Florida Senate - 2025                          SENATOR AMENDMENT
       Bill No. SB 734
       
       
       
       
       
       
                                Ì9610481Î961048                         
       
                              LEGISLATIVE ACTION                        
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       Senator Harrell moved the following:
       
    1         Senate Amendment (with title amendment)
    2  
    3         Before line 17
    4  insert:
    5         Section 1. Section 766.118, Florida Statutes, is amended to
    6  read:
    7         766.118 Determination of noneconomic damages.—
    8         (1) DEFINITIONS.—As used in this section, the term:
    9         (a) “Catastrophic injury” means a permanent impairment
   10  constituted by:
   11         1. Spinal cord injury involving severe paralysis of an arm,
   12  a leg, or the trunk;
   13         2. Amputation of an arm, a hand, a foot, or a leg involving
   14  the effective loss of use of that appendage;
   15         3. Severe brain or closed-head injury as evidenced by:
   16         a. Severe sensory or motor disturbances;
   17         b. Severe communication disturbances;
   18         c. Severe complex integrated disturbances of cerebral
   19  function;
   20         d. Severe episodic neurological disorders; or
   21         e. Other severe brain and closed-head injury conditions at
   22  least as severe in nature as any condition provided in sub
   23  subparagraphs a.-d.;
   24         4. Second-degree or third-degree burns of 25 percent or
   25  more of the total body surface or third-degree burns of 5
   26  percent or more to the face and hands;
   27         5. Blindness, defined as a complete and total loss of
   28  vision; or
   29         6. Loss of reproductive organs which results in an
   30  inability to procreate.
   31         (b) “Noneconomic damages” means noneconomic damages as
   32  defined in s. 766.202(8).
   33         (b)(c) “Practitioner” means any person licensed under
   34  chapter 458, chapter 459, chapter 460, chapter 461, chapter 462,
   35  chapter 463, chapter 466, chapter 467, chapter 486, or s.
   36  464.012 or registered under s. 464.0123. “Practitioner” also
   37  means any association, corporation, firm, partnership, or other
   38  business entity under which such practitioner practices or any
   39  employee of such practitioner or entity acting in the scope of
   40  his or her employment. For the purpose of determining the
   41  limitations on noneconomic damages set forth in this section,
   42  the term “practitioner” includes any person or entity for whom a
   43  practitioner is vicariously liable and any person or entity
   44  whose liability is based solely on such person or entity being
   45  vicariously liable for the actions of a practitioner.
   46         (2) LIMITATION ON NONECONOMIC DAMAGES FOR NEGLIGENCE OF A
   47  PRACTITIONER PRACTITIONERS.—
   48         (a) With respect to a cause of action for personal injury
   49  or wrongful death arising from medical negligence of a
   50  practitioner practitioners, regardless of the number of such
   51  practitioner defendants, noneconomic damages may shall not
   52  exceed $500,000 per claimant. No practitioner shall be liable
   53  for more than $500,000 in noneconomic damages, regardless of the
   54  number of practitioners who are liable for a claimant’s damages
   55  claimants.
   56         (b) Notwithstanding paragraph (a), if the negligence
   57  resulted in a permanent vegetative state or death, the total
   58  noneconomic damages recoverable from all practitioners,
   59  regardless of the number of claimants, under this paragraph
   60  shall not exceed $1 million. In cases that do not involve death
   61  or permanent vegetative state, the patient injured by medical
   62  negligence may recover noneconomic damages not to exceed $1
   63  million if:
   64         1. The trial court determines that a manifest injustice
   65  would occur unless increased noneconomic damages are awarded,
   66  based on a finding that because of the special circumstances of
   67  the case, the noneconomic harm sustained by the injured patient
   68  was particularly severe; and
   69         2. The trier of fact determines that the defendant’s
   70  negligence caused a catastrophic injury to the patient.
   71         (c) The total noneconomic damages recoverable by all
   72  claimants from all practitioner defendants under this subsection
   73  shall not exceed $1 million in the aggregate.
   74         (3) LIMITATION ON NONECONOMIC DAMAGES FOR NEGLIGENCE OF A
   75  NONPRACTITIONER DEFENDANTS.—
