Three years ago the Illinois State General Assembly passed a law that capped jury awards in medical malpractice lawsuits. The 2005 law capped jury awards for pain and suffering at $500,000 against physicians and $1 million against hospitals. At the time the law was passed Illinois was a hotbed of medical malpractice litigation, the climate for medical malpractice litigation was one of the worst in the United States. This was demonstrated by soaring jury awards for pain and suffering in medical malpractice cases, between 1998 and 2003 pain and suffering damages in Cook County grew by 247%. The impact of soaring damage awards were felt by physicians who were attempting to practice in Illinois and their patients. The cost of liability insurance for physicians in Illinois became financially untenable or was simply unavailable.
For example, an Illinois obstetrician could save between $75,000 to $100,000 per year on insurance if the physician moved their practice to Wisconsin, Indiana or Missouri. What is more, physicians were deterred from performing high-risk procedures, despite the life-saving benefits. The Medical Malpractice Reform Act addressed the problems posed by soaring medical malpractice damage awards by capping jury awards for pain and suffering, and within a year four insurance providers had either entered the Illinois market for the first time or expanded their market share within the state. Insurance premiums fell by up to 30% and patients were able to find physicians to treat them. Despite the measurable improvements to healthcare in Illinois, it came as no surprise when the plaintiff’s lawyers challenged the law nearly as soon as it was passed into law. Their motives for challenging a law that has benefited the health and welfare of the state’s healthcare system are obvious; the law drastically reduced the ability of plaintiff’s attorneys to cash in on medical malpractice suits. The plaintiffs lawyers typically are paid on a contingent fee basis, which allows them to collect anywhere from 30-40% of the amount awarded by a jury.
The case was first heard by a Cook County trial court last year, and the trial court invalidated the caps put in place by the Illinois legislature. The case progressed to the Illinois Supreme Court and has just recently been heard. The plaintiff’s attorneys argued that the law capping damages violates the separation-of-powers principles because it strips judges of the ability to police excessive verdicts (the irony of this position is self evident). The legislature has not removed this authority from a judge, it has done what it is entitled to do, limiting remedies is within the powers granted to the Illinois state legislature. What Illinois lawmakers have done is hardly novel, 35 other states have passed similar laws reforming pain and suffering awards. Despite the overwhelming national recognition that limiting these awards is in the best interests of the entire healthcare system there is a risk that the Illinois Supreme Court will once again invalidate the Illinois legislature’s passage of medical malpractice liability reform. In 1976 and again in 1997 the legislature passed similar legislation capping damages only to have the Supreme Court invalidate it for being overly broad. Since the 2005 law took painstaking care to draft a law that addressed only non economic damages, i.e. pain and suffering damages, one can only hope that the third time will be the charm for the Illinois legislatures’ attempt to protect the health and welfare of Illinois citizens by allowing the state to continue to attract top healthcare providers.
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