Prior authorization reform resources

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 initiativesresearch and 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 (PDF) to begin the legislative process.

Prior authorization state laws

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

Fix prior authorization

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

Contact information

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