Introduction This paper will look at the legal issues that medical quality managers face in their line of work. Medical regulatory and accreditation institutions have developed a formidable legal framework to govern medical service provisions. The laws also protect patients seeking medical services from medical malpractice by physicians. Medical quality managers must learn and apply legal regulations and ensure quality standards are maintained in the institutions. Legal Issues Faced by Quality Managers in Medical Institutions Medical institutions operate within set legal standards; quality managers in these institutions are tasked to ensure the legal standards are adhered to. The standards are maintained by adopting working practices that promote “quality care as well as enforcing behavior changes whenever it is necessary” (American College of Medical Quality, 2005, p.186). Medical quality managers use legal standards as a tool to influence professional ethics among medical practitioners and the entire medical fraternity. The whole process of provision of medical service brings together a number of players. They include; medical practitioners, medical regulatory bodies, medical service consumers or patients, and medical suppliers (Hoyle, 2007, p. 81). Each of these players presents varied demands and preferences to the institution. Medical quality managers apply legal structures to create a balance among each of the preferences and demands presented to them (American College of Medical Quality, 2005, p. 189). Medical service provision requires both financial and administrative support; risk and liability management in this process should be footed on well-established legal structures. The legal structures provide for certification and accreditation of medical practitioners and ensure they are well trained and qualified to carry out such duties before they are allowed to practice. Accreditation and regulation laws require compliance to set legal standards to provide financial aid to an institution: “Medicare and Medicaid provide financial aid” only to hospitals that comply with accreditation regulations (Varkey, 2010, p.26). Insurance medical plans are run in legal frameworks that medical quality managers have to integrate into the hospital operation system. Incidentally, every state in the US has had different health care regulations. Some states require ascertaining the quality of medical service provided by particular health care institutions before issuing a certificate of authority. Under federal laws, a medical plan qualifies to take part in Medicaid and Medicare if it is currently under a quality and performance appraisal scheme. The quality managers should ensure that quality assessment and performance appraisal programs are carried out in their institutions to the requirements of the federal law. Besides the federal and state accreditation regulations, medical institutions are also required to follow the regulations of the licenses. Sometimes, either due to convenience or shortages, medical institutions have had to face legal tussles resulting from negligence by contracted physicians. Private or independent doctors are often employed by hospitals to of