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                              PRIOR PASSAGE - NONE
                                                      PRINTER'S NO. 1793

THE GENERAL ASSEMBLY OF PENNSYLVANIA


HOUSE BILL

No. 1446 Session of 2003


        INTRODUCED BY TURZAI, MAY 12, 2003

        REFERRED TO COMMITTEE ON RULES, MAY 12, 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.
    17     This diminished market has placed severe restrictions on the
    18  physician's ability to secure, afford and maintain reasonable

     1  liability insurance.
     2     In the absence of affordable insurance coverage, many
     3  physicians are in the untenable position of being forced to
     4  reduce services, move to other states or leave the medical
     5  profession altogether.
     6     The departure of our Commonwealth's physicians, combined with
     7  costly insurance premiums, has resulted in the reduction of
     8  other essential hospital services.
     9     The ultimate result of this reduction in services is
    10  restricted access to health care for the citizens of this
    11  Commonwealth.
    12     This Commonwealth is clearly in the midst of an escalating
    13  liability emergency.
    14     This Commonwealth has long been recognized as a leader in
    15  medical research and medical services, supporting some of the
    16  best medical institutions in the world.
    17     It is imperative that the citizens of this Commonwealth
    18  continue to have access to the best physicians, the safest
    19  medical institutions and a fair and just legal system.
    20     Access to quality health care must not come at the expense of
    21  those injured by the willful or wanton actions of practitioners.
    22     The Commonwealth must balance the right of its citizens to
    23  quality health care against the rights of professionals who
    24  cause injury to its citizens.
    25     The General Assembly desires to alleviate the medical
    26  emergency that has evolved from unreasonable jury awards,
    27  unaffordable insurance premiums and reduced reimbursements, but
    28  is limited in its efforts by rigid restrictions in the
    29  Constitution of Pennsylvania.
    30     The safety and welfare of this Commonwealth requires prompt
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     1  amendment to the Constitution of Pennsylvania.
     2     The following amendment to the Constitution of Pennsylvania
     3  is proposed in accordance with section 1(a) and (b) of Article
     4  XI:
     5     That section 18 of Article III be amended to read:
     6  § 18.  Compensation laws allowed to General Assembly.
     7     (a)  The General Assembly may enact laws requiring the
     8  payment by employers, or employers and employees jointly, of
     9  reasonable compensation for injuries to employees arising in the
    10  course of their employment, and for occupational diseases of
    11  employees, whether or not such injuries or diseases result in
    12  death, and regardless of fault of employer or employee, and
    13  fixing the basis of ascertainment of such compensation and the
    14  maximum and minimum limits thereof, and providing special or
    15  general remedies for the collection thereof[; but in no other
    16  cases shall]. Except as otherwise provided for in this section,
    17  the General Assembly shall not limit the amount to be recovered
    18  for injuries resulting in death, or for injuries to persons or
    19  property, and in case of death from such injuries, the right of
    20  action shall survive, and the General Assembly shall prescribe
    21  for whose benefit such actions shall be prosecuted. No act shall
    22  prescribe any limitations of time within which suits may be
    23  brought against corporations for injuries to persons or
    24  property, or for other causes different from those fixed by
    25  general laws regulating actions against natural persons, and
    26  such acts now existing are avoided.
    27     (b)  Subject to the provisions of subsection (c), the General
    28  Assembly may enact laws limiting the amount of recovery for
    29  noneconomic and punitive damages in any medical professional
    30  liability action.
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     1     (c)  The provisions of subsection (b) shall not apply to
     2  noneconomic and punitive damages in any medical professional
     3  liability action if the act or omission amounts to willful or
     4  wanton misconduct.
     5     Section 2.  This proposed amendment shall be submitted by the
     6  Secretary of the Commonwealth to the qualified electors of the
     7  State at the general primary election to be held on April 27,
     8  2004, after the advertising requirements of section 1(a) of
     9  Article XI of the Constitution of Pennsylvania have been
    10  satisfied.














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