Sponsor: Sen. Murkowski, Lisa (R-AK)53 cosponsorsIntroduced Sep 18, 2025
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In plain English
The Safe Step Act, sponsored by Sen. Lisa Murkowski (R-AK), requires health insurance plans and pharmacy benefit managers to establish a process for exceptions to medication step therapy—a practice where insurers require patients to try cheaper or older drugs before covering more expensive ones. The bill mandates that this exception process be transparent and accessible to patients and doctors. The measure has 51 cosponsors across both parties (36 Democrats and 14 Republicans).
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