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The Safe Step Act amends the Employee Retirement Income Security Act to require group health plans and health insurance issuers to establish a clear exceptions process for medication step therapy protocols. Plans must allow participants, beneficiaries, or their prescribers to request exceptions when prior treatments have been ineffective, would cause harm, are contraindicated, or other specified circumstances exist. Exceptions must be decided within 72 hours (or 24 hours in urgent cases), and approved exceptions must remain in effect for at least one year.
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