CA · Health & Medical

Health & Medical in California

By CanISueForThis Editorial Team Reviewed by Editorial Team Updated March 21, 2026

Key California Law

California Code of Civil Procedure Section 340.5 (MICRA)

California's Medical Injury Compensation Reform Act (MICRA), primarily codified at Cal. Civ. Code § 3333.2 and Cal. CCP § 340.5, governs medical malpractice claims. The statute of limitations is three years from the date of injury or one year from discovery, whichever comes first.

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Procedural Details in California

MICRA Damage Caps (AB 35 Updates)

California MICRA (enacted 1975, significantly amended by AB 35 effective 2023) caps non-economic damages in medical malpractice at $350,000 for cases involving physician negligence not causing death, and $500,000 for cases involving death or wrongful death, with these amounts increasing annually through 2033 until reaching $750,000 and $1,000,000 respectively. California's MICRA also limits plaintiff attorney contingency fees on a sliding scale, which can affect attorney willingness to take lower-value cases.

Pre-Suit Notice & Filing Requirements

California requires 90 days' pre-suit notice to the health care provider before filing under CCP § 364. This notice tolls the statute of limitations for 90 days. California does not require a formal certificate of merit affidavit at filing, but expert testimony is necessary at trial to establish the standard of care and its breach.

Medical Board Complaints & Oversight

The Medical Board of California investigates complaints and can discipline or revoke licenses. Board complaints are separate from civil litigation and can proceed in parallel. The California Department of Public Health also investigates patient safety issues at licensed health care facilities, including hospitals and nursing homes.

California Agencies & Resources

Medical Board of California

Licenses and disciplines physicians in California; accepts complaints about medical negligence, unprofessional conduct, and standard-of-care violations.

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California Department of Public Health

Oversees hospital licensing, nursing home regulation, and patient safety programs in California.

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California Department of Managed Health Care

Regulates HMOs and health plans; handles complaints about care denials and insurance coverage issues.

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Frequently Asked Questions

What is the statute of limitations for medical malpractice in California?

Under Cal. CCP § 340.5, California provides three years from the date of injury or one year from discovery (whichever is sooner) for medical malpractice claims. California also requires 90 days' advance written notice to the provider before filing under CCP § 364, which can toll the limitations period during the notice window.

What does California's MICRA cap on non-economic damages mean?

California's MICRA law (amended by AB 35) caps non-economic damages — pain, suffering, emotional distress — at $350,000 for non-death malpractice cases (rising to $750,000 by 2033). For wrongful death malpractice, the cap is $500,000 (rising to $1,000,000 by 2033). Medical bills, lost wages, and other economic damages are not capped under MICRA.

Does California require pre-suit notice before filing a malpractice lawsuit?

Yes. California CCP § 364 requires plaintiffs to serve written notice of intent to file a malpractice action at least 90 days before filing. This notice period is intended to encourage settlement without litigation. Importantly, if the 90 days would extend past the SOL deadline, the limitations period is tolled during that window.

How do I file a complaint against a doctor with the Medical Board of California?

You may file a complaint online at mbc.ca.gov or by calling the Board's consumer line. The Medical Board investigates allegations of negligence, unprofessional conduct, drug impairment, and license fraud. Disciplinary proceedings are separate from civil litigation and do not provide financial compensation.

How does the MICRA sliding scale for attorney fees work in California?

California's MICRA law limits the contingency fees that plaintiff attorneys may charge in medical malpractice cases. The sliding scale is: 40% of the first $50,000 recovered, 33.33% of the next $50,000, 25% of the next $500,000, and 15% of any amount over $600,000. This declining scale can affect the economics of bringing a malpractice case, particularly for claims with lower expected recoveries. Some attorneys may decline cases that fall below certain value thresholds due to the fee limitations combined with the high cost of medical expert witnesses required in malpractice litigation.

Can I sue a California hospital for medical malpractice separately from the doctor?

Yes. California allows malpractice claims against hospitals, clinics, and other health care facilities in addition to individual physicians. Hospitals may be liable under theories of direct corporate negligence (such as negligent credentialing or inadequate staffing) or vicarious liability for the actions of their employees. However, the MICRA non-economic damage cap applies per case rather than per defendant, so adding defendants does not typically increase the available non-economic recovery. Economic damages such as medical bills, lost earnings, and future care costs remain uncapped regardless of the number of defendants.

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By CanISueForThis Editorial Team Reviewed by Editorial Team Updated March 21, 2026