For over 200 years, the authority to determine medical liability law has rested with the states. This system, which allows each state the autonomy to regulate the resolution of medical liability actions within its borders, is a hallmark of our American justice system. The states also regulate the insurance industry. Because of the role they have played, the states are the repositories of experience and expertise in these matters. The American Bar Association remains committed to maintaining a fair and efficient system of justice where victims of medical malpractice can obtain redress based on state laws, without arbitrary or harmful restrictions.