The MCARE Act was enacted in March 2002 repealing the Health-Care Services Malpractice Act, known as Act 111.

In addition to restating existing law mandating coverage for physicians, surgeons, nurse midwives, hospitals and institutions, the Act addresses patient safety, medical liability reform and CAT Fund reform, including placing the CAT Fund under Insurance Department control and creating the MCARE Fund to replace the CAT Fund as of 10/01/02.