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§ 8.01-581.12.Arbitration of medical malpractice claims.

Chapter 21.1. Medical Malpractice · Article 1. Medical Malpractice Review Panels; Arbitration of Malpractice Claims · Last amended 1997 · Last verified July 16, 2026

In one sentencePatients and health care providers may agree to arbitrate malpractice claims under Virginia’s general arbitration chapter, but the agreement binds the patient only if it grants at least a sixty-day window to withdraw after treatment ends, or after a guardian or personal representative is appointed, and any medical review panel already assembled may double as the arbitration panel.

Full Text of § 8.01-581.12

Text sizeJump to: (A) (B) (C)

A. Persons desiring to enter into an agreement to arbitrate medical malpractice claims which have then arisen or may thereafter arise may submit such matters to arbitration under the provisions of Chapter 21 (§ 8.01-577 et seq.) of this title and an agreement to submit such matters shall be binding upon the parties if the patient or claimant or his guardian, conservator, committee or personal representative is allowed by the terms of the agreement to withdraw therefrom, and to decline to submit any matter then or thereafter in controversy, within a period of at least sixty days after the termination of health care or, if the patient is under disability by reason of age and at the time of termination
without a guardian who could take such action for him, or if he is incapacitated and without a guardian or conservator who could take such action for him, or if such termination is by death or if death occurs within sixty days after termination, then within a period of at least sixty days after the appointment and qualification of the guardian, conservator or committee or personal representative.
B. Proof of agreement to arbitrate and submission of a medical malpractice claim pursuant thereto shall be in accordance with Chapter 21 of this title, and a medical malpractice panel appointed under this article may be designated to arbitrate the matter, either by the arbitration agreement or by the parties to the agreement.
C. An insurer of a health care provider shall be bound by the award of an arbitration panel or arbitrators acting pursuant to a good faith submission hereunder to the extent to which it would have been obligated by a judgment entered in an action at law with respect to the matter submitted; provided, that such insurer has agreed prior to the submission to be bound by the award of such arbitration panel or arbitrators.

Plain-English Summary

This section lets patients and health care providers agree — before or after a dispute arises — to arbitrate malpractice claims under Virginia’s general arbitration chapter, Chapter 21. But that agreement only binds the patient or claimant if it builds in a consumer protection: a window of at least sixty days after health care ends during which the patient, guardian, conservator, committee, or personal representative can withdraw from the agreement and decline arbitration.

That sixty-day window shifts for patients who can’t exercise it themselves. If the patient is a minor without a guardian, or incapacitated without a guardian or conservator, when treatment ends, or if the patient dies during or shortly after treatment, the clock instead starts running when a guardian, conservator, or personal representative is appointed and qualified.

The arbitration process itself proceeds under Chapter 21’s general rules, and notably, the same medical review panel appointed under this article can also serve as the arbitration panel — either because the arbitration agreement designates it or because the parties agree to it. Finally, an insurer of the health care provider is bound by an arbitration award only to the extent it would have been bound by a court judgment on the same matter, and only if the insurer agreed beforehand to be bound by the arbitration.

Frequently Asked Questions

Under what general chapter does medical malpractice arbitration proceed?

Chapter 21 (§ 8.01-577 et seq.) of Title 8.01.

How long must a patient be given to withdraw from an arbitration agreement?

At least sixty days after the termination of health care.

What if the patient is a minor or incapacitated without a guardian when treatment ends?

The withdrawal window instead runs for at least sixty days after a guardian, conservator, or personal representative is appointed and qualified.

Can the same panel that handles review panel proceedings also arbitrate the claim?

Yes, a medical malpractice panel appointed under this article may be designated to arbitrate the matter, either by the arbitration agreement itself or by agreement of the parties.

Is a health care provider’s insurer automatically bound by an arbitration award?

Only if the insurer agreed, prior to submission, to be bound by the award, and even then only to the extent it would have been obligated by a judgment entered in a court action on the same matter.

Amendment History

Code 1950, § 8-922; 1976, c. 611; 1977, c. 617; 1997, c. 801.

Source & verification. Section text and amendment history are reproduced verbatim from the Code of Virginia, published by the Code of Virginia, Virginia Division of Legislative Automated Systems. Last verified July 16, 2026. · Official source
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