Prior Authorization

Description-iconThe prior authorization process with insurers lacks transparency and long wait times jeopardize patient outcomes. See how prior auth delays in Pennsylvania harm patient care here.

Supports HB 1194 (House Insurance Committee) and SB  920 (Senate Banking and Insurance Committee) – Ensures access to more efficient electronic prior auth systems, requires fail first protocols to be based on clinical guidelines developed by independent experts, establishes basic framework for when medically appropriate to exempt patients from fail first, and provides deadlines for insurers to render decisions on prior auth requests 


PAMED Position
Supports legislative efforts to help standardize and streamline the prior auth process


What is PAMED Doing About it?
Advocating in support of HB 1194 and SB 920


What Action Should I Take?
Urge your State Representative to support HB 1194 

Take action

Prior Authorization News: