There is 1 version of this bill. View text

Click the check-box to add or remove the section, click the text link to scroll to that section.
Titles Actions Overview All Actions Cosponsors Committees Related Bills Subjects Latest Summary All Summaries

Titles (2)

Short Titles

Short Titles - House of Representatives

Short Title(s) as Introduced

Safe Step Act

Official Titles

Official Titles - House of Representatives

Official Title as Introduced

To amend the Employee Retirement Income Security Act of 1974 to require a group health plan (or health insurance coverage offered in connection with such a plan) to provide an exceptions process for any medication step therapy protocol, and for other purposes.


Actions Overview (1)

Date Actions Overview
04/10/2019Introduced in House

All Actions (2)

Date All Actions
04/10/2019Referred to the House Committee on Education and Labor.
Action By: House of Representatives
04/10/2019Introduced in House
Action By: House of Representatives

Cosponsors (157)

* = Original cosponsor
CosponsorDate Cosponsored
Rep. Wenstrup, Brad R. [R-OH-2]* 04/10/2019
Rep. Price, David E. [D-NC-4] 05/02/2019
Rep. Rice, Kathleen M. [D-NY-4] 05/02/2019
Rep. Van Drew, Jefferson [D-NJ-2] 05/02/2019
Rep. Grijalva, Raul M. [D-AZ-3] 05/02/2019
Rep. Kelly, Robin L. [D-IL-2] 05/02/2019
Rep. Cohen, Steve [D-TN-9] 05/02/2019
Rep. Roe, David P. [R-TN-1] 05/02/2019
Rep. Moulton, Seth [D-MA-6] 05/02/2019
Rep. Rose, Max [D-NY-11] 05/02/2019
Rep. Doyle, Michael F. [D-PA-18] 05/02/2019
Rep. Chabot, Steve [R-OH-1] 05/02/2019
Rep. Joyce, John [R-PA-13] 05/02/2019
Rep. Fitzpatrick, Brian K. [R-PA-1] 05/02/2019
Rep. Aguilar, Pete [D-CA-31] 05/02/2019
Rep. Bera, Ami [D-CA-7] 05/02/2019
Rep. Stefanik, Elise M. [R-NY-21] 05/02/2019
Rep. King, Peter T. [R-NY-2] 05/02/2019
Rep. Raskin, Jamie [D-MD-8] 05/16/2019
Rep. Herrera Beutler, Jaime [R-WA-3] 05/16/2019
Rep. Turner, Michael R. [R-OH-10] 05/16/2019
Rep. Kinzinger, Adam [R-IL-16] 05/16/2019
Rep. Schiff, Adam B. [D-CA-28] 05/16/2019
Rep. Visclosky, Peter J. [D-IN-1] 05/16/2019
Rep. Levin, Andy [D-MI-9] 05/16/2019
Rep. Clay, Wm. Lacy [D-MO-1] 05/16/2019
Rep. Krishnamoorthi, Raja [D-IL-8] 05/16/2019
Rep. Soto, Darren [D-FL-9] 05/16/2019
Rep. Takano, Mark [D-CA-41] 05/16/2019
Rep. Finkenauer, Abby [D-IA-1] 05/16/2019
Rep. Wild, Susan [D-PA-7] 05/16/2019
Rep. Watson Coleman, Bonnie [D-NJ-12] 05/16/2019
Rep. Brownley, Julia [D-CA-26] 05/16/2019
Rep. Young, Don [R-AK-At Large] 05/16/2019
Rep. DelBene, Suzan K. [D-WA-1] 05/16/2019
Rep. Ruppersberger, C. A. Dutch [D-MD-2] 05/16/2019
Rep. Womack, Steve [R-AR-3] 05/16/2019
Rep. Rouda, Harley [D-CA-48] 05/16/2019
Rep. Gabbard, Tulsi [D-HI-2] 05/16/2019
Rep. Pingree, Chellie [D-ME-1] 05/16/2019
Rep. Kuster, Ann M. [D-NH-2] 05/28/2019
