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                              PRIOR PASSAGE - NONE
        PRIOR PRINTER'S NO. 1658                      PRINTER'S NO. 1888

THE GENERAL ASSEMBLY OF PENNSYLVANIA


HOUSE BILL

No. 1326 Session of 2003


        INTRODUCED BY TURZAI, ARMSTRONG, BARRAR, BIRMELIN, CAPPELLI,
           CLYMER, COLEMAN, CREIGHTON, FAIRCHILD, FEESE, GODSHALL,
           HUTCHINSON, JAMES, LEH, LEWIS, MAHER, METCALFE, O'NEILL,
           REED, ROSS, RUBLEY, SAYLOR, SCAVELLO, SCHRODER, S. H. SMITH,
           STEIL, E. Z. TAYLOR, TIGUE, WEBER, WILT, YOUNGBLOOD, BOYD AND
           BARD, MAY 6, 2003

        AS REPORTED FROM COMMITTEE ON STATE GOVERNMENT, HOUSE OF
           REPRESENTATIVES, AS AMENDED, JUNE 2, 2003

                               A JOINT RESOLUTION

     1  Proposing an amendment to the Constitution of the Commonwealth
     2     of Pennsylvania, further providing for compensation laws
     3     allowed to General Assembly relating to medical professional
     4     liability actions.

     5     The General Assembly of the Commonwealth of Pennsylvania
     6  hereby resolves as follows:
     7     Section 1.  Access to quality health care is of the utmost
     8  importance to the safety and welfare of our Commonwealth's more
     9  than 12 million citizens.
    10     The health and welfare of our residents is in serious
    11  jeopardy because many physicians faced with excessive medical
    12  malpractice premiums can no longer afford to deliver quality
    13  health care in this Commonwealth.
    14     Several factors, including excessive jury awards, have
    15  facilitated the sudden exodus of many of the medical malpractice
    16  insurance providers in this Commonwealth.

     1     This diminished market has placed severe restrictions on the
     2  physician's ability to secure, afford and maintain reasonable
     3  liability insurance.
     4     In the absence of affordable insurance coverage, many
     5  physicians are in the untenable position of being forced to
     6  reduce services, moving to other states or leaving the medical
     7  profession altogether.
     8     The departure of our Commonwealth's physicians, combined with
     9  costly insurance premiums, has resulted in the reduction of
    10  other essential hospital services.
    11     The ultimate result of this reduction in services is
    12  restricted access to health care for the citizens of this
    13  Commonwealth.
    14     This Commonwealth is clearly in the midst of an escalating
    15  liability emergency.
    16     This Commonwealth has long been recognized as a leader in
    17  medical research and medical services, supporting some of the
    18  best medical institutions in the world.
    19     It is imperative that the citizens of this Commonwealth
    20  continue to have access to the best physicians, the safest
    21  medical institutions and a fair and just legal system.
    22     Access to quality health care must not come at the expense of
    23  those injured by the actions of reckless, willful or wanton       <--
    24  WILLFUL OR WANTON ACTIONS OF practitioners.                       <--
    25     The Commonwealth must balance the right of its citizens to
    26  quality health care against the rights of professionals who
    27  cause injury to its citizens.
    28     The General Assembly desires to alleviate the medical
    29  emergency that has evolved from unreasonable jury awards,
    30  unaffordable insurance premiums and reduced reimbursements, but
    20030H1326B1888                  - 2 -     

     1  is limited in its efforts by rigid restrictions in the
     2  Constitution of Pennsylvania.
     3     The safety and welfare of this Commonwealth requires prompt
     4  amendment to the Constitution of Pennsylvania.
     5     The following amendment to the Constitution of Pennsylvania
     6  is proposed in accordance with section 1(a) and (b) of Article
     7  XI:
     8     That section 18 of Article III be amended to read:
     9  § 18.  Compensation laws allowed to General Assembly.
    10     (a)  The General Assembly may enact laws requiring the
    11  payment by employers, or employers and employees jointly, of
    12  reasonable compensation for injuries to employees arising in the
    13  course of their employment, and for occupational diseases of
    14  employees, whether or not such injuries or diseases result in
    15  death, and regardless of fault of employer or employee, and
    16  fixing the basis of ascertainment of such compensation and the
    17  maximum and minimum limits thereof, and providing special or
    18  general remedies for the collection thereof[; but in no other
    19  cases shall]. Except as otherwise provided for in this section,
    20  the General Assembly shall not limit the amount to be recovered
    21  for injuries resulting in death, or for injuries to persons or
    22  property, and in case of death from such injuries, the right of
    23  action shall survive, and the General Assembly shall prescribe
    24  for whose benefit such actions shall be prosecuted. No act shall
    25  prescribe any limitations of time within which suits may be
    26  brought against corporations for injuries to persons or
    27  property, or for other causes different from those fixed by
    28  general laws regulating actions against natural persons, and
    29  such acts now existing are avoided.
    30     (b)  Subject to the provisions of subsection (c), the General
    20030H1326B1888                  - 3 -     

     1  Assembly may enact laws limiting the amount of recovery for
     2  noneconomic and punitive damages in any medical professional
     3  liability action.
     4     (c)  The provisions of subsection (b) shall not apply to
     5  noneconomic and punitive damages in any medical professional
     6  liability action if the act or omission amounts to willful or
     7  wanton misconduct.
     8     Section 2.  This proposed amendment shall be submitted by the
     9  Secretary of the Commonwealth to the qualified electors of the
    10  State at the municipal election to be held on November 4, 2003,
    11  after the advertising requirements of section 1(a) of Article XI
    12  of the Constitution of Pennsylvania have been satisfied.












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