,,ib  ,union ,cal5d> ,no4 #ca  #aae?    
,,congress  #a/ ,session  ,h4 ,r4 #abae 
,report ,no4 #aae-ee1 ,"p ,i  ,,9 ,,!   
,,h\se ,,( ,,repres5tatives  ,febru>y   
#bd1 #bjag ,mr4 ,k+ ( ,i[a introduc$ !  
foll[+ bill2 :i* 0 ref]r$ to !          
,committee on ! ,judici>y1 & 9 addition 
to ! ,committee on ,en]gy & ,comm]ce1 = 
a p]iod to be subsequ5tly det]m9$ by !  
,speak]1 9 ea* case = consid]ation ( su*
 provisions z fall )9 ! jurisdiction ( !
 committee conc]n$  ,m>* #bb1           
#bjag;,additional sponsors3 ,mr4        
,goodlatte1 ,mr4 ,smi? ( ,texas1 & ,mr4 
,flores  ,m>* #bb1 #bjag ,report$ f !   
,committee on ! ,judici>y ) an am5dm5t  
,/rike out all aft] ! enact+ clause &   
ins]t ! "p pr9t$ 9 italic  ,m>* #bb1    
#bjag,! ,committee on ,en]gy & ,comm]ce 
dis*>g$2 committ$ to ! ,committee ( !   
,:ole ,h\se on ! ,/ate ( ! ,union &     
ord]$ to be printed,for text ( introduc$
 bill1 see copy ( bill z introduc$ on   
,febru>y #bd1 #bjag  ,a ,,bill  ,to     
improve pati5t access to heal? c>e      

s]vices & provide improv$ m$ical c>e by 
r$uc+ ! excessive burd5 ! liability     
sy/em places on ! heal? c>e deliv]y     
sy/em4  #a4 ,%ort title2 table ( cont5ts
  7a7 ,%ort title ,?is ,act may be cit$ 
z ! ,protect+ ,access to ,c>e ,act (    
#bjag4  7b7 ,table ( cont5ts ,! table ( 
cont5ts ( ?is ,act is z foll[s3  ,sec4  
#a4 ,%ort title2 table ( cont5ts4 ,sec4 
#b4 ,enc\rag+ spe$y resolution ( claims4
 ,sec4 #c4 ,comp5sat+ pati5t injury4    
,sec4 #d4 ,maximiz+ pati5t recov]y4     
,sec4 #e4 ,au?orization ( paym5t (      
future damages to claimants 9 heal? c>e 
lawsuits4 ,sec4 #f4 ,product liability =
 heal? c>e provid]s4 ,sec4 #g4          
,def9itions4 ,sec4 #h4 ,effect on o!r   
laws4 ,sec4 #i4 ,rules ( con/ruction4   
,sec4 #aj4 ,effective date4  #b4        
,enc\rag+ spe$y resolution ( claims  7a7
 ,/atute ( limitations ,! "t = !        
comm5cem5t ( a heal? c>e lawsuit %all be
 #c ye>s aft] ! date ( injury or #a ye> 
aft] ! claimant discov]s1 or ?r\gh ! use
 ( reasonable dilig5ce %\ld h discov]$1 

! injury1 :i*ev] occurs fir/4 ,9 no ev5t
 %all ! "t = comm5cem5t ( a heal? c>e   
lawsuit exce$ #c ye>s aft] ! date (     
injury unless toll$ = any ( ! foll[+--  
7#a7 ^u pro( ( fraud2  7#b7 int5tional  
concealm5t2 or  7#c7 ! pres5ce ( a =eign
 body1 :i* has no !rapeutic or diagno/ic
 purpose or effect1 9 ! p]son ( ! injur$
 p]son4  ,actions by a m9or %all be     
comm5c$ )9 #c ye>s f ! date ( ! injury  
except t actions by a m9or "u ! full age
 ( #f ye>s %all be comm5c$ )9 #c ye>s ( 
injury1 or #a ye> aft] ! injury is      
discov]$1 or ?r\gh ! use ( reasonable   
dilig5ce %\ld h be5 discov]$1 or prior  
to ! m9or's #h? bir?day1 :i*ev] provides
 a long] p]iod4 ,su* "t limitation %all 
be toll$ = m9ors = any p]iod dur+ :i* a 
p>5t or gu>dian & a heal? c>e provid] h 
committ$ fraud or collusion 9 ! failure 
to br+ an action on behalf ( ! injur$   
m9or4  7b7 ,/ate flexibility ,no        
provision ( subsection 7a7 %all be      
con/ru$ to preempt any /ate law 7:e!r   
effective be=e1 on1 or aft] ! date ( !  

