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Neutral Bill Mar 16, 2026

Alternatives to PAIN Act

Alternatives to Prevent Addiction In the Nation Act or the Alternatives to PAIN ActThis 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.

https://www.congress.gov/bill/119th-congress/house-bill/1227
Roger Marshall U.S. Senator Cosponsor Andrew Garbarino U.S. Representative
Health Health care costs and insurance Medicare Prescription drugs Drug therapy
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