Illinois Supreme Court strikes down medical malpractice caps

 The Illinois Supreme Court recently struck down limits on jury awards in medical malpractice cases passed by the Legislature four years ago amid spiking liability costs for medical providers.

The court ruled that the caps on pain and suffering and other non-economic damages — $500,000 per case for doctors and $1 million for hospitals — are unconstitutional.

 

The court’s opinion upholds a 2007 ruling by a Cook County Circuit Court judge determining that the law violated the Illinois Constitution’s “separation of powers” clause, essentially finding that lawmakers interfered with the right of juries to determine fair damages.

It’s the third time the state’s high court has quashed limits on medical malpractice awards, having tossed out similar laws in 1976 and 1997.

 

The ruling is a blow to physicians, hospitals and malpractice insurers, who successfully argued in 2005 that frivolous lawsuits and runaway jury verdicts were driving up insurance rates and forcing physicians to leave the state.

 

The court’s ruling stems from a malpractice lawsuit filed in 2006 by the family of a girl who suffered brain damage during her delivery at Gottlieb Memorial Hospital in Melrose Park. Illinois’ trial bar selected the suit as its “test case” to challenge the law.

 

Liability insurance rates for Illinois doctors generally have held steady or dipped slightly since the caps took effect in August 2005, according to survey data from Medical Liability Monitor, an Oak Park-based trade publication. That’s roughly in line with national trends.  Mike Colias reports.

 

 The Wall Street Journal (2/5, Koppel) reports that the measure was initially intended to rein in increasing medical-liability insurance costs. Tort reform advocates saw the ruling as a setback, arguing that medical-malpractice suits play a large role in increasing healthcare costs.

        Reuters (2/4) reported that Dr. James Rohack, president of the American Medical Association, said the "decision threatens to undo all that Illinois patients and physicians have gained under the cap, including greater access to health care, lower medical liability rates and increased competition among medical liability insurers." But the Chicago Tribune (2/4, Japsen, Sachdev) reported, "Consumer groups and insurance industry officials say the fact that rates have stabilized" has "more to do with insurance market cycles."

        Crain's Chicago Business (2/4, Colias) reported, "In declaring the jury-award caps unconstitutional, the court's decision also scraps several other insurance reforms included in the original law that both sides have said helped ease liability costs." One such reform is "a provision that forced" the state's largest malpractice insurer "to disclose the data it uses to set rates."

        "Lawyers and other opponents of caps say those price controls were the real reason that malpractice insurance rates have gone down, rather than the presence of caps," the St. Louis Post-Dispatch (2/5, McDermott) reports. The AP (2/4) also covered the story.

North Carolina makes med-mal data available

In this time of withdrawing consumer rights regarding avoidable medical mistakes, would requiring disclosure and public dissemination of physician malpractice data be welcome?  Currently, in Nevada, there is no such disclosure.

How often do we see physicians who our friends say are "good doctors?"  Or when we go to the emergency room we are "referred" to the doctor on rotation?  Would it serve the patient's interest to be able research the doctor they are considering?  Well that is starting to happen in other states.

The Raleigh News & Observer (12/8, Garloch) reports, "For the first time, consumers can easily check whether North Carolina doctors have settled or lost medical malpractice claims or been convicted of crimes. The N.C. Medical Board announced Monday that it has expanded its Web site to include malpractice settlements or judgments and criminal records for its 35,000 licensed physicians and physician assistants. The expansion comes in response to a law passed by the General Assembly in 2007 that requires the board to publish malpractice payments, misdemeanor and felony convictions, hospital suspensions and discipline by medical boards in other states."

AP Poll: Support for curbs on malpractice lawsuits

According to an AP poll 54% of Americans favor limiting their right to recover from doctors and hospitals for their mistakes.  Nevada passed the Keep Our Doctors in Nevada bill in 2004.

The AP poll found that 54 percent of Americans favor making it harder to sue doctors and hospitals for mistakes taking care of patients, while 32 percent are opposed. The rest are undecided or don't know.

Support for limits on malpractice lawsuits cuts across political lines, with 58 percent of independents and 61 percent of Republicans in favor. Democrats are more divided. Still, 47 percent said they favor making it harder to sue, while 37 percent are opposed.

The survey was conducted by Stanford University with the nonprofit Robert Wood Johnson Foundation.

This study can be seen here.

Medical Malpractice Legislation Delayed

The Las Vegas Review Journal reports on the state of legislative activity on un-capping medical malpractice lawsuits.  The caps limit injured individuals from recovering compensation from negligent doctors for their injuries.

An Assembly-approved bill to let some patients seek unlimited damages in medical malpractice lawsuits was being held up in the Senate in apparent retaliation for an Assembly committee chairman's decision to sit on two Senate-passed construction defect bills.

Though no one had told him directly, Assembly Judiciary Chairman Bernie Anderson, D-Sparks, said he had heard that the Senate Judiciary Committee won't act on Assembly Bill 495 unless his committee passes Senate bills 337 and 349.

The Senate committee on Wednesday cancelled a scheduled hearing on the medical malpractice bill. Under legislative rules, the bills must be approved by their respective committees by the end of business Friday or they cannot be passed during this Legislature.

The chairman of the Senate Judiciary Committee, Sen. Terry Care, D-Las Vegas, said only that he spoke with Anderson earlier Wednesday about the medical malpractice bill, which passed the Democrat-controlled Assembly in April on a 26-15 party-line vote.

The proposal would lift the $350,000 cap on pain and suffering damages in lawsuits where doctors are found guilty of gross negligence.

The bill was drawn up in part by colonoscopy patients in Las Vegas who believe they were hurt by the deliberate negligence of doctors and now are being hurt by a system that limits their damages.

More than 50,000 patients at two now-closed outpatient clinics in Las Vegas were notified last year that they might have been exposed to blood-borne diseases because of shoddy injection practices by clinic staffers. Nine people contracted hepatitis C, and another 105 cases might be linked to the clinics.

Anderson said the bill is straightforward and will help these patients. He also acknowledged the testimony of some doctors who said the bill would lead to higher malpractice insurance rates and drive them out of Nevada.

"Keeping doctors in Nevada is one of our priorities, but what happened in my mind in the South was gross negligence," he said.

http://www.lvrj.com/news/44970727.html