What the claim involves
The claim has to cover the rest of a life.
California has no separate legal category called “catastrophic injury.” The same negligence rules apply as in any injury case; what changes is the scale. Damages are meant to compensate for all the detriment the injury caused (Civil Code § 3333), including detriment certain to result in the future (§ 3283). That covers the reasonable cost of medical care the person is reasonably certain to need (CACI No. 3903A); lost earning capacity, which compares what the person could probably have earned without the injury with what they can still earn, and which does not require a work history, so it reaches children too (CACI No. 3903D); and pain, mental suffering, loss of enjoyment of life, disfigurement, and physical impairment (CACI No. 3905A). Future economic losses can be reduced to present cash value, the amount that, reasonably invested today, will provide them later (CACI No. 3904A).
A signed release usually ends a claim for good, so settling before the long-term picture is clear can leave future care out. Kyle Scott Law represents injured people and their families across Orange County from its Tustin office. Care often begins at one of the trauma centers Orange County EMS lists, among them UCI Health – Orange, Mission Hospital – Mission Viejo, Orange County Global Medical Center, and, for children only, Rady Children’s Hospital of Orange County, and the records made in those first hours often become the foundation of the case. Your first conversation is with attorney Kyle J. Scott, admitted to the State Bar of California in 1991, and a family member can make the first call.
The medical future
Treating doctors, and often a life-care plan, establish the care, equipment, therapy, home and vehicle changes, and attendant help the person will need, and for how long. Economists and vocational consultants then put a value on that care and on the lost earning capacity, so the jury or the insurer can see the whole of the loss.
Every source of recovery
A California auto policy issued or renewed since January 1, 2025, may carry as little as $30,000 for injury to one person, or $50,000 if issued or renewed from January 1, 2035 (Vehicle Code § 16056), far below a lifetime of care, so the firm looks further: an employer whose employee caused the harm on the job (CACI No. 3700); the company that manufactured, distributed, or sold a defective product (CACI No. 1200); a property owner; a public agency responsible for a dangerous road or property, after a written claim within six months (Government Code §§ 835, 911.2); and your own underinsured motorist coverage (Insurance Code § 11580.2(p)). When several parties share fault, each pays non-economic damages only in proportion to its own share (Civil Code § 1431.2), one more reason to find every responsible party.
Liens and reimbursement
Medi-Cal has a right to recover the reasonable value of benefits it provided because of an injury someone else caused (Welfare and Institutions Code § 14124.71), but only from the part of a recovery that represents medical expenses (§ 14124.76). Medicare’s conditional payments must be reimbursed when there is a settlement, judgment, or award, as the Centers for Medicare & Medicaid Services explains. A hospital can claim a lien on the damages for its reasonable and necessary charges (Civil Code § 3045.1), and health plans may seek reimbursement under their terms.
Structured settlements and trusts
Part of a settlement can be paid over time instead of in one lump sum. Federal law excludes from income damages, other than punitive damages, received on account of personal physical injuries, whether paid as a lump sum or as periodic payments (26 U.S.C. § 104(a)(2)); a tax adviser should confirm how that applies. Selling future structured payments later requires advance approval in a court order (Insurance Code § 10139.5). For a minor or a person with a disability, a court can order the money paid into a special needs trust whose terms it reviews and approves (Probate Code § 3604).
Cases the firm reviews
Common catastrophic injury matters.
Information that can matter
A strong claim starts with preserved evidence.
The useful records vary by case. The initial review identifies what exists, what may need to be requested, and what should be preserved before it is lost.
Legal guides
Answers to common catastrophic injury questions.
Common questions
Questions about catastrophic injury claims.
What makes an injury “catastrophic”?
California law has no single definition. The term usually describes an injury that permanently changes a person’s ability to work, move, think, or care for themselves, such as paralysis, an amputation, a severe brain injury, or serious burns. The legal rules are the same as in any injury case. What changes is the evidence and the amount at stake, because the claim must account for future medical care, lost earning capacity, and lasting pain and limitation.
What is a life-care plan, and do I need one?
