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H.R. 1227 · 119th Congress

Alternatives to PAIN Act

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IntroducedPassed one chamberPassed both chambersBecame law (gold)Resolution agreed to (full, dark)Failed or vetoed (gray)

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Not yet voted on. This bill is still a proposal: it hasn't reached a floor vote, and its text can change in committee or on the floor before any vote.

MMR Miller-MeeksSponsor
116 cosponsors · 64 D, 52 R
NBD Barragán MKR Kelly JPD Panetta JLD Larson NMR Malliotakis SMD Moulton CMR Miller TBR Balderson NND (Nikki) Budzinski YCD Clarke MGR Guest CFR Fleischmann TLD Lieu SPD Peters CTR Tenney JAD Auchincloss HGR Griffith SCD Cohen GTR Thompson TMR Mann END Norton ASD Salinas SWR Womack JBD Brownley JKR Kiggans NDR Dunn MPD Pocan RAR Aderholt GMD Moore ASR Scott JTD Tokuda GBR Bilirakis SSD Subramanyam JCD Costa BCR Carter RKD Kelly RKD Khanna JMD McGovern BMR Mast ACD Craig EVD Vindman RBR Bresnahan GGD (Gabe) Vasquez MMD McGarvey BFR Fitzpatrick DDD Davis RGD Garcia APR Pfluger WSR Steube ABR Bean JRR Rutherford RWR Weber TBR Burchett MER Ezell RHR Hudson JJR Joyce KCR Cammack ERD Randall CBR Bentz SCD Cherfilus-McCormick MDD Dean SGD Garcia RMR Mackenzie TNR Nehls CPD Pappas BPD Pettersen TSD Sewell PHR Harrigan GAD Amo ECD Cleaver TBR Barrett LMD McBath DSR Schmidt JMR McGuire MLR Lawler STD Thanedar ZLD Lofgren AGD Grijalva DVR Van Orden AGR Garbarino SCD Carbajal LTD Trahan JCD Correa JGD Garamendi BOR Owens KMD Mullin MTD Thompson GWD Whitesides BCR Cline RMD Menendez WKD Keating JGD Gottheimer BBD Balint SBR Biggs AHR Hinson MDD DeSaulnier GLD Landsman JMD Morelle NWD Williams DBR Bacon CMR Mills TMR Moore TSD Suozzi MCR Carey NLR Langworthy JHD Himes MRR Rulli JRD Raskin GSD Stanton SMD McBride MKR Kennedy JND Neguse MSD Strickland JMD McClellan ZZR (Zach) Nunn DSD Soto

3 signed on when it was introduced; the rest joined later. Cosponsors who withdrew aren't shown.

Alternatives to Prevent Addiction In the Nation Act or the Alternatives to PAIN Act

What it does: CRS summary · Introduced in House · Feb 12, 2025

Alternatives to Prevent Addiction In the Nation Act or the Alternatives to PAIN Act

This bill reduces cost-sharing and prohibits the imposition of certain utilization requirements under the Medicare prescription drug benefit for certain non-opioid pain management drugs.

Specifically, the bill requires such drugs to be covered without a deductible and to be placed on the lowest cost-sharing tier (if any). The bill also prohibits the imposition of prior authorization requirements (i.e., requiring prior approval from a plan) or step therapy requirements (i.e., requiring the use of alternative drugs before a drug is covered under a plan) with respect to such drugs.

Written by the nonpartisan Congressional Research Service. All summary versions on Congress.gov

About this bill and sources

Official title: Alternatives to PAIN Act

Also known as: Alternatives to Prevent Addiction In the Nation Act

Latest action (Feb 12, 2025): Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.

Policy area: Health · Origin: House · Introduced: Feb 12, 2025

Official page on Congress.gov · Bill text (GovInfo) · Status record (XML)

No recorded floor vote found.