Health insurers and benefit managers are increasingly requiring health care professionals to obtain prior authorization before providing pharmaceuticals and medical services.

These requirements can interrupt care, divert resources from patients and complicate medical decision-making.

The AMA is reducing the harmful impact of these utilization management programs through reform initiatives, research and practice resources.

Prior authorization reform initiatives

Prior authorization research & reports

Prior authorization practice resources

Physician advocates can also promote meaningful changes to prior authorization and improve access to care by using the following resources.

Prior authorization model legislation

Medical societies use model bills to begin the legislative process.

Model bill: Ensuring transparency in Prior Authorization Act

Prior authorization state laws

See—at a glance—how the laws governing prior authorization differ from state to state.

2018 prior authorization state law chart

Fix Prior Authorization

Prior authorization doesn't put your patients first. It undermines your expertise and costs you valuable time.

Fix prior authorization website

Contact information

For more information on advocacy to address administrative barriers, please contact Emily Carroll, senior legislative attorney.

Emily Carroll

Health insurers and benefit managers are increasingly requiring health care professionals to obtain prior authorization before providing pharmaceuticals and medical services.

These requirements can interrupt care, divert resources from patients and complicate medical decision-making.

The AMA is reducing the harmful impact of these utilization management programs through reform initiatives, research and practice resources.

Prior authorization reform initiatives

Prior authorization research & reports

Prior authorization practice resources

Physician advocates can also promote meaningful changes to prior authorization and improve access to care by using the following resources.

Prior authorization model legislation

Medical societies use model bills to begin the legislative process.

Model bill: Ensuring transparency in Prior Authorization Act

Prior authorization state laws

See—at a glance—how the laws governing prior authorization differ from state to state.

2018 prior authorization state law chart

Fix Prior Authorization

Prior authorization doesn't put your patients first. It undermines your expertise and costs you valuable time.

Fix prior authorization website

Contact information

For more information on advocacy to address administrative barriers, please contact Emily Carroll, senior legislative attorney.

Emily Carroll

Why Join the AMA?

An AMA membership means you’ve got access to world-class clinical research, education and insights. Access peer-reviewed medical research findings and editorial opinions from JAMA®, the Journal of the American Medical Association, JAMA Network Open™ and the 11 specialty journals, with CME at no cost.

Join Now

For more information please contact:

Emily Carroll

Senior Legislative Attorney

[email protected]

Why Join the AMA?

An AMA membership means you’ve got access to world-class clinical research, education and insights. Access peer-reviewed medical research findings and editorial opinions from JAMA®, the Journal of the American Medical Association, JAMA Network Open™ and the 11 specialty journals, with CME at no cost.

Join Now