If a doctor or other medical provider touched you sexually, examined you without a medical reason, or used your treatment for sexual purposes, California law treats that as sexual abuse, not a medical mistake. You may be able to bring a civil claim for money damages, report the provider to the licensing board, and support a criminal case. Each path is separate.
People who look this up often are not sure whether what happened "counts." Many survivors do not connect a medical appointment with a legal claim until years later. California law anticipates that, and it does not require anyone to have spoken up at the time.
What "Abused by a Doctor" Means Under California Law
Sexual abuse by a physician is a different legal category from medical malpractice. Malpractice is negligence: a provider who fails to meet the standard of care by mistake. Sexual abuse is intentional wrongdoing. The rules, deadlines and defenses that apply to malpractice cases are not the same ones that apply to sexual abuse and sexual assault claims.
The relationship itself carries legal weight. A patient undresses, answers private questions and accepts touching because the patient trusts the provider to act only for the patient's care. The law describes a relationship like this as fiduciary (one in which one person is bound to act in the other's interest, not their own).
California's licensing law addresses this directly. Business and Professions Code § 726 provides:
"The commission of any act of sexual abuse, misconduct, or relations with a patient, client, or customer constitutes unprofessional conduct and grounds for disciplinary action for any person licensed under this division..."
"Unprofessional conduct" is the legal term for behavior that allows a licensing board to discipline a licensee, which can include suspension or revocation of a license. The statute contains a narrow exception for consensual contact with a spouse or domestic partner during non-psychotherapeutic treatment.
A separate statute, Business and Professions Code § 729, makes sexual contact with a patient or client a crime when committed by a physician and surgeon, psychotherapist, research psychoanalyst, student research psychoanalyst, or alcohol and drug abuse counselor, including a person holding themselves out as one. The statute states that consent of the patient or client is never a defense.
Civil liability (legal responsibility to pay money damages to the person harmed) is a third layer. A criminal case and a civil claim are independent: one can exist without the other.
Examples of Abuse in a Medical Setting
Examples that commonly form the basis of claims include:
- Genital, breast or rectal examinations performed without a clinical reason or without proper consent
- Sexual touching during an examination that the provider described as medically necessary
- Sexual comments, requests for sexual favors, or showing a patient sexual material
- Offering prescriptions or favorable treatment in exchange for sexual contact
- Photographing or recording a patient's body without consent
The conduct does not need to be called rape or assault to be legally actionable. California's sexual battery statute, for example, specifically covers touching where the person did not understand the nature of the act because the provider "fraudulently represented that the touching served a professional purpose."
Abuse is also not limited to physicians. Claims arise against nurses, physical therapists, chiropractors, psychiatrists, psychologists, therapists and other licensed providers. Different licensing boards oversee different professions, but the civil claim works in a similar way across them.
California's Legal Framework: Civil Claims, Criminal Law, and the Medical Board
Three systems respond to abuse by a medical provider, and a survivor can use one, two, all three, or none.
The civil system. A civil case is a lawsuit brought by the survivor (the plaintiff) to recover compensation for harm. The survivor decides whether to file and whether to settle. A civil claim can name the provider and, in some cases, the hospital, clinic, medical group or employer. Institutions may be liable under theories such as negligent hiring, negligent supervision or negligent retention (failing to screen, monitor or remove a provider when the institution knew or should have known of a risk). Our guide to institutional sexual abuse explains these theories further.
The criminal system. A criminal case is brought by the district attorney on behalf of the State of California. Depending on the facts, laws that may apply include Penal Code § 243.4 (sexual battery), California's rape statutes, and the § 729 offense described above. In a criminal case, the survivor is a witness, not a party, and does not control whether charges are filed or how the case ends. The differences are set out in more detail in civil vs. criminal cases.
The licensing system. The Medical Board of California licenses and disciplines physicians. A complaint can lead to an investigation and discipline, but the Board does not award money to patients.
A civil claim does not depend on criminal charges being filed, and California's adult sexual assault deadline statute states that no criminal prosecution or conviction is necessary.
