H.R. 5509 119th Congress House

Safe Step Act

Official title: 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… Show full official titleShow less

Official title: 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.

Introduced: September 19, 2025 Introduced by: Rick W. Allen Republican · Georgia See on congress.gov

Health Congressional oversightDrug therapyGovernment information and archivesHealth care costs and insurancePrescription drugs

Everywhere this bill has been 2 steps

Introduced

In committee

Reported out

Passed House

Passed Senate

To President

Became law

Sep 19, 2025

Introduced in House

Sep 19, 2025

Referred to the House Committee on Education and Workforce.

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What's happening now September 19, 2025

Referred to the House Committee on Education and Workforce.

Related & companion bills 1

Bill text 1 version

Introduced in House Formatted Text PDF Formatted XML

Source documents hosted by congress.gov.

Committees of jurisdiction 1

Education and Workforce Committee
House of Representatives

Lobbying activity 146

Registered lobbyists who named this bill in their disclosure filings. Source: federal Lobbying Disclosure Act filings.

THE KPM GROUP DC LLC
for THE HS COALITION · District of Columbia · 3rd Quarter 2026 (July 1 - Sep 30)
THE KPM GROUP DC LLC
for SOLENO THERAPEUTICS, INC. · California · 3rd Quarter 2026 (July 1 - Sep 30)
EPILEPSY FOUNDATION
for EPILEPSY FOUNDATION · Maryland · 3rd Quarter 2026 (July 1 - Sep 30)
BIOTECHNOLOGY INNOVATION ORGANIZATION
for BIOTECHNOLOGY INNOVATION ORGANIZATION · District of Columbia · 3rd Quarter 2026 (July 1 - Sep 30)
AMERICA'S HEALTH INSURANCE PLANS, INC. (AHIP)
for AMERICA'S HEALTH INSURANCE PLANS INC (AHIP) · District of Columbia · 3rd Quarter 2026 (July 1 - Sep 30)
BRISTOL-MYERS SQUIBB COMPANY
for BRISTOL-MYERS SQUIBB COMPANY · District of Columbia · 3rd Quarter 2026 (July 1 - Sep 30)

Bodies those filers lobbied

HOUSE OF REPRESENTATIVES
146 filings
SENATE
146 filings
Centers For Medicare and Medicaid Services (CMS)
85 filings
Health & Human Services, Dept of (HHS)
84 filings
Natl Institutes of Health (NIH)
50 filings
Veterans Affairs, Dept of (VA)
32 filings
Food & Drug Administration (FDA)
29 filings
Centers For Disease Control & Prevention (CDC)
23 filings

A filing lists the bills it worked on and the parts of government it contacted in separate sections, so these are the bodies those filers named anywhere in the filing, not a per-bill breakdown.

See all 146 filings →

Cosponsors 169