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Office of Program Policy Analysis and Government Accountability

NICA Eligibility Requirements Could Be Expanded, But the Costs Would Increase Significantly, Report No. 04-04, January 2004
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  • The Florida Birth-Related Neurological Injury Compensation Association pays the medically necessary expenses of children with specific birth-related neurological injuries.  Academic research and stakeholders indicate mixed results regarding NICA’s attainment of its statutory goals of lowering malpractice premiums for physicians practicing obstetrics and providing compensation, on a no-fault basis, for a limited class of catastrophic injuries.
  • To improve the program’s ability to meet its statutory goals, NICA’s eligibility requirements could be expanded.  For example, the current birth weight requirement could be reduced from 2,500 to 2,000 grams, the requirement of mental and physical impairment could be changed to mental or physical impairment, and brachial plexus injuries could be covered.  However, these options would increase annual costs between $9.5 million and $130.8 million.  Expanding eligibility would require significant increases in hospital and participant fees and may require casualty insurers and exempt hospitals to begin contributing funds to the program.

Which Government Program Summaries contain related information?

Office of Insurance Regulation (DFS)
Division of Administrative Hearings
Department of Financial Services (DFS)
Financial Services Commission

What other OPPAGA-related materials are available?

  • Report No. 02-70 Special Examination: Division of Administrative Hearings Method of Assessing Fees Needs Significant Revision, published in December 2002.

Copies of this report in print or alternate accessible format may be obtained by telephone (850/488-0021), by FAX (850/487-9213), in person, or by mail (OPPAGA Report Production, Claude Pepper Building, Room 312, 111 W. Madison St., Tallahassee, FL 32399-1475).
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