Medical malpractice has received particular attention with respect to tort reform. Increased medical malpractice costs have resulted in increased premiums for insureds, and, reform advocates argue, increased costs for patients. As of 2018, most state laws cap malpractice damages, but in a few states such caps have been ruled unconstitutional.
Medical malpractice laws are consistently subject to legal and legislative challenges.
In 2017, in North Broward Hospital District v. Kalitan, 219 So. 3d 49 (Fl. Sup. Ct. June 8, 2017) the Florida Supreme Court ruled that a law limiting pain and suffering damages in medical malpractice cases was unconstitutional and violated equal-protection rights. The majority of justices disputed the existence of a malpractice insurance “crisis,” an argument that legislators used in their 2003 approval of limits on non-economic damages of $500,000 per claimant, with a higher cap for catastrophic damages.
In Missouri, the state legislature revised a statute in 2015 to reinstate caps on non-economic damages in medical malpractice claims, however, the issue is an area of ongoing litigation. A 2016 Missouri ruling, Dodson v. Ferrara, 491 S.W.3d 542 (Mo. Sup. Ct. May 24, 2016) affirmed the constitutionality of a cap on damages in medical negligence wrongful death actions but did not address the constitutionality of statutory caps where the negligence did not result in death, leaving some experts to state that an argument could be made that the non-economic damage cap in cases not resulting in death is unconstitutional.
A North Dakota state district judge ruled in early 2018 that the state law limiting damages in medical malpractice cases to $500,000 for such things as suffering and emotional distress is unconstitutional. The judge found that the law violated equal protection guaranteed by the state constitution by arbitrarily reducing damages for people who suffer the most severe injuries.
In 2014, California voters chose to keep a $250,000 cap on medical liability awards rather than raise it to approximately $1.1 million.
On the other hand, some states are seeking more novel solutions to address high-dollar areas of tort liability. For example, New York established the Medical Indemnity Fund in 2011 “to provide a funding source for future health care costs associated with birth-related neurological injuries.” Plaintiffs are individuals involved in medical malpractice actions who have received court-approved settlements or judgments that establish the neurological impairments to be birth-related.