Description A ballot initiative in California threatened to gut landmark reforms which had provided a stable MPL market for more than 40 years in that state. Facing the complete loss of these critical reforms, advocates negotiated a compromise which avoided the initiative, but resulted in the first substantive changes to MICRA since its enactment. Those directly involved in the negotiations and others in the tort reform community will share their insights on why compromise was necessary, how these changes will impact the California MPL market, and what it means for MPL reforms across the nation.