NU Online News Service, May 18, 2:46 p.m. EDT–The American Medical Association said it has added Rhode Island to its list of states with a medical malpractice insurance crisis and removed Texas.

Two years ago Texas adopted legislation capping non-economic damage awards against physicians and health care institutions at $250,000, which the AMA said had improved the insurance marketplace.

The AMA said in Rhode Island there is a crisis because, in the words of AMA Trustee Dr. William G. Plested, "An unrestrained legal assault" has eroded the state's health care system "to the point where physicians are restricting services and patients are losing access to care."

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