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  • 9 states pass bills to fix prior authorization
    In 2023, nine states and the District of Columbia passed legislation that reforms the prior authorization process in their jurisdictions And the momentum to make changes to cumbersome processes continues to build this year See our real-world impact on issues critical to patients and physicians
  • Bills in 30 states show momentum to fix prior authorization
    What’s the news: A majority of U S states are considering legislation to rightsize the time-wasting, care-delaying payer practice of prior authorization In all, nearly 90 prior-authorization reform bills have been considered this legislative session in 30 states, and more than a dozen are still on the table for potential passage
  • AMA Drives Prior Authorization Reform In 10 States . . . - InsideHealthPolicy
    With guidance from the American Medical Association (AMA), 10 states have passed new laws this year aimed at reducing the growing burden of prior authorization requirements, improving transparency around which medications and procedures require approval, and increasing the data insurers must publicly report, according to the health care
  • Prior Authorization - Enacted Laws - Aimed Alliance
    Prior authorization policies require a health care provider or an insurance plan enrollee to obtain approval from the insurer or its pharmacy benefit manager before the plan will cover the cost of a health care product or service
  • States Lead on Prior Authorization Reform - ASCO
    Notable Legislation Passed in 2025 In Indiana, lawmakers enacted a prior authorization reform bill that requires insurers respond to urgent prior authorization requests within 24 hours and to non-urgent requests within 48 hours The new law will also require insurers to use peer-to-peer review in appeals of denials, uphold prior authorizations
  • State Laws: Prior Authorization as well as Biomarkers
    The AMA’s 32-page chart provides an exhaustive summary of state-specific prior authorization (PA) laws and proposals, offering insights into how different states regulate PA processes, including response times, transparency, gold carding, appeals, and exemptions
  • 10 states have tackled prior authorization so far in 2024
    Since January, nearly a dozen states have passed laws for which state medical societies and the AMA have fiercely advocated to reduce the care delays and wasted time that patients and physicians experience as a result of prior authorization requirements run amok
  • 10 states tackling prior authorization - Beckers ASC
    Since January, 10 states have passed laws reforming prior authorization rules in an effort to reduce care delays and save time for physicians and patients, according to an Aug 19 report from the American Medical Association
  • State-by-State Reform of Prior Authorization Laws by State - CGAA
    Pennsylvania and Michigan overhauled the prior authorization process in 2022 based on the AMA model Both new laws reduce the time insurers have to respond to prior authorization requests and require insurers to provide an online method for prior authorization submission
  • Top 10 States Transforming Prior Authorization for 2024
    Overview of Prior Authorization Reforms in 2024 According to an August 19 report by the American Medical Association (AMA), ten states—Colorado, Illinois, Maine, Maryland, Minnesota, Mississippi, Oklahoma, Vermont, Virginia, and Wyoming—have enacted laws to reform prior authorization procedures These reforms address various issues





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