1     
JOINT RESOLUTION AMENDING COURT RULES OF

2     
PROCEDURE AND EVIDENCE TO ADDRESS THE MEDICAL

3     
CANDOR PROCESS

4     
2022 GENERAL SESSION

5     
STATE OF UTAH

6     
Chief Sponsor: Merrill F. Nelson

7     
Senate Sponsor: Michael S. Kennedy

8     

9     LONG TITLE
10     General Description:
11          This joint resolution amends court rules of procedure and evidence to address the
12     medical candor process.
13     Highlighted Provisions:
14          This resolution:
15          ▸     amends Rule 26 of the Utah Rules of Civil Procedure to address communications,
16     materials, and information provided during or created for the medical candor
17     process;
18          ▸     amends Rule 409 of the Utah Rules of Evidence to address evidence created during
19     or as a part of a medical candor process; and
20          ▸     makes technical and conforming changes.
21     Special Clauses:
22          This resolution provides a special effective date.
23     Utah Rules of Civil Procedure Affected:
24     AMENDS:
25          Rule 26, Utah Rules of Civil Procedure
26     Utah Rules of Evidence Affected:
27     AMENDS:

28          Rule 409, Utah Rules of Evidence
29     

30     Be it resolved by the Legislature of the state of Utah, two-thirds of all members elected to each
31     of the two houses voting in favor thereof:
32          As provided in Utah Constitution Article VIII, Section 4, the Legislature may amend
33     rules of procedure and evidence adopted by the Utah Supreme Court upon a two-thirds vote of
34     all members of both houses of the Legislature:
35          Section 1. Rule 26, Utah Rules of Civil Procedure is amended to read:
36          Rule 26. General provisions governing disclosure of discovery.
37          (a) Disclosure. This rule applies unless changed or supplemented by a rule governing
38     disclosure and discovery in a practice area.
39          (1) Initial disclosures. Except in cases exempt under paragraph (a)(3), a party must,
40     without waiting for a discovery request, serve on the other parties:
41          (A) the name and, if known, the address and telephone number of:
42          (i) each individual likely to have discoverable information supporting its claims or
43     defenses, unless solely for impeachment, identifying the subjects of the information; and
44          (ii) each fact witness the party may call in its case-in-chief and, except for an adverse
45     party, a summary of the expected testimony;
46          (B) a copy of all documents, data compilations, electronically stored information, and
47     tangible things in the possession or control of the party that the party may offer in its
48     case-in-chief, except charts, summaries, and demonstrative exhibits that have not yet been
49     prepared and must be disclosed in accordance with paragraph (a)(5);
50          (C) a computation of any damages claimed and a copy of all discoverable documents or
51     evidentiary material on which such computation is based, including materials about the nature
52     and extent of injuries suffered;
53          (D) a copy of any agreement under which any person may be liable to satisfy part or all
54     of a judgment or to indemnify or reimburse for payments made to satisfy the judgment; and
55          (E) a copy of all documents to which a party refers in its pleadings.
56          (2) Timing of initial disclosures. The disclosures required by paragraph (a)(1) must
57     be served on the other parties:
58          (A) by a plaintiff within 14 days after the filing of the first answer to that plaintiff's