enactm5t ( ?is ,act7 t--  7#a7 specifies
 a "t p]iod ( less ?an #c ye>s aft] !   
date ( injury or less ?an #a ye> aft] ! 
claimant discov]s1 or ?r\gh ! use (     
reasonable dilig5ce %\ld h discov]$1 !  
injury1 = ! fil+ ( a heal? c>e lawsuit2 
7#b7 t specifies a diff]5t "t p]iod = ! 
fil+ ( lawsuits by a m9or2  7#c7 t      
trigg]s ! "t p]iod bas$ on ! date ( !   
alleg$ neglig5ce2 or  7#d7 e/abli%es a  
/atute ( repose = ! fil+ ( heal? c>e    
lawsuit4  #c4 ,comp5sat+ pati5t injury  
7a7 ,unlimit$ am\nt ( damages = actual  
economic losses 9 heal? c>e lawsuits ,9 
any heal? c>e lawsuit1 no?+ 9 ?is ,act  
%all limit a claimant's recov]y ( ! full
 am\nt ( ! available economic damages1  
not)/&+ ! limitation 9 subsection 7b74  
7b7 ,additional noneconomic damages ,9  
any heal? c>e lawsuit1 ! am\nt (        
noneconomic damages1 if available1 %all 
n exce$ #bej1jjj1 reg>dless ( ! numb] ( 
p>ties aga9/ :om ! action is br\ght or !
 numb] ( sep>ate claims or actions      
br\ght ) respect to ! same injury4  7c7 

,no disc\nt ( aw>d = noneconomic damages
 ,= purposes ( apply+ ! limitation 9    
subsection 7b71 future noneconomic      
damages %all n be disc\nt$ to pres5t    
value4 ,! jury %all n be in=m$ ab\t !   
maximum aw>d = noneconomic damages4 ,an 
aw>d = noneconomic damages 9 excess (   
#bej1jjj %all be r$uc$ ei!r be=e ! entry
 ( judgm5t1 or by am5dm5t ( ! judgm5t   
aft] entry ( judgm5t1 & su* r$uction    
%all be made be=e acc\nt+ = any o!r     
r$uction 9 damages requir$ by law4 ,if  
sep>ate aw>ds are r5d]$ = pa/ & future  
noneconomic damages & ! comb9$ aw>ds    
exce$ #bej1jjj1 ! future noneconomic    
damages %all be r$uc$ fir/4  7d7 ,fair  
%>e rule ,9 any heal? c>e lawsuit1 ea*  
p>ty %all be liable = t p>ty's sev]al   
%>e ( any damages only & n = ! %>e ( any
 o!r p]son4 ,ea* p>ty %all be liable    
only = ! am\nt ( damages allocat$ to su*
 p>ty 9 direct proportion to su* p>ty's 
p]c5tage ( responsibility4 ,:5ev] a     
judgm5t ( liability is r5d]$ z to any   
p>ty1 a sep>ate judgm5t %all be r5d]$   

aga9/ ea* su* p>ty = ! am\nt allocat$ to
 su* p>ty4 ,= purposes ( ?is section1 ! 
tri] ( fact %all det]m9e ! proportion ( 
responsibility ( ea* p>ty = ! claimant's
 h>m4  7e7 ,/ate flexibility ,no        
provision ( ?is section %all be con/ru$ 
to preempt any ,/ate law 7:e!r effective
 be=e1 on1 or aft] ! date ( ! enactm5t (
 ?is ,act7 t specifies a p>ticul>       
monet>y am\nt ( economic or noneconomic 
damages 7or ! total am\nt ( damages7 t  
may be aw>d$ 9 a heal? c>e lawsuit1     
reg>dless ( :e!r su* monet>y am\nt is   
great] or less] ?an is provid$ = "u ?is 
section4  #d4 ,maximiz+ pati5t recov]y  
7a7 ,c\rt sup]vision ( %>e ( damages    
actually paid to claimants ,9 any heal? 
c>e lawsuit1 ! c\rt %all sup]vise !     
arrangem5ts = paym5t ( damages to       
protect aga9/ conflicts ( int]e/ t may h
 ! effect ( r$uc+ ! am\nt ( damages     
aw>d$ t are actually paid to claimants4 
,9 p>ticul>1 9 any heal? c>e lawsuit 9  
:i* ! attorney = a p>ty claims a        
f9ancial /ake 9 ! outcome by virtue ( a 

