Safe Step Act mandates 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 issuers to implement a clear, prompt, and transparent process for exceptions to medication step therapy protocols. This process allows participants or beneficiaries to request exceptions to step therapy protocols under specific circumstances, such as when treatments are ineffective or contraindicated. Plans and issuers must respond to requests within 72 hours and provide both paper and electronic means for submission.

Safe Step Act mandates 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 issuers to implement a clear, prompt, and transparent process for exceptions to medication step therapy protocols. This process allows participants or beneficiaries to request exceptions to step therapy protocols under specific circumstances, such as when treatments are ineffective or contraindicated. Plans and issuers must respond to requests within 72 hours and provide both paper and electronic means for submission.