Florida Birth Injury Lawyer

Florida is one of two states with a birth injury fund, and for qualifying injuries, NICA replaces the right to sue. Whether your family's case belongs in the fund or the courtroom is the first question, and it is testable.

Legally reviewed by Laurence P. Banville, Esq. & Max Morgan, Esq. Last reviewed July 25, 2026 Editorial policy

NICA: Florida’s birth injury fund comes first

Florida is one of only two states with a birth injury compensation fund, and for qualifying injuries it is not optional: the Florida Birth-Related Neurological Injury Compensation Association (NICA) is the exclusive remedy, replacing the right to sue (Fla. Stat. §§ 766.301–766.316). Before any Florida birth injury case can be evaluated as a lawsuit, the first question is always whether the injury falls inside NICA, because if it does, the family’s path runs through an administrative no-fault claim rather than a courtroom. Our guide to birth injury funds compares NICA with Virginia’s program, the only other one in the country.

NICA is no-fault: the family does not have to prove malpractice, and qualifying children receive lifetime payment of medically necessary care, plus a one-time parental award (increased to $250,000 by Florida’s 2021 reforms) and a death benefit. A NICA petition must be filed within five years of birth (§ 766.313).

Which injuries qualify for NICA

NICA’s definition is narrow and every element matters (§ 766.302(2)):

Element Requirement
Birth weight Live birth of at least 2,500 grams (2,000 grams for multiples)
Mechanism Brain or spinal cord injury caused by oxygen deprivation or mechanical injury
Timing Occurring during labor, delivery, or resuscitation in the immediate post-delivery period in a hospital
Severity The child is left permanently and substantially impaired, both mentally and physically
Provider Delivery by a NICA-participating physician, with the required notice to the family

A great deal of birth injury litigation in Florida turns on these boundaries. A child with a severe physical injury but preserved cognition, or the reverse, may fall outside NICA and keep the right to sue. So may a low-birth-weight baby, an injury that predates labor, or a delivery by a non-participating physician. Conditions like hypoxic-ischemic encephalopathy (HIE) and severe cerebral palsy sit at the center of these disputes, and injuries with no oxygen-deprivation mechanism at all (kernicterus from untreated jaundice after discharge, for example) are ordinary malpractice claims outside the fund.

The exclusive-remedy nuance: when families can still sue

If an injury qualifies, NICA bars a malpractice suit (§ 766.303(2)), but the bar has real exceptions. Families can still reach the courtroom where the provider engaged in willful and wanton misconduct, or, in the more commonly litigated scenario, where the participating physician or hospital failed to give the required NICA notice to the mother when there was a reasonable opportunity to do so. Whether notice was properly given, whether the physician actually participated in the plan that year, and whether each definitional element is truly met are exactly the questions an experienced Florida birth injury attorney tests before accepting that NICA is the only path. NICA compensability is decided by administrative law judges rather than juries, and a family should never conclude on their own that the fund is all there is.

The lawsuit path: deadlines and pre-suit screening

For injuries outside NICA, Florida malpractice law applies. The statute of limitations is two years from the incident or its reasonable discovery, with a four-year repose, though the repose cannot cut off a child’s claim before the eighth birthday, and fraud or concealment can extend the outer limit to seven years (Fla. Stat. § 95.11(4)). Before filing, Chapter 766 requires a pre-suit investigation: a corroborating affidavit from a qualified medical expert, a notice of intent served on each defendant, and a 90-day screening period in which the insurer investigates and may offer settlement (§§ 766.203, 766.106). Parents’ own derivative claims run on the adult clocks, so the eighth-birthday protection is the child’s alone.

Florida’s damages caps were struck down

Florida’s legislature capped non-economic malpractice damages in 2003; the Florida Supreme Court struck those caps down, in wrongful-death cases in Estate of McCall v. United States (2014) and in personal-injury cases in North Broward Hospital District v. Kalitan (2017), as violations of equal protection. Today, no cap applies to either economic or non-economic damages in a Florida birth injury lawsuit. Compensation is limited only by the evidence: the lifetime cost of care established through an expert life-care plan, lost earning capacity, and the human losses a jury values. Our birth injury lawsuit guide explains how those damages are proven.

NICA or lawsuit? For most Florida families, that is the whole question, and it is answerable from the delivery records, the birth weight, the diagnosis, and the notice paperwork. The review is free, and we will connect you with a vetted Florida birth injury attorney who tests the NICA boundary before accepting it.

