Sep 3, 2026 · 20 min · 8 segments
**Opinion:** https://www.supremecourt.gov/opinions/25pdf/607us1r10\_5hek.pdf ## Case background Delaware law provides that a…
The cost of malpractice insurance for doctors and hospitals has significantly increased in some areas of the country.
In response, several states have imposed a screening mechanism on malpractice suits, requiring plaintiffs to submit an affidavit from a medical professional attesting to the suit's merit.
We consider whether Delaware's affidavit requirement applies in federal court and hold that it does not.
According to his complaint, he was taken by ambulance to a hospital owned by Beebe Medical Center, Inc., where an X-ray revealed a fractured ankle.
Dr. Wilson-Shoy recommended that Burke be fitted with a protective boot.
The fitting did not go well.
Hospital employees forced Burke's leg into the boot, twisting his fractured ankle.
Still...
Dr. Choi did not immediately order another x-ray.
He told Burke to keep weight off his ankle, proposed a follow-up appointment in two weeks, and send Burke on his way.
At the follow-up, Burke got a second x-ray, which showed that his ankle was not just fractured but also severely deformed, requiring surgery.
Burke sued Beebe Medical Center and Dr. Choi, whom we will call defendants, for medical malpractice under Delaware law.
Because Burke and defendants are citizens of different states, Burke could sue in federal court based on diversity jurisdiction.
Under Delaware law, a plaintiff may not sue for medical malpractice unless an affidavit of merit accompanies the complaint.
The affidavit must be signed by a medical professional, and it must state that there are reasonable grounds to believe that there has been health care medical negligence committed by each defendant.
A plaintiff with good cause may secure a single 60-day extension of time in which to file the affidavit, but he must file the extension motion before or when he files the complaint.
If an affidavit does not accompany the complaint and the plaintiff has not filed a timely extension motion, then the clerk of court shall refuse to file the complaint and it shall not be docketed.
The defendants need not take any action with respect to the complaint until 20 days after the affidavit of merit is filed.
Upon the defendant's motion, the court must determine in camera if the affidavit satisfies the statutory requirements.
Attempting to comply with Section 6853, Burke immediately moved for an extension of time to file an affidavit.
The district court granted Burke's motion, and Burke tried to track down a doctor willing to provide an affidavit, an ordeal spawning separate litigation.
But the clock ran out, and coming up empty-handed, Burke instead filed his medical records under seal.
Defendants moved the district court to review Burke's submissions in camera to determine whether they complied with Section 6853.
Burke countered that Section 6853 is not enforceable in federal court because it is displaced by the federal rules of civil procedure.
The cost of malpractice insurance for doctors and hospitals has significantly increased in some areas of the country.
In response, several states have imposed a screening mechanism on malpractice suits, requiring plaintiffs to submit an affidavit from a medical professional attesting to the suit's merit.
We consider whether Delaware's affidavit requirement applies in federal court and hold that it does not.
According to his complaint, he was taken by ambulance to a hospital owned by Beebe Medical Center, Inc., where an X-ray revealed a fractured ankle.
Dr. Wilson-Shoy recommended that Burke be fitted with a protective boot.
The fitting did not go well.
Hospital employees forced Burke's leg into the boot, twisting his fractured ankle.
Still...
Dr. Choi did not immediately order another x-ray.
He told Burke to keep weight off his ankle, proposed a follow-up appointment in two weeks, and send Burke on his way.
At the follow-up, Burke got a second x-ray, which showed that his ankle was not just fractured but also severely deformed, requiring surgery.
Burke sued Beebe Medical Center and Dr. Choi, whom we will call defendants, for medical malpractice under Delaware law.
Because Burke and defendants are citizens of different states, Burke could sue in federal court based on diversity jurisdiction.
Under Delaware law, a plaintiff may not sue for medical malpractice unless an affidavit of merit accompanies the complaint.
The affidavit must be signed by a medical professional, and it must state that there are reasonable grounds to believe that there has been health care medical negligence committed by each defendant.
A plaintiff with good cause may secure a single 60-day extension of time in which to file the affidavit, but he must file the extension motion before or when he files the complaint.
If an affidavit does not accompany the complaint and the plaintiff has not filed a timely extension motion, then the clerk of court shall refuse to file the complaint and it shall not be docketed.
The defendants need not take any action with respect to the complaint until 20 days after the affidavit of merit is filed.
Upon the defendant's motion, the court must determine in camera if the affidavit satisfies the statutory requirements.
Attempting to comply with Section 6853, Burke immediately moved for an extension of time to file an affidavit.
The district court granted Burke's motion, and Burke tried to track down a doctor willing to provide an affidavit, an ordeal spawning separate litigation.
But the clock ran out, and coming up empty-handed, Burke instead filed his medical records under seal.
Defendants moved the district court to review Burke's submissions in camera to determine whether they complied with Section 6853.
Burke countered that Section 6853 is not enforceable in federal court because it is displaced by the federal rules of civil procedure.
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