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BASICS OF MEDICAL MALPRACTICE


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SUMMARY OF PENNSYLVANIA LAW

The following is a summation of statutes that apply to Pennsylvania Medical Malpractice cases. They are meant only as guidelines to understanding the laws that apply to Pennsylvania medical malpractice cases.

Collateral Source Rule

The general rule in Pennsylvania is that victims (plaintiffs) in medical malpractice cases are entitled to receive damages from the defendant—even if they have received compensation from other sources.

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Comparative Negligence

Pennsylvania has a modified doctrine of comparative negligence that maintains that Med Mal claimants cannot receive compensation if their own negligence was deemed greater than the negligence of the defendant(s).

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Contributory Negligence

If the claimant in a case contributes to the negligence that resulted in injury, then the amount of damages that they can receive from the defendants is lowered by the percentage of their own fault.

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Caps on Damages

According to Pennsylvania law, there are no caps on compensatory damages. However, all doctors and hospitals are anyone who is part of the Medical Professional Liability Catastrophe Loss Fund (CAT Fund) which has limited liability.

Individual doctors cannot incur punitive damages greater than double that of the awarded compensatory damages. Punitive damages shall not be less than $100,000 unless a lower verdict for compensatory damages is returned by the trier of fact.

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Damage Immunity

Sovereign immunity (immunity from blame and monetary damages) cannot be used to justify medical errors made by health care employees of the Commonwealth or by a Commonwealth physician or related health care personnel.

The Commonwealth and its employees may, however, claim that either:

  • Their actions were in line with what was required by a specific statute.
  • Their actions were within the bounds granted to them by a specific statute.

The Commonwealth's liability is limited to $250,000 per claimant or $1,000,000 total.

Government immunity from damages for personal injury is available to local agencies and their employees. A local agency is a government unit other than the Commonwealth government. Immunity exceptions exist for local government agencies, although no waivers exist for medical malpractice claims. In those cases where local agencies are not immune, damages cannot exceed $500,000 for each incident.

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Joint and Several Liability

Pennsylvania accepts the concept of joint and several liability (more than one party is liable for damages caused by medical errors). A plaintiff may receive just compensation (as much as the law allows) from several or joint parties who are not specifically barred by law.

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Patient Compensation Funds

The CAT Fund---Medical Professional Liability Catastrophe Loss Fund---provides excess insurance to all health care providers in the state. More recently, Pennsylvania law has required greater levels of insurance by the private medical insurers, as well as lower CAT Fund excess insurance limits. Physicians and hospitals must now have basic insurance coverage to be eligible for excess coverage from the CAT Fund.

Basic insurance carriers are required to provide a defense for their clients, although they may settle with a plaintiff for the limit of the insurance they provide and be released from further obligation. In these cases, the CAT Fund must continue the defense.

Once the CAT Fund has paid its limits, the health care provider may then be liable. Providers who have coverage over and above the CAT Fund limit, can access this once the CAT Fund has paid its limits.

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Periodic Payments

Beginning in 1997, Pennsylvania law grants the court the ability to accept periodic or installment payments, if all parties agree to the terms.


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Pre-Judgment Interest

Pre-judgment interest (or delay damages) can be imposed by courts in cases that involve bodily injury or death. Pre-judgment interest is the prime interest rate plus one percent from the date the defendant was served with process until the verdict is reached or one year from the date of the malpractice. There are several circumstances in which pre-judgment interest does not apply.


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Attorney Fee Cap

The Pennsylvania Supreme Court has held that former law which purported to limit the contingency fee recoverable in a medical malpractice action, is unconstitutional.


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Statute of Limitations

Medical malpractice cases (whether they involve injury or death) must be brought within two years of the incident. However, if the injury isn’t known to the claimant, and this knowledge cannot be reasonably ascertained within the two-year period, the limitation period does not begin until it is reasonable to assume there was knowledge of the injury. This ruling does not exist in cases involving death.

The statute of limitations does not apply while an individual is deemed to be insane, or while they are imprisoned. For underage claimants, they have two years to bring a suit once they reach the age of 18.


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Testimony of Experts

In order to establish the accepted standard of care, Pennsylvania law requires expert testimony. The only time when this is not required is when, "the matter is so simple, and the lack of skill or want of care is so obvious, as to be within the comprehension of non-professional persons."

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Vicarious Liability

Hospitals are not liable for the negligence of independently-contracted physicians. However, if a physician is an independent contractor with respect to a hospital, she may be deemed an agent of the hospital therefore making the hospital liable for her errors. For this to occur, either:

  • the patient must view the hospital as the primary giver of care (as opposed to the physician)
  • the hospital "holds out" the physician as its employee.
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