Florida has been displaced by California atop the annual “Judicial Hellholes” list formulated by the American Tort Reform Association defense bar organization.

The association ranked the nation’s top nine venues with what it considers the “most unfair” legal systems. Florida, whose highest court came out with a bevy of medical malpractice decisions favorinv plaintiffs last year, fell to No. 2.

California’s top ranking comes after the state’s highest court became the first in the nation to hold manufacturers of brand-name pharmaceuticals liable in cases involving their generic equivalents.

“That was such an outlier,” said Sherman “Tiger” Joyce, ATRA’s president. “There was a sense that what was going on in California collectively was enough to rule it beyond Florida, and there was not the level of negative activity in Florida.”

New York City’s courts jumped to No. 3, while the Philadelphia Court of Common Pleas and the New Jersey Legislature, though not its courts, also made the list.

Some overriding concerns in the report involved the prevalence of “junk science” at trials; class actions, particularly involving food packaging, which the defense bar insists have no injuries; and “activist” attorneys general who have brought cases over opioids and climate change.

Peter Knudsen, a spokesman for the American Association for Justice, the nation’s largest plaintiffs bar, said of the report: “ATRA’s definition of a ‘hellhole’ is a courtroom where a plaintiff brings a case in front of a jury to hold an unscrupulous corporation accountable. The real hellhole is a world in which an unsuspecting consumer is harmed, abused or defrauded by an unscrupulous corporation but has no recourse and no chance to prevent future wrongdoing.”

California has been No. 1 in prior years, often cited for its unique laws like this year’s data privacy statute. But the California Supreme Court’s Dec. 21 decision last year in T.H. v. Novartis Pharmaceuticals propelled it to the top of the list again. The ruling was the first to impose liability on brand-name drugmakers for the actions of generic pharmaceutical manufacturers, which the U.S. Supreme Court found in 2011 were protected from tort actions by federal pre-emption under Pliva v. Mensing.

At least 35 other state and federal courts have rejected the theory, the report says, but since the California ruling, the Massachusetts Supreme Court has adopted innovatory liability.

“The reason the decision matters is for the first time consumers of generic drugs have a remedy when they’re injured by a mislabeled drug,” said Leslie Brueckner, senior attorney at Public Justice who represented the plaintiff. “That’s what this decision did. And because 90 percent of the drugs in America that are consumed are generic, it’s a huge deal in holding the pharmaceutical industry liable for dangerously labeled drugs.”

Florida stayed high in the rankings after the Supreme Court refused to adopt the more defense-friendly standard for expert evidence, named for the U.S. Supreme Court’s 1993 decision in Daubert v. Merrell Dow Pharmaceuticals, in its DeLisle v. Crane decision this year. But the report said the court is “poised to significantly shift” with incoming Republican Gov. Ron DeSantis ready to appoint three justices to the seven-member court. The four holdovers are Republican appointees.

The report also expanded its ranking of New York City’s Asbestos Litigation court to include all courts in New York City. That’s primarily because of a growth in class actions brought over food packaging, Joyce said.

Like years past, the report chastised the Complex Litigation Center in the Philadelphia Court of Common Pleas, ranked No. 6, down one spot from last year, largely because of its pharmaceutical verdicts. And it called Pennsylvania’s courts among those to watch because of their acceptance of out-of-state plaintiffs.

New Jersey, ranked No. 6 last year, received mixed reviews this year, with the report claiming it has the “most plaintiff-friendly Legislature in the country.”

“For the first time ever, we highlighted not a state for its courts but for its Legislature,” Joyce said. “But when you look at the totality of what the New Jersey Legislature has done and is poised to do, it’s dramatically expanding liability.”

In contrast, the report praised decisions by the New Jersey Supreme Court, includig its ruling for the Daubert standard.

Here are a few more highlights from “Judicial Hellholes” report: