119th Congress
H.R. 1227
Alternatives to PAIN Act
- Introduced
- In committee
- Passed House
- Passed Senate
- To President
- Became law
- Sponsor
- Mariannette Miller-Meeks(R-IA)
- Introduced
- Feb 12, 2025
- Policy area
- Health
- Committees
- House Committee on Energy and Commerce; House Committee on Ways and Means
- Official text
- Introduced in House · Congress.gov page
Cosponsors (114)
Original cosponsors (3)
- Jimmy Panetta (D-CA)
- Mike Kelly (R-PA)
- Nanette Diaz Barragán (D-CA)
Added later (111)
- Carol D. Miller (R-WV) · Feb 24, 2025
- John B. Larson (D-CT) · Feb 24, 2025
- Nicole Malliotakis (R-NY) · Feb 24, 2025
- Seth Moulton (D-MA) · Feb 24, 2025
- Michael Guest (R-MS) · Mar 18, 2025
- Nikki Budzinski (D-IL) · Mar 18, 2025
- Troy Balderson (R-OH) · Mar 18, 2025
- Yvette D. Clarke (D-NY) · Mar 18, 2025
- Charles J. "Chuck" Fleischmann (R-TN) · Mar 24, 2025
- Ted Lieu (D-CA) · Mar 24, 2025
- Claudia Tenney (R-NY) · Mar 31, 2025
- Scott H. Peters (D-CA) · Mar 31, 2025
- H. Morgan Griffith (R-VA) · Apr 7, 2025
- Jake Auchincloss (D-MA) · Apr 7, 2025
- Glenn Thompson (R-PA) · Apr 28, 2025
- Steve Cohen (D-TN) · Apr 28, 2025
- Andrea Salinas (D-OR) · Jun 3, 2025
- Eleanor Holmes Norton (D-DC) · Jun 3, 2025
- Steve Womack (R-AR) · Jun 3, 2025
- Tracey Mann (R-KS) · Jun 3, 2025
- Jennifer A. Kiggans (R-VA) · Jun 23, 2025
- Julia Brownley (D-CA) · Jun 23, 2025
- Mark Pocan (D-WI) · Jun 25, 2025
- Neal P. Dunn (R-FL) · Jun 25, 2025
- Austin Scott (R-GA) · Jun 26, 2025
- Gwen Moore (D-WI) · Jun 26, 2025
- Jill N. Tokuda (D-HI) · Jun 26, 2025
- Robert B. Aderholt (R-AL) · Jun 26, 2025
- Gus M. Bilirakis (R-FL) · Jul 2, 2025
- Suhas Subramanyam (D-VA) · Jul 2, 2025
- Jim Costa (D-CA) · Jul 10, 2025
- Earl L. "Buddy" Carter (R-GA) · Aug 1, 2025
- James P. McGovern (D-MA) · Aug 19, 2025
- Ro Khanna (D-CA) · Aug 19, 2025
- Robin L. Kelly (D-IL) · Aug 19, 2025
- Brian J. Mast (R-FL) · Sep 4, 2025
- Angie Craig (D-MN) · Sep 8, 2025
- Eugene Simon Vindman (D-VA) · Sep 11, 2025
- Gabe Vasquez (D-NM) · Sep 30, 2025
- Robert P. Bresnahan, Jr. (R-PA) · Sep 30, 2025
- Morgan McGarvey (D-KY) · Oct 8, 2025
- Brian K. Fitzpatrick (R-PA) · Oct 10, 2025
- Donald G. Davis (D-NC) · Oct 31, 2025
- August Pfluger (R-TX) · Nov 20, 2025
- Robert Garcia (D-CA) · Nov 20, 2025
- W. Gregory Steube (R-FL) · Dec 1, 2025
- Aaron Bean (R-FL) · Dec 2, 2025
- John H. Rutherford (R-FL) · Dec 2, 2025
- Randy K. Weber, Sr. (R-TX) · Dec 2, 2025
- John Joyce (R-PA) · Dec 3, 2025
- Mike Ezell (R-MS) · Dec 3, 2025
- Richard Hudson (R-NC) · Dec 3, 2025