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Who handles Florida birth injury cases

Birth Injury Advocate is an alliance between two named law firms: Banville Law (New York and Washington, D.C.) and The Weitz Firm, LLC (Pennsylvania and New Jersey). Neither firm’s attorneys are licensed in Florida, and we say so plainly. When you contact us about a Florida delivery, we connect your family with the alliance’s vetted network of local birth injury attorneys: Florida-licensed lawyers who litigate NICA compensability before the Division of Administrative Hearings, run Chapter 766 pre-suit screening, and try malpractice cases in Florida courts. The referral costs nothing, the consultation is free, and any fee comes only from a recovery.

Where Florida birth injury cases arise

Most Florida birth injury claims trace back to labor-and-delivery units in the state’s major metro systems: in Miami, Jackson Memorial’s Holtz Children’s Hospital and Baptist Health South Florida; in Orlando, AdventHealth Orlando and Orlando Health Winnie Palmer Hospital for Women & Babies, one of the busiest delivery hospitals in the country; in Tampa, Tampa General Hospital and St. Joseph’s Women’s Hospital; and in Jacksonville, UF Health Jacksonville and Baptist Medical Center. Where the delivery happened shapes the case: it determines the circuit court venue (Miami-Dade’s Eleventh Circuit, Orange County’s Ninth, Hillsborough’s Thirteenth, Duval’s Fourth), which local counsel from the alliance’s vetted Florida network is best placed to act, and — for deliveries at federally funded clinics or military facilities such as Naval Hospital Jacksonville — whether the claim proceeds under the FTCA instead of state law.

Frequently asked questions

What is NICA, and does it stop my family from suing in Florida?

NICA is Florida’s no-fault birth injury fund (Fla. Stat. §§ 766.301–766.316). For qualifying injuries — oxygen deprivation or mechanical injury during labor or delivery leaving a baby of qualifying birth weight permanently and substantially impaired both mentally and physically, delivered by a participating physician with proper notice, NICA is the exclusive remedy and replaces a lawsuit. Injuries outside that definition, and cases where required notice was not given, can still be litigated.

How long do I have to act on a Florida birth injury?

A NICA petition must be filed within five years of birth (§ 766.313). For malpractice suits, Florida allows two years from the incident or its discovery with a four-year repose, though the repose cannot cut off a child’s claim before the eighth birthday (§ 95.11(4)). Parents’ own claims run on the adult clocks.

Does Florida cap damages in birth injury lawsuits?

No. The Florida Supreme Court struck down the state’s non-economic damages caps in Estate of McCall (2014) and North Broward Hospital District v. Kalitan (2017). No cap applies to economic or non-economic damages in a Florida malpractice case today.

What does NICA pay a family?

NICA pays the child’s medically necessary and reasonable care for life, a one-time parental award of $250,000 under the 2021 reforms, and a death benefit. It does not pay non-economic damages the way a jury verdict can, which is one reason the qualification boundary is so heavily litigated.

Is every Florida birth injury either a NICA case or a lawsuit?

No. Some birth injuries are neither: not every injury is malpractice, and some fall outside NICA while still lacking the proof of negligence a lawsuit requires. A records review answers where a family actually stands.

Sources

  1. Fla. Stat. §§ 766.301–766.316: Florida Birth-Related Neurological Injury Compensation Plan (NICA).
  2. Fla. Stat. § 766.302(2): Definition of ‘birth-related neurological injury.’
  3. Fla. Stat. § 766.303(2): Exclusiveness of remedy; exceptions.
  4. Fla. Stat. § 766.313: Five-year limitation on NICA claims.
  5. Fla. Stat. § 95.11(4): Medical malpractice limitations; repose; protection of children under eight.
  6. Fla. Stat. §§ 766.106, 766.203: Notice of intent; pre-suit investigation and corroborating expert opinion.
  7. Estate of McCall v. United States, 134 So. 3d 894 (Fla. 2014); North Broward Hospital District v. Kalitan, 219 So. 3d 49 (Fla. 2017), striking Florida’s noneconomic damages caps.
  8. Ch. 2021-104, Laws of Florida (HB 1165): 2021 NICA benefit reforms, including the $250,000 parental award.

This page is for general education and is not legal advice; statutes and cases summarized above are cited by name and number so you can verify them, and deadlines depend on facts specific to your case. Legal statements reflect the reviewing attorneys’ professional experience. Attorney advertising. Prior results do not guarantee a similar outcome.

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