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. (Presentation of draft standards & process)

The final standards are expected to be released by September 2021, and California CME provider organizations will have until January 1, 2022, to meet all components to comply with state law. 

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.

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