US Federal 2023-2024 Regular Session

US Federal Senate Bill SB652

Introduced
3/2/23  

Caption

Safe Step Act

Impact

The enactment of SB652 is poised to significantly alter the framework of health insurance regulations concerning medication prescriptions. By instituting a mandated exceptions process, the bill aims to ensure that patients are not unduly impeded in accessing necessary medications. This legal change is particularly critical as it addresses instances where traditional protocols may fail to provide suitable care for individuals due to inefficacy or contraindications of recommended treatments.

Summary

SB652, also known as the Safe Step Act, is a legislative proposal aimed at amending the Employee Retirement Income Security Act of 1974. The bill mandates that any group health plan or health insurance coverage offering medication step therapy protocols must provide a clear and transparent exceptions process. This process would allow participants or beneficiaries, as well as their healthcare providers, to request exceptions to prescribed medication protocols. Such protocols generally require patients to try one or more alternative medications before the plan will cover a non-preferred option, which can delay effective treatment.

Contention

Notably, the bill draws attention to the ongoing debate surrounding patient rights and healthcare accessibility. Proponents of the Safe Step Act argue that it promotes patient advocacy and safeguards against insurance practices that could lead to health complications from delays in receiving necessary medications. Conversely, opponents may raise concerns regarding potential administrative burdens on health plans and the feasibility of implementing such processes without incurring additional costs. Overall, the discussions surrounding the bill reflect broader tensions within healthcare ethics and policy regarding the balance of patient needs, provider autonomy, and health insurance management.

Companion Bills

US HB2630

Same As Safe Step Act

US SB1339

Related Pharmacy Benefit Manager Reform Act

Previously Filed As

US SB2903

Safe Step Act

US HB5509

Safe Step Act

US SB668

SAFE STEPS for Veterans Act of 2025 Supporting Access to Falls Education and Prevention and Strengthening Training Efforts and Promoting Safety Initiatives for Veterans Act of 2025

US SB307

AN ACT relating to step therapy protocols.

US HB2615

Stephen Hacala Poppy Seed Safety Act

US S0264

Step-therapy Protocols

US SB1064

Health insurance; establishing guidelines for step therapy protocol. Effective date,

US SB1064

Health insurance; establishing guidelines for step therapy protocol. Effective date,

US SB4189

INSULIN Act of 2026 Improving Needed Safeguards for Users of Lifesaving Insulin Now Act of 2026

US SB1258

Stephen Hacala Poppy Seed Safety Act

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