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Glossary

Damage cap

A statutory ceiling on certain damages, most often non-economic damages in medical malpractice cases.

A damage cap is a statutory limit on how much a claimant can recover in a category of damages. Most states have no cap on damages in ordinary injury cases, and economic damages such as medical bills and lost wages are almost never capped. Caps that do exist usually target non-economic (pain and suffering) damages in medical malpractice, for example California's MICRA cap or Texas's $250,000 provider cap (source: https://www.justia.com/injury/negligence-theory/non-economic-damages/) (source: https://statutes.capitol.texas.gov/GetStatute.aspx?Code=CP&Value=74.301). Several state caps have been struck down as unconstitutional, so whether a cap applies depends entirely on the state and the type of case.

What a damage cap limits, and what it does not

A cap is a ceiling written into a statute, and it operates on a category rather than on a case. Almost every US cap is aimed at non-economic damages, the nonpecuniary harms with no receipt behind them: pain and suffering, mental anguish, disfigurement, loss of consortium, and loss of enjoyment of life. The Center for Justice and Democracy summarises the landscape the same way, noting that most cap laws focus on non-economic damages although some state medical malpractice laws cap total damages (source: https://centerjd.org/content/fact-sheet-caps-compensatory-damages-state-law-summary).

Economic damages are ordinarily exempt, and the drafting is explicit rather than accidental. Ohio's tort damages section opens its list of limits with the rule that there shall not be any limitation on compensatory damages representing economic loss, and only then imposes the non-economic ceiling (source: https://codes.ohio.gov/ohio-revised-code/section-2315.18). The policy logic is that a documented hospital bill is not the kind of number a legislature worries a jury will inflate.

Caps also carry exceptions written into the same statute. Ohio lifts its non-economic cap entirely for permanent and substantial physical deformity, loss of use of a limb, loss of a bodily organ system, or a permanent physical functional injury that prevents the person from independently caring for themselves (source: https://codes.ohio.gov/ohio-revised-code/section-2315.18). Massachusetts lifts its medical malpractice cap where the jury finds a substantial or permanent loss or impairment of a bodily function, substantial disfigurement, or other special circumstances (source: https://malegislature.gov/Laws/GeneralLaws/PartIII/TitleII/Chapter231/Section60H). North Carolina's cap does not apply where the injury is disfigurement, loss of use, permanent injury, or death and the conduct was reckless, grossly negligent, fraudulent, intentional, or malicious (source: https://www.osbm.nc.gov/facts-figures/economy/liability-limit-noneconomic-damages-medical-malpractice).

One more boundary matters. A statutory cap is not the same thing as an insurance policy limit. A cap is a legal ceiling on what a court may award; a policy limit is a practical ceiling on what an insurer will pay. Most claims never reach a statutory cap, and a great many hit a policy limit.

The four shapes a cap takes

The first shape is a flat dollar figure. Texas caps medical malpractice non-economic damages at $250,000 per claimant against physicians and providers, plus $250,000 per health care institution subject to a $500,000 total across institutions, which produces the commonly cited $750,000 aggregate maximum (source: https://statutes.capitol.texas.gov/GetStatute.aspx?Code=CP&Value=74.301). Massachusetts uses a flat $500,000 on medical malpractice non-economic damages (source: https://malegislature.gov/Laws/GeneralLaws/PartIII/TitleII/Chapter231/Section60H).

The second shape is an indexed figure that moves on a schedule, which is why a cap you looked up two years ago is probably wrong today. California's MICRA cap is $470,000 for a malpractice injury and $650,000 for malpractice causing death in 2026, rising every January 1 through 2033 to $750,000 and $1,000,000, then adjusting 2 percent a year (source: https://www.nolo.com/legal-encyclopedia/how-does-the-micra-damage-cap-affect-california-medical-malpractice-case.html). Michigan's Treasury sets the figures annually, giving a 2026 standard cap of $596,400 and a higher cap of $1,065,000 for certain permanent disabilities (source: https://www.michigan.gov/treasury/-/media/Project/Websites/treasury/ORTA/Economic-Reports-Notices/FY-2026/Notice_01302026_NonEconomicLimitation_Signed.pdf). North Carolina adjusts every three years, reaching $712,847 on January 1, 2026 (source: https://www.osbm.nc.gov/facts-figures/economy/liability-limit-noneconomic-damages-medical-malpractice).

