The Netflix documentary “Take Care of Maya” turned a family’s tragedy into a national conversation about medical child abuse allegations. But the legal battle that followed has just taken a dramatic twist: a Florida appeals court overturned the historic $261 million jury verdict against Johns Hopkins All Children’s Hospital.

Jury award (Nov 2023): $261 million ($213M in compensatory, $48M in punitive) ·
Appeals court reversal: October 29, 2025, by Florida Second District Court of Appeal ·
Hospital originally sued: Johns Hopkins All Children’s Hospital ·
Maya Kowalski age during trial: 18 (born 2005)

Quick snapshot

1Confirmed facts
2What’s unclear
3Timeline signal
  • 2015: Maya diagnosed with CRPS
  • January 2017: Mother Beata Kowalski dies by suicide
  • October 29, 2025: Appeals court overturns verdict
4What’s next
  • Limited retrial on intentional infliction of emotional distress, false imprisonment, battery, and medical negligence claims (WUSF, Florida public radio)
  • Punitive damages rejected by the appeals court (FOX 13 Tampa Bay, regional news station)

The table below lays out five critical data points that define the case.

Label Value
Documentary release June 2023 (Tribeca), Netflix July 2023
Defendant Johns Hopkins All Children’s Hospital
Initial verdict date November 2023
Appeal date October 29, 2025
Appeals court ruling Verdict overturned; hospital not liable
Jury award amount $261 million ($213M compensatory + $48M punitive)
Appeals court panel Three-judge panel of Florida Second District Court of Appeal
Key legal issue Misapplication of Florida’s child-abuse-reporting immunity statute (Chapter 39)

What happened in the Take Care of Maya trial?

Jury verdict in 2023

  • In November 2023, a Florida jury found Johns Hopkins All Children’s Hospital liable for false imprisonment, intentional infliction of emotional distress, and medical negligence against Maya Kowalski and her family (Herald-Tribune, Sarasota newspaper).
  • The jury awarded $213 million in compensatory damages and $48 million in punitive damages, totaling $261 million.
  • The case centered on the hospital’s 2016 report to child protective services accusing Maya’s mother, Beata Kowalski, of medical child abuse.

Appeals court reversal in 2025

  • On October 29, 2025, the Florida Second District Court of Appeal reversed the entire verdict (WUSF, Florida public radio).
  • The appellate panel concluded that the trial court erred by not properly applying Florida’s child-abuse-reporting immunity statute (Law360, legal news outlet).
  • It held that the hospital acted in good faith when participating in child-protection activities (FOX 13 Tampa Bay, regional news station).
Bottom line: The hospital’s immunity for reporting suspected abuse shielded it from most claims. The Kowalski family now faces a retrial on a narrower set of allegations.

The pattern: a jury’s outrage collided with a statute designed to protect children. The appeals court sided with the law, not the emotion.

What illness did Maya have in Take Care of Maya?

Complex Regional Pain Syndrome

  • Maya Kowalski was diagnosed with Complex Regional Pain Syndrome (CRPS) at age 10 in 2015 (WUSF, Florida public radio).
  • CRPS is a chronic pain condition that typically affects a limb after an injury or surgery. It is characterized by prolonged, intense pain that is disproportionate to the initial event.
  • There is no known cure; treatment focuses on managing symptoms with physical therapy, medications, and sometimes nerve blocks or ketamine infusions.

Diagnosis and symptoms

  • Multiple physicians diagnosed Maya with CRPS, but the hospital’s child protection team questioned the legitimacy of the diagnosis (Justia, legal database).
  • The documentary shows Maya in severe pain, using a wheelchair, and undergoing ketamine treatments.
  • The dispute over whether her symptoms were “real” or “exaggerated” by her mother became the central legal issue.
The paradox

CRPS is a recognized medical condition, yet it remains poorly understood. The family’s legal win turned on a jury believing the diagnosis was genuine; the reversal turned on the hospital’s immunity, not the medical facts.

What is Maya Kowalski known for?

Documentary subject

  • Maya Kowalski is the central subject of the 2023 Netflix documentary “Take Care of Maya,” directed by Henry Roosevelt (Herald-Tribune, Sarasota newspaper).
  • The film premiered at the Tribeca Film Festival in June 2023 and was released on Netflix in July 2023.
  • It documents the family’s ordeal: Maya’s hospitalization, the separation from her mother, and Beata Kowalski’s suicide in January 2017.

Legal case plaintiff

  • Maya, along with her father Jack Kowalski and the estate of Beata Kowalski, sued Johns Hopkins All Children’s Hospital for false imprisonment, battery, medical negligence, and wrongful death.
  • The case drew national attention because it highlighted the tension between protecting children from abuse and the risk of wrongly accusing parents of a rare condition.
  • Maya was 18 years old at the time of the 2023 trial.
The upshot

Maya Kowalski has become a symbol for families who feel the child-protection system failed them. But the appeals ruling shows that the legal system’s shield for reporters remains formidable.

What was the outcome of the Maya case trial?

Initial award

  • The jury awarded $213 million in compensatory damages and $48 million in punitive damages, totaling $261 million (Herald-Tribune, Sarasota newspaper).
  • The award covered claims from Maya, Jack Kowalski, and the estate of Beata Kowalski.

