To build this evidence-based 2026 list of San Antonio HIE lawyers, we looked at their published results and practice focus, alongside client reviews and professional records.
Because Maloney Law Group, P.L.L.C. publishes several HIE results, it leads this list, with a $7,620,000 birth injury result in 2022 among them. Check its delivery-related brain injury experience before you make the call. Find out how fees work and who would handle your file. If you're unsure about timing, a Texas lawyer can apply the deadlines in our Texas malpractice guide to your family.
4.7193 Google reviewsRated 4.7 out of 5 on Google from 193 reviews
Best for: Families seeking published HIE results
Among the hypoxic-ischemic encephalopathy results Maloney Law Group, P.L.L.C. publishes are $7,620,000 in 2022 and $7,200,000 in 2023. Because those results involve HIE, they give the firm the clearest basis for its place here. Other birth injuries and hospital negligence are also part of the San Antonio firm's work.
Stood out in our review for the results it publishes and what its clients say.
We order firms by how much of their work is medical malpractice, the results they publish, what their clients say, their experience, their standing with the regulator and the recognition they have earned, all from public records and the firms' own sites. How lists are made
4.946 Google reviewsRated 4.9 out of 5 on Google from 46 reviews
Best for: Families wanting clear process explanations
When describing Miller Medical Malpractice, clients repeatedly mention patient explanations of the legal process. If you're making decisions around your child's care, their comments about help understanding documents and knowing what to expect may matter to you. On its site, founding attorney Byron Miller's San Antonio firm includes HIE and birth injury work.
Stood out in our review for the results it publishes and how much of its work is medical malpractice.
We order firms by how much of their work is medical malpractice, the results they publish, what their clients say, their experience, their standing with the regulator and the recognition they have earned, all from public records and the firms' own sites. How lists are made
4.8108 Google reviewsRated 4.8 out of 5 on Google from 108 reviews
Best for: Spanish-speaking families with brain injury claims
Since its founding in 1953, Pat Maloney has built a long firm history. Among its published malpractice cases are an anoxic brain injury matter and a Bexar County case involving brain damage and death caused by improper anesthesia medication. HIE and birth injury work also appear on the firm's site.
Stood out in our review for its years of experience and what its clients say.
We order firms by how much of their work is medical malpractice, the results they publish, what their clients say, their experience, their standing with the regulator and the recognition they have earned, all from public records and the firms' own sites. How lists are made
Not sure who to call first?
Tell us what happened. A malpractice lawyer who serves San Antonio can look at it with you, and it costs nothing.
4.928 Google reviewsRated 4.9 out of 5 on Google from 28 reviews
Best for: Families seeking a malpractice-focused practice
Because Lyons & Lyons devotes 80% of its practice to medical malpractice, its focus is narrower than that of several firms listed here. Alongside hospital negligence and surgical errors, its site discusses HIE and birth injuries. Sean Michael Lyons, Clem V. Lyons and LoAn Vo are among the partners at the San Antonio firm.
Stood out in our review for how much of its work is medical malpractice and what its clients say.
We order firms by how much of their work is medical malpractice, the results they publish, what their clients say, their experience, their standing with the regulator and the recognition they have earned, all from public records and the firms' own sites. How lists are made
4.8362 Google reviewsRated 4.8 out of 5 on Google from 362 reviews
Best for: Families prioritizing communication and support
Google shows 362 reviews for Janicek Law. Although clients repeatedly describe help through a stressful process and being kept informed, those comments tell you about service; they don't establish the firm's HIE results. Alongside hospital errors and medication errors, founder and lead attorney Beth Janicek's San Antonio practice includes HIE and birth injuries on its site.
Stood out in our review for what its clients say and how much of its work is medical malpractice.
We order firms by how much of their work is medical malpractice, the results they publish, what their clients say, their experience, their standing with the regulator and the recognition they have earned, all from public records and the firms' own sites. How lists are made
Tell the lawyer your child's age and treatment dates. Although Texas generally sets a 2-year filing deadline, a different rule applies to children under 12. Ask a Texas lawyer which deadline applies before deciding to wait for more records.
