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HR1227Referred to Committee

Alternatives to PAIN Act

Share:
Introduced
In Committee
3
Passed One Chamber
4
Passed Both
5
Signed into Law
119th
Congress
2025-02-12
Introduced
107
Cosponsors
HR
ⓘ
Type

Sponsor

Mariannette Miller-Meeks
Mariannette Miller-Meeks
Republican · IA · Representative
Votes with party: 96.8% (585 recorded votes)

Full profile: /officials/M001215

Source: Congress.gov · FEC

Cosponsors (107)

Members who have signed on to support this bill since introduction. Source: Congress.gov.

  • Jimmy Panetta (D-CA-19)Original· 2025-02-12
  • Mike Kelly (R-PA-16)Original· 2025-02-12
  • Nanette Diaz Barragán (D-CA-44)Original· 2025-02-12
  • Carol D. Miller (R-WV-1)· 2025-02-24
  • John B. Larson (D-CT-1)· 2025-02-24
  • Nicole Malliotakis (R-NY-11)· 2025-02-24
  • Seth Moulton (D-MA-6)· 2025-02-24
  • Michael Guest (R-MS-3)· 2025-03-18
  • Nikki Budzinski (D-IL-13)· 2025-03-18
  • Troy Balderson (R-OH-12)· 2025-03-18
  • Yvette D. Clarke (D-NY-9)· 2025-03-18
  • Charles J. "Chuck" Fleischmann (R-TN-3)· 2025-03-24
  • Ted Lieu (D-CA-36)· 2025-03-24
  • Claudia Tenney (R-NY-24)· 2025-03-31
  • Scott H. Peters (D-CA-50)· 2025-03-31
  • H. Morgan Griffith (R-VA-9)· 2025-04-07
  • Jake Auchincloss (D-MA-4)· 2025-04-07
  • Glenn Thompson (R-PA-15)· 2025-04-28
  • Steve Cohen (D-TN-9)· 2025-04-28
  • Andrea Salinas (D-OR-6)· 2025-06-03
  • Eleanor Holmes Norton (D-DC-0)· 2025-06-03
  • Steve Womack (R-AR-3)· 2025-06-03
  • Tracey Mann (R-KS-1)· 2025-06-03
  • Jennifer A. Kiggans (R-VA-2)· 2025-06-23
  • Julia Brownley (D-CA-26)· 2025-06-23
  • Mark Pocan (D-WI-2)· 2025-06-25
  • Neal P. Dunn (R-FL-2)· 2025-06-25
  • Austin Scott (R-GA-8)· 2025-06-26
  • Gwen Moore (D-WI-4)· 2025-06-26
  • Jill N. Tokuda (D-HI-2)· 2025-06-26
  • Robert B. Aderholt (R-AL-4)· 2025-06-26
  • Gus M. Bilirakis (R-FL-12)· 2025-07-02
  • Suhas Subramanyam (D-VA-10)· 2025-07-02
  • Jim Costa (D-CA-21)· 2025-07-10
  • Earl L. "Buddy" Carter (R-GA-1)· 2025-08-01
  • James P. McGovern (D-MA-2)· 2025-08-19
  • Ro Khanna (D-CA-17)· 2025-08-19
  • Robin L. Kelly (D-IL-2)· 2025-08-19
  • Brian J. Mast (R-FL-21)· 2025-09-04
  • Angie Craig (D-MN-2)· 2025-09-08
  • Eugene Simon Vindman (D-VA-7)· 2025-09-11
  • Gabe Vasquez (D-NM-2)· 2025-09-30
  • Robert P. Bresnahan, Jr. (R-PA-8)· 2025-09-30
  • Morgan McGarvey (D-KY-3)· 2025-10-08
  • Brian K. Fitzpatrick (R-PA-1)· 2025-10-10
  • Donald G. Davis (D-NC-1)· 2025-10-31
  • August Pfluger (R-TX-11)· 2025-11-20
  • Robert Garcia (D-CA-42)· 2025-11-20
  • W. Gregory Steube (R-FL-17)· 2025-12-01
  • Aaron Bean (R-FL-4)· 2025-12-02
  • John H. Rutherford (R-FL-5)· 2025-12-02
  • Randy K. Weber, Sr. (R-TX-14)· 2025-12-02
  • John Joyce (R-PA-13)· 2025-12-03
  • Mike Ezell (R-MS-4)· 2025-12-03
  • Richard Hudson (R-NC-9)· 2025-12-03
  • Tim Burchett (R-TN-2)· 2025-12-03
  • Kat Cammack (R-FL-3)· 2025-12-04
  • Emily Randall (D-WA-6)· 2025-12-05
  • Brittany Pettersen (D-CO-7)· 2025-12-09
  • Chris Pappas (D-NH-1)· 2025-12-09
  • Cliff Bentz (R-OR-2)· 2025-12-09
  • Madeleine Dean (D-PA-4)· 2025-12-09
  • Ryan Mackenzie (R-PA-7)· 2025-12-09
  • Sheila Cherfilus-McCormick (D-FL-20)· 2025-12-09
  • Sylvia R. Garcia (D-TX-29)· 2025-12-09
  • Terri A. Sewell (D-AL-7)· 2025-12-09
  • Troy E. Nehls (R-TX-22)· 2025-12-09
  • Pat Harrigan (R-NC-10)· 2025-12-10
  • Emanuel Cleaver (D-MO-5)· 2025-12-18
  • Gabe Amo (D-RI-1)· 2025-12-18
  • Derek Schmidt (R-KS-2)· 2025-12-19
  • Lucy McBath (D-GA-6)· 2025-12-19
  • Tom Barrett (R-MI-7)· 2025-12-19
  • John J. McGuire III (R-VA-5)· 2026-01-07
  • Michael Lawler (R-NY-17)· 2026-01-13
  • Shri Thanedar (D-MI-13)· 2026-01-23
  • Zoe Lofgren (D-CA-18)· 2026-02-09
  • Adelita S. Grijalva (D-AZ-7)· 2026-02-17
  • Derrick Van Orden (R-WI-3)· 2026-02-20
  • Andrew R. Garbarino (R-NY-2)· 2026-03-04
  • Salud O. Carbajal (D-CA-24)· 2026-03-16
  • Lori Trahan (D-MA-3)· 2026-03-25
  • J. Luis Correa (D-CA-46)· 2026-04-13
  • John Garamendi (D-CA-8)· 2026-04-13
  • Burgess Owens (R-UT-4)· 2026-04-16
  • Kevin Mullin (D-CA-15)· 2026-04-20
  • George Whitesides (D-CA-27)· 2026-04-27
  • Mike Thompson (D-CA-4)· 2026-04-27
  • Ben Cline (R-VA-6)· 2026-04-30
  • Robert Menendez (D-NJ-8)· 2026-05-13

Latest Action

The most recent step in the bill's legislative path. Committee Activity below shows referrals and reports; the full action-by-action history including floor proceedings lives at Congress.gov →

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.

2025-02-12

Source: Congress.gov

Committee Activity

Currently in

  • House Committee on Ways and MeansReferred To · 2025-02-12
  • House Committee on Energy and CommerceReferred To · 2025-02-12

Previously

  • Ways and Means CommitteeReferred To · 2025-02-12
  • Energy and Commerce CommitteeReferred To · 2025-02-12

Plain-English Summary

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.

Plain-English rewrite of the Congressional Research Service summary published on Congress.gov. Cached and reviewed.

Subjects

Health
Full bill text is not yet cached locally.
Open text viewRead on Congress.gov

Related legislation

Bills by the same sponsor or covering overlapping subjects.

  • HR9757To establish requirements and guidelines for conversational AI services, and for other purposes.
    Referred to Committee · 2026-07-16
  • HR9615BRACE Act
    Referred to Committee · 2026-07-14
  • HR9682Cure Hepatitis C Act of 2026
    Referred to Committee · 2026-07-14
  • HR7266Rural and Municipal Utility Cybersecurity Act
    Passed House · 2026-07-13