United States · Bill · HR
H.R. 2163 (117th)
Safe Step Act
Introduced
23 March 2021
Last action
23 March 2021 · Introduced
Status
Referred to the House Committee on Education and Labor.
Sponsors
Rep. Ruiz, Raul [D-CA-25], Rep. Wenstrup, Brad R. [R-OH-2], Rep. McBath, Lucy [D-GA-6], Rep. Miller-Meeks, Mariannette [R-IA-1], Rep. Bonamici, Suzanne [D-OR-1], Rep. Palazzo, Steven M. [R-MS-4], Sen. Blunt Rochester, Lisa [D-DE], Rep. Manning, Kathy E. [D-NC-6], Rep. Fitzpatrick, Brian K. [R-PA-1], Rep. Allen, Rick W. [R-GA-12], Rep. DelBene, Suzan K. [D-WA-1], Rep. Walorski, Jackie [R-IN-2], Rep. Joyce, John [R-PA-13], Rep. Suozzi, Thomas R. [D-NY-3], Rep. DeGette, Diana [D-CO-1], Rep. McCollum, Betty [D-MN-4], Rep. Kilmer, Derek [D-WA-6], Rep. Case, Ed [D-HI-1], Rep. Hill, J. French [R-AR-2], Rep. Kuster, Ann M. [D-NH-2], Rep. Pingree, Chellie [D-ME-1], Rep. Scanlon, Mary Gay [D-PA-5], Rep. Guest, Michael [R-MS-3], Rep. Crow, Jason [D-CO-6], Rep. Green, Mark E. [R-TN-7], Rep. Brady, Kevin [R-TX-8], Rep. Davids, Sharice [D-KS-3], Rep. Rutherford, John H. [R-FL-5], Rep. Ross, Deborah K. [D-NC-2], Rep. Krishnamoorthi, Raja [D-IL-8], Rep. Stevens, Haley M. [D-MI-11], Rep. Levin, Andy [D-MI-9], Rep. Moore, Gwen [D-WI-4], Rep. Davis, Rodney [R-IL-13], Rep. Pence, Greg [R-IN-6], Carolyn Bourdeaux, Rep. Lynch, Stephen F. [D-MA-8], Rep. Kinzinger, Adam [R-IL-16], Rep. Schrier, Kim [D-WA-8], Rep. Trone, David J. [D-MD-6], Rep. Cohen, Steve [D-TN-9], Rep. Napolitano, Grace F. [D-CA-32], Rep. Cheney, Liz [R-WY-At Large], Rep. Price, David E. [D-NC-4], Rep. Bacon, Don [R-NE-2], Rep. Lamb, Conor [D-PA-17], Rep. Gottheimer, Josh [D-NJ-5], Rep. Rush, Bobby L. [D-IL-1]
Subjects
Healthcare
Source updated
5 December 2025
Summary
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) an otherwise required treatment has been ineffective, (2) such treatment is expected to be ineffective and delaying effective treatment would lead to irreversible consequences, (3) such treatment will cause or is likely to cause an adverse reaction to the individual, (4) such treatment is expected to prevent the individual from performing daily activities or occupational responsibilities, (5) the individual is stable based on the prescription drugs already selected, or (6) there are other circumstances as determined by the Employee Benefits Security Administration. 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, including required information and criteria for granting an exception. The bill further specifies timelines under which plans must respond to such requests.
This text is taken from the official record. PoliticalRepo does not editorialize.
Timeline
23 March 2021
Introduced
Referred to the House Committee on Education and Labor.
Source: IntroReferral
23 March 2021
Introduced
Introduced in House
Source: IntroReferral
23 March 2021
Introduced
Introduced in House
Source: IntroReferral
Votes
No vote records are attached yet.
Versions
- Introduced in House · 23 March 2021 · Download file
Documents
3 official files
Introduced in House (text)
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Introduced in House (text)
Introduced in House · EN · 23 March 2021
Introduced in House (PDF)
Introduced in House · EN · 23 March 2021
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Introduced in House
summary · EN · 23 March 2021
Leesvertaling
Vertaal dit document naar jouw taal. PoliticalRepo bewaart geen aparte kopie per EU-taal.
Documentvertaling op verzoek met downloadbare PDF (logo + link naar de officiële bron). Het bronbestand blijft leidend.