59     complaint; and
60          (B) by a defendant within 42 days after the filing of that defendant's first answer to the
61     complaint.
62          (3) Exemptions.
63          (A) Unless otherwise ordered by the court or agreed to by the parties, the requirements
64     of paragraph (a)(1) do not apply to actions:
65          (i) for judicial review of adjudicative proceedings or rule making proceedings of an
66     administrative agency;
67          (ii) governed by Rule 65B or Rule 65C;
68          (iii) to enforce an arbitration award;
69          (iv) for water rights general adjudication under Title 73, Chapter 4, Determination of
70     Water Rights.
71          (B) In an exempt action, the matters subject to disclosure under paragraph (a)(1) are
72     subject to discovery under paragraph (b).
73          (4) Expert testimony.
74          (A) Disclosure of retained expert testimony. A party must, without waiting for a
75     discovery request, serve on the other parties the following information regarding any person
76     who may be used at trial to present evidence under Rule 702 of the Utah Rules of Evidence and
77     who is retained or specially employed to provide expert testimony in the case or whose duties
78     as an employee of the party regularly involve giving expert testimony: (i) the expert's name and
79     qualifications, including a list of all publications authored within the preceding 10 years, and a
80     list of any other cases in which the expert has testified as an expert at trial or by deposition
81     within the preceding four years, (ii) a brief summary of the opinions to which the witness is
82     expected to testify, (iii) the facts, data, and other information specific to the case that will be
83     relied upon by the witness in forming those opinions, and (iv) the compensation to be paid for
84     the witness's study and testimony.
85          (B) Limits on expert discovery. Further discovery may be obtained from an expert
86     witness either by deposition or by written report. A deposition must not exceed four hours and
87     the party taking the deposition must pay the expert's reasonable hourly fees for attendance at
88     the deposition. A report must be signed by the expert and must contain a complete statement of
89     all opinions the expert will offer at trial and the basis and reasons for them. Such an expert may

90     not testify in a party's case-in-chief concerning any matter not fairly disclosed in the report.
91     The party offering the expert must pay the costs for the report.
92          (C) Timing for expert discovery.
93          (i) The party who bears the burden of proof on the issue for which expert testimony is
94     offered must serve on the other parties the information required by paragraph (a)(4)(A) within
95     14 days after the close of fact discovery. Within 14 days thereafter, the party opposing the
96     expert may serve notice electing either a deposition of the expert pursuant to paragraph
97     (a)(4)(B) and Rule 30, or a written report pursuant to paragraph (a)(4)(B). The deposition must
98     occur, or the report must be served on the other parties, within 42 days after the election is
99     served on the other parties. If no election is served on the other parties, then no further
100     discovery of the expert must be permitted.
101          (ii) The party who does not bear the burden of proof on the issue for which expert
102     testimony is offered must serve on the other parties the information required by paragraph
103     (a)(4)(A) within 14 days after the later of (A) the date on which the disclosure under paragraph
104     (a)(4)(C)(i) is due, or (B) service of the written report or the taking of the expert's deposition
105     pursuant to paragraph (a)(4)(C)(i). Within 14 days thereafter, the party opposing the expert may
106     serve notice electing either a deposition of the expert pursuant to paragraph (a)(4)(B) and Rule
107     30, or a written report pursuant to paragraph (a)(4)(B). The deposition must occur, or the report
108     must be served on the other parties, within 42 days after the election is served on the other
109     parties. If no election is served on the other parties, then no further discovery of the expert must
110     be permitted.
111          (iii) If the party who bears the burden of proof on an issue wants to designate rebuttal
112     expert witnesses, it must serve on the other parties the information required by paragraph
113     (a)(4)(A) within 14 days after the later of (A) the date on which the election under paragraph
114     (a)(4)(C)(ii) is due or (B) service of the written report or the taking of the expert's deposition
115     pursuant to paragraph (a)(4)(C)(ii). Within 14 days thereafter, the party opposing the expert
116     may serve notice electing either a deposition of the expert pursuant to paragraph (a)(4)(B) and
117     Rule 30, or a written report pursuant to paragraph (a)(4)(B). The deposition must occur, or the
118     report must be served on the other parties, within 42 days after the election is served on the
119     other parties. If no election is served on the other parties, then no further discovery of the
120     expert must be permitted. The court may preclude an expert disclosed only as a rebuttal expert

