Medical Malpractice Statute of Limitations: State Comparison

How malpractice deadlines, repose periods, and expert requirements compare across all 50 states — and what it means for patients.

Critical Context: Medical malpractice has the most complex statute of limitations rules of any case type. Most states run two simultaneous clocks — a shorter limitations period from discovery, and a longer absolute repose period from the date of the act. A patient must file before both expire.

States With the Strictest Malpractice Deadlines

Kentucky — 1 Year

The shortest medical malpractice limitations period in the nation. KRS §413.140. From discovery or act — one year, with very limited exceptions. Kentucky is consistently ranked among the most restrictive states for malpractice plaintiffs.

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Ohio — 1 Year

Ohio's medical malpractice limitations period is 1 year from discovery, with a 4-year repose. This combination makes Ohio one of the most plaintiff-unfriendly states for medical claims.

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Tennessee — 1 Year

Tennessee combines a 1-year limitations period with a 3-year repose and a mandatory presuit notice requirement — a triple layer of procedural hurdles for malpractice plaintiffs.

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States With More Generous Malpractice Deadlines

Minnesota — 4 Years

Minnesota's 4-year malpractice period with no repose period is one of the most plaintiff-friendly in the nation. Patients have substantially more time to investigate and consult experts before filing.

Minnesota Malpractice Details →

Maine — 3 Years, No Repose

Maine's 3-year limitations period with no absolute repose cap gives malpractice patients relatively strong protections. The discovery rule applies broadly.

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Maryland — 5 Years from Act

Maryland allows 5 years from the act or 3 years from discovery, whichever is shorter — but the from-act period of 5 years is longer than most states' repose periods.

Maryland Malpractice Details →

Complete State Comparison: Malpractice Limitations + Repose

StateLimitations PeriodRepose PeriodExpert Requirement
Alabama2 years from discovery4 years from actExpert affidavit required
Alaska2 years from discovery10 years from actNo pre-filing requirement
Arizona2 years from discoveryNoneNo pre-filing requirement
Arkansas2 years from act/discoveryNoneNo pre-filing requirement
California3 yrs from act OR 1 yr from discovery3 years (whichever shorter)No pre-filing requirement
Colorado2 years from discovery3 years from actCertificate of review required
Connecticut2 years from discovery3 years from actGood faith certificate required
Florida2 years from discovery4 years (7 for concealment)Presuit investigation required
Georgia2 years from discovery5 years from actExpert affidavit required at filing
Illinois2 years from discovery4 years from actAffidavit of merit required
Indiana2 years from act/discoveryNoneMedical review panel required
Kentucky1 year from discoveryNoneNo pre-filing requirement
Louisiana1 year from discovery3 years from actMedical review panel required
Massachusetts3 years from discovery7 years from actTribunal screening required
Michigan2 years from act6 years from actNotice of intent required
Minnesota4 years from actNoneNo pre-filing requirement
New York2.5 years from actNoneNo pre-filing requirement
Ohio1 year from discovery4 years from actAffidavit of merit required
Pennsylvania2 years from discovery7 years from actCertificate of merit required
Tennessee1 year from discovery3 years from actPresuit notice required
Texas2 years from act/discovery10 years from actExpert report within 120 days
Washington3 years from act/discovery8 years from actNo pre-filing requirement

How Expert Requirements Add a Hidden Deadline

In many states, malpractice plaintiffs must file an expert affidavit, certificate of merit, or expert report simultaneously with the complaint — or within a short window afterward. This creates a practical deadline that is often earlier than the statutory deadline:

  • Finding a qualified expert (same specialty, willing to review the case) takes weeks to months
  • Expert review of medical records takes additional time
  • Preparing the expert's report or declaration adds more time

In practice, this means malpractice plaintiffs need to begin the legal process 6–12 months before the statutory deadline — not the day before.

The New York Continuous Treatment Rule

New York's 2.5-year malpractice deadline is measured differently under the continuous treatment doctrine: when a patient remains in continuous treatment with the same provider for the same condition, the limitations clock doesn't start until the treatment ends. This can substantially extend the effective filing window for patients who stayed with a negligent provider for ongoing care.

Florida Presuit Notice: A Mandatory Extra Step

Florida requires malpractice plaintiffs to conduct a presuit investigation, serve a notice of intent on each defendant, and wait 90 days (during which both sides may engage in informal discovery) before filing suit. This mandatory presuit period effectively extends the process by 3 months — and the notice must be served within the limitations period, not at the time of filing. Florida's system is among the most procedurally complex for malpractice plaintiffs in the nation.

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⚠️ Legal Disclaimer: Medical malpractice law is among the most complex in any jurisdiction and changes frequently. This comparison is for general informational purposes only. Always consult a licensed medical malpractice attorney in your state immediately.