S. 652 · 118th Congress

Safe Step Act

Introduced on Mar 2, 2023 by Lisa Murkowski (R-AK). 48 cosponsors, 33 of them from another party. Latest action (Mar 2, 2023): Read twice and referred to the Committee on Health, Education, Labor, and Pensions.

Stage
Introduced
Introduced
Mar 2, 2023
Cosponsors
48
33 from the other party
Policy area
Health
Open in the Congress explorerCongress.govAlert me

Progress

The furthest stage the measure reached. Simple and concurrent resolutions do not go to the President.

  1. Introduced
  2. 2Reported by committee
  3. 3Passed one chamber
  4. 4Passed both chambers
  5. 5Sent to the President
  6. 6Became law

Official title

A bill 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.

Subjects

  • Drug therapy
  • Employee benefits and pensions
  • Health care costs and insurance
  • Health care coverage and access
  • Prescription drugs

Summary

The Congressional Research Service has not summarized this measure yet.

Sponsor and cosponsors

Cosponsors by party as of the day they signed on. Original cosponsors signed on the day of introduction.

Lisa MurkowskiR-AKSponsor

Democrats · 32

Independents · 3

Republicans · 13

Roll calls

Recorded votes on the measure. Most measures move by voice vote or unanimous consent, which record no individual positions.

No recorded roll call on this measure: it moved by voice vote or unanimous consent, or has not reached the floor.

History

Every action as published, oldest first. Roll calls link to how each member voted.

  1. Mar 2, 2023Introduced in Senate
  2. Mar 2, 2023 · SenateRead twice and referred to the Committee on Health, Education, Labor, and Pensions.

Committees

Committees and subcommittees the measure was referred to.

Agencies in its committees' jurisdiction

Analisa's mapping of committee jurisdiction to federal agencies; the bill may touch others, or none of these.

Who lobbied on it

Organizations whose lobbying reports (LD-2) name this measure. Spending is what they reported for those quarters on all issues, not on this measure alone.

  1. AMERICAN ACADEMY OF OPHTHALMOLOGY10 reports
    $1.5M reported (all issues)
  2. Travere Therapeutics10 reports
    $635K reported (all issues)Federal contractor: TRAVERE THERAPEUTICS, INC.$323.9K in contracts, FY2026AI match · 100%
  3. Blue Cross and Blue Shield Association7 reports
    $11.3M reported (all issues)
  4. Blue Cross and Blue Shield of Florida, Inc.7 reports
    $1.2M reported (all issues)
  5. Infusion Providers Alliance7 reports
    $135K reported (all issues)
  6. CROHN'S & COLITIS FOUNDATION6 reports
    $240K reported (all issues)
  7. McKesson Corporation & affiliates U.S. Oncology and Rx Savings Solutions6 reports
    $5.4M reported (all issues)
  8. National Alopecia Areata Foundation6 reports
    $60K reported (all issues)
  9. AMERICA'S HEALTH INSURANCE PLANS, INC. (AHIP)5 reports
    $14.2M reported (all issues)
  10. AMERICAN ACADEMY OF DERMATOLOGY ASSOCIATION5 reports
    $3.3M reported (all issues)
  11. AMERICAN ACADEMY OF NEUROLOGY5 reports
    $1.5M reported (all issues)
  12. AMERICAN ASSOCIATION OF ORTHOPAEDIC SURGEONS5 reports
    $2.3M reported (all issues)
  13. AMERICAN COLLEGE OF GASTROENTEROLOGY5 reports
  14. AMERICAN COLLEGE OF PHYSICIAN SERVICES, INC5 reports
    $1.6M reported (all issues)
  15. AMERICAN COLLEGE OF PHYSICIANS5 reports
    $564.3K reported (all issues)
  16. AMERICAN COLLEGE OF RHEUMATOLOGY5 reports
    $460K reported (all issues)
  17. AMGEN INC.5 reports
    $15.2M reported (all issues)Federal contractor: AMGEN INC.AI match · 99%
  18. ARTHRITIS FOUNDATION5 reports
    $375K reported (all issues)
  19. ASSOCIATION FOR CLINICAL ONCOLOGY5 reports
    $1.1M reported (all issues)
  20. Alliance for Patient Access5 reports
    $100K reported (all issues)
  21. American Academy of Family Physicians5 reports
    $4.7M reported (all issues)Federal contractor: AMERICAN ACADEMY OF FAMILY PHYSICIANSAI match · 99%
  22. American Medical Association5 reports
    $30.1M reported (all issues)Federal contractor: AMERICAN MEDICAL ASSOCIATION$371K in contracts, FY2026AI match · 99%
  23. American Society for Gastrointestinal Endoscopy5 reports
    $150K reported (all issues)
  24. BIOTECHNOLOGY INNOVATION ORGANIZATION5 reports
    $8.9M reported (all issues)
  25. BLUE CROSS BLUE SHIELD OF MICHIGAN5 reports
    $1.3M reported (all issues)
  26. CHRONIC CARE POLICY ALLIANCE5 reports
    $520K reported (all issues)
  27. CURE SMA5 reports
    $375K reported (all issues)
  28. DYSTONIA MEDICAL RESEARCH FOUNDATION5 reports
    $50K reported (all issues)
  29. Epilepsy Foundation5 reports
    $330K reported (all issues)
  30. GENENTECH INC.5 reports
    Federal contractor: GENENTECH USA, INC$939.6K in contracts, FY2026AI match · 100%
  31. NATIONAL MULTIPLE SCLEROSIS SOCIETY5 reports
    $319.3K reported (all issues)
  32. NOVARTIS CORPORATION5 reports
    $6.9M reported (all issues)Federal contractor: NOVARTIS PHARMACEUTICALS CORPORATION$36.2M in contracts, FY2026AI match · 100%
  33. National Alliance on Mental Illness5 reports
    $50K reported (all issues)
  34. National Health Council5 reports
    $145K reported (all issues)
  35. National Scleroderma Foundation5 reports
    $50K reported (all issues)
  36. North American Society for Pediatric Gastroenterology, Hepatology and Nutrition5 reports
    $127.5K reported (all issues)
  37. PULMONARY HYPERTENSION ASSOCIATION5 reports
    $50K reported (all issues)
  38. The Leukemia & Lymphoma Society5 reports
    $1.5M reported (all issues)
  39. The Michael J. Fox Foundation For Parkinson's Research5 reports
    $380K reported (all issues)
  40. The Susan G. Komen Breast Cancer Foundation, Inc. dba Susan G. Komen5 reports
    $370K reported (all issues)