Appeals ruling

  • The Florida Second District Court of Appeal vacated the entire judgment on October 29, 2025 (WUSF, Florida public radio).
  • It ruled that the trial court misread Chapter 39 immunity, which protects anyone who reports suspected child abuse in good faith (Law360, legal news outlet).
  • Punitive damages were rejected entirely. Only claims for intentional infliction of emotional distress on behalf of Maya, plus remaining false imprisonment, battery, and medical negligence claims, may be retried (WUSF, Florida public radio).
Bottom line: The $261 million verdict is gone. The hospital’s immunity under Florida law was the decisive factor. The Kowalskis get a second chance, but only on a much narrower set of allegations.

The trade-off: the statute that protects mandated reporters also leaves families like the Kowalskis with a steep hill to climb.

Does Maya Kowalski still have CRPS?

CRPS prognosis

  • CRPS is considered a chronic, incurable condition. Symptoms can persist for years or decades.
  • Maya’s treatment history included ketamine infusions, physical therapy, and other pain management modalities.

Current condition

  • Maya still reports symptoms as of 2025, according to family statements in media coverage (FOX 13 Tampa Bay, regional news station).
  • Exact medical details are not publicly available, as her medical records are private.
  • The appeals ruling does not change the medical reality of her condition.
What to watch

The legal outcome has no bearing on the medical facts. Maya’s CRPS diagnosis was never disputed by the appeals court; the court only addressed the hospital’s immunity.

Timeline of key events

  • 2015: Maya Kowalski, age 10, diagnosed with CRPS.
  • 2016: Maya admitted to Johns Hopkins All Children’s Hospital; mother Beata accused of medical child abuse.
  • January 2017: Beata Kowalski dies by suicide after a court-ordered separation from Maya.
  • June 2023: Documentary ‘Take Care of Maya’ premieres at Tribeca Film Festival.
  • November 2023: Jury awards $261 million ($213M compensatory + $48M punitive) to the Kowalski family.
  • October 29, 2025: Florida Second District Court of Appeal overturns the verdict.

What’s confirmed vs. unclear

Confirmed facts

  • Maya had CRPS diagnosed by multiple physicians (WUSF, Florida public radio)
  • Jury verdict was $261M in 2023 (Herald-Tribune, Sarasota newspaper)
  • Appeals court reversed in 2025 (Justia, legal database)
  • Beata Kowalski died by suicide in 2017 (FOX 13 Tampa Bay, regional news station)

What’s unclear

  • Whether the hospital will face trial again or settle
  • Maya’s exact current CRPS severity (non-public medical records)
  • Future of the case after appeal; possible retrial or settlement

Key perspectives

“The trial court erred by not properly applying Florida’s child-abuse-reporting immunity statute.”

— Florida Second District Court of Appeal, opinion in Kowalski v. Johns Hopkins All Children’s Hospital (Justia, legal database)

“We are pleased that the court recognized the hospital acted in good faith in its participation with child-protection activities.”

— Hospital spokesperson, as quoted by FOX 13 Tampa Bay (FOX 13 Tampa Bay, regional news station)

“The family is considering all legal options, including a petition for rehearing or appeal to the Florida Supreme Court.”

— Representative for the Kowalski family, as reported by WUSF (WUSF, Florida public radio)

The reversal of the $261 million verdict does not erase the family’s loss, but it reshapes the legal landscape. For the Kowalski family, the path forward is uncertain: either a retrial on a narrower set of claims, or a settlement that may not reflect the original jury’s judgment. For hospitals and child-protection agencies in Florida, the ruling reinforces the broad immunity they enjoy when they report suspected abuse—even when the allegations later prove unfounded. The law protects reporters, not families caught in the crossfire.

Related reading: Take Care of Maya appeal 2025 verdict overturned · Florida appeals court reverses $213M judgment in Maya Kowalski case

For those following the legal saga, the full update on the overturned verdict provides a comprehensive look at what the appeals court decision means for the Kowalski family.

Frequently asked questions

What was the Take Care of Maya documentary about?

The documentary, released on Netflix in July 2023, follows Maya Kowalski’s story after she was diagnosed with CRPS and her mother was accused of medical child abuse. It shows the family’s legal battle against Johns Hopkins All Children’s Hospital.

Did Maya Kowalski have a relationship with her father?

Yes, Maya’s father Jack Kowalski was a plaintiff in the lawsuit and has been her primary caregiver since her mother’s death. The documentary shows their close relationship.

What is CRPS?

Complex Regional Pain Syndrome is a chronic pain condition that typically affects a limb after an injury. It causes severe, prolonged pain that is disproportionate to the initial injury. There is no cure, but treatments include physical therapy, medications, and nerve blocks.

Is the Take Care of Maya trial final?

No. The Florida Second District Court of Appeal overturned the 2023 verdict on October 29, 2025, but allowed a limited retrial on some claims. The case may be appealed further to the Florida Supreme Court.

Who directed the documentary?

Henry Roosevelt directed “Take Care of Maya.” He also produced the film along with others.

Which hospital was involved in the case?

Johns Hopkins All Children’s Hospital in St. Petersburg, Florida, was the defendant. It was the hospital that reported Maya’s mother to child protective services in 2016.