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Prior Authorization

Description-iconThe prior authorization process with insurers lacks transparency and long wait times jeopardize patient outcomes. PAMED supports much-needed reforms.

Current-Legislation-iconCurrent Legislation:
Legislation to address prior authorization is being drafted. Rep. Steven Mentzer is expected to introduce prior authorization legislation as HB 1194.

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PAMED Position
PAMED supports legislative efforts to help standardize and streamline the prior authorization process.

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Status 
PAMED reviewed draft legislation and provided input. We expect the legislation to soon be introduced.

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How it Affects You
If enacted, this legislation would help standardize and streamline the prior authorization process, assure that step-therapy requirements are based upon medical guidelines, and cut down on potentially harmful delays in treatment and testing for patients.

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What is PAMED Doing About it?
PAMED is advocating for legislation that addresses the issues caused by the current prior authorization process.

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What Action Should I Take?
Encourage your state representative to cosponsor Rep. Mentzer’s legislation. You can send a message through http://cqrcengage.com/pamed or find your legislator’s contact information at http://cqrcengage.com/pamed/Lookup.

More information from the American Medical Association can be found here.

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