Safe Step Act mandates clear exceptions process for medication step therapy protocols in 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 must allow participants or beneficiaries to request exceptions to such protocols, with determinations made within 72 hours if no additional information is needed, and within 24 hours of receiving additional required information.

Safe Step Act mandates clear exceptions process for medication step therapy protocols in 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 must allow participants or beneficiaries to request exceptions to such protocols, with determinations made within 72 hours if no additional information is needed, and within 24 hours of receiving additional required information.