Cultural & Linguistic Competency and Implicit Bias Standards

The California Medical Association (CMA) believes that there are basic cultural and linguistic competencies that are essential to providing quality and accessible care, and also acknowledges that society at large, including the house of medicine, has embedded and endemic structural racism and biases that affect the care that an individual receives.

To that end, CMA’s continuing medical education (CME) team (CMA CME) convened an advisory council of CME and health equity experts in October 2020 to update the cultural and linguistic competency (CLC) standards and create standards for implicit bias (IB) that reduce health disparities, as well as comply with state law.

Public Comment Requested

CME providers, physicians and stakeholders are encouraged to submit public comment on the draft standards from April 5 - May 5, 2021:

Comments can also be submitted via email to cmestandards@cmadocs.org

Once the final standards are released in August 2021, California CME provider organizations will have until January 1, 2022, to meet all components to comply with state law. 

Informational Webinars

CMA CME will also host two informational webinars to present the standards:

Background on State Law

Business and Professions (B&P) Code Section 2190.1 also requires CMA CME to update CLC standards and develop IB standards for inclusion in CME activities. Section 2190.1 (b)(3) of state law states that: “Associations that accredit continuing medical education courses shall develop standards before July 1, 2006, for compliance with the requirements of paragraph (1). The associations may develop these standards in conjunction with an advisory group that has expertise in cultural and linguistic competency issues.” 

Assembly Bill (AB) 1195 (Coto, 2005) and AB 241 (Kamlager-Dove, 2019) are codified via B&P 2190.


Email cmestandards@cmadocs.org with questions or for more information.

Public Comment

We are accepting public comment on the draft standards from April 5 - May 5, 2021. You can submit your comments: