Epic MyChart Lawsuit: Pixel Settlements, Antitrust, Arbitration

The phrase “Epic MyChart lawsuit” covers two very different things: active cases against Epic Systems itself over how it runs the electronic health records market and the MyChart portal, and a wave of settled class actions against individual hospitals that embedded Meta and Google tracking tools on their MyChart pages. The hospital settlements are where patients have actually received checks, generally between $20 and $100. The cases against Epic directly, filed by the Texas Attorney General and by disability advocates, are still pending and are not paying claims.

MyChart Pixel Tracking Settlements That Paid Patients

Hospitals that ran Meta Pixel, Google Analytics, or similar trackers on their MyChart portals and websites have been sued for transmitting patient information, including diagnoses, treatments, and physician details, to third parties without consent. Several of these cases have resolved. If you used one of these portals during the class period, you may already have been eligible.

Advocate Aurora Health — $12.225 Million

The consolidated case In re Advocate Aurora Health Pixel Litigation (Case No. 22-CV-1253-JPS, E.D. Wis.) settled for $12.225 million. It covered people whose data was shared through tracking pixels on Advocate Aurora’s websites, LiveWell App, or MyChart portal between October 24, 2017 and October 22, 2022. Final approval came on July 10, 2024, and eligible class members received up to $50. More than 565,000 valid claims were filed.1HIPAA Journal. Advocate Aurora Health Settles Pixel Lawsuit for $12.25 Million2Health Law Litigation Initiative. In Re Advocate Aurora Health Pixel Litigation Fee Order

Mass General Brigham — $18.4 Million

Mass General Brigham (formerly Partners Healthcare System) paid $18.4 million to settle claims tied to Meta Pixel on the informational websites of 38 specified providers. The class covered Massachusetts residents, or people who received care in the state, who visited those sites between May 23, 2016 and July 31, 2021. Payments ran up to $100 per class member.3HIPAA Journal. Mass General Brigham Settles Cookies Without Consent Lawsuit for $18.4 Million

BJC HealthCare — Up to $9.25 Million

BJC HealthCare, a 24-hospital system based in St. Louis, agreed to pay up to $9.25 million over transmission of MyChart data to Facebook, Google, and other companies. The deal included a $5.5 million base fund and up to $3.75 million more depending on claim volume. People who used the BJC MyChart portal between June 2017 and August 2022 could file for $35. Preliminary approval came in May 2025, with final approval set for October 2025, and claimant payments were issued on January 16, 2026.4Becker’s Hospital Review. Health System Settles MyChart Lawsuit for Up to $9.25M5HIPAA Journal. BJC Healthcare Website Tracking Lawsuit Settlement6BJC Privacy Settlement. BJC Privacy Settlement FAQ

SSM Health — $31.50 Per Claimant

Jane Doe v. SSM Health Care Corporation alleged that Meta Pixel and other trackers on the SSM MyChart portal sent patient data, including conditions, treatments, and physician information, to Meta and Google. About 1.239 million patients who logged into the portal between July 6, 2020 and February 10, 2023 were covered. Claimants received $31.50, paid out on March 31, 2026.7HIPAA Journal. SSM Health Patient Portal Tracking Lawsuit Settlement8SSM Health Data Settlement. SSM Health Data Settlement

Novant Health — $6.6 Million

Novant Health agreed to pay $6.6 million over Meta Pixel on its MyChart portal, covering people who used it between May 1, 2020 and August 12, 2022. Novant denied wrongdoing.9HIPAA Journal. Novant Health Pixel Privacy Breach Settlement

Catholic Health System

J.C. v. Catholic Health System, Inc. (Case No. 811986/2025) reached a preliminary settlement covering roughly 300,000 people who sought treatment or used the MyChart portal between January 1, 2020 and December 11, 2025. Valid claims paid up to $20, and CHS agreed to remove third-party tracking from its websites. A final approval hearing was set for April 23, 2026.10ClassAction.org. Catholic Health System MyChart Settlement

The Christ Hospital

In re The Christ Hospital Pixel Litigation (Case No. A 2204749, Hamilton County Court of Common Pleas, Ohio) settled for between $4.5 million and $7 million. Class members received at least $37.50. The class covered patients who used the hospital’s digital tools between December 30, 2018 and January 13, 2023.11TCH Settlement. The Christ Hospital Pixel Litigation Settlement

