Legis Daily

Safe Step Act

USA116th CongressHR-2279| House 
| Updated: 4/10/2019
Raul Ruiz

Raul Ruiz

Democratic Representative

California

Cosponsors (157)
Dwight Evans (Democratic)Al Lawson (Democratic)Chris Stewart (Republican)Kim Schrier (Democratic)Paul A. Gosar (Republican)David Loebsack (Democratic)Steve Chabot (Republican)Bob Gibbs (Republican)F. James Sensenbrenner (Republican)John Katko (Republican)Tom Cole (Republican)Elise M. Stefanik (Republican)John Garamendi (Democratic)Roger Marshall (Republican)Gilbert Ray Cisneros (Democratic)Ruben Gallego (Democratic)Chris Pappas (Democratic)Steven M. Palazzo (Republican)Adam B. Schiff (Democratic)Xochitl Torres Small (Democratic)Mikie Sherrill (Democratic)Robin L. Kelly (Democratic)Joseph P. Kennedy (Democratic)Raúl M. Grijalva (Democratic)Tom Malinowski (Democratic)Stephanie N. Murphy (Democratic)Don Young (Republican)Mark Pocan (Democratic)Abigail Davis Spanberger (Democratic)Peter T. King (Republican)Joyce Beatty (Democratic)Lisa Blunt Rochester (Democratic)Andy Harris (Republican)Steve Stivers (Republican)Steve Womack (Republican)Lee M. Zeldin (Republican)David J. Trone (Democratic)Ed Case (Democratic)Emanuel Cleaver (Democratic)Chrissy Houlahan (Democratic)Gregory F. Murphy (Republican)Kathleen M. Rice (Democratic)Darren Soto (Democratic)Derek Kilmer (Democratic)Jefferson Van Drew (Republican)John A. Yarmuth (Democratic)Rick W. Allen (Republican)Neal P. Dunn (Republican)Carolyn B. Maloney (Democratic)Max Rose (Democratic)Joe Courtney (Democratic)Robert J. Wittman (Republican)Darin LaHood (Republican)C. A. Dutch Ruppersberger (Democratic)Pete Aguilar (Democratic)Glenn Thompson (Republican)David Scott (Democratic)Brad R. Wenstrup (Republican)Terri A. Sewell (Democratic)Bobby L. Rush (Democratic)Andy Levin (Democratic)Michael F. Doyle (Democratic)Madeleine Dean (Democratic)Steve Cohen (Democratic)Suzan K. DelBene (Democratic)Paul Tonko (Democratic)Donald M. Payne (Democratic)Wm. Lacy Clay (Democratic)Billy Long (Republican)Haley M. Stevens (Democratic)Ann Kirkpatrick (Democratic)Michael Waltz (Republican)Peter A. DeFazio (Democratic)Vicente Gonzalez (Democratic)Ted Lieu (Democratic)David B. McKinley (Republican)Lloyd Smucker (Republican)Greg Stanton (Democratic)Alan S. Lowenthal (Democratic)Kenny Marchant (Republican)Ann M. Kuster (Democratic)Sean Patrick Maloney (Democratic)Henry C. "Hank" Johnson (Democratic)Jody B. Hice (Republican)Al Green (Democratic)Brendan F. Boyle (Democratic)John B. Larson (Democratic)David P. Joyce (Republican)Stephen F. Lynch (Democratic)Harley Rouda (Democratic)Ann Wagner (Republican)David E. Price (Democratic)John Joyce (Republican)Raja Krishnamoorthi (Democratic)James A. Himes (Democratic)Jerrold Nadler (Democratic)Glenn Grothman (Republican)Ami Bera (Democratic)Josh Harder (Democratic)Mark Takano (Democratic)W. Gregory Steube (Republican)John H. Rutherford (Republican)Lucy McBath (Democratic)Betty McCollum (Democratic)Peter J. Visclosky (Democratic)Eleanor Holmes Norton (Democratic)Austin Scott (Republican)James Comer (Republican)Sharice Davids (Democratic)Brad Sherman (Democratic)Mark E. Green (Republican)Bonnie Watson Coleman (Democratic)Mary Gay Scanlon (Democratic)Antonio Delgado (Democratic)Conor Lamb (Democratic)Anthony Gonzalez (Republican)Abby Finkenauer (Democratic)Tulsi Gabbard (Democratic)Jamie Raskin (Democratic)Joe Neguse (Democratic)Mark E. Amodei (Republican)Diana DeGette (Democratic)Andy Kim (Democratic)James P. McGovern (Democratic)Michael R. Turner (Republican)Ron Kind (Democratic)Nydia M. Velázquez (Democratic)Julia Brownley (Democratic)William R. Keating (Democratic)Yvette D. Clarke (Democratic)Adam Kinzinger (Republican)Albio Sires (Democratic)Brian K. Fitzpatrick (Republican)Colin Z. Allred (Democratic)TJ Cox (Democratic)Robert E. Latta (Republican)Seth Moulton (Democratic)Bill Posey (Republican)Kendra S. Horn (Democratic)Lizzie Fletcher (Democratic)Josh Gottheimer (Democratic)Ed Perlmutter (Democratic)Zoe Lofgren (Democratic)Nanette Diaz Barragán (Democratic)Jenniffer González-Colón (Republican)Donna E. Shalala (Democratic)Jason Crow (Democratic)Grace Meng (Democratic)Alcee L. Hastings (Democratic)Ted Budd (Republican)Jaime Herrera Beutler (Republican)David P. Roe (Republican)Chellie Pingree (Democratic)Patrick T. McHenry (Republican)Ross Spano (Republican)Susan Wild (Democratic)Michael Guest (Republican)

