The Supreme Court of Georgia on Monday dealt a two-pronged blow to plaintiffs lawyers, rejecting challenges to two parts of the 2005 tort reform package.

The court split 4-3 to uphold a rule that demanded evidence of “gross negligence” on the part of emergency room doctors in order to sustain a medical malpractice claim. The court also divided 5-2 to uphold a fee shifting rule that is supposed to deter the filing of frivolous suits and encourage settlements.