- Tim Burchett (R-TN) · Dec 3, 2025
- Kat Cammack (R-FL) · Dec 4, 2025
- Emily Randall (D-WA) · Dec 5, 2025
- Brittany Pettersen (D-CO) · Dec 9, 2025
- C001127 · Dec 9, 2025
- Chris Pappas (D-NH) · Dec 9, 2025
- Cliff Bentz (R-OR) · Dec 9, 2025
- Madeleine Dean (D-PA) · Dec 9, 2025
- Ryan Mackenzie (R-PA) · Dec 9, 2025
- Sylvia R. Garcia (D-TX) · Dec 9, 2025
- Terri A. Sewell (D-AL) · Dec 9, 2025
- Troy E. Nehls (R-TX) · Dec 9, 2025
- Pat Harrigan (R-NC) · Dec 10, 2025
- Emanuel Cleaver (D-MO) · Dec 18, 2025
- Gabe Amo (D-RI) · Dec 18, 2025
- Derek Schmidt (R-KS) · Dec 19, 2025
- Lucy McBath (D-GA) · Dec 19, 2025
- Tom Barrett (R-MI) · Dec 19, 2025
- John J. McGuire III (R-VA) · Jan 7, 2026
- Michael Lawler (R-NY) · Jan 13, 2026
- Shri Thanedar (D-MI) · Jan 23, 2026
- Zoe Lofgren (D-CA) · Feb 9, 2026
- Adelita S. Grijalva (D-AZ) · Feb 17, 2026
- Derrick Van Orden (R-WI) · Feb 20, 2026
- Andrew R. Garbarino (R-NY) · Mar 4, 2026
- Salud O. Carbajal (D-CA) · Mar 16, 2026
- Lori Trahan (D-MA) · Mar 25, 2026
- J. Luis Correa (D-CA) · Apr 13, 2026
- John Garamendi (D-CA) · Apr 13, 2026
- Burgess Owens (R-UT) · Apr 16, 2026
- Kevin Mullin (D-CA) · Apr 20, 2026
- George Whitesides (D-CA) · Apr 27, 2026
- Mike Thompson (D-CA) · Apr 27, 2026
- Ben Cline (R-VA) · Apr 30, 2026
- Robert Menendez (D-NJ) · May 13, 2026
- William R. Keating (D-MA) · May 20, 2026
- Josh Gottheimer (D-NJ) · Jun 2, 2026
- Becca Balint (D-VT) · Jun 3, 2026
- Ashley Hinson (R-IA) · Jun 4, 2026
- Sheri Biggs (R-SC) · Jun 4, 2026
- Greg Landsman (D-OH) · Jun 18, 2026
- Joseph D. Morelle (D-NY) · Jun 18, 2026
- Mark DeSaulnier (D-CA) · Jun 18, 2026
- Nikema Williams (D-GA) · Jun 18, 2026
- Cory Mills (R-FL) · Jun 29, 2026
- Don Bacon (R-NE) · Jun 29, 2026
- Tim Moore (R-NC) · Jun 29, 2026
- Thomas R. Suozzi (D-NY) · Jun 30, 2026
- Mike Carey (R-OH) · Jul 6, 2026
- Nicholas A. Langworthy (R-NY) · Jul 6, 2026
- James A. Himes (D-CT) · Jul 9, 2026
- Michael A. Rulli (R-OH) · Jul 9, 2026
- Greg Stanton (D-AZ) · Aug 10, 2026
- Jamie Raskin (D-MD) · Aug 10, 2026
- Sarah McBride (D-DE) · Aug 17, 2026
- Joe Neguse (D-CO) · Sep 2, 2026
- Mike Kennedy (R-UT) · Sep 2, 2026
- Marilyn Strickland (D-WA) · Sep 10, 2026
- Jennifer L. McClellan (D-VA) · Sep 28, 2026
Summary
Summary by the Congressional Research Service· describes the “Introduced in House” version
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.
Roll-call votes
No recorded votes on this bill.
Actions
- Feb 12, 2025 · House
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