   76         (a) With respect to a cause of action for personal injury
   77  or wrongful death arising from medical negligence of a
   78  nonpractitioner nonpractitioners, regardless of the number of
   79  such nonpractitioner defendants, noneconomic damages may shall
   80  not exceed $750,000 per claimant, regardless of the number of
   81  nonpractitioners who are liable for a claimant’s damages.
   82         (b) Notwithstanding paragraph (a), if the negligence
   83  resulted in a permanent vegetative state or death, the total
   84  noneconomic damages recoverable by such claimant from all
   85  nonpractitioner defendants under this paragraph shall not exceed
   86  $1.5 million. The patient injured by medical negligence of a
   87  nonpractitioner defendant may recover noneconomic damages not to
   88  exceed $1.5 million if:
   89         1. The trial court determines that a manifest injustice
   90  would occur unless increased noneconomic damages are awarded,
   91  based on a finding that because of the special circumstances of
   92  the case, the noneconomic harm sustained by the injured patient
   93  was particularly severe; and
   94         2. The trier of fact determines that the defendant’s
   95  negligence caused a catastrophic injury to the patient.
   96         (c)A nonpractitioner is defendants are subject to the cap
   97  on noneconomic damages provided in this subsection regardless of
   98  the theory of liability, including vicarious liability.
   99         (d) The total noneconomic damages recoverable by all
  100  claimants from all nonpractitioner defendants under this
  101  subsection shall not exceed $1.5 million in the aggregate.
  102         (4) LIMITATION ON NONECONOMIC DAMAGES FOR NEGLIGENCE OF A
  103  PRACTITIONER PRACTITIONERS PROVIDING EMERGENCY SERVICES AND
  104  CARE.—Notwithstanding subsections (2) and (3), with respect to a
  105  cause of action for personal injury or wrongful death arising
  106  from medical negligence of a practitioner who provided
  107  practitioners providing emergency services and care, as defined
  108  in s. 395.002(9), or provided providing services as provided in
  109  s. 401.265, or provided providing services pursuant to
  110  obligations imposed by 42 U.S.C. s. 1395dd to a person persons
  111  with whom the practitioner did does not have a then-existing
  112  health care patient-practitioner relationship for that medical
  113  condition:
  114         (a) Regardless of the number of such practitioner
  115  defendants, noneconomic damages may shall not exceed $150,000
  116  per claimant, regardless of the number of practitioners who are
  117  liable for a claimant’s damages.
  118         (b) Notwithstanding paragraph (a), the total noneconomic
  119  damages recoverable by all claimants from all such practitioners
  120  shall not exceed $300,000. The limitation provided by this
  121  subsection applies only to noneconomic damages awarded as a
  122  result of any act or omission of providing medical care or
  123  treatment, including diagnosis that occurs before prior to the
  124  time the patient is stabilized and is capable of receiving
  125  medical treatment as a nonemergency patient, unless surgery is
  126  required as a result of the emergency within a reasonable time
  127  after the patient is stabilized, in which case the limitation
  128  provided by this subsection applies to any act or omission of
  129  providing medical care or treatment which occurs before prior to
  130  the stabilization of the patient following the surgery.
  131         (5) LIMITATION ON NONECONOMIC DAMAGES FOR NEGLIGENCE OF A
  132  NONPRACTITIONER DEFENDANTS PROVIDING EMERGENCY SERVICES AND
  133  CARE.—Notwithstanding subsections (2) and (3), with respect to a
  134  cause of action for personal injury or wrongful death arising
  135  from medical negligence of a nonpractitioner defendants other
  136  than a practitioner who provided practitioners providing
  137  emergency services and care pursuant to obligations imposed by
  138  s. 395.1041 or s. 401.45, or obligations imposed by 42 U.S.C. s.
  139  1395dd to a person persons with whom the practitioner did does
  140  not have a then-existing health care patient-practitioner
  141  relationship for that medical condition:
  142         (a) Regardless of the number of such nonpractitioner
  143  defendants, Noneconomic damages may shall not exceed $750,000
  144  per claimant, regardless of the number of nonpractitioners who
  145  are liable for a claimant’s damages.
  146         (b) Notwithstanding paragraph (a), the total noneconomic
  147  damages recoverable by all claimants from all such
  148  nonpractitioner defendants shall not exceed $1.5 million.