Records and case assessment
Before the lawyer assesses your concern, ask which delivery notes and other medical records are needed. Find out what comparable HIE work the firm has done and which medical opinions it would seek before proceeding.
Fee agreement and filing
Before signing with a firm that accepts your claim, review who pays expenses as well as the fee agreement. Have the lawyer explain how filing meets the applicable Texas deadline and what the complaint (the document that starts the case) does.
Defendant answers and expert reports
Within 120 days after each defendant files an answer, Texas requires an expert report and CV for that defendant. If that requirement is missed, permanent dismissal and fees follow. Have the lawyer explain how each defendant's care is addressed in the report.
Resolution and damages review
Don't assume a recovery when asking about possible resolution. In health care liability claims, Texas limits non-economic damages with caps. A separate inflation-indexed cap on total damages also applies to death cases. Ask your lawyer to explain what those limits mean for the claim.
Malpractice claims in San Antonio: the rules that matter
The filing deadline in Texas
The clock startsOn the day of the treatment
Time to start a claim2 yearsMiss it and the claim is usually lost.
At the very most10 yearsafter the treatment, with a few exceptions
Limits on damages in Texas
Pain and sufferingCapped at $250,000
All damages togetherNo overall cap
Expert paperworkServe an expert report and CV for each defendant within 120 days after that defendant's answer is filed; failure leads to dismissal with prejudice and fees.
A written agreementThe share the lawyer takes, set out before work starts.
If you recover moneyThe agreed share and the case costs come out of it.
If the claim failsNo legal fee on a contingency agreement. Ask about costs.
If a claim fails, several firms here say there's no lawyer fee under their contingency terms; if there's a recovery, the lawyer receives a share. Expenses aren't included. Because records and medical opinions can cost money, along with court fees, ask whether the firm will advance those expenses or you'll need to pay as they come up. You can't tell who pays expenses in every case just from the firms' stated terms. Request the fee agreement before signing. If the claim fails, would you owe expenses, and how would they affect any recovery? Those payment questions aren't answered by a free consultation.
Six of the seven firms listed here say you can have a free consultation. Contingency fees are stated by four.
What to bring to your first call
Any medical records and delivery notes you've already gathered
Dates when treatment and delivery occurred, and hospitalization ended
When your child was born
Which hospitals and healthcare professionals were involved, by name
Records of related expenses, including medical bills
Letters you've received from the insurer or hospital
What happened, written as a brief timeline
Questions and concerns you've noted down
Questions to ask a lawyer
1What HIE claims involving care like this have you handled?
2Who would handle our file, including reading the records?
3What is our child's filing deadline under Texas law?
4How would you arrange for the reports Texas requires from experts?
5How do you calculate your fee if there's a recovery?
6Who covers the case expenses? If the claim fails, would we owe them?
7How will you keep us updated?
8What could Texas damage caps mean for our claim?
Choosing an HIE lawyer in San Antonio
Don't let the firm's largest result come before your child's care. If a particular treatment concerns you, ask about HIE claims involving that care. Although Maloney Law Group, P.L.L.C. publishes HIE-specific results, other firms list HIE without publishing comparable outcomes. Neither a topic on a website nor money recovered in a past case tells you whether your family has a claim.
Before calling, write a short account of what happened with the delivery date and the date hospitalization ended. List the records you've already gathered. When you first call, you don't need to argue the medical case. Find out who will review the records and which ones the lawyer wants next.
Ask who would be responsible for your file each day. Even if a partner appears on the website, someone else may be your regular contact.
What similar HIE work can the lawyer describe? If details can't be shared, ask how much the lawyer can tell you about their role.
Find out how updates will reach you and who answers questions. If your contact isn't available, ask what happens next.
If your family needs Spanish-language help, Pat Maloney lists Spanish. Find out who can explain documents and speak with you.
