MI HB5669

Caps noneconomic damages in medical malpractice actions at $280,000, with an exception raising the cap to $500,000 for cases involving permanent paralysis, severe cognitive impairment, or permanent reproductive organ damage.

Requires the State Treasurer to annually adjust damage caps by the cumulative change in the Consumer Price Index to account for inflation.

Establishes that damages for noneconomic loss must be itemized separately from economic damages, and reduces awards when the plaintiff bears comparative fault greater than the aggregate fault of defendants.

Creates a new judgment entry procedure for medical malpractice cases (Section 6306a) that requires courts to reduce noneconomic damages subject to the $280,000/$500,000 caps and allocate comparative fault reductions proportionally between past and future damages.

Requires defendants to purchase annuity contracts for future damages exceeding $250,000 in gross present cash value, with annuity purchase prices calculated at 100% of future damages minus a discount equal to the prejudgment interest rate as of trial commencement.