial Services Law Monitor
  • Organization:
    Troutman Pepper Locke
  • Article: View Original Source

Call us at 1-800-913-0988 or email sales@lexblog.com.

Facebook LinkedIn Twitter RSS
The Library at LexBlog
  • About LexBlog
  • The Field We Built
  • Library at LexBlog
  • Our Beliefs
  • Our Team
  • Contact LexBlog
  • Disclaimer
  • Editorial Policy
  • Terms of Service
  • Get Started
  • Publishing Solutions
  • Compass
  • Submit a Request
  • Support Center
  • System Status
Copyright © 2026, LexBlog, Inc. All Rights Reserved.
Law blog design & platform by LexBlog LexBlog Logo