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 -1-