A bevy of medical malpractice decisions helped propel Florida to the No. 1 spot in the annual Judicial Hellholes report this year for the first time.

The Tuesday report, published by the American Tort Reform Association since 2002, cited four Florida Supreme Court rulings in medical malpractice lawsuits among the primary reasons for ranking it the least business-friendly courts in the nation. Other top venues included those in California, New York, Pennsylvania and New Jersey.

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