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S 475 119th Congress Senate Health Drug therapy Health care costs and insurance Medicare Prescription drugs

Alternatives to PAIN Act

Introduced: February 6, 2025 Introduced by: Tillis, Thomas Republican · North Carolina 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 6, 2025
Read twice and referred to the Committee on Finance.
Feb 6, 2025
Introduced in Senate
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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 6, 2025

Read twice and referred to the Committee on Finance.

 Related & companion bills 1
 Bill text 1 version

Source documents hosted by congress.gov.

 Committees of jurisdiction 1
 Lobbying activity 57

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

  • VERTEX PHARMACEUTICALS INCORPORATED
    for VERTEX PHARMACEUTICALS INCORPORATED · Massachusetts · 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
  • CGCN GROUP, LLC
    for VERTEX PHARMACEUTICALS INCORPORATED · Massachusetts · 1st Quarter (Jan 1 - Mar 31) 2026
  • AVENUE SOLUTIONS
    for VERTEX PHARMACEUTICALS INCORPORATED · Massachusetts · 1st Quarter (Jan 1 - Mar 31) 2026
  • AMERICAN ASSOCIATION OF NURSE PRACTITIONERS
    for AMERICAN ASSOCIATION OF NURSE PRACTITIONERS · Virginia · 1st Quarter (Jan 1 - Mar 31) 2026
See all 57 filings →
 Cosponsors 36
D
Hirono, Mazie K.
Hawaii · May 20, 2026
R
McCormick, David
Pennsylvania · May 20, 2026
D
Duckworth, Tammy
Illinois · Mar 19, 2026
R
Marshall, Roger
Kansas · Mar 19, 2026
D
Blumenthal, Richard
Connecticut · Feb 3, 2026
R
Husted, Jon
Ohio · Feb 3, 2026
D
Schiff, Adam B.
California · Dec 1, 2025
R
Fischer, Deb
Nebraska · Nov 19, 2025
D
Merkley, Jeff
Oregon · Oct 7, 2025
R
Sheehy, Tim
Montana · Oct 7, 2025
I
King, Angus S., Jr.
Maine · Jun 10, 2025
D
Ossoff, Jon
Georgia · Jun 10, 2025
R
Blackburn, Marsha
Tennessee · Apr 10, 2025
D
Gallego, Ruben
Arizona · Apr 10, 2025
D
Cortez Masto, Catherine
Nevada · Apr 9, 2025
R
Kennedy, John
Louisiana · Apr 9, 2025
R
Justice, James C.
West Virginia · Mar 12, 2025
D
Klobuchar, Amy
Minnesota · Mar 12, 2025
R
Boozman, John
Arkansas · Feb 20, 2025
D
Warnock, Raphael G.
Georgia · Feb 20, 2025
R
Banks, Jim
Indiana · Feb 6, 2025
D
Bennet, Michael F.
Colorado · Feb 6, 2025
D
Booker, Cory A.
New Jersey · Feb 6, 2025
R
Britt, Katie Boyd
Alabama · Feb 6, 2025
R
Budd, Ted
North Carolina · Feb 6, 2025
R
Capito, Shelley Moore
West Virginia · Feb 6, 2025
D
Coons, Christopher A.
Delaware · Feb 6, 2025
R
Cornyn, John
Texas · Feb 6, 2025
R
Daines, Steve
Montana · Feb 6, 2025
R
Hyde-Smith, Cindy
Mississippi · Feb 6, 2025
D
Kaine, Tim
Virginia · Feb 6, 2025
D
Kelly, Mark
Arizona · Feb 6, 2025
R
Moran, Jerry
Kansas · Feb 6, 2025
D
Padilla, Alex
California · Feb 6, 2025
D
Shaheen, Jeanne
New Hampshire · Feb 6, 2025
D
Warner, Mark R.
Virginia · Feb 6, 2025
Cite this page click to expand
APA
U.S. Congress. (2026). S. 475: Alternatives to PAIN Act. 119th Congress. Open America. https://openamerica.io/bill/119-S-475/
MLA
"S. 475: Alternatives to PAIN Act." 119th Congress, 2026, Open America, https://openamerica.io/bill/119-S-475/.
Bluebook (legal)
S. 475, 119th Cong. (2026), https://openamerica.io/bill/119-S-475/.
Markdown link
[S. 475: Alternatives to PAIN Act](https://openamerica.io/bill/119-S-475/)
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