In 2013, Ethan Couch killed four people when he rammed his truck into a crowd, but he avoided prison.
On Wednesday, the 19-year-old was ordered to serve four consecutive 180-day jail sentences – one for each of his victims.
He broke his probation when he fled to Mexico in December.
It is thought he took flight because a video emerged of him at a house party, and any evidence he had been drinking alcohol might have seen him put behind bars.
A psychologist at his original trial argued that his privileged upbringing meant his parents had not taught the then 16-year-old a sense of responsibility.
The expert called the condition “affluenza”, a term not recognised by the American Psychiatric Association.