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US S464

US S464
Safe Step Act


summary

Introduced
02/25/2021
In Committee
02/25/2021
Crossed Over
Passed
Dead
01/03/2023

Introduced Session

117th Congress

Bill Summary

A BILL To amend the Employee Retirement Income Security Act of 1974 to require a group health plan or health insur- ance coverage offered in connection with such a plan to provide an exceptions process for any medication step therapy protocol, and for other purposes.

AI Summary

This bill, the Safe Step Act, amends the Employee Retirement Income Security Act (ERISA) to require group health plans or health insurance coverage offered in connection with such a plan to provide an exceptions process for any medication step therapy protocol. A medication step therapy protocol is a drug utilization management protocol that requires a plan participant or beneficiary to try an alternative preferred prescription drug before approving coverage for the non-preferred drug prescribed by their healthcare provider. The bill outlines the specific criteria and timeline for when an exception must be granted, such as when the required treatment is ineffective or causes adverse reactions. It also requires the plan or insurer to clearly communicate the exceptions process and make information about it readily available.

Committee Categories

Health and Social Services

Sponsors (37)

Lisa Murkowski (R)*,  Michael Bennet (D),  Richard Blumenthal (D),  John Boozman (R),  Shelley Moore Capito (R),  Tom Carper (D),  Bob Casey (D),  Bill Cassidy (R),  Susan Collins (R),  Catherine Cortez Masto (D),  Kevin Cramer (R),  Dianne Feinstein (D),  Kirsten Gillibrand (D),  Maggie Hassan (D),  Martin Heinrich (D),  Mazie Hirono (D),  Cindy Hyde-Smith (R),  Tim Kaine (D),  Mark Kelly (D),  Angus King (I),  Cynthia Lummis (R),  Roger Marshall (R),  Jeff Merkley (D),  Jerry Moran (R),  Gary Peters (D),  Rob Portman (R),  Jacky Rosen (D),  Tim Scott (R),  Jeanne Shaheen (D),  Kyrsten Sinema (I),  Tina Smith (D),  Debbie Stabenow (D),  Jon Tester (D),  Thom Tillis (R),  Chris Van Hollen (D),  Raphael Warnock (D),  Roger Wicker (R), 

Last Action

Read twice and referred to the Committee on Health, Education, Labor, and Pensions. (on 02/25/2021)

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