cont+5t fee1 ! c\rt %all h ! p[] to     
re/rict ! paym5t ( a claimant's damage  
recov]y to su* attorney1 & to r$irect   
su* damages to ! claimant bas$ ^u !     
int]e/s ( ju/ice & pr9ciples ( equity4  
,9 no ev5t %all ! total ( all cont+5t   
fees = repres5t+ all claimants 9 a heal?
 c>e lawsuit exce$ ! foll[+ limits3     
7#a7 ,=ty p]c5t ( ! fir/ #ej1jjj recov]$
 by ! claimant7s74  7#b7 ,?irty-?ree &  
"o-?ird p]c5t ( ! next #ej1jjj recov]$  
by ! claimant7s74  7#c7 ,tw5ty-five     
p]c5t ( ! next #ejj1jjj recov]$ by !    
claimant7s74  7#d7 ,fifte5 p]c5t ( any  
am\nt by :i* ! recov]y by ! claimant7s7 
is 9 excess ( #fjj1jjj4  7b7            
,applicability ,! limitations 9 ?is     
section %all apply :e!r ! recov]y is by 
judgm5t1 settlem5t1 m$iation1           
arbitration1 or any o!r =m ( alt]native 
dispute resolution4 ,9 a heal? c>e      
lawsuit involv+ a m9or or incompet5t    
p]son1 a c\rt reta9s ! au?ority to      
au?orize or approve a fee t is less ?an 
! maximum p]mitt$ "u ?is section4 ,!    

requirem5t = c\rt sup]vision 9 ! fir/   
two s5t5ces ( subsection 7a7 applies    
only 9 civil actions4  7c7 ,/ate        
flexibility ,no provision ( ?is section 
%all be con/ru$ to preempt any ,/ate law
 7:e!r effective be=e1 on1 or aft] !    
date ( ! enactm5t ( ?is ,act7 t         
specifies a less] p]c5tage or less]     
total value ( damages :i* may be claim$ 
by an attorney repres5t+ a claimant 9 a 
heal? c>e lawsuit4  #e4 ,au?orization ( 
paym5t ( future damages to claimants 9  
heal? c>e lawsuits  7a7 ,9 g5]al ,9 any 
heal? c>e lawsuit1 if an aw>d ( future  
damages1 )\t r$uction to pres5t value1  
equal+ or exce$+ #ej1jjj is made aga9/ a
 p>ty ) suffici5t insurance or o!r      
assets to fund a p]iodic paym5t ( su* a 
judgm5t1 ! c\rt %all1 at ! reque/ ( any 
p>ty1 ent] a judgm5t ord]+ t ! future   
damages be paid by p]iodic paym5ts1 9   
accordance ) ! ,uni=m ,p]iodic ,paym5t (
 ,judgm5ts ,act promulgat$ by !         
,national ,conf]5ce ( ,commission]s on  
,uni=m ,/ate ,laws4  7b7 ,applicability 

,?is section applies to all actions :i* 
h n be5 fir/ set = trial or retrial be=e
 ! effective date ( ?is ,act4  7c7 ,/ate
 ,flexibility ,no provision ( ?is       
section %all be con/ru$ to preempt any  
,/ate law 7:e!r effective be=e1 on1 or  
aft] ! date ( ! enactm5t ( ?is ,act7 t  
specifies p]iodic paym5ts = future      
damages at any am\nt o!r ?an #ej1jjj or 
t m&ates su* paym5ts abs5t ! reque/ (   
ei!r p>ty4  #f4 ,product liability =    
heal? c>e provid]s ,a heal? c>e provid] 
:o prescribes1 or :o disp5ses pursuant  
to a prescription1 a m$ical product     
approv$1 lic5s$1 or cle>$ by ! ,food &  
,drug ,adm9i/ration %all n be nam$ z a  
p>ty to a product liability lawsuit     
involv+ su* product & %all n be liable  
to a claimant 9 a class action lawsuit  
aga9/ ! manufactur]1 di/ributor1 or     
sell] ( su* product4  #g4 ,def9itions ,9
 ?is ,act3 7#a7 ,alt]native dispute     
resolution sy/em2 ,,adr ,! t]m          
alt]native dispute resolution sy/em or  
,,adr means a sy/em t provides = !      

