Safe Step Act mandates an exceptions process for medication step therapy protocols in group health plans.

The Safe Step Act amends the Employee Retirement Income Security Act of 1974 to require group health plans and health insurance coverage to implement a clear process for exceptions to medication step therapy protocols. This process must include a prompt response to requests, with a determination or request for additional information within 72 hours. The bill outlines specific circumstances for approving exceptions, such as when treatments are ineffective or cause adverse reactions. It also mandates annual reporting to Congress on exception requests and approvals.

Safe Step Act mandates an exceptions process for medication step therapy protocols in group health plans.

The Safe Step Act amends the Employee Retirement Income Security Act of 1974 to require group health plans and health insurance coverage to implement a clear process for exceptions to medication step therapy protocols. This process must include a prompt response to requests, with a determination or request for additional information within 72 hours. The bill outlines specific circumstances for approving exceptions, such as when treatments are ineffective or cause adverse reactions. It also mandates annual reporting to Congress on exception requests and approvals.