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Question of the Month

December 2004

What limits do states in the Midwest have on awards for non-economic damages in medical malpractice cases?

According to the American Medical Association, more than half of the U.S. states cap non-economic damages, including six in the Midwest — Kansas, Michigan, North Dakota, Ohio, South Dakota and Wisconsin. Statutes in Indiana and Nebraska place caps on total damages.

Indiana restricts medical liability damage awards to $1.25 million for acts that occurred after July 1, 1999. Awards for incidents prior to that date are capped at $750,000. Health care providers are not liable for more than $250,000 per occurrence, as awards exceeding that amount are paid out of a special patient compensation fund.

In Nebraska, total damage awards are limited to $1.75 million. For providers who carry minimum levels of liability insurance and pay a surcharge to an excess coverage fund, liability in malpractice cases cannot exceed $200,000. Damages above that amount are paid by the excess coverage fund.

Michigan’s caps on non-economic damages are two-tiered, one for "ordinary" medical malpractice cases and a higher tier for cases involving specified severe injuries (brain or spinal cord damage, impairment to the reproductive system that specifically precludes procreation, or an injury that prevents a person from being able to live alone). The two limits, originally set at $280,000 and $500,000, are adjusted annually to account for inflation.

Ohio limits a plaintiff’s non-economic damages to $350,000 in most medical malpractice cases and $500,000 in certain severe injury cases. Here are the caps for non-economic awards in the other Midwestern states: Kansas, $250,000; North Dakota, $500,000; South Dakota, $500,000; and Wisconsin, $350,000 (indexed annually for inflation).

These caps often have been challenged in state courts. In the Midwest, for example, Illinois’ previous limits on both total damages and non-economic awards were ruled unconstitutional by the state Supreme Court. The laws in Kansas and Wisconsin have withstood past court challenges. In South Dakota, a cap on total damages was struck down, and in Ohio, the state Supreme Court overturned a previous cap on non-economic damages.

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