Step therapy has resulted in severe and irreversible health outcomes for many patients. There is an urgent need to pass reform so patients and their providers can access an appeals process to make a medically reasoned case to get to the right treatment at the right time, and so that fewer patients are hurt by delays in receiving appropriate care and treatments. We are pleased that a bipartisan group of 170 lawmakers have sponsored or cosponsored the Safe Step Act (HR 2279 and S 2546) this Congress. We urge Congress to enact this bipartisan legislation in the 116th Congress. Absent action this year, we urge you to commit to promptly advancing the Safe Step Act early in the 117th Congress.