Reports filed in 2023, 2024, 2025.

Sources and method

Every figure on this page traces to these records.

  • Bill status: bills and resolutions, sponsors, actions, subjects and CRS summaries (U.S. Government Publishing Office (GovInfo), from Congress.gov (Library of Congress))GovInfo Bill Status bulk data (Congress.gov; summaries by the Congressional Research Service) · data current to Oct 9, 2026 · loaded Oct 9, 2026 · license: Public domain (U.S. Government work, 17 U.S.C. § 105)
  • Members of Congress, their terms, committees and identifiers (The @unitedstates project (from the Biographical Directory of the U.S. Congress, the House and the Senate))unitedstates/congress-legislators: legislators, committees and current committee membership · data current to Oct 3, 2026 · loaded Oct 3, 2026 · license: CC0 1.0 (public domain dedication)
  • House roll-call votes (Office of the Clerk, U.S. House of Representatives)Office of the Clerk, U.S. House of Representatives, roll-call vote records · data current to Oct 3, 2026 · loaded Oct 3, 2026 · license: Public domain (U.S. Government work, 17 U.S.C. § 105)
  • Senate roll-call votes and DW-NOMINATE scores (Voteview (UCLA Department of Political Science))Lewis, Jeffrey B., Keith Poole, Howard Rosenthal, Adam Boche, Aaron Rudkin, and Luke Sonnet (2026). Voteview: Congressional Roll-Call Votes Database. https://voteview.com/ · data current to Oct 3, 2026 · loaded Oct 3, 2026 · license: Free to use with the required citation
  • Lobbying disclosures (LD-1 registrations, LD-2 quarterly reports, LD-203 contribution reports) (Clerk of the U.S. House of Representatives)Clerk of the House, Lobbying Disclosure Act filings (organizations only; lobbyists' names are not loaded) · data current to Oct 9, 2026 · loaded Oct 9, 2026 · license: Public domain (U.S. Government work, 17 U.S.C. § 105)
  • Positions are shown only where a roll call recorded them; voice votes and unanimous consent record none.
  • Money and votes are shown side by side; neither explains the other.