  149         (c)A nonpractitioner defendants may receive a full setoff
  150  for payments made by a practitioner defendants.
  151  
  152  The limitation provided by this subsection applies only to
  153  noneconomic damages awarded as a result of any act or omission
  154  of providing medical care or treatment, including a diagnosis
  155  that occurs before prior to the time the patient is stabilized
  156  and is capable of receiving medical treatment as a nonemergency
  157  patient, unless surgery is required as a result of the emergency
  158  within a reasonable time after the patient is stabilized, in
  159  which case the limitation provided by this subsection applies to
  160  any act or omission of providing medical care or treatment which
  161  occurs before prior to the stabilization of the patient
  162  following the surgery.
  163         (6) LIMITATION ON NONECONOMIC DAMAGES FOR NEGLIGENCE OF A
  164  PRACTITIONER PROVIDING SERVICES AND CARE TO A MEDICAID
  165  RECIPIENT.—Notwithstanding subsections (2), (3), and (5), with
  166  respect to a cause of action for personal injury or wrongful
  167  death arising from medical negligence of a practitioner
  168  committed in the course of providing medical services and
  169  medical care to a Medicaid recipient, regardless of the number
  170  of such practitioner defendants providing the services and care,
  171  noneconomic damages may not exceed $300,000 per claimant,
  172  regardless of the number of practitioners who are liable for a
  173  claimant’s damages, unless the claimant pleads and proves, by
  174  clear and convincing evidence, that the practitioner acted in a
  175  wrongful manner. A practitioner providing medical services and
  176  medical care to a Medicaid recipient is not liable for more than
  177  $200,000 in noneconomic damages, regardless of the number of
  178  claimants, unless the claimant pleads and proves, by clear and
  179  convincing evidence, that the practitioner acted in a wrongful
  180  manner. The fact that a claimant proves that a practitioner
  181  acted in a wrongful manner does not preclude the application of
  182  the limitation on noneconomic damages prescribed elsewhere in
  183  this section. For purposes of this subsection:
  184         (a) The terms “medical services,” “medical care,” and
  185  “Medicaid recipient” have the same meaning as provided in s.
  186  409.901.
  187         (b) The term “practitioner,” in addition to the meaning
  188  prescribed in subsection (1), includes any hospital or
  189  ambulatory surgical center as defined and licensed under chapter
  190  395.
  191         (c) The term “wrongful manner” means in bad faith or with
  192  malicious purpose or in a manner exhibiting wanton and willful
  193  disregard of human rights, safety, or property, and shall be
  194  construed in conformity with the standard set forth in s.
  195  768.28(9)(a).
  196         (7) SETOFF.—In any case in which the jury verdict for
  197  noneconomic damages exceeds the limits established by this
  198  section, the trial court shall reduce the award for noneconomic
  199  damages within the same category of defendants in accordance
  200  with this section after making any reduction for comparative
  201  fault as required by s. 768.81 but before application of a
  202  setoff in accordance with ss. 46.015 and 768.041. In the event
  203  of a prior settlement or settlements involving one or more
  204  defendants subject to the limitations of the same subsection
  205  applicable to a defendant remaining at trial, the court shall
  206  make such reductions within the same category of defendants as
  207  are necessary to ensure that the total amount of noneconomic
  208  damages recovered by the claimant do does not exceed the
  209  aggregate limit established by the applicable subsection. This
  210  subsection is not intended to change current law relating to the
  211  setoff of economic damages.
  212         (8) ACTIONS GOVERNED BY SOVEREIGN IMMUNITY LAW.—This
  213  section does shall not apply to actions governed by s. 768.28.
  214  
  215  ================= T I T L E  A M E N D M E N T ================
  216  And the title is amended as follows:
  217         Delete lines 2 - 3
  218  and insert:
  219         An act relating to claims for medical negligence;
  220         amending s. 766.118, F.S.; deleting the definition of
  221         the term “catastrophic injury”; revising the limits on
  222         noneconomic damages for personal injury or wrongful
  223         death arising from medical negligence; making
  224         technical changes; amending s. 768.21, F.S.; deleting
  225         a