Sponsors
- Rep. Ruiz, Raul [D-CA-25] · D · Sponsor
- Rep. Wenstrup, Brad R. [R-OH-2] · R · Sponsor
- Rep. McBath, Lucy [D-GA-6] · D · Sponsor
- Rep. Miller-Meeks, Mariannette [R-IA-1] · R · Sponsor
- Rep. Bonamici, Suzanne [D-OR-1] · D · Cosponsor
- Rep. Palazzo, Steven M. [R-MS-4] · R · Cosponsor
- Sen. Blunt Rochester, Lisa [D-DE] · D · Cosponsor
- Rep. Manning, Kathy E. [D-NC-6] · D · Cosponsor
- Rep. Fitzpatrick, Brian K. [R-PA-1] · R · Cosponsor
- Rep. Allen, Rick W. [R-GA-12] · R · Cosponsor
- Rep. DelBene, Suzan K. [D-WA-1] · D · Cosponsor
- Rep. Walorski, Jackie [R-IN-2] · R · Cosponsor
- Rep. Joyce, John [R-PA-13] · R · Cosponsor
- Rep. Suozzi, Thomas R. [D-NY-3] · D · Cosponsor
- Rep. DeGette, Diana [D-CO-1] · D · Cosponsor
- Rep. McCollum, Betty [D-MN-4] · D · Cosponsor
- Rep. Kilmer, Derek [D-WA-6] · D · Cosponsor
- Rep. Case, Ed [D-HI-1] · D · Cosponsor
- Rep. Hill, J. French [R-AR-2] · R · Cosponsor
- Rep. Kuster, Ann M. [D-NH-2] · D · Cosponsor
- Rep. Pingree, Chellie [D-ME-1] · D · Cosponsor
- Rep. Scanlon, Mary Gay [D-PA-5] · D · Cosponsor
- Rep. Guest, Michael [R-MS-3] · R · Cosponsor
- Rep. Crow, Jason [D-CO-6] · D · Cosponsor
- Rep. Green, Mark E. [R-TN-7] · R · Cosponsor
- Rep. Brady, Kevin [R-TX-8] · R · Cosponsor
- Rep. Davids, Sharice [D-KS-3] · D · Cosponsor
- Rep. Rutherford, John H. [R-FL-5] · R · Cosponsor
- Rep. Ross, Deborah K. [D-NC-2] · D · Cosponsor
- Rep. Krishnamoorthi, Raja [D-IL-8] · D · Cosponsor
- Rep. Stevens, Haley M. [D-MI-11] · D · Cosponsor
- Rep. Levin, Andy [D-MI-9] · D · Cosponsor
- Rep. Moore, Gwen [D-WI-4] · D · Cosponsor
- Rep. Davis, Rodney [R-IL-13] · R · Cosponsor
- Rep. Pence, Greg [R-IN-6] · R · Cosponsor
- Carolyn Bourdeaux · D · Cosponsor
- Rep. Lynch, Stephen F. [D-MA-8] · D · Cosponsor
- Rep. Kinzinger, Adam [R-IL-16] · R · Cosponsor
- Rep. Schrier, Kim [D-WA-8] · D · Cosponsor
- Rep. Trone, David J. [D-MD-6] · D · Cosponsor
- Rep. Cohen, Steve [D-TN-9] · D · Cosponsor
- Rep. Napolitano, Grace F. [D-CA-32] · D · Cosponsor
- Rep. Cheney, Liz [R-WY-At Large] · R · Cosponsor
- Rep. Price, David E. [D-NC-4] · D · Cosponsor
- Rep. Bacon, Don [R-NE-2] · R · Cosponsor
- Rep. Lamb, Conor [D-PA-17] · D · Cosponsor
- Rep. Gottheimer, Josh [D-NJ-5] · D · Cosponsor
- Rep. Rush, Bobby L. [D-IL-1] · D · Cosponsor
Showing 48 of 199 sponsors and actors.
Related records
- related to → Safe Step Act
Sources
PoliticalRepo is an index and interpretation layer, not the authoritative legal source.
- Official source: https://www.congress.gov/bill/117th-congress/house-bill/2163
- Open data entity: https://api.congress.gov/v3/bill/117/hr/2163
- us · 117-hr-2163 · source updated 5 December 2025