A life-care plan is an itemized projection of the medical care, therapy, equipment, home and vehicle changes, and attendant care an injured person is expected to need, with costs. It is usually prepared with the treating doctors’ input and presented through qualified witnesses. Not every case needs one, but when an injury is permanent, it is often the clearest way to show a jury or an insurer what future care will cost.
What if the at-fault driver’s insurance is not enough?
A California auto policy issued or renewed since January 1, 2025, may carry as little as $30,000 for injury to one person, or $50,000 if issued or renewed from January 1, 2035 (Vehicle Code § 16056), far below the cost of a lifetime of care. Other sources may include the driver’s employer, a vehicle or product manufacturer, a property owner, a public agency responsible for a dangerous road, and your own underinsured motorist coverage. Bring every auto, umbrella, and household policy to the consultation so each one can be reviewed.
Will Medi-Cal or Medicare be repaid from my settlement?
Usually, yes. Medi-Cal has a right to recover the reasonable value of injury-related benefits it provided, limited to the part of the recovery that represents medical expenses (Welfare and Institutions Code §§ 14124.71, 14124.76). Medicare’s conditional payments must be reimbursed from a settlement, judgment, or award. Hospitals and health plans may also claim liens or reimbursement. These claims are identified and negotiated as part of the case, before the net recovery is paid.
How is a settlement handled for a child or an adult with a disability?
A settlement of a child’s claim generally needs court approval (Probate Code § 3500). For a minor or a person with a disability, the court can also order the money paid into a special needs trust, which it reviews and approves (§ 3604). Federal Medicaid law recognizes such a trust for a disabled person under 65 when the state is repaid from what remains at death (42 U.S.C. § 1396p(d)(4)(A)). Planning for this early helps protect both the recovery and future benefits.
How long do I have to file a catastrophic injury claim in California?
Most injury lawsuits must be filed within two years under Code of Civil Procedure § 335.1, and for a minor that time generally does not run until age 18 (§ 352(a)). A claim against a public agency, such as a city, the County of Orange, or a school district, generally must be presented in writing within six months under Government Code § 911.2, even for a child (Code of Civil Procedure § 352(b)). Medical malpractice has separate deadlines and a limit on non-economic damages (Civil Code § 3333.2). Confirm your dates early.
This page provides general information, not legal advice. A consultation is needed to evaluate the facts, deadlines, parties, and law that may apply to a specific matter.
Sources
Official sources.
The figures and rules of law on this page come from these official sources.
- California Civil Code § 3333 (measure of damages)
- California Civil Code § 3283 (future damages)
- Judicial Council of California, Civil Jury Instructions (CACI) Nos. 1200 (product liability), 3700 (employer’s responsibility), 3903A (future medical expenses), 3903D (lost earning capacity), 3904A (present cash value), and 3905A (noneconomic damages) (2026 edition)
- Orange County EMS Policy 240.30 — Orange County specialty services, including trauma centers (effective June 1, 2026)
- California Vehicle Code § 16056 (minimum liability limits)
- California Government Code § 835 (dangerous condition of public property)
- California Government Code § 911.2 (six months to present a claim)
- California Insurance Code § 11580.2 (underinsured motorist coverage)
- California Civil Code § 1431.2 (several liability for non-economic damages)
- California Welfare and Institutions Code § 14124.71 (Medi-Cal’s right of recovery)
- California Welfare and Institutions Code § 14124.76 (Medi-Cal lien limited to medical expenses)
- Centers for Medicare & Medicaid Services — conditional payment information
- California Civil Code § 3045.1 (hospital liens)
- 26 U.S.C. § 104 (compensation for injuries or sickness)
- California Insurance Code § 10139.5 (transfers of structured settlement payments)
- California Probate Code § 3500 (court approval of a minor’s settlement)
- California Probate Code § 3604 (special needs trusts)
- 42 U.S.C. § 1396p (Medicaid; trusts for disabled individuals under 65)
- California Code of Civil Procedure § 335.1 (two years for injury lawsuits)
- California Code of Civil Procedure § 352 (minors; not for government claims)
- California Civil Code § 3333.2 (medical malpractice non-economic damages)
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