Ask your legislators to co-sponsor the Safe Step Act

Thanks to volunteers like you, Republicans and Democrats in both chambers of the U.S. Congress have come together to introduce legislation which would reform the practice of step therapy. Use the template email below to ask your legislators to co-sponsor this bill. Make sure to personalize the message and explain why step therapy reform is important to you. 

Step therapy is an insurance practice which requires patients to fail first on an insurer-preferred treatment, before the insurer will agree to cover the provider-prescribed treatment. When the insurer-preferred treatment won't work for the patient, or will even cause harm, step therapy can be devastating. Learn more about step therapy at

S 2546/HR 2279, the Safe Step Act is a balanced public policy proposal which does not eliminate step therapy, but would strengthen the appeals process. It would enable the patients that need it to skip step therapy protocols. The Safe Step Act does the following:

 - Ensures a clear and transparent appeals process for patients and their providers

 - Requires health plans to respond to step therapy appeals within 24-72 hours

 - Establishes circumstances in which an appeal request should be granted

Step therapy is used by health plans frequently for IBD treatments. In a December 2016 survey, 40% of IBD patients reported being aware of being subject to step therapy. Of those, nearly 60% reported a delay in appropriate treatment of over three months. These delays in treatments can lead to devastating consequences, like flares, under management, and even total colectomies. 

Join the Crohn's & Colitis Foundation to advocate to reform the practice of step therapy to help patients can get the right treatment at the right time. Your outreach and stories are crucial to advance the Safe Step Act. Please email your legislators using (and personalizing) the email template below!


  • Your Senators
  • Your Representative


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Dear [Decision Maker],

[Your Name]
[Your Address]
[City, State ZIP]
[Your Email]