What is the test for subject matter jurisdiction in a medical malpractice case?

Despite the existence of subject matter jurisdiction, the court will not entertain plaintiffs' claim because the controversy between the parties is not ripe for review. Courts will generally not apply their equitable powers to the review of administrative determinations until the controversy is "`ripe' for judicial resolution." Abbott Laboratories v. Gardner, 387 U.S. 136, 148, 87 S.Ct. 1507, 1515, 18 L.Ed.2d 681 (1967). This doctrine is to insure that there will not be "judicial interference until any administrative decision has been formalized and its effects felt in a concrete way by the challenging parties." Id. at 148, 149, 87 S.Ct. at 1515.