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Safe Step Act

In committee: it can still change before the session ends.

US HR 5509 · House Bill · 119th Congress

Draft a letter
Stage
In committee
Started in
House
Sponsors
163
Latest action
Sep 19, 2025

What it does

The Safe Step Act would amend the Employee Retirement Income Security Act of 1974 to require group health plans and health insurers to establish a clear, prompt, and transparent exceptions process for medication step therapy protocols, allowing patients or their prescribers to request coverage for a non-preferred drug when certain clinical criteria are met. The bill sets specific timelines for reviewing exception requests—including 72-hour standard responses and 24-hour expedited reviews in urgent cases—and mandates annual reporting to the Secretary of Labor and Congress on exception requests, approvals, denials, and related data. It applies to plan years beginning at least six months after…

No official summary is available here. This one was written by AI from the bill’s text.

Read the full textRead it on the official site

Where it stands

  1. Introduced (Done)

    Sep 19, 2025

  2. Committee (Current step)

    In committee · Sep 19, 2025

  3. Floor (Not started)

  4. Law (Not started)

What moved

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Who is involved

Sponsors

The lawmakers who put their names on it, lead sponsors first.

Where it goes next

While a bill can still move, the questions are about people and money.

Work with this bill

Safe Step Act | 52