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S 45 111th Congress Senate

MCAP Act

Official title: A bill to improve patient access to health care services and provide improved medical care by reducing the excessive burden the liability system places on the health care delivery system.

Introduced: January 6, 2009 See on congress.gov
Law Alternative dispute resolution, mediation, arbitrationCivil actions and liabilityDrug safety, medical device, and laboratory regulationEvidence and witnesses
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Health care costs and insuranceHealth care coverage and accessHealth care qualityHealth personnelHealth technology, devices, suppliesLegal fees and court costsProduct safety and quality
This bill died when the 111th Congress ended
It never became law before the 111th Congress (2009–2010) adjourned, and bills don't carry over to the next Congress. It would have to be reintroduced. You can still save it for reference, but it won't receive updates.
 Everywhere this bill has been 2 steps
Introduced
In committee
Reported out
Passed House
Passed Senate
To President
Became law
Jan 6, 2009
Read twice and referred to the Committee on Health, Education, Labor, and Pensions.
Jan 6, 2009
Introduced in Senate
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 Latest action January 6, 2009

Read twice and referred to the Committee on Health, Education, Labor, and Pensions.

 Plain-English summary Congressional Research Service

Medical Care Access Protection Act of 2009 or the MCAP Act - Sets forth provisions regulating lawsuits for health care liability claims related to the provision of health care services.

Sets a statute of limitations of three years after the date of manifestation of injury or one year after the claimant discovers the injury, with certain exceptions.

Requires a court to impose sanctions for the filing of frivolous lawsuits.

Limits noneconomic damages to $250,000 from the provider or health care institution, but no more than $500,000 from multiple health care institutions. Makes each party liable only for the amount of damages directly proportional to such party's percentage of responsibility.

Allows the court to restrict the payment of attorney contingency fees. Limits the fees to a decreasing percentage based on the increasing value of the amount awarded.

Prescribes qualifications for expert witnesses.

Requires the court to reduce damages received by the amount of collateral source benefits to which a claimant is entitled, unless the payor of such benefits has the right to reimbursement or subrogation under federal or state law.

Authorizes the award of punitive damages only where: (1) it is proven by clear and convincing evidence that a person acted with malicious intent to injure the claimant or deliberately failed to avoid unnecessary injury the claimant was substantially certain to suffer; and (2) compensatory damages are awarded. Limits punitive damages to the greater of two times the amount of economic damages or $250,000.

Prohibits a health care provider from being named as a party in a product liability or class action lawsuit for prescribing or dispensing a Food and Drug Administration (FDA)-approved prescription drug, biological product, or medical device for an approved indication.

Provides for periodic payments of future damage awards.

 Related & companion bills 2
 Bill text 1 version

Source documents hosted by congress.gov.

 Committees of jurisdiction 1
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APA
U.S. Congress. (2026). S. 45: MCAP Act. 111th Congress. Open America. https://openamerica.io/bill/111-S-45/
MLA
"S. 45: MCAP Act." 111th Congress, 2026, Open America, https://openamerica.io/bill/111-S-45/.
Bluebook (legal)
S. 45, 111th Cong. (2026), https://openamerica.io/bill/111-S-45/.
Markdown link
[S. 45: MCAP Act](https://openamerica.io/bill/111-S-45/)
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