121     from testifying in the case in chief.
122          (D) Multiparty actions. In multiparty actions, all parties opposing the expert must
123     agree on either a report or a deposition. If all parties opposing the expert do not agree, then
124     further discovery of the expert may be obtained only by deposition pursuant to paragraph
125     (a)(4)(B) and Rule 30.
126          (E) Summary of non-retained expert testimony. If a party intends to present
127     evidence at trial under Rule 702 of the Utah Rules of Evidence from any person other than an
128     expert witness who is retained or specially employed to provide testimony in the case or a
129     person whose duties as an employee of the party regularly involve giving expert testimony, that
130     party must serve on the other parties a written summary of the facts and opinions to which the
131     witness is expected to testify in accordance with the deadlines set forth in paragraph (a)(4)(C).
132     Such a witness cannot be required to provide a report pursuant to paragraph (a)(4)(B). A
133     deposition of such a witness may not exceed four hours and, unless manifest injustice would
134     result, the party taking the deposition must pay the expert's reasonable hourly fees for
135     attendance at the deposition.
136          (5) Pretrial disclosures.
137          (A) A party must, without waiting for a discovery request, serve on the other parties:
138          (i) the name and, if not previously provided, the address and telephone number of each
139     witness, unless solely for impeachment, separately identifying witnesses the party will call and
140     witnesses the party may call;
141          (ii) the name of witnesses whose testimony is expected to be presented by transcript of
142     a deposition;
143          (iii) designations of the proposed deposition testimony; and
144          (iv) a copy of each exhibit, including charts, summaries, and demonstrative exhibits,
145     unless solely for impeachment, separately identifying those which the party will offer and those
146     which the party may offer.
147          (B) Disclosure required by paragraph (a)(5)(A) must be served on the other parties at
148     least 28 days before trial. Disclosures required by paragraph (a)(5)(A)(i) and (a)(5)(A)(ii) must
149     also be filed on the date that they are served. At least 14 days before trial, a party must serve
150     any counter designations of deposition testimony and any objections and grounds for the
151     objections to the use of any deposition, witness, or exhibit if the grounds for the objection are

152     apparent before trial. Other than objections under Rules 402 and 403 of the Utah Rules of
153     Evidence, other objections not listed are waived unless excused by the court for good cause.
154          (6) Form of disclosure and discovery production. Rule 34 governs the form in
155     which all documents, data compilations, electronically stored information, tangible things, and
156     evidentiary material should be produced under this Rule.
157          (b) Discovery scope.
158          (1) In general. Parties may discover any matter, not privileged, which is relevant to
159     the claim or defense of any party if the discovery satisfies the standards of proportionality set
160     forth below.
161          (2) Privileged matters.
162          (A) Privileged matters that are not discoverable or admissible in any proceeding of any
163     kind or character include:
164          (i) all information in any form provided during and created specifically as part of a
165     request for an investigation, the investigation, findings, or conclusions of peer review, care
166     review, or quality assurance processes of any organization of health care providers as defined
167     in [the] Title 78B, Chapter 3, Part 4, Utah Health Care Malpractice Act, for the purpose of
168     evaluating care provided to reduce morbidity and mortality or to improve the quality of medical
169     care, or for the purpose of peer review of the ethics, competence, or professional conduct of
170     any health care provider[.]; and
171          (ii) all communications, materials, and information in any form provided during or
172     created for a medical candor process under Title 78B, Chapter 3, Part 4a, Utah Medical Candor
173     Act, including any findings or conclusions from the investigation, any findings or conclusions
174     of peer review, care review, or quality assurance processes, and any offer of compensation.
175          (B) Any communication, disclosure, or sharing of information with a patient or a
176     representative of the patient, as those terms are defined in Section 78B-3-450, as a part of the
177     medical candor process under Title 78B, Chapter 3, Part 4a, Utah Medical Candor Act, does
178     not waive any privilege or protection against admissibility or discovery as to any
179     communication, material, or information not expressly or specifically communicated,
180     disclosed, or shared with the patient or a representative of the patient.
181          (C) A party seeking discovery of any communication, information, or material that may
182     be a privileged matter under paragraph (b)(2)(A) or (B) has the burden of showing that, by a

