Lexology December 26, 2025
Troutman Pepper Locke

Texas Attorney General (AG) Ken Paxton has launched another challenge to the electronic health record (EHR) industry, filing suit against Epic Systems Corporation. At its core, the lawsuit accuses Epic of transforming patient medical records into a private gatekeeping tool — one that allegedly blocks competition, restricts lawful access to data, and undermines parental rights under Texas law.

The State’s Theory: Control the Data, Control the Market

According to the state’s petition, Epic occupies a uniquely powerful position in the health care ecosystem. Its EHR platforms store and manage medical records for more than 325 million patients, including millions of Texans, accounting for roughly 90% of the U.S. population. Once a hospital adopts Epic, Texas alleges, the provider becomes effectively...

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