If you call early, there's time to discuss the expert report too. Within 120 days after each defendant files an answer, Texas requires a report and the expert's CV for that defendant. If you miss that requirement, the claim faces dismissal with prejudice (permanent dismissal of the claim) and fees. Find out how the firm intends to meet that requirement.
If the consultation is free, you can discuss the claim without a consultation charge. That doesn't mean the firm has accepted it. If the claim fails under a contingency fee, there's no lawyer fee; otherwise, the lawyer receives a share of a recovery. Court fees raise separate questions about costs, along with records and medical opinions. Before agreeing, ask about those expenses and request written payment terms.
If someone promises a payout or pushes you to sign before explaining fees, be wary. Although reviews tell you about communication, they don't establish the firm's experience with HIE. Ask why if the firm turns down your case. Find out, too, whether timing needs immediate attention. Because this is general information rather than legal advice, ask a Texas lawyer how these rules apply to you.
Questions people ask
Which San Antonio firm has published HIE results?
Among the HIE birth injury results Maloney Law Group, P.L.L.C. publishes are $7,620,000 in 2022 and $7,200,000 in 2023. Its place on this list rests on those results. Although other firms listed here include HIE in their work, you can't establish comparable HIE recoveries from their published results on this list. Your child's outcome can't be predicted from past results.
How long do we have to file an HIE malpractice claim in Texas?
If you file in Texas, the general deadline is within 2 years of the breach or the date treatment or hospitalization ended. These claims don't have a general discovery rule. Alongside a separate age rule for children's claims, the statute sets a 10-year outer limit. Have a Texas lawyer explain how those rules work together in your situation. Learning about the injury doesn't necessarily mean that's when the clock starts.
Does a child have until adulthood to file?
Don't assume every child has until adulthood under the Texas statute. Unless a child is under 12 and has until the fourteenth birthday, the 2-year rule applies regardless of age. When you first discuss the claim with a lawyer, include your child's birth date and the treatment dates. Rather than assuming your child's claim can wait until adulthood, have a Texas lawyer work out which deadline applies.
Can we speak with a lawyer without paying for the first call?
Six firms on this list say they offer a free consultation. Marynell Maloney Law Firm, PLLC's consultation terms aren't confirmed here, so ask before scheduling. A free consultation lets you discuss the concern without a consultation charge, but it doesn't mean the firm has accepted the claim or that later case expenses are free.
What does contingency mean for our family?
If the claim fails under a contingency fee, there's no lawyer fee; if there's a recovery, the lawyer receives a share. Alongside Pat Maloney and Janicek Law, Pelaez Law Firm, Crash Angels and Marynell Maloney Law Firm, PLLC say that they work on a contingency fee basis. Expenses aren't covered by that answer. If there's no recovery, could you still owe expenses, and who pays them?
What expert paperwork does a Texas claim need?
Within 120 days after each defendant files an answer, Texas requires an expert report and CV for that defendant. You'll find the expert's qualifications in the CV. If the requirement is missed, dismissal with prejudice (permanent dismissal) and fees follow. Before moving ahead, ask how the lawyer will arrange for medical review and how the firm will prepare the reports required for your claim.
How long will an HIE claim take?
You can't reliably estimate when your family's case will finish from the information the firms publish. To start a claim, you must meet the 2-year filing rule. That deadline doesn't say when the case will finish. After each defendant answers, Texas also imposes an expert-report deadline. Before proceeding, ask when the lawyer would update you and what steps your case would need.
What should we do before calling a San Antonio lawyer?
Start with the delivery and treatment dates, then write down the hospitals' names and your child's birth date. Along with bills and hospital letters, gather any records you already have. Next, have a Texas lawyer explain the timing. Rather than waiting to collect everything before calling, ask during the conversation which other records the lawyer will need.
What if our child or another loved one died?
When you first call the lawyer, explain that your loved one died. Find out which deadline and claim apply. Alongside its caps on non-economic damages in health care liability claims, Texas applies a separate inflation-indexed cap on total damages when the case involves a death. Wrongful death is handled by several listed firms. Without assuming there will be a recovery, ask a Texas lawyer to explain what those rules mean for your family.
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