183     preponderance of the evidence, the communication, information, or material is not a privileged
184     matter.
185          (D) Nothing in this paragraph (b)(2) shall prevent a party from raising any other
186     privileges provided by law as to the admissibility or discovery of a communication,
187     information, or material described in paragraph (b)(2)(A) or (B).
188          [(2)] (3) Proportionality. Discovery and discovery requests are proportional if:
189          (A) the discovery is reasonable, considering the needs of the case, the amount in
190     controversy, the complexity of the case, the parties' resources, the importance of the issues, and
191     the importance of the discovery in resolving the issues;
192          (B) the likely benefits of the proposed discovery outweigh the burden or expense;
193          (C) the discovery is consistent with the overall case management and will further the
194     just, speedy, and inexpensive determination of the case;
195          (D) the discovery is not unreasonably cumulative or duplicative;
196          (E) the information cannot be obtained from another source that is more convenient,
197     less burdensome, or less expensive; and
198          (F) the party seeking discovery has not had sufficient opportunity to obtain the
199     information by discovery or otherwise, taking into account the parties' relative access to the
200     information.
201          [(3)] (4) Burden. The party seeking discovery always has the burden of showing
202     proportionality and relevance. To ensure proportionality, the court may enter orders under Rule
203     37.
204          [(4)] (5) Electronically stored information. A party claiming that electronically
205     stored information is not reasonably accessible because of undue burden or cost must describe
206     the source of the electronically stored information, the nature and extent of the burden, the
207     nature of the information not provided, and any other information that will enable other parties
208     to evaluate the claim.
209          [(5)] (6) Trial preparation materials. A party may obtain otherwise discoverable
210     documents and tangible things prepared in anticipation of litigation or for trial by or for another
211     party or by or for that other party's representative (including the party's attorney, consultant,
212     surety, indemnitor, insurer, or agent) only upon a showing that the party seeking discovery has
213     substantial need of the materials and that the party is unable without undue hardship to obtain

214     substantially equivalent materials by other means. In ordering discovery of such materials, the
215     court must protect against disclosure of the mental impressions, conclusions, opinions, or legal
216     theories of an attorney or other representative of a party.
217          [(6)] (7) Statement previously made about the action. A party may obtain without
218     the showing required in paragraph [(b)(5)] (b)(6) a statement concerning the action or its
219     subject matter previously made by that party. Upon request, a person not a party may obtain
220     without the required showing a statement about the action or its subject matter previously made
221     by that person. If the request is refused, the person may move for a court order under Rule 37.
222     A statement previously made is (A) a written statement signed or approved by the person
223     making it, or (B) a stenographic, mechanical, electronic, or other recording, or a transcription
224     thereof, which is a substantially verbatim recital of an oral statement by the person making it
225     and contemporaneously recorded.
226          [(7)] (8) Trial preparation; experts.
227          (A) Trial-preparation protection for draft reports or disclosures. Paragraph
228     [(b)(5)] (b)(6) protects drafts of any report or disclosure required under paragraph (a)(4),
229     regardless of the form in which the draft is recorded.
230          (B) Trial-preparation protection for communications between a party's attorney
231     and expert witnesses. Paragraph [(b)(5)] (b)(6) protects communications between the party's
232     attorney and any witness required to provide disclosures under paragraph (a)(4), regardless of
233     the form of the communications, except to the extent that the communications:
234          (i) relate to compensation for the expert's study or testimony;
235          (ii) identify facts or data that the party's attorney provided and that the expert
236     considered in forming the opinions to be expressed; or
237          (iii) identify assumptions that the party's attorney provided and that the expert relied on
238     in forming the opinions to be expressed.
239          (C) Expert employed only for trial preparation. Ordinarily, a party may not, by
240     interrogatories or otherwise, discover facts known or opinions held by an expert who has been
241     retained or specially employed by another party in anticipation of litigation or to prepare for
242     trial and who is not expected to be called as a witness at trial. A party may do so only:
243          (i) as provided in Rule 35(b); or
244          (ii) on showing exceptional circumstances under which it is impracticable for the party

