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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