<?xml version='1.0' encoding='utf-8'?>
<section article="gcj" article_name="Courts and Judicial Proceedings" number="3-2A-06D" title_number="3" title_name="Courts of General Jurisdiction -- Jurisdiction/special Causes of Action" subtitle_number="2A" subtitle_name="Health Care Malpractice Claims">
  <level label="a">
    <level label="1">
      <text>This section applies only to an initial complaint filed on or after January 1, 2005, for which a certificate of a qualified expert is required to be filed in accordance with § 3-2A-04 of this subtitle.</text>
    </level>
    <level label="2">
      <text>This section does not apply if the defendant admits liability.</text>
    </level>
  </level>
  <level label="b">
    <level label="1">
      <text>Within 15 days after the date that discovery is required to be completed, a party shall file with the court a supplemental certificate of a qualified expert, for each defendant, that attests to:</text>
      <level label="i">
        <text>The certifying expert’s basis for alleging what is the specific standard of care;</text>
      </level>
      <level label="ii">
        <text>The certifying expert’s qualifications to testify to the specific standard of care;</text>
      </level>
      <level label="iii">
        <text>The specific standard of care;</text>
      </level>
      <level label="iv">
        <text>For the plaintiff:</text>
        <level label="1">
          <text>The specific injury complained of;</text>
        </level>
        <level label="2">
          <text>How the specific standard of care was breached;</text>
        </level>
        <level label="3">
          <text>What specifically the defendant should have done to meet the specific standard of care; and</text>
        </level>
        <level label="4">
          <text>The inference that the breach of the standard of care proximately caused the plaintiff’s injury; and</text>
        </level>
      </level>
      <level label="v">
        <text>For the defendant:</text>
        <level label="1">
          <text>How the defendant complied with the specific standard of care;</text>
        </level>
        <level label="2">
          <text>What the defendant did to meet the specific standard of care; and</text>
        </level>
        <level label="3">
          <text>If applicable, that the breach of the standard of care did not proximately cause the plaintiff’s injury.</text>
        </level>
      </level>
    </level>
    <level label="2">
      <text>An extension of the time allowed for filing a supplemental certificate under this section shall be granted for good cause shown.</text>
    </level>
    <level label="3">
      <text>The facts required to be included in the supplemental certificate of a qualified expert shall be considered necessary to show entitlement to relief sought by a plaintiff or to raise a defense by a defendant.</text>
    </level>
  </level>
  <level label="c">
    <text>Subject to the provisions of this section:</text>
    <level label="1">
      <text>If a plaintiff fails to file a supplemental certificate of a qualified expert for a defendant, on motion of the defendant the court may dismiss, without prejudice, the action as to that defendant; or</text>
    </level>
    <level label="2">
      <text>If the defendant fails to file a supplemental certificate of a qualified expert, on motion of the plaintiff the court may adjudicate in favor of the plaintiff on the issue of liability as to that defendant.</text>
    </level>
  </level>
  <level label="d">
    <level label="1">
      <text>The Maryland Rules apply to filing and serving a copy of a certificate required under this section and in motions relating to a violation of this section.</text>
    </level>
    <level label="2">
      <text>Nothing contained in this section prohibits or limits a party from moving for summary judgment in accordance with the Maryland Rules.</text>
    </level>
  </level>
  <level label="e">
    <text>For purposes of the certification requirements of this section:</text>
    <level label="1">
      <text>A party may not serve as a party’s expert; and</text>
    </level>
    <level label="2">
      <text>The certificate may not be signed by:</text>
      <level label="i">
        <text>A party;</text>
      </level>
      <level label="ii">
        <text>An employee or partner of a party; or</text>
      </level>
      <level label="iii">
        <text>An employee or stockholder of any professional corporation of which the party is a stockholder.</text>
      </level>
    </level>
  </level>
  <level label="f">
    <level label="1">
      <text>The clerk of the court shall forward to the Department of Health and Mental Hygiene copies of the certificates filed under this section.</text>
    </level>
    <level label="2">
      <text>In the case of a complaint against a physician, the Department of Health and Mental Hygiene shall forward to the State Board of Physicians copies of the supplemental certificate of a qualified expert filed under this section.</text>
    </level>
  </level>
</section>
