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Did the judge dismiss with prejudice or without prejudice?
When was the last time you paid on the debt?
Ok, then if the judge didn't dismiss "with prejudice" then as long as the statute of limitations hasn't expired on the debt, then they can still refile the case against you.
TX has a 4 year SOL on debts like this so unfortunately they would still be able to file suit again if it was not dismissed with prejudice.
With that said, you might want to consider looking into filing bankruptcy to get a fresh start. You can exempt any medical bills if you choose to do so and continue to pay them so they will continue to provide services..
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