Education and Workforce Committee

  • Introduced
  • In Committee
  • On Floor
  • Passed Chamber
  • Enacted
Safe Step Act This bill requires a group health plan to establish an exception to medication step-therapy protocol in specified cases. A medication step-therapy protocol establishes a specific sequence in which prescription drugs are covered by a group health plan or a health insurance issuer. A request for such an exception to the protocol must be granted if (1) the treatment is expected to be ineffective, (2) the treatment will cause or is likely to cause an adverse reaction to the individual, (3) the treatment is expected to decrease the individual's ability either to perform daily activities or occupational responsibilities or adhere to the treatment plan, (4) the individual is stable based on the prescription drugs already selected, or (5) there are other medical reasons that warrant withholding the treatment. The bill requires a group health plan to implement and make readily available a clear process for an individual to request an exception to the protocol. Requests must be granted no later than three days after receipt of the request. In certain cases where the life, health, and ability of the individual are jeopardized by the protocol, the request shall be granted no later than 24 hours after receipt of the request.
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Timeline
Apr 10, 2019
Introduced in House
Apr 10, 2019
Referred to the House Committee on Education and Labor.
Sep 25, 2019

Latest Companion Bill Action

S 116-2546
Introduced in Senate
  • April 10, 2019
    Introduced in House


  • April 10, 2019
    Referred to the House Committee on Education and Labor.


  • September 25, 2019

    Latest Companion Bill Action

    S 116-2546
    Introduced in Senate

Health

Related Bills

  • S 116-2546: Safe Step Act
Drug therapyEmployee benefits and pensionsHealth care costs and insuranceHealth care coverage and accessPrescription drugs

Safe Step Act

USA116th CongressHR-2279| House 
| Updated: 4/10/2019
Safe Step Act This bill requires a group health plan to establish an exception to medication step-therapy protocol in specified cases. A medication step-therapy protocol establishes a specific sequence in which prescription drugs are covered by a group health plan or a health insurance issuer. A request for such an exception to the protocol must be granted if (1) the treatment is expected to be ineffective, (2) the treatment will cause or is likely to cause an adverse reaction to the individual, (3) the treatment is expected to decrease the individual's ability either to perform daily activities or occupational responsibilities or adhere to the treatment plan, (4) the individual is stable based on the prescription drugs already selected, or (5) there are other medical reasons that warrant withholding the treatment. The bill requires a group health plan to implement and make readily available a clear process for an individual to request an exception to the protocol. Requests must be granted no later than three days after receipt of the request. In certain cases where the life, health, and ability of the individual are jeopardized by the protocol, the request shall be granted no later than 24 hours after receipt of the request.
View Full Text

Suggested Questions

Get AI-generated questions to help you understand this bill better

Timeline
Apr 10, 2019
Introduced in House
Apr 10, 2019
Referred to the House Committee on Education and Labor.
Sep 25, 2019

Latest Companion Bill Action

S 116-2546
Introduced in Senate
  • April 10, 2019
    Introduced in House


  • April 10, 2019
    Referred to the House Committee on Education and Labor.


