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.
Summary
What This Bill Does
The bill provides required exceptions process for medication step therapy protocols The Employee Retirement Income Security Act of 1974 is amended by inserting after section 725 of such Act (29 U.S.C and provides required exceptions process for medication step therapy protocols In the case of a group health plan or health insurance coverage offered in connection with such a plan that provides coverage of a prescription. It relies on definition changes, appropriations, reporting requirements, and compliance mandates. The main policy areas are Healthcare Consumers, Housing, and Healthcare.
Who Benefits and How
Patients and health care consumers affected by the bill could face lower compliance burdens and Homeowners, tenants, or housing market participants affected by the bill could face lower compliance burdens.
Who Bears the Burden and How
Federal, state, or local agencies responsible for implementing the clause would take on compliance duties and Public beneficiaries or protected communities affected by the clause could face increased risk.
Key Provisions
- Provides required exceptions process for medication step therapy protocols The Employee Retirement Income Security Act of 1974 is amended by inserting after section 725 of such Act (29 U.S.C.
- Provides required exceptions process for medication step therapy protocols In the case of a group health plan or health insurance coverage offered in connection with such a plan that provides coverage of a prescription...
Evidence Chain:
This summary is generated from the full bill text using AI analysis. Expand "Detailed Analysis" below for identified beneficiaries/burden bearers with clause-level evidence links.
At a Glance
What This Bill Does
The bill provides required exceptions process for medication step therapy protocols The Employee Retirement Income Security Act of 1974 is amended by inserting after section 725 of such Act (29 U.S.C and provides required exceptions process for medication step therapy protocols In the case of a group health plan or health insurance coverage offered in connection with such a plan that provides coverage of a prescription.
Key Policy Areas
Healthcare Consumers, Housing, Healthcare
Primary Purpose
The bill provides required exceptions process for medication step therapy protocols The Employee Retirement Income Security Act of 1974 is amended by inserting after section 725 of such Act (29 U.S.C and provides required exceptions process for medication step therapy protocols In the case of a group health plan or health insurance coverage offered in connection with such a plan that provides coverage of a prescription.
Policy Domains
Whole bill
Identified Gains
- Patients and health care consumers affected by the bill
- Homeowners, tenants, or housing market participants affected by the bill
Identified Costs
- Federal, state, or local agencies responsible for implementing the clause
- Public beneficiaries or protected communities affected by the clause
Sponsors
Legislative Progress
IntroducedMr. Wenstrup (for himself, Mr. Ruiz, Mrs. Miller-Meeks, Mrs. McBath, …
Impact analysis is available but no clear stakeholder effects identified. View clause-level analysis →
Bill Structure & Actor Mappings
Who is "The Secretary" in each section?
We use a combination of our own taxonomy and classification in addition to large language models to assess meaning and potential beneficiaries. High confidence means strong textual evidence. Always verify with the original bill text.
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