In Pennsylvania, arbitration is not typically mandatory for medical malpractice cases. The arbitration of claims can take several different forms in Pennsylvania, but can be generally categorized as either compulsory judicial arbitration.The rules governing arbitration have recently changed in Pennsylvania. The older law, the UAA or Uniform Arbitration Act, was adopted in 1980. It's best to avoid the Arbitration Center in a limited tort case. Compulsory Arbitration is a death sentence for most limited tort cases. The authors hope that no one still seriously contends that politics do not affect arbitration. AN ACT 1 Revising medical malpractice standards and procedures. 2 TABLE OF CONTENTS 3 Chapter 1. Medical malpractice may not be conditioned on arbitration clauses.