Safe Step Act
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Summary
The Safe Step Act amends the Employee Retirement Income Security Act to require group health plans and health insurance issuers to establish a clear, prompt exceptions process for medication step therapy protocols. Patients or their prescribers can request exceptions based on specified clinical circumstances, such as prior treatment failure, risk of severe harm from delay, contraindications, or prior approval by another plan. Plans must respond to standard requests within 72 hours and expedited requests within 24 hours, and approved exceptions must remain in effect for at least one year.
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