resolution ( heal? c>e lawsuits 9 a     
mann] o!r ?an ?r\gh a civil action      
br\ght 9 a ,/ate or ,f$]al c\rt4  7#b7  
,claimant ,! t]m claimant means any     
p]son :o br+s a heal? c>e lawsuit1      
includ+ a p]son :o ass]ts or claims a "r
 to legal or equitable contribution1    
indemnity1 or subrogation1 aris+ out ( a
 heal? c>e liability claim or action1 & 
any p]son on ^: behalf su* a claim is   
ass]t$ or su* an action is br\ght1 :e!r 
deceas$1 incompet5t1 or a m9or4  7#c7   
,collat]al s\rce b5efits ,! t]m         
collat]al s\rce b5efits means any am\nt 
paid or reasonably likely to be paid 9 !
 future to or on behalf ( ! claimant1 or
 any s]vice1 product1 or o!r b5efit     
provid$ or reasonably likely to be      
provid$ 9 ! future to or on behalf ( !  
claimant1 z a result ( ! injury or      
wrongful dea?1 pursuant to--  7,a7 any  
,/ate or ,f$]al heal?1 sickness1        
income-disability1 accid5t1 or work]s'  
comp5sation law2  7,b7 any heal?1       
sickness1 income-disability1 or accid5t 

insurance t provides heal? b5efits or   
income-disability cov]age2  7,c7 any    
contract or agreem5t ( any gr\p1        
organization1 p>tn]%ip1 or corporation  
to provide1 pay =1 or reimburse ! co/ ( 
m$ical1 hospital1 d5tal1 or             
income-disability b5efits2 &  7,d7 any  
o!r publicly or privately fund$ program4
  7#d7 ,cont+5t fee ,! t]m cont+5t fee  
includes all comp5sation to any p]son or
 p]sons :i* is payable only if a recov]y
 is effect$ on behalf ( "o or m         
claimants4  7#e7 ,economic damages ,!   
t]m economic damages means objectively  
v]ifiable monet>y losses incurr$ z a    
result ( ! provision or use ( 7or       
failure to provide or use7 heal? c>e    
s]vices or m$ical products1 su* z pa/ & 
future m$ical exp5ses1 loss ( pa/ &     
future e>n+s1 co/ ( obta9+ dome/ic      
s]vices1 loss ( employm5t1 & loss (     
bus9ess or employm5t opportunities1     
unless o!rwise def9$ "u applicable /ate 
law4 ,9 no circum/ances %all damages =  
heal? c>e s]vices or m$ical products    

exce$ ! am\nt actually paid or incurr$  
by or on behalf ( ! claimant4  7#f7     
,future damages ,! t]m future damages   
means any damages t are incurr$ aft] !  
date ( judgm5t1 settlem5t1 or o!r       
resolution 7includ+ m$iation1 or any o!r
 =m ( alt]native dispute resolution74   
7#g7 ,heal? c>e lawsuit ,! t]m heal? c>e
 lawsuit means any heal? c>e liability  
claim conc]n+ ! provision ( goods or    
s]vices = :i* cov]age 0 provid$ 9 :ole  
or 9 "p via a ,f$]al program1 subsidy or
 tax b5efit1 or any heal? c>e liability 
action conc]n+ ! provision ( goods or   
s]vices = :i* cov]age 0 provid$ 9 :ole  
or 9 "p via a ,f$]al program1 subsidy or
 tax b5efit1 br\ght 9 a ,/ate or ,f$]al 
c\rt or pursuant to an alt]native       
dispute resolution sy/em1 aga9/ a heal? 
c>e provid] reg>dless ( ! !ory (        
liability on :i* ! claim is bas$1 or !  
numb] ( claimants1 pla9tiffs1 def5dants1
 or o!r p>ties1 or ! numb] ( claims or  
causes ( action1 9 :i* ! claimant       
alleges a heal? c>e liability claim4    

,su* t]m does n include a claim or      
action :i* is bas$ on crim9al liability2
 :i* seeks civil f9es or p5alties paid  
to ,f$]al1 ,/ate1 or local gov]nm5t2 or 
:i* is gr\nd$ 9 antitru/4  7#h7 ,heal?  
c>e liability action ,! t]m heal? c>e   
liability action means a civil action   
br\ght 9 a ,/ate or ,f$]al c\rt or      
pursuant to an alt]native dispute       
resolution sy/em1 aga9/ a heal? c>e     
provid] reg>dless ( ! !ory ( liability  
on :i* ! claim is bas$1 or ! numb] (    
pla9tiffs1 def5dants1 or o!r p>ties1 or 
! numb] ( causes ( action1 9 :i* !      
claimant alleges a heal? c>e liability  
claim4  7#i7 ,heal? c>e liability claim 
,! t]m heal? c>e liability claim means a
 dem& by any p]son1 :e!r or n pursuant  
to ,,adr1 aga9/ a heal? c>e provid]1    
includ+1 b n limit$ to1 ?ird-p>ty       
claims1 cross-claims1 c\nt]-claims1 or  
contribution claims1 :i* are bas$ ^u !  
provision or use ( 7or ! failure to     
provide or use7 heal? c>e s]vices or    
m$ical products1 reg>dless ( ! !ory (   

liability on :i* ! claim is bas$1 or !  
numb] ( pla9tiffs1 def5dants1 or o!r    
p>ties1 or ! numb] ( causes ( action4   
7#aj7 ,heal? c>e provid] ,! t]m heal?   
c>e provid] means any p]son or entity   
requir$ by ,/ate or ,f$]al laws or      
regulations to be lic5s$1 regi/]$1 or   
c]tifi$ to provide heal? c>e s]vices1 & 
be+ ei!r s lic5s$1 regi/]$1 or c]tifi$1 
or exempt$ f su* requirem5t by o!r      
/atute or regulation1 z well z any o!r  
individual or entity def9$ z a heal? c>e
 provid]1 heal? c>e pr(essional1 or     
heal? c>e in/itution "u /ate law4  7#aa7
 ,heal? c>e s]vices ,! t]m heal? c>e    
s]vices means ! provision ( any goods or
 s]vices by a heal? c>e provid]1 or by  
any individual work+ "u ! sup]vision ( a
 heal? c>e provid]1 t relates to !      
diagnosis1 prev5tion1 or treatm5t ( any 
human disease or impairm5t1 or !        
assessm5t or c>e ( ! heal? ( human be+s4
  7#ab7 ,m$ical product ,! t]m m$ical   
product means a drug1 device1 or        
biological product int5d$ = humans1 & ! 

t]ms drug1 device1 & biological product 
h ! mean+s giv5 su* t]ms 9 sections     
#bja7;g77#a7 & #bja7;h7 ( ! ,f$]al      
,food1 ,drug & ,cosmetic ,act 7#ba      
,u4,s4,c4 #cba7;g77#a7 & 7h77 & section 
#cea7;a7 ( ! ,public ,heal? ,s]vice ,act
 7#db ,u4,s4,c4 #bfb7;a771 respectively1
 includ+ any compon5t or raw mat]ial us$
 !re91 b exclud+ heal? c>e s]vices4     
7#ac7 ,noneconomic damages ,! t]m       
noneconomic damages means damages =     
physical & emotional pa91 suff]+1       
inconv5i5ce1 physical impairm5t1 m5tal  
angui%1 disfigurem5t1 loss ( enjoym5t ( 
life1 loss ( society & companion%ip1    
loss ( consortium 7o!r ?an loss (       
dome/ic s]vice71 h$onic damages1 injury 
to reputation1 & all o!r nonpecuni>y    
losses ( any k9d or nature incurr$ z a  
result ( ! provision or use ( 7or       
failure to provide or use7 heal? c>e    
s]vices or m$ical products1 unless      
o!rwise def9$ "u applicable /ate law4   
7#ad7 ,recov]y ,! t]m recov]y means !   
net sum recov]$ aft] d$uct+ any         

disbursem5ts or co/s incurr$ 9          
connection ) prosecution or settlem5t ( 
! claim1 includ+ all co/s paid or       
advanc$ by any p]son4 ,co/s ( heal? c>e 
incurr$ by ! pla9tiff & ! attorneys'    
(fice ov]head co/s or *>ges = legal     
s]vices are n d$uctible disbursem5ts or 
co/s = su* purpose4  7#ae7              
,repres5tative ,! t]m repres5tative     
means a legal gu>dian1 attorney1 p]son  
designat$ to make decisions on behalf ( 
a pati5t "u a m$ical p[] ( attorney1 or 
any p]son recogniz$ 9 law or cu/om z a  
pati5t's ag5t4  7#af7 ,/ate ,! t]m ,/ate
 means ea* ( ! sev]al ,/ates1 ! ,di/rict
 ( ,columbia1 ! ,commonweal? ( ,pu]to   
,rico1 ! ,virg9 ,isl&s1 ,guam1 ,am]ican 
,samoa1 ! ,nor!rn ,m>iana ,isl&s1 !     
,tru/ ,t]ritory ( ! ,pacific ,isl&s1 &  
any o!r t]ritory or possession ( !      
,unit$ ,/ates1 or any political         
subdivision !re(4  #h4 ,effect on o!r   
laws  7a7 ,vacc9e injury  7#a7 ,to !    
ext5t t title ,,xxi ( ! ,public ,heal?  
,s]vice ,act e/abli%es a ,f$]al rule (  

