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Ohio Supreme Court Clarifies Medical Statute of Limitations

Client Alert

This article was originally published in the Stark County Medical Society newsletter.

The Ohio Supreme Court issued a decision in late December that clarifies and finalizes the Ohio law regarding the period of time in which patients can assert claims for medical malpractice. The Court was examining the interplay between three different statutes being the statute of limitations, the statute of repose, and the savings statute.

Most practitioners are familiar with the statute of limitations. The statute of limitations is a specific statute that limits the time period in which a lawsuit can be filed which starts when the injury occurred or is discovered. In essence, it provides a limited period of time in which a claim can be filed, and if not filed in that period, denies the Claimant a chance to even assert a claim as if an event had occurred. In Ohio, the statute of limitations for a medical malpractice action is a one-year period which begins at the later of the termination of the patient-physician relationship or the patient discovers or should have discovered that an injury had occurred.

The second statute is the statute of repose.  Unlike the statute of limitations, which limits the time period in which to assert the claim, the statute of repose is focused on when the physician is relieved of any potential exposure for any conduct that arose prior to the cutoff date. In Ohio, the statute of repose for medical claims is four years. In other words, the claim must be filed within four years after the occurrence or omission of conduct which the Plaintiff claims was wrongful has actually occurred. The difference between the two is the statute of repose is a hard cutoff of claims as opposed to the statute of limitations which is triggered by discovery of the mistake.

The third statute is what is known as the savings statute. Under the savings statute, if a party timely files a claim for example, but that same lawsuit is later dismissed by the Plaintiff other than on the merits, the savings statute permits that Plaintiff refiling the lawsuit within one year effectively treating the renewed lawsuit as having been filed within the initial year even if the date of the refiling is after the end of the one year or four years. 

The issue before the Supreme Court was whether or not a party who had filed a claim within the four-year statute of repose could dismiss and refile the action within a year after the end of the four years, effectively making it a fifth year asserting the savings statute would apply.  

After carefully reviewing the history of prior court decisions and more importantly reviewing other provisions in Ohio law, the Ohio Supreme Court concluded that the statutes are clear that if a claim is not commenced and pursued within the four-year statute of repose, the claim is barred. The Court specifically found that the savings statute would not apply, and a Plaintiff could not file, dismiss and refile the claim. The Court also noted however that even within that interpretation there still remains two specific exemptions that may extend the time for filing. The first exception is if the injured party was a minor where the time periods begin when the minor turns 18, or second, if the patient should happen to be of “unsound mind” as the statute defines which would make that patient not able legally to make a determination for themselves if a claim existed or should have existed. 

The Court pointed out that the reason for the statute of repose was to give medical providers certainty with respect to the time in which a claim can be brought against them and a time after which they would be free from the fear of litigation. Based upon that underlying purpose, the Court concluded that the savings statute does not give the Plaintiff an additional year to refile a case. The Supreme Court further noted that there were other provisions in Ohio law where the state legislature had in fact been clear that the savings statute would be available to a party for the refiling of a claim. For example, other statutory provisions dealing with product liability claims specifically authorized the invocation of the savings statute whereas the claims for medical malpractice do not. The Court concluded that the savings statute does not extend for another year the time period in which a claim can be filed thereby putting a cap at a maximum of four years. The Court goes on to note that even though arguments had been asserted that public policy should permit an extension, the Court concluded that that is a matter to be addressed specifically by the legislature and that the Court itself would not create a new rule or rewrite the law period.

If you have any questions or would like to receive a copy of the Court’s Decision, please contact me, Scott P. Sandrock, at spsandrock@bmdllc.com or (330) 253-4367.


Changes to Medicare’s Physician Fee Schedule and Outpatient Prospective Payment System

Come the beginning of 2022, both the Medicare Physician Fee Schedule (“MPFS”) and Outpatient Prospective Payment System (“OPPS”) will look a little different. As a refresher, the MPFS lists the fees associated with reimbursement of services to providers at certain facilities, taking into account geography and costs. By contrast, OPPS sets reimbursement rates for hospitals and community mental health centers for outpatient services, which are determined in advance. A summary of some of the more pertinent changes to each rule will be outlined below.

CMS to Once Again Reprocess Outpatient Clinic Claims

The Hospital Outpatient Prospective Payment System (OPPS) Rule was passed in November 2018, which was intended to prevent the Centers for Medicare and Medicaid Services (CMS) from paying more for services rendered in outpatient settings than what they paid for the same services rendered in physician offices that are simply owned by hospitals or health systems.[1]

New Vaccine Requirement for Select CMS-Participating Facilities

On November 4, 2021, the Centers for Medicare and Medicaid (“CMS”) released a new rule requiring certain healthcare facilities to implement policies requiring employees to be vaccinated against COVID-19. It does not matter if a staff member does not perform patient treatment services, they must still be vaccinated if an employee of an applicable facility.

OSHA COVID-19 EMERGENCY TEMPORARY STANDARD (ETS) Vaccination, Testing, Recordkeeping, and Reporting

The Occupational Safety and Health Administration has issued its long-awaited COVID-19 Emergency Temporary Standard (ETS). Note that the ETS does not apply to employers covered under the Safer Federal Workforce Task Force COVID-19 Workplace Safety: Guidance for Federal Contractors or Subcontractors (see here), or to settings where employees provide healthcare services subject to OSHA’s ETS for the healthcare industry (see here).

Interesting Trends Revealed in 50-State Medicaid Budget Survey

Results of the KFF annual survey of state Medicaid directors reveal some fascinating trends in Medicaid service delivery and benefit coverage. Read on for a summary of the highlights we find most noteworthy. Background As a preliminary matter, many of the trends KFF identifies and that we highlight below are no doubt a result of the Covid-19 pandemic. The pandemic triggered a public health emergency and economic crisis that resulted in increased Medicaid enrollment, service offerings, and flexibility in service delivery, along with a heightened awareness of disparities in access to care and health outcomes.