Rep. Stivers, Steve [R-OH-15] 05/28/2019
Rep. Marshall, Roger W. [R-KS-1] 05/28/2019
Rep. Wittman, Robert J. [R-VA-1] 05/28/2019
Rep. Horn, Kendra S. [D-OK-5] 05/28/2019
Rep. Maloney, Sean Patrick [D-NY-18] 05/28/2019
Rep. Lowenthal, Alan S. [D-CA-47] 05/28/2019
Rep. Lieu, Ted [D-CA-33] 05/28/2019
Rep. Yarmuth, John A. [D-KY-3] 05/28/2019
Rep. Katko, John [R-NY-24] 05/28/2019
Rep. Johnson, Henry C. "Hank," Jr. [D-GA-4] 05/28/2019
Del. Norton, Eleanor Holmes [D-DC-At Large] 05/28/2019
Rep. Sherman, Brad [D-CA-30] 05/28/2019
Rep. Dunn, Neal P. [R-FL-2] 05/28/2019
Rep. Case, Ed [D-HI-1] 05/28/2019
Rep. Gibbs, Bob [R-OH-7] 05/28/2019
Rep. Lynch, Stephen F. [D-MA-8] 06/14/2019
Rep. DeFazio, Peter A. [D-OR-4] 06/14/2019
Rep. Lamb, Conor [D-PA-17] 06/14/2019
Rep. Delgado, Antonio [D-NY-19] 06/14/2019
Rep. Clarke, Yvette D. [D-NY-9] 06/14/2019
Rep. Sensenbrenner, F. James, Jr. [R-WI-5] 06/14/2019
Rep. Lofgren, Zoe [D-CA-19] 06/14/2019
Rep. Perlmutter, Ed [D-CO-7] 06/14/2019
Rep. Gottheimer, Josh [D-NJ-5] 06/14/2019
Rep. Boyle, Brendan F. [D-PA-2] 06/14/2019
Rep. Scanlon, Mary Gay [D-PA-5] 06/14/2019
Rep. Wagner, Ann [R-MO-2] 06/14/2019
Rep. Kirkpatrick, Ann [D-AZ-2] 06/14/2019
Rep. Spano, Ross [R-FL-15] 06/21/2019
Rep. McGovern, James P. [D-MA-2] 06/21/2019
Rep. Schrier, Kim [D-WA-8] 06/21/2019
Rep. Cox, TJ [D-CA-21] 07/09/2019
Rep. Kilmer, Derek [D-WA-6] 07/09/2019
Rep. Gonzalez, Anthony [R-OH-16] 07/09/2019
Rep. Palazzo, Steven M. [R-MS-4] 07/09/2019
Rep. Crow, Jason [D-CO-6] 07/12/2019
Rep. Harris, Andy [R-MD-1] 07/23/2019
Rep. Posey, Bill [R-FL-8] 07/23/2019
Rep. Budd, Ted [R-NC-13] 07/25/2019
Rep. Marchant, Kenny [R-TX-24] 08/09/2019
Rep. Kim, Andy [D-NJ-3] 08/09/2019
Rep. Joyce, David P. [R-OH-14] 08/16/2019
Rep. Stewart, Chris [R-UT-2] 09/11/2019
Rep. Davids, Sharice [D-KS-3] 09/11/2019
Rep. Maloney, Carolyn B. [D-NY-12] 09/11/2019
Rep. Rutherford, John H. [R-FL-4] 09/12/2019
Rep. Velazquez, Nydia M. [D-NY-7] 09/12/2019
Rep. Zeldin, Lee M. [R-NY-1] 09/20/2019
Rep. Pocan, Mark [D-WI-2] 09/20/2019
Rep. Gonzalez, Vicente [D-TX-15] 09/20/2019
Rep. Keating, William R. [D-MA-9] 09/20/2019
Rep. Loebsack, David [D-IA-2] 09/20/2019
Rep. Fletcher, Lizzie [D-TX-7] 09/27/2019
Rep. Hice, Jody B. [R-GA-10] 09/27/2019
Rep. Meng, Grace [D-NY-6] 09/27/2019
Rep. Payne, Donald M., Jr. [D-NJ-10] 09/27/2019
Rep. Scott, Austin [R-GA-8] 09/27/2019
Rep. Lawson, Al, Jr. [D-FL-5] 09/27/2019
Rep. McCollum, Betty [D-MN-4] 10/16/2019
Rep. Cisneros, Gilbert Ray, Jr. [D-CA-39] 10/16/2019
Rep. Spanberger, Abigail Davis [D-VA-7] 10/23/2019
Rep. Kind, Ron [D-WI-3] 10/23/2019
Rep. Smucker, Lloyd [R-PA-11] 10/23/2019
Rep. Sewell, Terri A. [D-AL-7] 10/23/2019
Resident Commissioner Gonzalez-Colon, Jenniffer [R-PR-At Large] 10/31/2019
Rep. Grothman, Glenn [R-WI-6] 10/31/2019
