Proposition 46 at a glance

WHAT IT DOES: Lifts ceiling on damages for pain and suffering caused by medical negligence to $1.1 million, from $250,000; requires doctors with hospital privileges to submit to random drug and alcohol tests; requires doctors to check a statewide database before prescribing powerful drugs, such as painkillers, in an attempt to reduce abuses.

WHO SUPPORTS IT: Trial lawyers, Consumer Watchdog advocacy group, Sen. Barbara Boxer.

WHO OPPOSES IT: California Medical Association; California Hospital Association; California Chamber of Commerce; companies that provide insurance coverage for doctors.

CAMPAIGN SPENDING: The groups supporting the proposition have raised $6.5 million through late September; the groups opposing it have raised $57 million through the same period.

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