House Amendment 8325
PAG LIN
1 1 Amend House File 2716 as follows:
1 2 #1. Page 1, by inserting before line 1 the
1 3 following:
1 4 <Section 1. Section 147.139, Code 2005, is amended
1 5 to read as follows:
1 6 147.139 EXPERT WITNESS STANDARDS.
1 7 If the standard of care given by a physician and or
1 8 surgeon licensed pursuant to chapter 148, or
1 9 osteopathic physician and or surgeon licensed pursuant
1 10 to chapter 150A, or a dentist licensed pursuant to
1 11 chapter 153, is at issue, the court shall only allow a
1 12 person to qualify as an expert witness and to testify
1 13 on the issue of the appropriate standard of care if
1 14 the person's medical or dental qualifications relate
1 15 directly to the medical problem or problems at issue
1 16 and the type of treatment administered in the case,
1 17 breach of the standard of care, or proximate cause if
1 18 all of the following qualifications are established:
1 19 1. The expert is licensed to practice medicine,
1 20 osteopathic medicine, or dentistry and in the three
1 21 years preceding the allegedly negligent act, engaged
1 22 in the active practice of medicine, osteopathic
1 23 medicine, or dentistry, or was a qualified instructor
1 24 at an accredited university of medicine and surgery,
1 25 osteopathic medicine and surgery, or dentistry.
1 26 2. The expert practices in the same or
1 27 substantially similar specialty as the defendant.
1 28 3. If the defendant is board certified in a
1 29 specialty, the expert is also certified in that
1 30 specialty by a board recognized by the American board
1 31 of medical specialties and is licensed and in good
1 32 standing in each state of licensure, and has not had
1 33 the expert's license revoked or suspended in the past
1 34 five years.
1 35 Sec. 2. NEW SECTION. 147.140 EVIDENCE OF REGRET
1 36 OR APOLOGY.
1 37 In any civil action for personal injury or wrongful
1 38 death or in any arbitration proceeding relating to
1 39 such a civil action against any physician or surgeon
1 40 licensed pursuant to chapter 148, osteopathic
1 41 physician or surgeon licensed pursuant to chapter
1 42 150A, or dentist licensed pursuant to chapter 153,
1 43 based upon the alleged negligence of the licensee in
1 44 the practice of that profession or occupation, any
1 45 statement, affirmation, gesture, or conduct expressing
1 46 apology, sympathy, commiseration, condolence,
1 47 compassion, or a general sense of benevolence that was
1 48 made by a physician and surgeon, osteopathic physician
1 49 and surgeon, or dentist to the patient, relative of
1 50 the patient, or decision maker for the patient that
2 1 relates to the discomfort, pain, suffering, injury, or
2 2 death of the patient as a result of an unanticipated
2 3 outcome of medical care is inadmissible as evidence of
2 4 an admission of liability or as evidence of an
2 5 admission against interest.>
2 6 #2. Page 1, by striking line 1 and inserting the
2 7 following:
2 8 <Sec. 3. NEW SECTION. 147.141 CONFIDENTIALITY
2 9 OF>.
2 10 #3. Page 1, by striking line 19 and inserting the
2 11 following:
2 12 <Sec. 4. NEW SECTION. 147.142 INITIAL DISCLOSURE
2 13 OF>.
2 14 #4. By striking page 2, line 31, through page 4,
2 15 line 6, and inserting the following:
2 16 <Sec. . NEW SECTION. 147.143 NOTICE OF CLAIM
2 17 AND CERTIFICATE OF MERIT REQUIREMENT.
2 18 1. At least thirty days prior to filing a civil
2 19 action for personal injury or wrongful death against a
2 20 licensed health care provider, based upon the alleged
2 21 negligence of the licensed health care provider in the
2 22 practice of that profession, a plaintiff shall serve
2 23 by certified mail, return receipt requested, a notice
2 24 of claim upon the licensed health care provider. The
2 25 notice of claim shall include a statement of the
2 26 theory of liability upon which the cause of action is
2 27 based and include a list of all persons to whom
2 28 notices have been sent, together with a certificate of
2 29 merit, if necessary, as specified in subsection 2.
2 30 2. a. The certificate of merit shall be signed
2 31 under oath by an expert who, in the three years
2 32 preceding the allegedly negligent act, either
2 33 practiced or instructed in the same or substantially
2 34 similar field of medicine as the defendant.
2 35 b. The certificate of merit shall contain
2 36 information relating to all of the following:
2 37 (1) The expert's familiarity with the applicable
2 38 standard of care.
2 39 (2) The expert's qualifications.
2 40 (3) The expert's statement that the appropriate
2 41 standard of care was breached by the health care
2 42 provider named in the complaint.
2 43 (4) The expert's statement of the actions that the
2 44 health care provider should have taken or failed to
2 45 take to have complied with the standard of care.
2 46 (5) A statement of the manner in which the breach
2 47 of the standard of care was the cause of the injury
2 48 alleged in the complaint.
2 49 c. A separate certificate of merit shall be
2 50 completed for each defendant named in the notice of
3 1 claim.
3 2 d. If a plaintiff or plaintiff's counsel asserts
3 3 in good faith that the plaintiff has insufficient time
3 4 to obtain a certificate of merit prior to the
3 5 expiration of the period of limitation in subsection
3 6 1, the plaintiff shall provide notice of intent to
3 7 provide a certificate of merit to the defendant within
3 8 sixty days of the date the defendant receives the
3 9 notice of the claim.
3 10 3. Notwithstanding subsection 2, if a plaintiff
3 11 believes that a certificate of merit is not necessary
3 12 because the plaintiff's cause of action against a
3 13 health care provider is based upon a well=established
3 14 legal theory of liability which does not require
3 15 expert testimony supporting a breach of the applicable
3 16 standard of care, the plaintiff shall file a statement
3 17 setting forth the basis for the alleged liability of
3 18 the health care provider in lieu of the certificate of
3 19 merit.
3 20 4. Except as otherwise provided in this section,
3 21 the applicable statute of limitations in a civil cause
3 22 of action against a health care provider upon whom a
3 23 notice of claim is served pursuant to this section
3 24 shall be tolled from the date the notice of claim is
3 25 mailed.
3 26 5. If the plaintiff fails to provide a notice of
3 27 claim and a certificate of merit, or a statement of
3 28 the legal theory upon which the claim is based, the
3 29 claim shall be dismissed with prejudice.
3 30 6. For purposes of this section, "health care
3 31 provider" means a physician or surgeon, osteopath,
3 32 osteopathic physician or surgeon, dentist, podiatric
3 33 physician, optometrist, pharmacist, chiropractor, or
3 34 nurse licensed in this state, a hospital licensed
3 35 pursuant to chapter 135B, or a health care facility
3 36 licensed pursuant to chapter 135C.>
3 37 #5. Page 5, by striking lines 5 through 21.
3 38 #6. By renumbering as necessary.
3 39
3 40
3 41
3 42 UPMEYER of Hancock
3 43 HF 2716.502 81
3 44 rh/je/1389
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