The Medical Injury Compensation Reform Act of 1975 (MICRA), California faced a medical malpractice insurance crisis. MICRA places a $250,000 cap on non-economic damages (i.e. pain and suffering) only and did not cap damages for lost wages, medical bills, among other quantifiable factors. MICRA also places a cap on the plaintiff attorney fees. That said, there have been challenges and proposed revisions which may cause the cap to increase which means proactive risk management and claims administration may be pivotal to management of cost. Claims-made policies are the most common policy type in California and have a maximum maturation length of six years.