S. 2903In committeeHealth care
Bill would require insurers to offer exceptions to step therapy rules
Data as of July 13, 2026
The Safe Step Act would require employer health plans to allow timely exceptions to step therapy drug rules under specific medical conditions.45-second read · 4 questions answered below
Decoded
What does this do?
The Safe Step Act would require employer-sponsored health plans to create a clear, timely process for patients or doctors to request exceptions to step therapy requirements. Plans would have to grant exceptions in certain medical situations, respond within 72 hours (24 in urgent cases), and cover approved exceptions for at least a year. Plans would also have to publish information on the process and report annual data on requests and approvals.
Who does it affect?
The bill mainly affects people with employer-based health insurance regulated under federal ERISA law, especially patients with chronic illnesses or conditions needing specialized medications. It also affects insurers, employers sponsoring health plans, and doctors who request exceptions on patients' behalf.
Why does it matter?
Insurers and employers would need to build new appeals and reporting systems, changing how coverage decisions for certain medications are handled and documented.
Where does it stand?
- Introduced
- Senate committee — You are here
- Senate vote
- House
- President's desk
Right now: a Senate committee is reviewing it. If the House changes it, it goes back to the Senate before reaching the President.
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Official title
Safe Step Act
- Introduced:
- September 18, 2025
- Latest action:
- March 19, 2026
Committee on Health, Education, Labor, and Pensions. Hearings held.
Read the official bill on Congress.govMake the call
Three steps: where you stand, your script, the call.