Rep. Rush, Bobby L. [D-IL-1] 10/31/2019
Rep. Neguse, Joe [D-CO-2] 10/31/2019
Rep. Kennedy, Joseph P., III [D-MA-4] 10/31/2019
Rep. Trone, David J. [D-MD-6] 11/22/2019
Rep. Amodei, Mark E. [R-NV-2] 11/22/2019
Rep. McBath, Lucy [D-GA-6] 11/22/2019
Rep. Thompson, Glenn [R-PA-15] 11/22/2019
Rep. Scott, David [D-GA-13] 11/22/2019
Rep. Beatty, Joyce [D-OH-3] 11/22/2019
Rep. Gosar, Paul A. [R-AZ-4] 12/06/2019
Rep. Latta, Robert E. [R-OH-5] 12/06/2019
Rep. Stevens, Haley M. [D-MI-11] 12/06/2019
Rep. Comer, James [R-KY-1] 12/06/2019
Rep. Stanton, Greg [D-AZ-9] 12/18/2019
Rep. Gallego, Ruben [D-AZ-7] 12/18/2019
Rep. Murphy, Gregory [R-NC-3] 12/18/2019
Rep. Courtney, Joe [D-CT-2] 12/18/2019
Rep. Green, Mark E. [R-TN-7] 01/10/2020
Rep. Torres Small, Xochitl [D-NM-2] 02/07/2020
Rep. McHenry, Patrick T. [R-NC-10] 02/07/2020
Rep. Waltz, Michael [R-FL-6] 02/07/2020
Rep. Pappas, Chris [D-NH-1] 02/07/2020
Rep. LaHood, Darin [R-IL-18] 02/27/2020
Rep. Sherrill, Mikie [D-NJ-11] 02/27/2020
Rep. Houlahan, Chrissy [D-PA-6] 02/27/2020
Rep. DeGette, Diana [D-CO-1] 02/27/2020
Rep. Allen, Rick W. [R-GA-12] 02/27/2020
Rep. Blunt Rochester, Lisa [D-DE-At Large] 03/13/2020
Rep. Long, Billy [R-MO-7] 03/13/2020
Rep. Barragan, Nanette Diaz [D-CA-44] 03/13/2020
Rep. Sires, Albio [D-NJ-8] 07/01/2020
Rep. Cleaver, Emanuel [D-MO-5] 07/01/2020
Rep. Nadler, Jerrold [D-NY-10] 07/01/2020
Rep. Malinowski, Tom [D-NJ-7] 07/01/2020
Rep. Cole, Tom [R-OK-4] 07/01/2020
Rep. Dean, Madeleine [D-PA-4] 07/01/2020
Rep. Hastings, Alcee L. [D-FL-20] 07/01/2020
Rep. Shalala, Donna E. [D-FL-27] 07/01/2020
Rep. Harder, Josh [D-CA-10] 07/01/2020
Rep. Tonko, Paul [D-NY-20] 09/17/2020
Rep. Guest, Michael [R-MS-3] 09/17/2020
Rep. McKinley, David B. [R-WV-1] 09/17/2020
Rep. Garamendi, John [D-CA-3] 09/17/2020
Rep. Murphy, Stephanie N. [D-FL-7] 12/10/2020
Rep. Steube, W. Gregory [R-FL-17] 12/10/2020
Rep. Larson, John B. [D-CT-1] 12/10/2020
Rep. Evans, Dwight [D-PA-3] 12/10/2020
Rep. Himes, James A. [D-CT-4] 12/10/2020
Rep. Allred, Colin Z. [D-TX-32] 12/10/2020
Rep. Green, Al [D-TX-9] 12/10/2020

Committees (1)

Committees, subcommittees and links to reports associated with this bill are listed here, as well as the nature and date of committee activity and Congressional report number.

Committee / Subcommittee Date Activity Related Documents
House Education and Labor04/10/2019 Referred to

A related bill may be a companion measure, an identical bill, a procedurally-related measure, or one with text similarities. Bill relationships are identified by the House, the Senate, or CRS, and refer only to same-congress measures.


Subjects (6)


Latest Summary (1)

There is one summary for H.R.2279. View summaries

Shown Here:
Introduced in House (04/10/2019)

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.