House Amendment 8324


PAG LIN




     1  1    Amend House File 2716 as follows:
     1  2 #1.  By striking everything after the enacting
     1  3 clause and inserting the following:
     1  4    <Section 1.  NEW SECTION.  147.140  EVIDENCE OF
     1  5 REGRET OR APOLOGY.
     1  6    In any civil action for personal injury or wrongful
     1  7 death or in any arbitration proceeding relating to
     1  8 such a civil action against any physician or surgeon
     1  9 licensed pursuant to chapter 148, osteopathic
     1 10 physician or surgeon licensed pursuant to chapter
     1 11 150A, or dentist licensed pursuant to chapter 153,
     1 12 based upon the alleged negligence of the licensee in
     1 13 the practice of that profession or occupation, any
     1 14 statement, affirmation, gesture, or conduct expressing
     1 15 apology, sympathy, commiseration, condolence,
     1 16 compassion, or a general sense of benevolence that was
     1 17 made by a physician and surgeon, osteopathic physician
     1 18 and surgeon, or dentist to the patient, relative of
     1 19 the patient, or decision maker for the patient that
     1 20 relates to the discomfort, pain, suffering, injury, or
     1 21 death of the patient as a result of an unanticipated
     1 22 outcome of medical care is inadmissible as evidence of
     1 23 an admission of liability or as evidence of an
     1 24 admission against interest.
     1 25    Sec. 2.  NEW SECTION.  147.141  NOTICE OF CLAIM AND
     1 26 CERTIFICATE OF MERIT REQUIREMENT.
     1 27    1.  At least thirty days prior to filing a civil
     1 28 action for personal injury or wrongful death against a
     1 29 licensed health care provider, based upon the alleged
     1 30 negligence of the licensed health care provider in the
     1 31 practice of that profession, a plaintiff shall serve
     1 32 by certified mail, return receipt requested, a notice
     1 33 of claim upon the licensed health care provider.  The
     1 34 notice of claim shall include a statement of the
     1 35 theory of liability upon which the cause of action is
     1 36 based and include a list of all persons to whom
     1 37 notices have been sent, together with a certificate of
     1 38 merit, if necessary, as specified in subsection 2.
     1 39    2.  a.  The certificate of merit shall be signed
     1 40 under oath by an expert who meets the expert witness
     1 41 standards in section 147.139.
     1 42    b.  The certificate of merit shall contain
     1 43 information relating to all of the following:
     1 44    (1)  The expert's familiarity with the applicable
     1 45 standard of care.
     1 46    (2)  The expert's qualifications.
     1 47    (3)  The expert's statement that the appropriate
     1 48 standard of care was breached by the health care
     1 49 provider named in the complaint.
     1 50    (4)  The expert's statement of the actions that the
     2  1 health care provider should have taken or failed to
     2  2 take to have complied with the standard of care.
     2  3    (5)  A statement of the manner in which the breach
     2  4 of the standard of care was the cause of the injury
     2  5 alleged in the complaint.
     2  6    c.  A separate certificate of merit shall be
     2  7 completed for each defendant named in the notice of
     2  8 claim.
     2  9    d.  If a plaintiff or plaintiff's counsel asserts
     2 10 in good faith that the plaintiff has insufficient time
     2 11 to obtain a certificate of merit prior to the
     2 12 expiration of the period of limitation in subsection
     2 13 1, the plaintiff shall provide notice of intent to
     2 14 provide a certificate of merit to the defendant within
     2 15 sixty days of the date the defendant receives the
     2 16 notice of the claim.
     2 17    3.  Notwithstanding subsection 2, if a plaintiff
     2 18 believes that a certificate of merit is not necessary
     2 19 because the plaintiff's cause of action against a
     2 20 health care provider is based upon a well=established
     2 21 legal theory of liability which does not require
     2 22 expert testimony supporting a breach of the applicable
     2 23 standard of care, the plaintiff shall file a
     2 24 declaration setting forth the basis for the alleged
     2 25 liability of the health care provider in lieu of the
     2 26 certificate of merit.
     2 27    4.  Except as otherwise provided in this section,
     2 28 the applicable statute of limitations in a civil cause
     2 29 of action against a health care provider upon whom a
     2 30 notice of claim is served pursuant to this section
     2 31 shall be tolled from the date the notice of claim is
     2 32 mailed.
     2 33    5.  If the plaintiff fails to provide a notice of
     2 34 claim and a certificate of merit, or a declaration of
     2 35 the legal theory upon which the claim is based
     2 36 pursuant to subsection 3, the claim shall be dismissed
     2 37 with prejudice.  A failure to provide a notice of
     2 38 claim and certificate of merit or a declaration of the
     2 39 legal theory upon which the claim is based shall be
     2 40 the only basis for dismissal under this subsection.
     2 41 The insufficiency of such items shall not provide a
     2 42 basis for objection, a bar to expansion of the claim,
     2 43 or a limitation on the scope of discovery.
     2 44    6.  For purposes of this section, "health care
     2 45 provider" means a physician or surgeon, osteopath,
     2 46 osteopathic physician or surgeon, dentist, podiatric
     2 47 physician, optometrist, pharmacist, chiropractor, or
     2 48 nurse licensed in this state, a hospital licensed
     2 49 pursuant to chapter 135B, or a health care facility
     2 50 licensed pursuant to chapter 135C.>
     3  1 #2.  Title page, line 2, by striking the words
     3  2 <evidentiary, reporting,> and inserting the following:
     3  3 <evidentiary>.
     3  4 #3.  By renumbering as necessary.
     3  5
     3  6
     3  7                               
     3  8 UPMEYER of Hancock
     3  9 HF 2716.501 81
     3 10 rh/je/1367

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