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Proposed

Bill · 119th Congress · HR 5509

Safe Step Act

Refreshed 1 h ago

Introduced 2025-09-19Topic: health care · labor

Summary

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This bill changes federal law on employer-sponsored health plans so that plans using "step therapy" (requiring patients to try a preferred drug before covering another one) must offer a process for patients or their prescribers to request an exception. Plans would have to grant exceptions in listed situations, such as when the required drugs did not work, could cause harm, or when the patient is already stable on the prescribed drug. Plans would have to decide requests within 72 hours, or within 24 hours in urgent cases, and approved exceptions would last at least one year. Plans would also report data on exception requests each year to the Secretary of Labor, who would summarize it for Congress and the public.

Full text and official record on Congress.gov

Sponsors

Action history

DateChamberActionStatus effect
2025-09-19HouseReferred to the House Committee on Education and Workforce.refer
2025-09-19Introduced in Houseintroduce
2025-09-19Introduced in Houseintroduce
Source: GovInfo Bill Status (Library of Congress), fetched 2026-10-06. Provisions and opinion polling arrive in a later release.