  • September 25, 2019

    Latest Companion Bill Action

    S 116-2546
    Introduced in Senate
Raul Ruiz

Raul Ruiz

Democratic Representative

California

Cosponsors (157)
Dwight Evans (Democratic)Al Lawson (Democratic)Chris Stewart (Republican)Kim Schrier (Democratic)Paul A. Gosar (Republican)David Loebsack (Democratic)Steve Chabot (Republican)Bob Gibbs (Republican)F. James Sensenbrenner (Republican)John Katko (Republican)Tom Cole (Republican)Elise M. Stefanik (Republican)John Garamendi (Democratic)Roger Marshall (Republican)Gilbert Ray Cisneros (Democratic)Ruben Gallego (Democratic)Chris Pappas (Democratic)Steven M. Palazzo (Republican)Adam B. Schiff (Democratic)Xochitl Torres Small (Democratic)Mikie Sherrill (Democratic)Robin L. Kelly (Democratic)Joseph P. Kennedy (Democratic)Raúl M. Grijalva (Democratic)Tom Malinowski (Democratic)Stephanie N. Murphy (Democratic)Don Young (Republican)Mark Pocan (Democratic)Abigail Davis Spanberger (Democratic)Peter T. King (Republican)Joyce Beatty (Democratic)Lisa Blunt Rochester (Democratic)Andy Harris (Republican)Steve Stivers (Republican)Steve Womack (Republican)Lee M. Zeldin (Republican)David J. Trone (Democratic)Ed Case (Democratic)Emanuel Cleaver (Democratic)Chrissy Houlahan (Democratic)Gregory F. Murphy (Republican)Kathleen M. Rice (Democratic)Darren Soto (Democratic)Derek Kilmer (Democratic)Jefferson Van Drew (Republican)John A. Yarmuth (Democratic)Rick W. Allen (Republican)Neal P. Dunn (Republican)Carolyn B. Maloney (Democratic)Max Rose (Democratic)Joe Courtney (Democratic)Robert J. Wittman (Republican)Darin LaHood (Republican)C. A. Dutch Ruppersberger (Democratic)Pete Aguilar (Democratic)Glenn Thompson (Republican)David Scott (Democratic)Brad R. Wenstrup (Republican)Terri A. Sewell (Democratic)Bobby L. Rush (Democratic)Andy Levin (Democratic)Michael F. Doyle (Democratic)Madeleine Dean (Democratic)Steve Cohen (Democratic)Suzan K. DelBene (Democratic)Paul Tonko (Democratic)Donald M. Payne (Democratic)Wm. Lacy Clay (Democratic)Billy Long (Republican)Haley M. Stevens (Democratic)Ann Kirkpatrick (Democratic)Michael Waltz (Republican)Peter A. DeFazio (Democratic)Vicente Gonzalez (Democratic)Ted Lieu (Democratic)David B. McKinley (Republican)Lloyd Smucker (Republican)Greg Stanton (Democratic)Alan S. Lowenthal (Democratic)Kenny Marchant (Republican)Ann M. Kuster (Democratic)Sean Patrick Maloney (Democratic)Henry C. "Hank" Johnson (Democratic)Jody B. Hice (Republican)Al Green (Democratic)Brendan F. Boyle (Democratic)John B. Larson (Democratic)David P. Joyce (Republican)Stephen F. Lynch (Democratic)Harley Rouda (Democratic)Ann Wagner (Republican)David E. Price (Democratic)John Joyce (Republican)Raja Krishnamoorthi (Democratic)James A. Himes (Democratic)Jerrold Nadler (Democratic)Glenn Grothman (Republican)Ami Bera (Democratic)Josh Harder (Democratic)Mark Takano (Democratic)W. Gregory Steube (Republican)John H. Rutherford (Republican)Lucy McBath (Democratic)Betty McCollum (Democratic)Peter J. Visclosky (Democratic)Eleanor Holmes Norton (Democratic)Austin Scott (Republican)James Comer (Republican)Sharice Davids (Democratic)Brad Sherman (Democratic)Mark E. Green (Republican)Bonnie Watson Coleman (Democratic)Mary Gay Scanlon (Democratic)Antonio Delgado (Democratic)Conor Lamb (Democratic)Anthony Gonzalez (Republican)Abby Finkenauer (Democratic)Tulsi Gabbard (Democratic)Jamie Raskin (Democratic)Joe Neguse (Democratic)Mark E. Amodei (Republican)Diana DeGette (Democratic)Andy Kim (Democratic)James P. McGovern (Democratic)Michael R. Turner (Republican)Ron Kind (Democratic)Nydia M. Velázquez (Democratic)Julia Brownley (Democratic)William R. Keating (Democratic)Yvette D. Clarke (Democratic)Adam Kinzinger (Republican)Albio Sires (Democratic)Brian K. Fitzpatrick (Republican)Colin Z. Allred (Democratic)TJ Cox (Democratic)Robert E. Latta (Republican)Seth Moulton (Democratic)Bill Posey (Republican)Kendra S. Horn (Democratic)Lizzie Fletcher (Democratic)Josh Gottheimer (Democratic)Ed Perlmutter (Democratic)Zoe Lofgren (Democratic)Nanette Diaz Barragán (Democratic)Jenniffer González-Colón (Republican)Donna E. Shalala (Democratic)Jason Crow (Democratic)Grace Meng (Democratic)Alcee L. Hastings (Democratic)Ted Budd (Republican)Jaime Herrera Beutler (Republican)David P. Roe (Republican)Chellie Pingree (Democratic)Patrick T. McHenry (Republican)Ross Spano (Republican)Susan Wild (Democratic)Michael Guest (Republican)

Education and Workforce Committee

Health

Related Bills

  • S 116-2546: Safe Step Act
  • Introduced
  • In Committee
  • On Floor
  • Passed Chamber
  • Enacted
Drug therapyEmployee benefits and pensionsHealth care costs and insuranceHealth care coverage and accessPrescription drugs