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States target health insurers’ ‘prior authorization’ red tape

US lawmakers considered some 90 bills to limit requirements last year.

Last year, 29 states and Washington, D.C., considered some 90 bills to limit “prior authorization” requirements for medical care and prescriptions, according to the American Medical Association. This year, the trade group is tracking more, including in Missouri, where Christopher Marks spent months trying to get his health insurer to pay for the Type 2 diabetes medication Mounjaro. (Christopher Smith/KFF Health News/TNS)
Last year, 29 states and Washington, D.C., considered some 90 bills to limit “prior authorization” requirements for medical care and prescriptions, according to the American Medical Association. This year, the trade group is tracking more, including in Missouri, where Christopher Marks spent months trying to get his health insurer to pay for the Type 2 diabetes medication Mounjaro. (Christopher Smith/KFF Health News/TNS)
By | Tribune News Service
UPDATED:

Critics say prior authorization can interfere with treatment, cause medical provider burnout, and increase administrative costs.

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