The third shape is a formula tied to the economic damages, which makes the ceiling case-specific. Ohio limits non-economic damages in a tort action to the greater of $250,000 or three times economic loss, subject to a maximum of $350,000 per plaintiff or $500,000 per occurrence (source: https://codes.ohio.gov/ohio-revised-code/section-2315.18). Its medical malpractice analogue runs the same formula but raises the ceiling to $500,000 per plaintiff or $1,000,000 per occurrence for catastrophic injuries (source: https://codes.ohio.gov/ohio-revised-code/section-2323.43). A formula cap bites hardest in low-medical-bill cases, where three times a small number is still a small number.

The fourth shape is a total cap covering economic and non-economic damages together, which is the only kind that can cut a medical bill. Virginia's medical malpractice cap is a ceiling on all damages combined, set at $2.75 million for acts of malpractice from July 1, 2026 through June 30, 2027, rising $50,000 each July 1 until it reaches $3 million for acts on or after July 1, 2031 (source: https://law.lis.virginia.gov/vacode/title8.01/chapter21.1/section8.01-581.15/).

The caps this calculator models

Seven of the fifteen states covered in depth on this site have a statutory cap the calculator applies. California caps medical malpractice non-economic damages at $470,000 for injury in 2026 under MICRA, and the California injury rules page carries that figure alongside the state's filing deadline and fault rule (source: https://www.nolo.com/legal-encyclopedia/how-does-the-micra-damage-cap-affect-california-medical-malpractice-case.html). Massachusetts caps them at $500,000 (source: https://malegislature.gov/Laws/GeneralLaws/PartIII/TitleII/Chapter231/Section60H). Michigan applies $596,400 as the 2026 standard figure (source: https://www.michigan.gov/treasury/-/media/Project/Websites/treasury/ORTA/Economic-Reports-Notices/FY-2026/Notice_01302026_NonEconomicLimitation_Signed.pdf). North Carolina applies $712,847 for 2026, and the North Carolina injury rules page pairs that ceiling with the contributory negligence bar that decides most claims there first (source: https://www.osbm.nc.gov/facts-figures/economy/liability-limit-noneconomic-damages-medical-malpractice).

Texas is modelled at the $750,000 aggregate maximum that results from stacking the $250,000 provider cap with up to $500,000 from institutions (source: https://statutes.capitol.texas.gov/GetStatute.aspx?Code=CP&Value=74.301). Ohio is the only one of the fifteen with a cap that reaches ordinary injury cases as well as malpractice, and it is modelled at the $350,000 per-plaintiff ceiling rather than the full formula (source: https://codes.ohio.gov/ohio-revised-code/section-2315.18). Virginia is modelled as a $2.75 million total cap because that is what its statute is, and the Virginia injury rules page sets that all-damages ceiling against the state's contributory negligence bar (source: https://law.lis.virginia.gov/vacode/title8.01/chapter21.1/section8.01-581.15/).

The other eight covered states have no general or medical malpractice cap the calculator applies. Arizona has a constitutional ban on damage caps (source: https://law.justia.com/constitution/arizona/2/31.htm). Florida, Georgia, Illinois, and Washington had medical malpractice caps struck down by their supreme courts (source: https://www.floridabar.org/the-florida-bar-news/court-rules-med-mal-caps-unconstitutional/) (source: https://law.justia.com/cases/washington/supreme-court/1989/54610-0-1.html). New Jersey and New York have no medical malpractice non-economic cap.

