As governor, Bush proposed and passed into law major reform to the medical liability system. The Florida Senate, a majority of which were Republican, opposed Bush's proposed caps on non-economic damages for injury and wrongful death. Bush insisted, and called the legislature into five special sessions. The contentious debate even included a senior Bush staffer calling for primary opposition to Republicans who disagreed with the Governor on the reforms. Eventually, the legislature agreed to the caps and Bush's reforms passed. In 2014, after Bush left office, the Florida Supreme Court ruled the damage cap – the "centerpiece" of the 2003 legislation that Bush had pushed for – to be a violation of the state Constitution's equal protection clause, discriminating against "those who are most grievously injured, those who sustain the greatest damage and loss, and multiple claimants."