One of the most contentious battles in the November election is over Proposition 46, an initiative to raise the cap for pain and suffering damages in medical malpractice lawsuits and require drug and alcohol testing for doctors. The high-stakes, big-money campaign has pitted insurance companies and medical care providers against consumer advocates and personal injury lawyers – the latest front in a decades-old fight. Proposition 46 would raise the damages cap on medical malpractice lawsuits and require drug and alcohol testing for doctors.