the number of plaintiffs, defendants, or other par-
ties, or the number of causes of action. 
(9) HEALTH CARE ORGANIZATION.—The term 
‘‘health care organization’’— 
(A) means any person or entity that is ob-
ligated to provide or pay for health care goods 
or services under any health insurance plan; 
and 
(B) includes any person or entity acting 
under a contract or arrangement with a health 
care organization to provide or administer any 
healthcare goods or services. 
(10) HEALTH
CARE
PROVIDER.—The term 
‘‘health care provider’’ means any person or entity 
required by State or Federal laws or regulations to 
be licensed, registered, or certified to provide health 
care services, or exempted from such requirement by 
other law or regulation. 
(11) MEDICAL PRODUCT.— 
(A) IN
GENERAL.—The term ‘‘medical 
product’’ means a drug, device, or biological 
product intended for humans. 
(B) ADDITIONAL DEFINITIONS.—For pur-
poses of subparagraph (A): 
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(i) DRUG.—The term ‘‘drug’’ has the 
meaning given such term in section 
201(g)(1) of the Federal Food, Drug, and 
Cosmetic Act (21 U.S.C. 321(g)(1)). 
(ii) DEVICE.—The term ‘‘device’’ has 
the meaning given such term in section 
201(h) of the Federal Food, Drug, and 
Cosmetic Act (21 U.S.C. 321(h)). 
(iii) 
BIOLOGICAL
PRODUCT.—The 
term ‘‘biological product’’ has the meaning 
given such term in section 351(i) of the 
Public Health Service Act (42 U.S.C. 
262(i)). 
(12) MINOR.—The term ‘‘minor’’ means an in-
dividual who is less than 18 years of age. 
(13) 
NONECONOMIC
DAMAGES.—The 
term 
‘‘noneconomic damages’’ means damages for phys-
ical and emotional pain, suffering, inconvenience, 
physical impairment, mental anguish, disfigurement, 
loss of enjoyment of life, loss of society and compan-
ionship, loss of consortium (other than loss of do-
mestic service), hedonic damages, injury to reputa-
tion, and all other nonpecuniary losses of any kind 
or nature. 
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(14) PUNITIVE DAMAGES.—The term ‘‘punitive 
damages’’— 
(A) means damages awarded, for the pur-
pose of punishment or deterrence, and not sole-
ly for compensatory purposes, against a health 
care provider, health care organization, or a 
manufacturer, distributor, or supplier of a med-
ical product; and 
(B) does not include economic damages or 
noneconomic damages. 
(15) STATE.—The term ‘‘State’’ means each of 
the several States, the District of Columbia, the 
Commonwealth of Puerto Rico, the United States 
Virgin Islands, Guam, American Samoa, the Com-
monwealth of the Northern Mariana Islands, the 
Trust Territory of the Pacific Islands, and any other 
territory or possession of the United States, or any 
political subdivision thereof. 
SEC. 14. APPLICABILITY. 
Except as otherwise provided, this Act shall apply to 
any health care lawsuit brought in a Federal or State 
court, or subject to an alternative dispute resolution sys-
tem, that is initiated on or after the date of the enactment 
of this Act. 
Æ 
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