Bill > S2546

This bill, the Safe Step Act, amends the Employee Retirement Income Security Act of 1974 to require group health plans or health insurance coverage to provide an exceptions process for any medication step therapy protocol. A medication step therapy protocol is a drug therapy management program that requires a patient to try an alternative preferred drug before the plan or issuer approves coverage for a non-preferred drug. The bill outlines specific circumstances under which an exception must be granted, such as when the required treatments have been ineffective or when a delay in effective treatment would lead to severe consequences. The bill also specifies the required timeline and process for reviewing and approving exception requests, including expedited review for requests that could seriously jeopardize the patient's life or health.

Health and Social Services

https://www.congress.gov/bill/116th-congress/senate-bill/2546/all-info