SAN FRANCISCO — The state Supreme Court has declined to hear the latest case challenging California’s cap on noneconomic damages in medical malpractice cases.

In 2007, a Merced County jury awarded James Van Buren $2.5 million for pain and suffering after a surgery mishap left him incontinent. The trial judge, however, reduced the award to $250,000 as mandated by MICRA, the state’s 1975 Medical Injury Compensation Reform Act. Van Buren v. Evans , S174006.

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