Medical negligence settlements
in North Carolina.
North Carolina caps pain and suffering in malpractice cases, and in 2025 its Court of Appeals upheld the cap against a jury trial challenge after a $7.5 million verdict fell to $656,730. Months later the Supreme Court enforced the four year repose limit in a case about a 14 year old’s spine surgery.
Facts that decide a medical negligence claim in North Carolina
| Malpractice cap | Noneconomic damages in malpractice cases are capped. The cap began at $500,000 in 2011, resets every three years with inflation, and was $656,730 in Mohebali v. Hayes. It does not apply when the jury finds a permanent injury caused by gross negligence.N.C.G.S. § 90-21.19, as quoted in Mohebali v. Hayes (N.C. Ct. App. 2025) |
|---|---|
| Statute of repose | “[I]n no event shall an action be commenced more than four years from the last act of the defendant giving rise to the cause of action.”N.C.G.S. § 1-15(c), as quoted in Cottle v. Mankin (N.C. 2025) |
| Cap and the jury right | The cap does not violate the right to a jury trial under the state constitution.Mohebali v. Hayes (N.C. Ct. App. 2025) |
| Fault rule | Contributory negligence: if your own carelessness helped cause the harm, you recover nothing. The Supreme Court applied the rule again in 2025.Moseley v. Hendricks (N.C. 2025) |