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H.R. 2630 · 118th Congress

Safe Step Act

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IntroducedPassed one chamberPassed both chambersBecame law (gold)Resolution agreed to (full, dark)Failed or vetoed (gray)

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Never voted on. It didn't reach a floor vote before the 118th Congress ended, so it expired. A bill has to be introduced again to be considered in a new Congress.

BWR WenstrupSponsor
235 cosponsors · 154 D, 81 R
EBD Blumenauer LCR Chavez-DeRemer LMD McBath MMR Miller-Meeks RRD Ruiz SDD Davids RHR Hudson ALR Luna JND Nadler END Norton DPD Phillips JRR Rutherford LBR Bucshon SCD Cohen DDD Davis YKR Kim MLR Lawler TMR Mann FMD Mrvan DRD Ross RAR Allen NDR Dunn CRD Ruppersberger PTD Tonko DKD Kilmer JMD Morelle SDD DelBene DMD Matsui JCD Crockett MBR Burgess ECD Case AHR Harris SBD Bonamici KMD Mullin BSD Schneider ABD Bera JJR Joyce JLR LaTurner SMD Moulton GMR Murphy JPD Panetta CAD Allred SBD Bishop TBR Balderson KCD Castor YCD Caraveo MGR Guest JHD Himes JMD Moskowitz BSD Sherman DSD Scott BVR Van Duyne SWD Wild MPD Pocan DWD Wasserman Schultz AKD Kim JRD Raskin JJD Jackson HSD Stevens KSD Schrier MSD Stansbury AED Eshoo MFR Fischbach LLR Lee GGR Grothman GTR Thompson AAD Adams SDR DesJarlais SPD Peters LBD Blunt Rochester MTD Takano CBR Bentz DDD Dingell LSR Smucker MSD Sherrill JCD Costa RKD Kelly TCR Cole JKR Kiggans BMR Mast BPR Posey DBD Beyer BCR Carter CPD Pingree CSR Smith TSD Sewell JWD Wexton LFD Frankel JGD Gottheimer DGD Goldman DLR Lesko NMR Mace KMD Manning LSD Sánchez JVR Van Drew BFR Fitzpatrick NMR Malliotakis ASR Scott WSR Steube NBD Barragán CHD Houlahan AKD Kuster DPD Payne CPD Pappas ACD Carson DJR Joyce BLD Lee KPD Porter MSD Scanlon ASD Spanberger RWR Weber JCD Courtney MDD Dean WKD Keating TKR Kelly BPD Pascrell DTD Trone DKR Kustoff JMD McGovern WND Nickel BPD Pettersen MAR Amodei CCR (Chuck) Edwards PGR Gosar BLR Loudermilk RYR Yakym GMD Moore MQD Quigley DSD Soto RWR Wittman JBD Bowman JCD Crow AFR Ferguson DRR Rouzer JAD Auchincloss GBR Bilirakis VFD Foushee JGD Garamendi TLD Lieu NLR LaLota JMD McClellan MSR Salazar ESD Slotkin MCR Carey MGR Green DHR Harshbarger DKD Kildee BMD McCollum PMR McHenry JTD Tokuda ACD Craig DDD DeGette MKR Kelly DLR LaMalfa CMR Miller NMR Moran JND Neguse RTD Tlaib NWD Williams ECD Cleaver SCD Carbajal SLD Lynch PAD Aguilar TCD Cárdenas RGD Grijalva JGR González-Colón GMD Meng JWR Wilson HJD Johnson TLD Leger Fernandez SWR Womack JHD Hayes SBR Bice JJD Jackson BLR Luetkemeyer BWD Watson Coleman SJD Jackson Lee SLD Lee CBD Bush GID Ivey AGD Green RKD Krishnamoorthi DJR Johnson NND (Nikki) Budzinski GMD Meeks MSR Simpson JHD Huffman JBD Beatty GAD Amo JBD Brownley DLR LaHood ASD Schiff JCD Correa GCD Connolly JCD Castro DED Evans MLD Levin BCR Cline CGD García ASD Smith ESD Sykes DVR Van Orden MFD Frost ADR D'Esposito SHD Horsford MKD Kaptur TKR Kean JSD Schakowsky MSD Strickland MTD Thompson MCD Cartwright MPD Peltola SCD Cherfilus-McCormick GGR Graves ASR Smith LFD Fletcher AED Espaillat YCD Clarke TSD Suozzi CFR Franklin DND Norcross MTR Turner GSD Stanton DWR Webster RLD Larsen MMD McGarvey BHR Huizenga NVD Velázquez SGR Graves RTD Torres CDD Deluzio DTD Titus MGD Gluesenkamp Perez JLD Larson HSD Scholten

5 signed on when it was introduced; the rest joined later. Cosponsors who withdrew aren't shown.

This bill requires a group health plan to establish an exception to medication step-therapy protocol in specified cases. A medication step-therapy protocol establishes a specific sequence in which prescription drugs are covered by a group health plan or a health insurance issuer.

What it does: CRS summary · Introduced in House · Apr 13, 2023

Safe Step Act

This bill requires a group health plan to establish an exception to medication step-therapy protocol in specified cases. A medication step-therapy protocol establishes a specific sequence in which prescription drugs are covered by a group health plan or a health insurance issuer.

A request for such an exception to the protocol must be granted if (1) an otherwise required treatment has been ineffective, (2) such treatment is expected to be ineffective and delaying effective treatment would lead to irreversible consequences, (3) such treatment will cause or is likely to cause an adverse reaction to the individual, (4) such treatment is expected to prevent the individual from performing daily activities or occupational responsibilities, (5) the individual is stable based on the prescription drugs already selected, or (6) there are other circumstances as determined by the Employee Benefits Security Administration.

The bill requires a group health plan to implement and make readily available a clear process for an individual to request an exception to the protocol, including required information and criteria for granting an exception. The bill further specifies timelines under which plans must respond to such requests.

Written by the nonpartisan Congressional Research Service. All summary versions on Congress.gov

About this bill and sources

Official title: Safe Step Act

Latest action (Apr 13, 2023): Referred to the House Committee on Education and the Workforce.

Policy area: Health · Origin: House · Introduced: Apr 13, 2023

Official page on Congress.gov · Bill text (GovInfo) · Status record (XML)

No recorded floor vote found.