California medical malpractice - does the letter of intent to sue in effect shorten or extend the SOL?

confounding

New Member
Jurisdiction
California
Hi, I'm a little confused about the "letter of intent" for med-mal (medical malpractice) cases in CA. From several articles I've read, it appears that this letter actually *extends* the statute, rather than, in practice, shortens it. For example, if the harm occurred on July 1, 2024, I would, if I were a layman representing myself in pro se or an attorney practicing in another area and not familiar with medmal, assume I would need to send a "letter of intent" by April 1, 2024 if I am to interpret the law as stating that notice needs to be given prior to the claim being filed (and I don't see why, logically, this would affect the statute, which is, for most intents and purposes, 1 year in CA). But apparently, this is NOT the case:

"One of the more interesting aspects of California Code of Civil Procedure §364 is that the underlying statute of limitations for medical malpractice cases can be tolled by the submission of a §364 Notice. Generally speaking, California Code of Civil Procedure §340.5 states that the action for medical negligence must be brought within one (1) year after the plaintiff discovers, or through the use of reasonable diligence, should have discovered the injury. If a Code of Civil Procedure §364 Notice of Intent to sue is filed at an appropriate time, the one (1) year statute of limitations can be tolled for a period of time up to ninety (90) days. Should a plaintiff submit a §364 Notice of Intent to Sue within the ninety (90) day expiration of the one (1) year statute of limitation, the notice may serve to extend the applicable statute of limitations for a period of ninety (90) days from service of the notice. The timing of the filing of the § 364 Notice of Intent to Sue is critical should an effort be made to extend the statute of limitations." -https://www.heitingandirwin.com/notice-of-intent-to-sue-for-medical-negligence/

Several other articles state the same as above so it doesn't seem to be some kind of rogue / overly creative interpretation of the law.

Could a civil lawyer in CA please explain? I plan on getting an attorney, ofc, as this is out of my area, but I am running a bit close to the statute if indeed the letter needs to be sent 3 months *prior* to the statute deadline.

Thanks in advance for any help.
 
Happy to refer you to any of many medical malpractice lawyers would be willing to look at the facts and circumstances of your case to determine whether you have a case. You're probably better off having a proper legal consultation with a medical malpractice lawyer as soon as possible since you'll ultimately need one anyway.

I am not a California attorney so what I'm saying is merely a thought and observation. It seems the requirement for notice is not trivial as it requires a competently performed (1) statement of facts; (2) legal basis for the claim; and (3) affidavit from a qualified medical expert which is in support of the claim. And if that is defective, there goes your case.

I'm not sure if I perused the correct statute quickly, but isn't there a reference in §340.5 to a three year time window and something about "whichever occurs first"? That seems more critical than the notice you're focused upon since that can knock you out first - and then all this talk about a notice is moot since you'll be precluded from filing. As to the §364 notification, it seems to operate like many other notices about providing 90 days from completion (assuming you do it correctly) to file an action. I can't stress what I suggest more. Statute of Limitations questions should be addressed properly in a proper legal consultation. Good luck.
 
CCP 364(d) couldn't be more clear: "If the notice is served within 90 days of the expiration of the applicable statute of limitations, the time for the commencement of the action shall be extended 90 days from the service of the notice."

If the last day to file suit is March 13, 2025 and the notice is served on March 12, 2025, then the last day to file suit is now June 10, 2025 (90 days after the date of the notice). Of course, waiting until the date before the SOL expires would generally be unwise.


I'm not sure if I perused the correct statute quickly, but isn't there a reference in §340.5 to a three year time window and something about "whichever occurs first"?

CCP 340.5 provides that the SOL is the first to occur of: (1) "three years after the date of injury;" or (2) "one year after the plaintiff discovers, or through the use of reasonable diligence should have discovered, the injury" (unless the SOL is tolled on account of fraud, concealment or the presence of a "foreign body, which has no therapeutic or diagnostic purpose or effect, in the person of the injured person."


It seems the requirement for notice is not trivial as it requires a competently performed (1) statement of facts; (2) legal basis for the claim; and (3) affidavit from a qualified medical expert which is in support of the claim.

CCP 364 does not require any sort of affidavit. CCP 364: "(a) No action based upon the health care provider's professional negligence may be commenced unless the defendant has been given at least 90 days' prior notice of the intention to commence the action. (b) No particular form of notice is required, but it shall notify the defendant of the legal basis of the claim and the type of loss sustained, including with specificity the nature of the injuries suffered."
 

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