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April 2003
Volume 67
Number 4

Washington Report


House Committees Move Medical Liability Reform and Voluntary Reporting of Medical Errors

S. Diane Turpin, J.D.
Associate Director of Governmental Affairs



Committees within the House of Representatives have moved expeditiously to report legislation to the full House to reform medical liability laws and to establish the voluntary reporting of medical errors.

The House Energy and Commerce Committee and the Judiciary Committee approved H.R. 5, the medical liability reform bill introduced by Representative James C. Greenwood (R-PA). The bill will be considered by the full House during the week of March 10. H.R. 5, the Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2003, is closely patterned after the legislation that passed the House of Representatives last year, which was based upon the California Medical Injury Compensation Reform Act.

HEALTH would ensure that injured patients be entitled to an unlimited amount of economic damages, the objectively verifiable monetary losses such as past and future medical expenses and earnings, among others.

Perhaps the most widely known and, in some respects, the most controversial provision of the bill is the $250,000 cap on noneconomic damages — the damages that may be awarded for physical and emotional pain and suffering, inconvenience and other nonpecuniary losses.

The legislation allows for punitive damages but would limit the damages to twice the amount of the economic damages or $250,000, whichever is greater. Punitive damages would not be awarded where the claimant was not awarded compensatory (economic or noneconomic) damages. To seek punitive damages, a claimant would have to prove by clear and convincing evidence that the defendant acted with malicious intent to injure the claimant or that the defendant deliberately failed to avoid unnecessary injury that the defendant knew the claimant was substantially certain to suffer. For a punitive damages claim to proceed, the court would have to find that the claimant established by a substantial probability that he or she would prevail.

Other provisions include a “fair share” rule to allocate damage awards fairly and in proportion to a party’s degree of fault, the introduction of evidence of collateral source benefits and a sliding scale for attorneys’ contingent fees to ensure maximum recovery for the claimant.

Lawsuits would have to be filed within three years after the date of manifestation of injury or one year after the claimant discovers or should have discovered the injury, whichever occurs first, with certain exceptions for fraud or intentional concealment. Certain exceptions also apply with respect to minors under the age of six.

During the Energy and Commerce Health Subcommittee mark-up of the legislation, the subcommittee rejected an amendment that would have increased the amount of time a claimant would have to file a claim and an amendment to exempt health maintenance organizations and drug and medical device manufacturers from the caps in the bill. An amendment offered by the chair of the subcommittee, Representative Michael Bilirakis (R-FL), and ultimately accepted by the full committee, clarifies that noneconomic damages would be paid on a per-injury basis, not per-occurrence, in the event that multiple parties were injured in the same incident. The amendment also limits the scope of lawsuits covered under the legislation, barring claims based on criminal liability or antitrust.

H.R. 5 is expected to easily pass the Republican-controlled House of Representatives as it did last year. Similar bills, expected to be introduced in the Senate, have yet to surface. While the now Republican-
controlled Senate is more likely than last session’s Democratic-controlled Senate to advance reform legislation, the battle in the Senate will be fierce. The most significant challenge will be obtaining the 60 votes required in the narrowly divided Senate to close off debate and allow a vote on the bill.



Ways and Means, Commerce Report Medical Errors Bills

By unanimous votes, the House Ways and Means Committee and Energy and Commerce Committee reported out similar bills (H.R. 877 and H.R. 663) designed to encourage the voluntary, confidential reporting of medical errors to public and private “patient safety organizations” certified by the Secretary of Health and Human Services. Similar bills were reported out by the two committees in the 107th Congress.

The bills are responsive to the 1999 recommendation of the Institute of Medicine that Congress assist in improving patient safety by establishing a means by which providers could report medical error information to patient safety data banks on a voluntary, confidential basis. A key provision of the bills is that reported data would not be subject to a civil or administrative subpoena or to discovery in a civil or administrative proceeding. Access to such data under the Freedom of Information Act also would be barred.

Early reconciliation of the two bills and passage by the House is expected. Similar legislation was considered in the Senate last year but did not reach the floor because of Democratic objections to the sweep of the confidentiality provisions. With control of the Senate now in the hands of the Republicans, a greater chance of Senate passage now exists.



House Passes Bills

On March 12, 2003, the House passed H.R. 663 by a vote of 418-6. The Senate could act before the end of April.

On March 13, 2003, the House passed H.R. 5 by a vote of 229-196 without amendments. At this writing, Senate Republicans are still working to draft legislation.



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