Last updated September 25, 2026 · Reviewed by Carolyn Friedman Frank
Florida law can require an administrative law judge to rule on a baby’s brain injury at delivery before any lawsuit over that injury goes forward in circuit court. On July 8, 2026, the Third District Court of Appeal applied that rule to a Miami-Dade case in which parents had sued a hospital and its executives in a lawsuit separate from their case against the doctors who delivered their child. The decision, Mount Sinai Medical Center of Florida, Inc. v. Esposito, puts the NICA question at the front of a Florida birth injury lawsuit even when the claim is aimed at hospital systems.
NICA is the Florida Birth-Related Neurological Injury Compensation Plan, a no-fault system that compensates a limited class of catastrophic birth injuries in place of a malpractice suit. Florida Statute § 766.304 gives the administrative law judge exclusive jurisdiction to decide whether a claim is compensable under the plan, and it provides that no civil action may be brought until the judge has made the determinations listed in Florida Statute § 766.309. For families working with our Miami medical malpractice attorneys, the first contested question is often whether the injury falls inside NICA at all, and the negligence case waits on the answer.
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