The Safe Step Act is federal legislation that is modeled after the state-based step therapy exception laws. The Safe Step Act would apply to employer plans and would:

  • Ensure that plans offer patients and their medical professionals a step therapy exception request process.
  • Require plans to respond to an exception request within 24-72 hours.
  • Establish circumstances when a patient should be granted an exception by their health plan.

Most states have passed step therapy exception laws, however, self-insured employer plans are exempt from state law. Congress must pass the Safe Step Act to bolster the work in the states and to ensure that workers and their families have access to an expedient and medically reasonable step therapy exceptions process.

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