County:

Neutral Bill Mar 16, 2026

Safe Step Act

[Congressional Bills 119th Congress] [From the U.S. Government Publishing Office] [H.R. 5509 Introduced in House (IH)] <DOC> 119th CONGRESS 1st Session H. R. 5509 To amend the Employee Retirement Income Security Act of 1974 to require a group health plan or health insurance coverage offered in connection with such a plan to provide an exceptions process for any medication step therapy protocol, and for other purposes. _______________________________________________________________________ IN THE HOUSE OF REPRESENTATIVES September 19, 2025 Mr. Allen (for himself, Mrs. McBath, Mrs. Miller-Meeks, Mr. Ruiz, and Mr. Onder) introduced the following bill; which was referred to the Committee on Education and Workforce _______________________________________________________________________ A BILL To amend the Employee Retirement Income Security Act of 1974 to require a group health plan or health insurance coverage offered in connection with such a plan to provide an exceptions process for any medication step therapy protocol, and for other purposes. Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled, SECTION 1. SHORT TITLE. This Act may be cited as the ``Safe Step Act''. SEC. 2. REQUIRED EXCEPTIONS PROCESS FOR MEDICATION STEP THERAPY PROTOCOLS. (a) Required Exceptions Process for Medication Step Therapy Protocols.--The Employee Retirement Income Security Act of 1974 is amended by inserting after section 713 of such Act (29 U.S.C. 1185b) the following new section: ``SEC. 713A. REQUIRED EXCEPTIONS PROCESS FOR MEDICATION STEP THERAPY PROTOCOLS. ``(a) In General.--In the case of a group health plan or health insurance issuer offering coverage offered in connection with such a plan that provides coverage of a prescription drug pursuant to a medication step therapy protocol, the plan or issuer shall-- ``(1) implement a clear, prompt, and transparent process for a participant or beneficiary (or the prescribing health care

https://www.congress.gov/bill/119th-congress/house-bill/5509

Rick Allen U.S. Representative Ed Case U.S. Representative Cosponsor Herbert Conaway U.S. Representative Cosponsor Mike Ezell U.S. Representative Cosponsor Laura Friedman U.S. Representative Cosponsor J Hill U.S. Representative Cosponsor James Himes U.S. Representative Cosponsor Mazie Hirono U.S. Senator Cosponsor Richard Hudson U.S. Representative Cosponsor Bill Huizenga U.S. Representative Cosponsor Andy Kim U.S. Senator Cosponsor Young Kim U.S. Representative Cosponsor Brian Mast U.S. Representative Cosponsor Gwen Moore U.S. Representative Cosponsor Patty Murray U.S. Senator Cosponsor Maria Salazar U.S. Representative Cosponsor Brad Sherman U.S. Representative Cosponsor Emilia Sykes U.S. Representative Cosponsor Paul Tonko U.S. Representative Cosponsor Sheldon Whitehouse U.S. Senator Cosponsor Nikema Williams U.S. Representative Cosponsor Shelley Capito U.S. Senator Cosponsor Michael Guest U.S. Representative Cosponsor Donald Norcross U.S. Representative Cosponsor Melanie Stansbury U.S. Representative Cosponsor John Rutherford U.S. Representative Cosponsor Michael Turner U.S. Representative Cosponsor Maggie Goodlander U.S. Representative Cosponsor Maria Cantwell U.S. Senator Cosponsor Thomas Kean U.S. Representative Cosponsor Nancy Mace U.S. Representative Cosponsor Jerrold Nadler U.S. Representative Cosponsor Derek Schmidt U.S. Representative Cosponsor Haley Stevens U.S. Representative Cosponsor Derrick Van Orden U.S. Representative Cosponsor Debbie Wasserman Schultz U.S. Representative Cosponsor Joe Wilson U.S. Representative Cosponsor Glenn Thompson U.S. Representative Cosponsor Dan Newhouse U.S. Representative Cosponsor Rudy Yakym U.S. Representative Cosponsor Earl Carter U.S. Representative Cosponsor Tim Moore U.S. Representative Cosponsor Gregory Meeks U.S. Representative Cosponsor David Rouzer U.S. Representative Cosponsor W Steube U.S. Representative Cosponsor Ami Bera U.S. Representative Cosponsor Jeff Crank U.S. Representative Cosponsor Mike Flood U.S. Representative Cosponsor Jim Justice U.S. Senator Cosponsor Mike Kelly U.S. Representative Cosponsor Darin LaHood U.S. Representative Cosponsor Jefferson Shreve U.S. Representative Cosponsor Jon Husted U.S. Senator Cosponsor Ryan Mackenzie U.S. Representative Cosponsor Jamie Raskin U.S. Representative Cosponsor John Joyce U.S. Representative Cosponsor Linda Sánchez U.S. Representative Cosponsor Al Green U.S. Representative Cosponsor Elissa Slotkin U.S. Senator Cosponsor Greg Stanton U.S. Representative Cosponsor Troy Balderson U.S. Representative Cosponsor Kim Schrier U.S. Representative Cosponsor Eric Sorensen U.S. Representative Cosponsor Gabe Amo U.S. Representative Cosponsor Sanford Bishop U.S. Representative Cosponsor Adriano Espaillat U.S. Representative Cosponsor Vicente Gonzalez U.S. Representative Cosponsor Juan Vargas U.S. Representative Cosponsor Henry Johnson U.S. Representative Cosponsor Marilyn Strickland U.S. Representative Cosponsor Michael Bennet U.S. Senator Cosponsor Elizabeth Warren U.S. Senator Cosponsor Roger Wicker U.S. Senator Cosponsor Angus King U.S. Senator Cosponsor

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