Background: The 9656/98 Law determinates the elaboration of the List of Procedures by the National Health Agency (ANS). The List constitutes the basic reference for the health plan coverage with contracts since 1999. Beyond the elaboration of the List, the ANS is responsible for its review, determination of health assistance directives, health technologies usage and supplementary health coverage width. Objectives: To describe the actions implemented during the last List review, enlighten the difficulties found and list the primordial actions to be developed for the next reviews. Methods: This is a descriptive study that relates the process of review of the List. The actions developed during the review were described, as well as the contribution of the external agents (health providers, health plan operators, beneficiaries and universities), made possible by the public consultation held between July and September of 2007. Results: By the public consultation, we received about 30,000 demands. Suggestions of exclusion, incorporation and adjustment of procedures were analyzed taking in consideration criteria such as efficacy, effectivity and efficiency. About 150 procedures were included, around 120 were excluded and almost 1600 adjusted, unified or dismembered. Directives were elaborated for usage of high cost procedures that have specific legislation or normatization, or that can be indiscriminately used. Conclusions: The new organization of the List is one of the ANS strategies to induce change at the assistencialist model practiced at health establishments covered by health plans: cure focused, medic centered, high consumption of hard technologies and directed to payment logic. Shortage of studies that prove with scientific evidence most of procedures that are part of the clinical practice today made difficult the review of the List. It is believed that the proposal will bring significant advance for the sector agents, but will also bring new challenges, such as review of procedures that need technical specification, qualification of staff and methodological process of the List review and reduction of the time between reviews.