COMPARISON OF MAJOR PROVISIONS OF MODEL FEDERAL MEDICAL CRITERIA ASBESTOS BILL AND TEXAS ASBESTOS REFORM Issue Application Model Federal Criteria Bill Federal & state court cases Texas Reform Texas state court cases Reporting Physician Doctor rendering exam report and diagnosis must be a treating physician & have or had doctor/patient relationship Physical examination by the reporting physician is required, but doctor/patient relationship or rendition of treatment is required only for certain provisions NonMust have abnormal pulmonary Must have one of the following: malignancy function (PFT) result and either 1. Abnormal PFT and either impairment - (a) 1/1 x-ray, (b) bilateral pleural (a) 1/1 (1/0 for cases asbestos thickening with blunting of the pending on enactment), (b) costophrenic angle, or (c) bilateral pleural thickening pathological asbestosis [if a person and angle blunting, or (c) has #2 or #3 from the Texas bill, pathological asbestosis he necessarily will have an 2. 2/1 radiology and report abnormal PFT and 1/1 or bilateral must be by treating pleural disease; so they don’t physician and verification of really add anything] restrictive impairment 3. Abnormal PFT, abnormal Specifies a 15 year period since diffusing capacity, and CT initial exposure scan showing bilateral pleural or parenchymal disease from asbestos, with report from a treating physician with doctor/patient relationship Specifies a 10 year period since initial exposure Mesothelioma Requires a diagnosis of mesothelioma based on pathology and examination and report by a treating physician that it was caused by asbestos Does not require a physical exam, but a report verified by a boardcertified physician that the exposed person has mesothelioma that was caused by asbestos Lung Cancer Does not require a physical exam, but with respect to asbestos, requires a report verified by a board-certified physician that the Specifies medical criteria for lung cancer due to asbestos and silica, and requires exam, diagnosis as a primary cancer, and report by a treating physician exposed person has a malignancy that was caused by asbestos. With respect to silica, requires a primary lung cancer and 15 year latency Prohibited Requires that (1) exam and x-rays Requires that exam and x-rays not basis for not be in violation of state law or be in violation of state law or diagnosis regulation, (2) getting exam and x- regulation rays not require retaining lawyer sponsoring the exam Time serving reports for New cases – file with initial New cases - within 30 days of pleading. Pending cases – within service on a defendant. Pending 60 days of enactment cases – within earlier of 180 days of enactment or 60 days prior to trial MDL proceedings Joint Several Does not alter federal practice and All cases filed since July 2003 are does not require for state court in the state asbestos MDL, and cases silica cases are going to silica MDL for all pre-trial proceedings. For unimpaired cases pending when asbestos bill was enacted, all go to the MDL where they will be abated until impairment manifests, or plaintiff may voluntarily dismiss & Several liability only, with Omnibus 2003 reform specifies application of settlement credits joint liability only if a defendant is found more than 50% at fault. Dollar for dollar settlement credit. Punitive damages Does not address them. Omnibus 2003 reform requires clear and convincing evidence, and a unanimous verdict as to liability and quantum for puntives Limitations Action accrues on the earlier of Action accrues on the earlier of when a person (1) is diagnosed filing a complying report or the with impairment or asbestos/silica date of death. malignancy, (2) knew or should have known of facts that would have led a reasonable person to get a diagnosis, or (3) date of death Experts Makes physician experts subject to Does not address this issue. the jurisdiction of state licensing boards of state in which expert is providing testimony Collateral source paymets Deduct collateral source payments Does not address collateral source from the amount of judgment payments. Insurability of Does not address the issue. persons on whose behalf reports are filed Requires that filing of report on a person’s behalf does not affect the person’s insurability.