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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: December 9, 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
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.
Feb 12, 2025
Introduced in House
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 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.

 Related & companion bills 1
 Bill text 1 version

Source documents hosted by congress.gov.

 Committees of jurisdiction 2
 Lobbying activity 79

Registered lobbyists who named this bill in their disclosure filings. Source: federal Lobbying Disclosure Act filings.

  • PRIME THERAPEUTICS
    for PRIME THERAPEUTICS · Minnesota · 2nd Quarter (Apr 1 - June 30) 2026
  • EMPIRE CONSULTING GROUP
    for VERTEX PHARMACEUTICALS INCORPORATED · District of Columbia · 2nd Quarter (Apr 1 - June 30) 2026
  • VERTEX PHARMACEUTICALS INCORPORATED
    for VERTEX PHARMACEUTICALS INCORPORATED · Massachusetts · 2nd Quarter (Apr 1 - June 30) 2026
  • BLUE CROSS AND BLUE SHIELD OF KANSAS, INC.
    for BLUE CROSS AND BLUE SHIELD OF KANSAS INC · Kansas · 2nd Quarter (Apr 1 - June 30) 2026
  • MARSHALL & POPP, LLC
    for VERTEX PHARMACEUTICALS INCORPORATED · Massachusetts · 2nd Quarter (Apr 1 - June 30) 2026
  • AEGIS LLC
    for TRIS PHARMA, INC. AND ITS WHOLLY OWNED SUBSIDIARY ADNEURIS THERAPEUTICS FKA TRIS · New Jersey · 2nd Quarter (Apr 1 - June 30) 2026
See all 79 filings →
 Cosponsors 107
D
Himes, James A.
Connecticut · Jul 9, 2026
R
Rulli, Michael A.
Ohio · Jul 9, 2026
R
Carey, Mike
Ohio · Jul 6, 2026
R
Langworthy, Nicholas A.
New York · Jul 6, 2026
D
Suozzi, Thomas R.
New York · Jun 30, 2026
R
Bacon, Don
Nebraska · Jun 29, 2026
R
Mills, Cory
Florida · Jun 29, 2026
R
Moore, Tim
North Carolina · Jun 29, 2026
D
DeSaulnier, Mark
California · Jun 18, 2026
D
Landsman, Greg
Ohio · Jun 18, 2026
D
Morelle, Joseph D.
New York · Jun 18, 2026
D
Williams, Nikema
Georgia · Jun 18, 2026
R
Biggs, Sheri
South Carolina · Jun 4, 2026
R
Hinson, Ashley
Iowa · Jun 4, 2026
D
Balint, Becca
Vermont · Jun 3, 2026
D
Gottheimer, Josh
New Jersey · Jun 2, 2026
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
Cherfilus-McCormick, Sheila
Florida · 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
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Cite this page click to expand
APA
U.S. Congress. (2026). H.R. 1227: Alternatives to PAIN Act. 119th Congress. Open America. https://openamerica.io/bill/119-HR-1227/
MLA
"H.R. 1227: Alternatives to PAIN Act." 119th Congress, 2026, Open America, https://openamerica.io/bill/119-HR-1227/.
Bluebook (legal)
H.R. 1227, 119th Cong. (2026), https://openamerica.io/bill/119-HR-1227/.
Markdown link
[H.R. 1227: Alternatives to PAIN Act](https://openamerica.io/bill/119-HR-1227/)
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