Narrow Networks/Any Willing Provider
/Out-of-Network Billing

Patient protections from “surprise” and other out-of-network health care billings should begin by addressing the root cause of the problem — tiered and narrow health insurance provider networks as well as a lack of insurance product transparency. 

Team-Based Care

PAMED supports physician-led, team-based care that emphasizes increased coordination over provider autonomy.

• Legislation: PAMED strongly opposes Senate Bill 25 and HB 100, which would allow certified registered nurse practitioners (CRNPs) to practice independently, eliminating the requirement that they collaborate with physicians.
  
  
• Current Status: SB 25 was passed by the Senate Consumer Protection and Professional Licensure Committee, and now awaits consideration by the full Senate. HB 100 awaits consideration by the House Professional Licensure Committee.   
  

Prior Authorization

Current prior authorization process with insurance companies lacks transparency and long wait times jeopardize patient outcomes.

Click here to see how prior authorization delays in Pennsylvania hurt patients and physicians.

• Legislation: Prior auth legislation has not yet been introduced this session; however, HB 1194 is expected to soon be introduced by Rep. Steven Mentzer. Urge your Rep. to co-sponsor this bill here. Read our statement here.
  

Physician Wellness

The problem of burnout and caregiver fatigue among physicians is real and immediate. According to the American Medical Association, the administrative burden of modern medicine is a root cause of physician burnout. 

PAMED will advocate for legislation that reduce burdensome administrative requirements so that physicians can get back to the Art of Medicine and caring for patients.

Maintenance of Certification Reform

PAMED will explore possible legislative solutions to ensure that the Maintenance of Certification (MOC) process is fair for all physicians.

• Learn about current MOC reform efforts