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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
Andrew Garbarino U.S. Representative Roger Marshall U.S. Senator Cosponsor Lori Trahan U.S. Representative Cosponsor Mike Thompson U.S. Representative Cosponsor Robert Menendez U.S. Representative Cosponsor Ben Cline U.S. Representative Cosponsor Greg Landsman U.S. Representative Cosponsor Mazie Hirono U.S. Senator Cosponsor William Keating U.S. Representative Cosponsor Dave McCormick U.S. Senator Cosponsor Joseph Morelle U.S. Representative Cosponsor Nikema Williams U.S. Representative Cosponsor Josh Gottheimer U.S. Representative Cosponsor Becca Balint U.S. Representative Cosponsor Sheri Biggs U.S. Representative Cosponsor Ashley Hinson U.S. Representative Cosponsor Mark DeSaulnier U.S. Representative Cosponsor Don Bacon U.S. Representative Cosponsor Cory Mills U.S. Representative Cosponsor Tim Moore U.S. Representative Cosponsor Thomas Suozzi U.S. Representative Cosponsor Mike Carey U.S. Representative Cosponsor Nicholas Langworthy U.S. Representative Cosponsor James Himes U.S. Representative Cosponsor Michael Rulli U.S. Representative Cosponsor Jamie Raskin U.S. Representative Cosponsor Greg Stanton U.S. Representative Cosponsor Sarah McBride U.S. Representative Cosponsor
Health Health care costs and insurance Medicare Prescription drugs Drug therapy
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