245     to obtain facts or opinions on the same subject by other means.
246          (8) Claims of privilege or protection of trial preparation materials.
247          (A) Information withheld. If a party withholds discoverable information by claiming
248     that it is privileged or prepared in anticipation of litigation or for trial, the party must make the
249     claim expressly and must describe the nature of the documents, communications, or things not
250     produced in a manner that, without revealing the information itself, will enable other parties to
251     evaluate the claim.
252          (B) Information produced. If a party produces information that the party claims is
253     privileged or prepared in anticipation of litigation or for trial, the producing party may notify
254     any receiving party of the claim and the basis for it. After being notified, a receiving party must
255     promptly return, sequester, or destroy the specified information and any copies it has and may
256     not use or disclose the information until the claim is resolved. A receiving party may promptly
257     present the information to the court under seal for a determination of the claim. If the receiving
258     party disclosed the information before being notified, it must take reasonable steps to retrieve
259     it. The producing party must preserve the information until the claim is resolved.
260          (c) Methods, sequence, and timing of discovery; tiers; limits on standard
261     discovery; extraordinary discovery.
262          (1) Methods of discovery. Parties may obtain discovery by one or more of the
263     following methods: depositions upon oral examination or written questions; written
264     interrogatories; production of documents or things or permission to enter upon land or other
265     property, for inspection and other purposes; physical and mental examinations; requests for
266     admission; and subpoenas other than for a court hearing or trial.
267          (2) Sequence and timing of discovery. Methods of discovery may be used in any
268     sequence, and the fact that a party is conducting discovery must not delay any other party's
269     discovery. Except for cases exempt under paragraph (a)(3), a party may not seek discovery
270     from any source before that party's initial disclosure obligations are satisfied.
271          (3) Definition of tiers for standard discovery. Actions claiming $50,000 or less in
272     damages are permitted standard discovery as described for Tier 1. Actions claiming more than
273     $50,000 and less than $300,000 in damages are permitted standard discovery as described for
274     Tier 2. Actions claiming $300,000 or more in damages are permitted standard discovery as
275     described for Tier 3. Absent an accompanying damage claim for more than $300,000, actions

276     claiming non-monetary relief are permitted standard discovery as described for Tier 2.
277     Domestic relations actions are permitted standard discovery as described for Tier 4.
278          (4) Definition of damages. For purposes of determining standard discovery, the
279     amount of damages includes the total of all monetary damages sought (without duplication for
280     alternative theories) by all parties in all claims for relief in the original pleadings.
281          (5) Limits on standard fact discovery. Standard fact discovery per side (plaintiffs
282     collectively, defendants collectively, and third-party defendants collectively) in each tier is as
283     follows. The days to complete standard fact discovery are calculated from the date the first
284     defendant's first disclosure is due and do not include expert discovery under paragraphs
285     (a)(4)(C) and (D).
286      TierAmount of
Damages
Total Fact
Deposition
Hours
Rule 33
Interrogatories
including all
discrete subparts
Rule 34
Requests for
Production
Rule 36
Requests for
Admission
Days to
Complete
Standard
Fact
Discovery
287      1$50,000 or less3055120
288      2More than
$50,000 and less
than $300,000 or
non-monetary
relief
15101010180
289      3$300,000 or
more
30202020210
290      4Domestic
relations actions
410101090
291          (6) Extraordinary discovery. To obtain discovery beyond the limits established in
292     paragraph (c)(5), a party must:
293          (A) before the close of standard discovery and after reaching the limits of standard
294     discovery imposed by these rules, file a stipulated statement that extraordinary discovery is
295     necessary and proportional under paragraph (b)(2) and, for each party represented by an
296     attorney, a statement that the attorney consulted with the client about the request for
297     extraordinary discovery;