New York carries one narrow exception worth naming, because it is easy to miss. Under Insurance Law section 5104(d), recovery for non-economic loss is limited to $100,000 in a serious-injury case brought by an injured person who was at fault and who was driving uninsured, was convicted of driving while impaired, or was committing a felony at the time, other than in a wrongful death action (source: https://www.nysenate.gov/legislation/laws/ISC/5104). It is a cap aimed at a specific claimant, not at a category of case, and the calculator does not apply it.

A cap missing from this model is not proof there is no cap

This is the most important limitation on this page, and it is a limitation of the tool rather than of the law. The calculator models caps only for the fifteen states with a researched, cited state page. For the remaining 35 states and the District of Columbia it applies no cap, because the conservative choice is to omit a limit rather than invent one. That default produces an estimate that may be too high for a claimant in a state that does have a cap.

The gap is real and it is large. The Center for Justice and Democracy counted 24 states with caps on non-economic damages in medical malpractice cases as of September 2025, and this site models seven of them (source: https://centerjd.org/content/fact-sheet-caps-compensatory-damages-state-law-summary). Several states with medical malpractice caps, including Colorado, Idaho, Missouri, Nevada, South Carolina, Utah, West Virginia and Wisconsin, have no page here and no cap applied in the model.

The same is true outside malpractice. The nine states listed as capping non-economic damages in general tort cases are Alaska, Colorado, Hawaii, Idaho, Maryland, Mississippi, Ohio, Oklahoma, and Tennessee (source: https://centerjd.org/content/fact-sheet-caps-compensatory-damages-state-law-summary). Only Ohio is modelled here. A Maryland or Tennessee claimant using this calculator will see an uncapped non-economic figure even though a statutory ceiling may apply to their case.

This page deliberately does not publish a 50-state cap table, because the figures change on statutory schedules, courts strike caps down and legislatures re-pass them, and a stale table on a page people use to make financial decisions is worse than no table at all. Treat the model as covering fifteen states and check your own state's current statute or ask a lawyer licensed there before relying on an uncapped number. What the site does publish for all 50 states and DC is the filing deadline and the fault rules by state, which is a narrower claim and a far more stable one.

Struck down, re-passed, and constitutionally banned

Damage caps are among the most litigated statutes in US tort law, and a cap on the books is not always a cap in force. The Center for Justice and Democracy lists eight states where medical malpractice caps were found unconstitutional and the legislature has not re-passed them: Alabama, Florida, Georgia, Illinois, Kansas, New Hampshire, Oregon, and Washington (source: https://centerjd.org/content/fact-sheet-caps-compensatory-damages-state-law-summary).

The reasoning usually turns on the state constitution's jury-trial right or its equal protection guarantee. Washington's Supreme Court struck its cap in Sofie v. Fibreboard in 1989 (source: https://law.justia.com/cases/washington/supreme-court/1989/54610-0-1.html). Florida's court held medical malpractice caps unconstitutional in McCall in 2014 and Kalitan in 2017 (source: https://www.floridabar.org/the-florida-bar-news/court-rules-med-mal-caps-unconstitutional/).

Some states have gone further and put the ban in the constitution itself. Five state constitutions prohibit caps in general tort cases: Arizona, Arkansas, Kentucky, Pennsylvania, and Wyoming (source: https://centerjd.org/content/fact-sheet-caps-compensatory-damages-state-law-summary). Arizona's Article 2, Section 31 bars any law limiting the amount recoverable for injury or death (source: https://law.justia.com/constitution/arizona/2/31.htm). Four more states protect wrongful death awards specifically: New York, Ohio, Oklahoma, and Utah (source: https://centerjd.org/content/fact-sheet-caps-compensatory-damages-state-law-summary).

