The University of California has agreed to pay $243.6 million to settle allegations that hundreds of women were sexually abused by a former UCLA gynecologist, lawyers and the university announced Tuesday.

       The settlement covers about 50 cases involving 203 women who said they were groped or otherwise abused by James Heaps over a 35-year career. Each will receive $1.2 million, attorneys said.

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       The deal was reached with the assistance of a private mediator after substantial litigation, the parties said.

       The lawsuits said that UCLA ignored decades of complaints and deliberately concealed abuse.

       “The conduct alleged to have been committed by Heaps is reprehensible and contrary to the university’s values," a UCLA statement said. “We express our gratitude to the brave individuals who came forward, and hope this settlement is one step toward providing healing and closure for the plaintiffs involved."

       Two women who said Dr. Heaps abused them spoke at an afternoon news conference.

       “I’ve been waiting 20 years for this day," said Julie Wallach, who said she was abused by Dr. Heaps in the late 1990s—but when she reported it to UCLA and the state medical board, “no one listened."

       “There was no one else to go to. I mean, who do you fight?" she said. “The emotional toll it’s taken over the years has been tremendous."

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       Kara Cagle said she was assaulted by Dr. Heaps eight years ago, at a time when she hadd been undergoing grueling treatment for a rare form of breast cancer.

       “I could never have imagined that someone would have taken such despicable advantage of me during that time. It was so traumatic that I left in tears," she said, adding, “my heart breaks for all the women who were not spared."

       The University of California, Los Angeles, began investigating Dr. Heaps in 2017, and he retired the next year after the school declined to renew his contract. He was criminally charged last year with 21 counts of sexual offenses involving seven women. He has pleaded not guilty and denied wrongdoing.

       John C. Manly, one of the plaintiffs’ attorneys, called Dr. Heaps a sophisticated predator who committed abuse under the guise of normal medical procedures such as pelvis and breast examinations. Many of the people who made accusations of abuse were cancer patients, he said.

       “Perpetrators are not the drooling ghoul that the media portrays them to be overtly," he said. “They’re nice people, they’re gregarious, they’re polite, they have good reputations, and that’s what these women faced."

       Mr. Manly said University of California system regents decided to resolve the claims rather than “unnecessarily inflicting further damage upon these survivors," and called the resolution a model for other universities facing similar claims.

       Mr. Manly said thousands of practicing doctors nationwide have administrative and criminal convictions for molesting their patients, and urged federal lawmakers to take steps to protect the public.

       The lawsuits were among hundreds filed that allege abuse by Dr. Heaps. UCLA last year settled a similar lawsuit in which more than 100 women said that between 1983 and 2018, Dr. Heaps groped women, simulated intercourse with an ultrasound probe or made inappropriate comments during examinations at the UCLA student health center, Ronald Reagan UCLA Medical Center or his on-campus office.

       Under that $73 million class-action settlement, some 6,600 former patients were to receive between $2,500 and $250,000, depending on the extent of bodily injury and emotional distress as decided by a panel of experts.

       UCLA didn’t acknowledge wrongdoing in reaching that settlement but did agree to change its procedures for preventing, identifying, investigating and dealing with sexual misconduct.

       The latest settlement follows similar massive payouts by universities—including prestigious schools such as Ohio State, Johns Hopkins and Columbia—over allegations that doctors abused thousands of patients.

       Last month, the University of Michigan announced a $490 million settlement with more than 1,000 people who say they were sexually assaulted by a sports doctor, Robert Anderson, during his nearly four-decade career at the school. He died in 2008.

       Last March, UCLA’s crosstown rival, the University of Southern California, agreed to an $852 million settlement with more than 700 women who accused its longtime campus gynecologist, Dr. George Tyndall, of sexual abuse. USC reached a $215 million settlement in a separate suit in 2018.

       Dr. Tyndall, who worked at the school for nearly 30 years, has pleaded not guilty to dozens of counts of criminal sexual misconduct.

       The USC settlements far surpassed one announced in 2018 by Michigan State University. That $500 million agreement—considered the largest of its kind at that time—settled claims from more than 300 women and girls who said they were assaulted by Larry Nassar, who was a campus sports doctor and a doctor for USA Gymnastics.

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