298          (B) before the close of standard discovery and after reaching the limits of standard
299     discovery imposed by these rules, file a request for extraordinary discovery under Rule 37(a);
300     or
301          (C) obtain an expanded discovery schedule under Rule 100A.
302          (d) Requirements for disclosure or response; disclosure or response by an
303     organization; failure to disclose; initial and supplemental disclosures and responses.
304          (1) A party must make disclosures and responses to discovery based on the information
305     then known or reasonably available to the party.
306          (2) If the party providing disclosure or responding to discovery is a corporation,
307     partnership, association, or governmental agency, the party must act through one or more
308     officers, directors, managing agents, or other persons, who must make disclosures and
309     responses to discovery based on the information then known or reasonably available to the
310     party.
311          (3) A party is not excused from making disclosures or responses because the party has
312     not completed investigating the case, the party challenges the sufficiency of another party's
313     disclosures or responses, or another party has not made disclosures or responses.
314          (4) If a party fails to disclose or to supplement timely a disclosure or response to
315     discovery, that party may not use the undisclosed witness, document, or material at any hearing
316     or trial unless the failure is harmless or the party shows good cause for the failure.
317          (5) If a party learns that a disclosure or response is incomplete or incorrect in some
318     important way, the party must timely serve on the other parties the additional or correct
319     information if it has not been made known to the other parties. The supplemental disclosure or
320     response must state why the additional or correct information was not previously provided.
321          (e) Signing discovery requests, responses, and objections. Every disclosure, request
322     for discovery, response to a request for discovery, and objection to a request for discovery must
323     be in writing and signed by at least one attorney of record or by the party if the party is not
324     represented. The signature of the attorney or party is a certification under Rule 11. If a request
325     or response is not signed, the receiving party does not need to take any action with respect to it.
326     If a certification is made in violation of the rule, the court, upon motion or upon its own
327     initiative, may take any action authorized by Rule 11 or Rule 37(b).
328          (f) Filing. Except as required by these rules or ordered by the court, a party must not

329     file with the court a disclosure, a request for discovery, or a response to a request for discovery,
330     but must file only the certificate of service stating that the disclosure, request for discovery, or
331     response has been served on the other parties and the date of service.
332          Section 2. Rule 409, Utah Rules of Evidence is amended to read:
333          Rule 409. Payment of Medical and Similar Expenses; Expressions of Apology;
334     Medical Candor Process.
335          (a) Evidence of furnishing, promising to pay, or offering to pay medical, hospital, or
336     similar expenses resulting from an injury is not admissible to prove liability for the injury.
337          (b) Evidence of unsworn statements, affirmations, gestures, or conduct made to a
338     patient or a person associated with the patient by a defendant that expresses the following is not
339     admissible in a malpractice action against a health care provider or an employee of a health
340     care provider to prove liability for an injury[.]:
341          (b) (1) apology, sympathy, commiseration, condolence, compassion, or general sense
342     of benevolence; or
343          (b) (2) a description of the sequence of events relating to the unanticipated outcome of
344     medical care or the significance of events.
345          (c) Evidence of any communication, information, material, or conduct made during or
346     created for the medical candor process under Title 78B, Chapter 3, Part 4a, Utah Medical
347     Candor Act, is not admissible in a malpractice action against a health care provider or an
348     employee of a health care provider to prove liability for an injury, including:
349          (c) (1) any findings or conclusions of an investigation under Section 78B-3-451 that are
350     shared with a patient or a representative of a patient, as those terms are defined in Section
351     78B-3-450; or
352          (c) (2) any offer of compensation made to the patient or a representative of a patient
353     during or as part of the medical candor process.
354          Section 3. Effective date.
355          This resolution takes effect upon approval by a constitutional two-thirds vote of all
356     members elected to each house.