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• W76558889 abstract "In the spring of 1977, the Texas Legislature passed the Medical Liability and Insurance Improvement Act (MLIIA), which was codified as Article 45901 of the Texas Revised Civil Statutes (Article 45901).1 The Legislature passed Article 45901 in response to what a majority of the legislators perceived to be a crisis in medical malpractice insurance.2 The changes brought about by Article 45901 have not been as far-reaching or as sweeping as its proponents contemplated.3 But the statute is the starting point in understanding Texas tort claims involving and other care providers.4 The language of Article 45901 has perhaps raised as many new legal issues as it sought to resolve. The statute presents a classic illustration of our common law system at work: a legislative enactment that only partially survived an early constitutional attack and emerged with continuing judicial refinement that is still ongoing after almost a quarter of a century. The case law construing Article 45901 is vast. Since January 1, 1990, the Texas Supreme Court alone has addressed significant Article 45901 issues in no less than thirty-one opinions. This intense judicial output has produced eighty-six pages of annotations explaining the statute.5 Thus, counsel on both sides of the bar continue to vigorously hammer out the scope and effect of Article 45901. The only major opinion of the Texas Supreme Court in 2000 addressing Article 45901 drew fifteen amici curiae briefs-eight in support of the nursing home Appellant and seven in support of the patient Appellee.6 This Article first highlights certain significant substantive and procedural requirements of Article 45901. It then explores the judicial response to attempts to assert claims Article 45901 against and other health care providers. The Article then concludes that, although the Texas Supreme Court has recognized exceptional circumstances when physician or health care provider misconduct exceeds the intended scope of Article 45901, by and large the court has rejected efforts by plaintiffs' to circumvent the restrictions of the statute by alleging causes that fall outside the scope of Article 45901. 1. Provisions of Article 45901 The substantive and procedural requirements and prohibitions of Article 45901 have prompted many attempts to assert health care claims against physicians and care providers under other laws outside of Article 4590i.7 Article 45901 introduced several novel and dramatic procedural requirements, such as pre-suit notification,8 a statute of limitations eliminating the rule,9 and deadlines regarding the production of expert reports early in the litigation process. 10 The statute also includes other more substantive provisions: for example, a damage cap11 and a prohibition barring use of the Texas Deceptive Trade Practices-Consumer Protection Act (DTPA) with respect to negligence claims against or health care providers.12 This Section will explain the major provisions of Article 45901. Limitations. For most tort claims in Texas, the statute of limitations begins to run when the plaintiff knows, or in the exercise of reasonable diligence should know, sufficient underlying facts to realize that a cause of action exists.13 This so-called discovery applies to most statutes of limitation in Texas.14 However, a fundamental goal of Article 45901 was to eliminate the rule in claims against medical and health care providers.15 The limitations language in Article 45901 is sweeping. Notwithstanding any other law, Article 45901 imposes a two-year statute of limitations that begins to run from the earliest of three trigger dates: (1) the date the breach or tort occurred; (2) the date the treatment that is the subject of the claim is completed; or (3) the date the hospitalization for which the claim is made is completed.16 Further, section 4.01(c) allows an extension of limitations for an additional seventy-five days upon providing notice of intent to assert a claim under the statute. …" @default.
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• W76558889 date "2001-07-01" @default.
• W76558889 modified "2023-09-23" @default.
• W76558889 title "Analysis of Recent Attempts to Assert Medical Negligence Claims Outside Texas's Article 4590i" @default.
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