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Proposed

Bill · 119th Congress · S 2903

Safe Step Act

Refreshed 2 h ago

Introduced 2025-09-18Topic: health care · labor

Summary

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This bill would require employer-sponsored group health plans that use "step therapy" (making patients try preferred drugs before covering a prescribed drug) to offer a process for patients or their prescribers to request an exception. Plans would have to grant exceptions in listed situations, such as when required drugs were ineffective, harmful, or when a patient is already stable on the prescribed drug. Plans would have to respond within 72 hours, or within 24 hours in urgent cases, and approved exceptions would last at least one year. Plans would report yearly data on exception requests to the Secretary of Labor, who would report to Congress.

Full text and official record on Congress.gov

Sponsors

Action history

DateChamberActionStatus effect
2026-03-19SenateCommittee on Health, Education, Labor, and Pensions. Hearings held.refer
2025-09-18SenateRead twice and referred to the Committee on Health, Education, Labor, and Pensions.refer
2025-09-18Introduced in Senateintroduce
Source: GovInfo Bill Status (Library of Congress), fetched 2026-09-26. Provisions and opinion polling arrive in a later release.