How does the Medical Injury Compensation Reform Act (MICRA) cap damages in a California medical malpractice case?
The Medical Injury Compensation Reform Act (MICRA) limits the amount of money you can recover for non-economic damages, such as pain and suffering, in a California medical malpractice lawsuit. The law does not limit your recovery for economic damages like medical bills or lost wages.
Here is how MICRA impacts your case:
Step 1: Separate Your Damages into Two Categories
You must first distinguish between your economic and non-economic damages. Economic damages are specific, calculable financial losses like medical bills, lost past and future wages, and rehabilitation costs. Non-economic damages are subjective, non-financial losses like pain, suffering, emotional distress, and loss of enjoyment of life.
Step 2: Calculate Your Full Economic Damages
Gather all documents proving your financial losses. This includes all hospital and doctor bills, receipts for medication, and pay stubs showing lost income. These damages are not capped by MICRA, so you can recover the full amount proven in court.
Step 3: Determine the Applicable Cap for Non-Economic Damages
As of January 1, 2023, the MICRA cap on non-economic damages was updated. For a non-fatal injury, the cap is $350,000. For a wrongful death case, the cap is $500,000. These amounts increase annually until they reach $750,000 and $1,000,000, respectively. Your attorney will determine the exact cap that applies to your case based on the year it is resolved.
Step 4: Understand How Attorney's Fees Are Capped
MICRA also limits how much your attorney can charge on a contingency fee basis. The law sets a sliding scale, limiting fees to a percentage of the amount recovered. This ensures a larger portion of your settlement or award goes to you.
Important considerations: The cap on non-economic damages applies to each defendant healthcare provider. This means if you sue multiple responsible parties (e.g., a doctor and a hospital), you may be able to recover up to the capped amount from each one, subject to certain limitations. Additionally, MICRA allows the defense to introduce evidence that your medical bills were paid by a "collateral source," like your health insurance, which can reduce the amount a jury awards for medical costs.
Note: MICRA rules are complex and were significantly changed by new legislation (AB 35). The application of the caps, especially in cases involving multiple defendants, requires a detailed legal analysis.
This is general information and does not constitute legal advice. For complex situations, consult with a qualified California attorney who specializes in medical malpractice.
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This information is for general guidance only and should not be considered as legal advice. Please consult with a qualified attorney for specific legal matters.
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Updated: August 14, 2025
Personal Injury
Accident claims, medical malpractice, and compensation rights
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