Movement runs the other way too. Several states have re-passed caps after a court struck them down, which leaves the constitutionality of those caps genuinely unsettled rather than merely contested (source: https://centerjd.org/content/fact-sheet-caps-compensatory-damages-state-law-summary). Tort reform advocates track the same landscape and reach different policy conclusions from it (source: https://tlrfoundation.org/foundation_papers/damage-caps-across-the-united-states/). The practical takeaway is identical whichever side you find persuasive: verify the current status in your state, because it changes.

Caps outside medical malpractice

Punitive damages are capped in many states, and those caps are separate from any compensatory cap. Texas limits exemplary damages to the greater of two times economic damages plus non-economic damages found by the jury up to $750,000, or $200,000 (source: https://statutes.capitol.texas.gov/Docs/CP/htm/CP.41.htm). Punitive caps are excluded from the Center for Justice and Democracy's compensatory-damages count entirely, so a state that appears uncapped there may still limit punitive awards (source: https://centerjd.org/content/fact-sheet-caps-compensatory-damages-state-law-summary).

Government defendants are the other blind spot. Sue a city, county, school district, or transit authority and a separate statutory scheme usually applies. In Ohio, claims against political subdivisions carry no limit on damages representing actual loss, a $250,000 per-person limit on everything else except in wrongful death actions, and no punitive damages at all (source: https://codes.ohio.gov/ohio-revised-code/section-2744.05). Ohio's general tort cap does not apply to those claims because the government scheme supersedes it (source: https://codes.ohio.gov/ohio-revised-code/section-2315.18).

Products liability sometimes has its own cap distinct from the general tort rule, and nine states appear on the Center for Justice and Democracy's list of states capping non-economic damages in products cases (source: https://centerjd.org/content/fact-sheet-caps-compensatory-damages-state-law-summary).

Finally, some states restrict recovery in a way that functions like a cap without being called one. New York's no-fault threshold requires a serious injury before non-economic loss is recoverable at all (source: https://www.nysenate.gov/legislation/laws/ISC/5104). That is not a dollar cap, but it can reduce a claim to zero on the non-economic side.

How a cap actually changes what you collect

A cap is applied after the fact, not during it. The jury hears the evidence, decides fault and damages, and returns a number. The judge then reduces the non-economic portion to the statutory ceiling. Ohio requires the verdict to break out economic and non-economic damages separately so the reduction can be made cleanly, and it forbids the court from instructing the jury about the limit, while also barring counsel and witnesses from telling the jury or potential jurors that a limit exists (source: https://codes.ohio.gov/ohio-revised-code/section-2315.18).

Read the units carefully, because per plaintiff, per defendant, and per occurrence are three different ceilings. Texas stacks a per-provider cap with a separate per-institution cap subject to its own aggregate, which is why the headline figure is $750,000 rather than $250,000 (source: https://statutes.capitol.texas.gov/GetStatute.aspx?Code=CP&Value=74.301). Ohio runs a per-plaintiff ceiling alongside a higher per-occurrence ceiling, so a single incident injuring several people is limited differently from a single claimant's case (source: https://codes.ohio.gov/ohio-revised-code/section-2315.18).

Most cases never get near a cap. A cap changes settlement value indirectly, by telling the insurer the worst realistic outcome at trial, which caps the negotiation rather than the claim. In a state with a $500,000 non-economic ceiling, an adjuster knows that even a runaway verdict on pain and suffering has a known maximum, and the offer reflects that ceiling long before anyone files. The medical malpractice calculator applies the modelled cap for whichever state you select, so you can see where the ceiling falls against your own figures.

The more common real-world ceiling is insurance. A calculated claim value of $900,000 collects $100,000 if that is the policy limit and the defendant has no reachable assets, no matter what any cap statute says. A personal injury calculator applies the modelled cap automatically once you select one of those fifteen states, but no calculator can know the coverage behind the claim. When you are checking limits on your own case, check the applicable policy limits, any underinsured motorist coverage you carry, and then the statutory cap, in that order. The order reflects which one is most likely to be the binding constraint.

