Failure to Treat in New York

Average Settlement: $250,000 - $750,000 | Statute: 2 years and 6 months from the date of the act, omission, or failure

About Failure to Treat

Failure to treat occurs when a healthcare provider correctly diagnoses a condition but fails to provide appropriate treatment, refer the patient to a specialist, or follow established treatment protocols. This form of malpractice can be particularly frustrating for patients who sought care, received a correct diagnosis, and then experienced harm because the necessary next steps were never taken. These cases often involve systemic issues such as overloaded physicians, poor follow-up systems, or cost-driven treatment decisions.

New York Medical Malpractice Laws

Statute of Limitations

2 years and 6 months from the date of the act, omission, or failure

Damage Cap

No cap on damages

Discovery Rule

New York has a very limited discovery rule — it applies only to cases involving a foreign object left in the body (1 year from discovery). Otherwise, the statute runs from the date of the act or the last date of a continuous course of treatment.

Pre-Filing Requirements

Plaintiffs must file a certificate of merit from a qualified physician.

Common Examples of Failure to Treat

  • Failing to prescribe appropriate medication after diagnosing a treatable condition
  • Not referring a patient to a specialist when the condition requires specialized care
  • Discharging a patient without an adequate treatment or follow-up plan
  • Ignoring or failing to act on abnormal test results that confirm a known diagnosis
  • Failure to provide appropriate post-surgical care or rehabilitation
  • Not ordering necessary follow-up imaging or biopsies after an initial diagnosis
  • Providing treatment that is outdated or inconsistent with current clinical guidelines

Key Facts

  • Failure to treat is legally distinct from misdiagnosis — the provider identified the condition correctly but did not act on it appropriately
  • Clinical practice guidelines from medical specialty organizations are often introduced as evidence to show what the standard treatment should have been
  • These cases frequently involve gaps in care coordination, particularly when multiple providers or healthcare systems are involved in a patient's treatment
  • Electronic health records that show a diagnosis was documented but no corresponding treatment plan was entered can be powerful evidence of failure to treat
  • Insurance-driven treatment denials may contribute to failure to treat, but the treating physician still has a legal duty to advocate for and pursue medically necessary care
  • Expert testimony in these cases typically focuses on what a competent physician in the same specialty would have done after reaching the same diagnosis
  • New York has some of the highest medical malpractice verdicts and settlements in the nation, particularly in New York City.
  • The continuous treatment doctrine tolls the statute of limitations while the same provider continues to treat the patient for the same condition.
  • New York follows a pure comparative negligence system, allowing recovery regardless of plaintiff's fault.
  • Future damages exceeding $250,000 must be paid periodically rather than as a lump sum under CPLR Article 50-A.
  • Expert witnesses are subject to the Frye standard for admissibility of scientific testimony.

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Failure to Treat in Other States

Other Malpractice Types in New York

This information is for educational purposes only and is not legal advice. Consult a licensed medical malpractice attorney in New York.