119th Congress
S. 475
Alternatives to PAIN Act
- Introduced
- In committee
- Passed Senate
- Passed House
- To President
- Became law
- Sponsor
- Thom Tillis(R-NC)
- Introduced
- Feb 6, 2025
- Policy area
- Health
- Committees
- Senate Committee on Finance
- Official text
- Introduced in Senate · Congress.gov page
Cosponsors (36)
Original cosponsors (16)
- Alex Padilla (D-CA)
- Christopher A. Coons (D-DE)
- Cindy Hyde-Smith (R-MS)
- Cory A. Booker (D-NJ)
- Jeanne Shaheen (D-NH)
- Jerry Moran (R-KS)
- Jim Banks (R-IN)
- John Cornyn (R-TX)
- Katie Boyd Britt (R-AL)
- Mark Kelly (D-AZ)
- Mark R. Warner (D-VA)
- Michael F. Bennet (D-CO)
- Shelley Moore Capito (R-WV)
- Steve Daines (R-MT)
- Ted Budd (R-NC)
- Tim Kaine (D-VA)
Added later (20)
- John Boozman (R-AR) · Feb 20, 2025
- Raphael G. Warnock (D-GA) · Feb 20, 2025
- Amy Klobuchar (D-MN) · Mar 12, 2025
- James C. Justice (R-WV) · Mar 12, 2025
- Catherine Cortez Masto (D-NV) · Apr 9, 2025
- John Kennedy (R-LA) · Apr 9, 2025
- Marsha Blackburn (R-TN) · Apr 10, 2025
- Ruben Gallego (D-AZ) · Apr 10, 2025
- Angus S. King, Jr. (I-ME) · Jun 10, 2025
- Jon Ossoff (D-GA) · Jun 10, 2025
- Jeff Merkley (D-OR) · Oct 7, 2025
- Tim Sheehy (R-MT) · Oct 7, 2025
- Deb Fischer (R-NE) · Nov 19, 2025
- Adam B. Schiff (D-CA) · Dec 1, 2025
- Jon Husted (R-OH) · Feb 3, 2026
- Richard Blumenthal (D-CT) · Feb 3, 2026
- Roger Marshall (R-KS) · Mar 19, 2026
- Tammy Duckworth (D-IL) · Mar 19, 2026
- David McCormick (R-PA) · May 20, 2026
- Mazie K. Hirono (D-HI) · May 20, 2026
Summary
Summary by the Congressional Research Service· describes the “Introduced in Senate” 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 6, 2025 · Senate
Read twice and referred to the Committee on Finance. - Feb 6, 2025
Introduced in Senate