Representing Your Interests

The NSMS ensures local physicians have a
voice in shaping healthcare policy



An anti-MICRA initiative has been filed for the November 2022 ballot by wealthy out-of-state trial attorneys. This initiative would substantially raise health care costs for all Californians, reduce access to health care, and exploit patients for profit.

While most reporting to date has focused on the proposed changes to California’s existing law—the Medical Injury Compensation Reform Act (MICRA)—this misguided initiative would effectively eliminate California's medical lawsuit limits to create new financial windfalls for California's trial lawyers.

Recent reports show that proponents of this measure had collected enough signatures to qualify for the November 2022 ballot, which is why we need your commitment to oppose this dangerous initiative now more than ever.

In 2014, NSMS worked with CMA to fight and handily defeat Proposition 46, clearly saying NO to changes in MICRA that would have quadrupled the cap on non-economic damages. This measure goes far beyond what Proposition 46 would have done and the cost to taxpayers would be substantially greater. As recently noted by the independent Legislative Analyst Office, the "Fairness for Injured Patients Act" will cost California taxpayers tens of millions "to high hundreds of millions of dollars annually" in health care costs.

Proposition 46 taught us the power of a strong coalition, and this time around it will be even more important. To learn more about the new initiative, and to donate to the "NO" campaign, please visit

If you have any questions about MICRA or would like to find out more about how you can get involved, contact the NSMS by emailing