Common questions

Do damage caps limit medical bills and lost wages?

Usually no. Caps are written to limit non-economic damages such as pain and suffering, and Ohio's statute states expressly that there is no limitation on damages representing economic loss (source: https://codes.ohio.gov/ohio-revised-code/section-2315.18). The exception is the small group of states with a total medical malpractice cap, such as Virginia, where one ceiling covers economic and non-economic damages together (source: https://law.lis.virginia.gov/vacode/title8.01/chapter21.1/section8.01-581.15/).

My state is not covered by this calculator. Does that mean there is no cap?

No. The calculator models statutory caps only for the 15 states with a dedicated state page and applies no cap elsewhere, because it will not invent a limit it has not verified. Many unmodelled states do cap medical malpractice non-economic damages (source: https://centerjd.org/content/fact-sheet-caps-compensatory-damages-state-law-summary). Check your own state's current statute or ask a lawyer licensed there before relying on an uncapped estimate.

Which states cap pain and suffering damages?

As of September 2025, 24 states capped non-economic damages in medical malpractice cases, 6 capped total medical malpractice damages, and 9 capped non-economic damages in general tort cases (source: https://centerjd.org/content/fact-sheet-caps-compensatory-damages-state-law-summary). The specific figures change on statutory schedules and after court rulings, so verify the current number for your state rather than relying on a list.

Does the jury know about the damage cap?

Generally not. In Ohio the court is forbidden from instructing the jury about the limit, and neither counsel nor a witness may tell the jury or potential jurors it exists (source: https://codes.ohio.gov/ohio-revised-code/section-2315.18). The jury returns its full number and the judge reduces the non-economic portion afterwards.

Does a damage cap apply to wrongful death?

Often not, or not in the same amount. Ohio's general tort cap does not apply to wrongful death actions at all (source: https://codes.ohio.gov/ohio-revised-code/section-2315.18). California's MICRA sets a separate, higher figure for malpractice causing death, $650,000 in 2026 against $470,000 for injury (source: https://www.nolo.com/legal-encyclopedia/how-does-the-micra-damage-cap-affect-california-medical-malpractice-case.html). Four state constitutions protect wrongful death awards from caps specifically (source: https://centerjd.org/content/fact-sheet-caps-compensatory-damages-state-law-summary).

What is the difference between a damage cap and a policy limit?

A damage cap is a statute limiting what a court may award. A policy limit is the maximum an insurer will pay under the at-fault party's coverage. Policy limits bind far more claims than caps do, so check the available coverage first, then your own underinsured motorist coverage, and then the statutory cap.

Sources

  1. Center for Justice and Democracy, caps on compensatory damages, a state law summary (September 2025)
  2. TLR Foundation, damage caps across the United States
  3. ORC 2315.18 (Ohio general tort non-economic cap)
  4. ORC 2323.43 (Ohio medical malpractice cap)
  5. ORC 2744.05 (Ohio political subdivision damage limits)
  6. Nolo, the MICRA cap explained
  7. M.G.L. c. 231, 60H (Massachusetts medical malpractice cap)
  8. Michigan Treasury, 2026 non-economic limitation notice
  9. N.C. OSBM, liability limit for non-economic damages in medical malpractice
  10. Tex. Civ. Prac. and Rem. Code 74.301 (Texas medical malpractice cap)
  11. Tex. Civ. Prac. and Rem. Code ch. 41 (exemplary damages cap)
  12. Va. Code 8.01-581.15 (Virginia total medical malpractice cap)
  13. Arizona Constitution, Article 2, Section 31
  14. Florida Bar News, court rules med-mal caps unconstitutional
  15. Sofie v. Fibreboard Corp. (Washington cap struck down)
  16. N.Y. Insurance Law 5104 (serious injury threshold and 100,000 dollar limit)

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