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HR 1227 119th Congress House Health Drug therapy Health care costs and insurance Medicare Prescription drugs

Alternatives to PAIN Act

Introduced: February 12, 2025 Introduced by: Miller-Meeks, Mariannette Republican · Iowa See on congress.gov
 Everywhere this bill has been 2 steps
Introduced
In committee
Reported out
Passed House
Passed Senate
To President
Became law
Feb 12, 2025
Introduced in House
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.
 Plain-English summary Congressional Research Service

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.

What's happening now February 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.

 Committees of jurisdiction 2
 Cosponsors 90
D
Keating, William R.
Massachusetts · May 20, 2026
D
Menendez, Robert
New Jersey · May 13, 2026
R
Cline, Ben
Virginia · Apr 30, 2026
D
Thompson, Mike
California · Apr 27, 2026
D
Whitesides, George
California · Apr 27, 2026
D
Mullin, Kevin
California · Apr 20, 2026
R
Owens, Burgess
Utah · Apr 16, 2026
D
Correa, J. Luis
California · Apr 13, 2026
D
Garamendi, John
California · Apr 13, 2026
D
Trahan, Lori
Massachusetts · Mar 25, 2026
D
Carbajal, Salud O.
California · Mar 16, 2026
R
Garbarino, Andrew R.
New York · Mar 4, 2026
R
Van Orden, Derrick
Wisconsin · Feb 20, 2026
D
Grijalva, Adelita S.
Arizona · Feb 17, 2026
D
Lofgren, Zoe
California · Feb 9, 2026
D
Thanedar, Shri
Michigan · Jan 23, 2026
R
Lawler, Michael
New York · Jan 13, 2026
R
McGuire, John J.
Virginia · Jan 7, 2026
R
Barrett, Tom
Michigan · Dec 19, 2025
D
McBath, Lucy
Georgia · Dec 19, 2025
R
Schmidt, Derek
Kansas · Dec 19, 2025
D
Amo, Gabe
Rhode Island · Dec 18, 2025
D
Cleaver, Emanuel
Missouri · Dec 18, 2025
R
Harrigan, Pat
North Carolina · Dec 10, 2025
R
Bentz, Cliff
Oregon · Dec 9, 2025
D
Dean, Madeleine
Pennsylvania · Dec 9, 2025
D
Garcia, Sylvia R.
Texas · Dec 9, 2025
R
Mackenzie, Ryan
Pennsylvania · Dec 9, 2025
R
Nehls, Troy E.
Texas · Dec 9, 2025
D
Pappas, Chris
New Hampshire · Dec 9, 2025
D
Pettersen, Brittany
Colorado · Dec 9, 2025
D
Sewell, Terri A.
Alabama · Dec 9, 2025
D
Randall, Emily
Washington · Dec 5, 2025
R
Cammack, Kat
Florida · Dec 4, 2025
R
Burchett, Tim
Tennessee · Dec 3, 2025
R
Ezell, Mike
Mississippi · Dec 3, 2025
R
Hudson, Richard
North Carolina · Dec 3, 2025
R
Joyce, John
Pennsylvania · Dec 3, 2025
R
Bean, Aaron
Florida · Dec 2, 2025
R
Rutherford, John H.
Florida · Dec 2, 2025
R
Weber, Randy K. Sr.
Texas · Dec 2, 2025
R
Steube, W. Gregory
Florida · Dec 1, 2025
D
Garcia, Robert
California · Nov 20, 2025
R
Pfluger, August
Texas · Nov 20, 2025
D
Davis, Donald G.
North Carolina · Oct 31, 2025
R
Fitzpatrick, Brian K.
Pennsylvania · Oct 10, 2025
D
McGarvey, Morgan
Kentucky · Oct 8, 2025
R
Bresnahan, Robert P.
Pennsylvania · Sep 30, 2025
D
Vasquez, Gabe
New Mexico · Sep 30, 2025
D
Vindman, Eugene Simon
Virginia · Sep 11, 2025
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