law applicable to a civil action br\ght 
= a vacc9e-relat$ injury or dea?--  7,a7
 ?is ,act does n affect ! application ( 
! rule ( law to su* an action2 &  7,b7  
any rule ( law prescrib$ by ?is ,act 9  
conflict ) a rule ( law ( su* title     
,,xxi %all n apply to su* action4  7#b7 
,if !re is an aspect ( a civil action   
br\ght = a vacc9e-relat$ injury or dea? 
to :i* a ,f$]al rule ( law "u title     
,,xxi ( ! ,public ,heal? ,s]vice ,act   
does n apply1 !n ?is ,act or o!rwise    
applicable law 7z det]m9$ "u ?is ,act7 w
 apply to su* aspect ( su* action4  7b7 
,o!r ,f$]al law ,except z provid$ 9 ?is 
section1 no?+ 9 ?is ,act %all be deem$  
to affect any def5se available to a     
def5dant 9 a heal? c>e lawsuit or action
 "u any o!r provision ( ,f$]al law4  #i4
 ,rules ( con/ruction  7a7 ,heal? c>e   
lawsuits ,unless o!rwise specifi$ 9 ?is 
,act1 ! provisions gov]n+ heal? c>e     
lawsuits set =? 9 ?is ,act preempt1     
subject to subsections 7b7 & 7c71 ,/ate 
law to ! ext5t t ,/ate law prev5ts !    

application ( any provisions ( law      
e/abli%$ by or "u ?is ,act4 ,!          
provisions gov]n+ heal? c>e lawsuits set
 =? 9 ?is ,act sup]s$e *apt] #aga (     
title #bh1 ,unit$ ,/ates ,code1 to !    
ext5t t su* *apt]--  7#a7 provides = a  
great] am\nt ( damages or cont+5t fees1 
a long] p]iod 9 :i* a heal? c>e lawsuit 
may be comm5c$1 or a r$uc$ applicability
 or scope ( p]iodic paym5t ( future     
damages1 ?an provid$ 9 ?is ,act2 or     
7#b7 prohibits ! introduction ( evid5ce 
reg>d+ collat]al s\rce b5efits1 or      
m&ates or p]mits subrogation or a li5 on
 collat]al s\rce b5efits4  7b7          
,protection ( ,/ates' rights & o!r laws 
,any issue t is n gov]n$ by any         
provision ( law e/abli%$ by or "u ?is   
,act 7includ+ ,/ate /&>ds ( neglig5ce7  
%all be gov]n$ by o!rwise applicable    
,/ate or ,f$]al law  7c7 ,/ate          
,flexibility ,no provision ( ?is ,act   
%all be con/ru$ to preempt any def5se   
available to a p>ty 9 a heal? c>e       
lawsuit "u any o!r provision ( ,/ate or 

,f$]al law4  #aj4 ,effective date ,?is  
,act %all apply to any heal? c>e lawsuit
 br\ght 9 a ,f$]al or ,/ate c\rt1 or    
subject to an alt]native dispute        
resolution sy/em1 t is initiat$ on or   
aft] ! date ( ! enactm5t ( ?is ,act1    
except t any heal? c>e lawsuit aris+ f  
an injury occurr+ prior to ! date ( !   
enactm5t ( ?is ,act %all be gov]n$ by ! 
applicable /atute ( limitations         
provisions 9 effect at ! "t ! cause (   
action accru$4  ,m>* #bb1 #bjag ,report$
 f ! ,committee on ! ,judici>y ) an     
amendment,march #bb1 #bjag,! ,committee 
on ,en]gy & ,comm]ce dis*>g$2 committ$  
to ! ,committee ( ! ,:ole ,h\se on !    
,/ate ( ! ,union & ord]$ to be pr9t$