Texas built its medical malpractice statute to make these claims hard to bring, and it worked. A claimant must give 60 days written notice before filing, serve a qualified expert report within 120 days of filing or face dismissal with fees, and accept a $250,000 cap on noneconomic damages against a physician or provider. Understanding those three rules is what separates a claim worth pursuing from one that will cost more than it can recover. The Law Offices of Brent A. Devere reviews medical negligence claims in Austin and across Central Texas.