While supporting the leadership of the DHW, the Medical Director enforces the City of Los Santos Medical Licensing and Regulation Act. Typical job responsibilities include:

- The issuance of licenses and certifications to qualified providers.
- Maintaining a public database of approved individuals licensed or certified to practice medicine.
- Creating public health guidelines and protocols.
- Temporarily or permanently suspending licenses or certifications if an investigation deems gross violations have occurred.
- Training and managing Quality Consultants.
- Consulting with licensed and certified healthcare providers on issues about public health while referring these issues to the Public Health Regulatory Committee as necessary.
- Managing the healthcare of the youth within our CPS Program.