Texas Attorney General Suit Against Epic

On December 11, 2025, Texas Attorney General Ken Paxton sued Epic Systems under the Texas Free Enterprise and Antitrust Act and the Texas Deceptive Trade Practices Act. Filing under state law keeps the case in state court.12Texas Attorney General. Attorney General Ken Paxton Sues Major Medical Record Database13Fierce Healthcare. Texas AG Sues Epic Alleging Company Monopolizes EHR Market, Restricts Parent Access

The state alleges Epic uses exclusionary tactics to block competitors, interferes with hospitals’ use of their own patient data, and makes switching to a rival system a process that can take up to a decade and cost over a billion dollars. Texas says Epic holds about 42% of the hospital EHR market and stores over 325 million patient records, roughly 90% of U.S. citizens.14Wisconsin Public Radio. Texas Sues Wisconsin-Based Epic Systems, Accusing Monopoly

A second thread targets parental access. Texas alleges MyChart is preconfigured to automatically hide a child’s medication lists, treatment notes, and provider messages from parents once the child turns twelve, and says this conflicts with Texas Health and Safety Code § 183.006, which guarantees parents complete access to a minor child’s medical records. Epic called the suit “flawed and misguided” and said decisions about parental access are made by doctors and health systems, not by Epic. Texas is seeking a court order to restore competition along with monetary damages. The case remains active.

Disability Access Class Action Against Epic

On March 9, 2026, the American Association for Disability Justice and two individual plaintiffs, Larry Miller and John Hodges, filed a class action against Epic in the U.S. District Court for the Western District of Texas (No. 1:26-cv-00564, assigned to Judge Robert Lee Pitman).15Becker’s Hospital Review. Epic Sued Over Claims MyChart Fragments Patient Medical Records16CourtListener. American Association for Disability Justice v. Epic Systems Corporation

The complaint alleges that Epic’s system forces patients to maintain separate MyChart logins for every provider, fragmenting their medical histories across multiple portals and requiring manual downloads to assemble a complete record. Plaintiffs say this hits people pursuing Social Security disability claims especially hard, since those claims require comprehensive documentation. They allege violations of federal antitrust laws, the Americans with Disabilities Act, and the information-blocking provisions of the 21st Century Cures Act, and claim Epic interfered with the advocacy group’s effort to build a portal aggregating records using federal interoperability standards.17BenefitsPro. Epic Hit With Class Action Alleging Antitrust Violations, Data Monopolies

Epic called the claims “baseless” and said it facilitated the electronic exchange of more than 2.7 million records with the Social Security Administration in the prior year. Epic moved to dismiss on May 15, 2026; plaintiffs opposed on June 12, 2026.

MyChart’s Arbitration Clause and Your Right to Sue

Epic has rolled out updated MyChart terms of service that include a binding arbitration clause and a class action waiver. Together they require patients to give up the right to join a class action over how their health information is handled. Patients who decline the new terms can still use MyChart, but only a downgraded version with limited features.18Jacobin. MyChart Arbitration Lawsuits Health Privacy

Critics point out that class action plaintiffs reportedly lose in private arbitration around 76% of the time, and that Epic manages health records for roughly 80% of the U.S. population, with MyChart used by 39% of hospital systems, limiting any practical option to switch portals. If you clicked through the new terms, you may have waived your ability to participate in future class actions over MyChart data practices; whether that waiver holds up in court is not settled.

One Case Where Epic Is the Plaintiff

Not every “Epic MyChart lawsuit” headline involves patients suing Epic. On January 13, 2026, Epic joined Trinity Health, UMass Memorial Health Care, OCHIN, and Reid Health in suing Health Gorilla, a health information exchange, in the Central District of California (No. 2:26-cv-00321). The complaint alleges Health Gorilla allowed clients, including companies named MammothRx, RavillaMed, and LlamaLab, to retrieve nearly 300,000 patient records by posing as legitimate providers, and that some of the data was then shared with law firms looking for class action claimants.19Healthcare Dive. Epic, Health Systems Lawsuit Health Gorilla Improper Medical Records Access Health Gorilla and LlamaLab have denied the allegations. This case is not a route for individual patients to recover money; Epic is the one seeking damages.