A federal judge in Texas has ruled against a Biden-era regulation designed to remove medical debt from consumer credit reports. This decision ensures that unpaid medical bills will continue to adversely affect the credit scores of millions of Americans. The ruling comes as a significant setback for those advocating for the elimination of medical debt from credit reporting, which had aimed to alleviate financial burdens for many, particularly among vulnerable populations, including Black Americans. As a result of this ruling, individuals with outstanding medical expenses will see their credit scores potentially drop, and the implications of this decision may lead to increased scrutiny and discussion at both state and federal levels.