Medical Practice Website Accessibility Compliance in Texas

TL;DR: Medical websites have higher stakes than most businesses. HIPAA + ADA = serious liability. Get your patient portal, appointment forms, and medical information accessible before a complaint turns into a lawsuit.
If you run a medical practice in Texas and just got an ADA demand letter about your website, you're probably thinking: "I'm trying to help people get healthier, and now I'm getting sued?"
I get it. It feels unfair.
But here's the reality: Medical practice websites have higher accessibility stakes than almost any other industry.
Why? Because inaccessible healthcare websites don't just create legal problems - they create actual barriers to medical care for disabled patients.
Why Medical Websites Get Targeted
Medical practices are particularly vulnerable to accessibility lawsuits for three reasons:
1. You serve vulnerable populations
People with disabilities are more likely to need medical care. If your website blocks them from booking appointments or accessing patient portals, you're directly preventing them from getting healthcare.
2. HIPAA + ADA = double liability
Your website needs to be both secure (HIPAA) AND accessible (ADA). Courts take this combination very seriously because it involves protected health information AND civil rights.
3. Patient portals are high-value targets
If patients can't use your portal to view test results, refill prescriptions, or message their doctor, that's not just an inconvenience - it's a barrier to medical care. That gets expensive in court.
The Most Common Medical Website Violations
After scanning dozens of medical practice websites in Texas, here are the violations that show up most often:
1. Patient Portal Login Issues
- Login forms without proper labels
- Password fields that screen readers can't identify
- CAPTCHA that blind users can't complete
- Multi-factor authentication that's keyboard-inaccessible
Why it matters: If someone can't log in, they can't access their medical records, test results, or prescription refills.
2. Appointment Booking Forms
- Date pickers that don't work with keyboards
- Form fields without labels
- Error messages that screen readers can't announce
- "Select a doctor" dropdowns that assistive technology can't navigate
Why it matters: If someone can't book an appointment online, they're forced to call - which creates barriers for deaf patients or people with speech disabilities.
3. Medical Information & Resources
- Health information pages with low color contrast (unreadable for vision-impaired patients)
- Medical diagrams without text descriptions
- Educational videos without captions
- PDF forms that screen readers can't parse
Why it matters: Patients with disabilities need to understand their medical conditions and treatment options just like everyone else.
4. Telehealth Platforms
- Video consultation links that don't work with assistive technology
- Chat features that aren't keyboard-accessible
- Virtual waiting rooms without screen reader support
Why it matters: Post-COVID, telehealth is essential healthcare delivery. If it's inaccessible, you're excluding patients from medical care entirely.
What Texas Medical Practices Need to Know
Texas has specific healthcare regulations that interact with federal ADA requirements:
- Texas Medical Board requires practices to provide "reasonable accommodations" for patients with disabilities
- Texas Health and Safety Code includes accessibility provisions for healthcare facilities - and courts have extended this to websites
- Medicare/Medicaid reimbursement can be affected by accessibility complaints
Translation: This isn't just about avoiding lawsuits. It's about maintaining your license, your reimbursements, and your reputation.
The HIPAA Complication
Here's where it gets tricky: You can't just hire any developer to fix accessibility issues on a medical website.
Why? Because medical websites handle Protected Health Information (PHI). Whoever touches your patient portal needs to:
- Understand HIPAA security requirements
- Sign a Business Associate Agreement (BAA)
- Not break your encryption or security measures while fixing accessibility
This is why "just install an overlay plugin" doesn't work for medical practices. Those overlays:
- Don't actually fix the underlying code
- Can interfere with HIPAA-compliant security features
- Won't hold up in court if you're sued
You need someone who understands both accessibility AND healthcare security.
What Happens If You Ignore It
For medical practices, ignoring an ADA demand letter is particularly risky:
Legal consequences:
- Lawsuits can exceed $50,000+ in settlements
- Attorney fees add another $20,000-30,000
- Ongoing monitoring requirements (expensive and annoying)
Regulatory consequences:
- State medical board complaints
- Medicare/Medicaid compliance reviews
- OCR (Office for Civil Rights) investigations if HIPAA is involved
Reputation consequences:
- Public court records showing you denied medical access to disabled patients
- Google reviews mentioning accessibility problems
- Loss of patient trust
The cost of fixing it properly? Usually $3,000-8,000. The cost of ignoring it? Potentially your practice.
What You Should Do Right Now
1. Find out what's actually wrong
Run a free accessibility scan of your website. See what violations exist. Understand the scope.
2. Prioritize your patient portal and appointment booking
These are the highest-risk areas. If you can only fix one thing immediately, fix the parts of your site that patients need to access medical care.
3. Get professional help who understands healthcare
Not every web developer understands HIPAA. Not every accessibility consultant understands medical practice websites. You need someone who gets both.
4. Document everything
Keep records of what you fixed and when. If this escalates, you want proof you took patient access seriously.
5. Don't install an overlay and think you're done
Accessibility overlays are like putting a "We Care About Accessibility" sign on a building with no wheelchair ramp. They don't actually solve the problem, and courts know it.
The Bottom Line
If you're a Texas medical practice with an inaccessible website, you're not just risking a lawsuit - you're creating barriers to healthcare for disabled patients.
The good news? This is fixable. Quickly. By someone who knows what they're doing.
Most medical practice websites can be made compliant in 5-10 business days. The violations are usually straightforward: form labels, color contrast, keyboard navigation, proper ARIA attributes.
It's tedious technical work, but it's not rocket science. And it's a hell of a lot cheaper than a lawsuit.
Don't let this turn into a crisis. Find out what's wrong. Get it fixed properly. Move on with taking care of patients.
Ready to Check Your Website?
Find out what accessibility issues exist on your site in 30 seconds.
Run Your Free Accessibility Scan