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HOUSE 1227119th CongressReferred 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.

Alternatives to PAIN Act

Last Action
2/12/2025

Actions

  • 2025-02-12Referred 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.
  • 2025-02-12Referred 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.
  • 2025-02-12Introduced in House
  • 2025-02-12Introduced in House

CRS Summary

As of 2025-02-12 (00)

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.

Cosponsors (20)

  • Nanette Barragán (D-CA)
  • Mike Kelly (R-PA)
  • Jimmy Panetta (D-CA)
  • Carol Miller (R-WV)
  • John Larson (D-CT)
  • Nicole Malliotakis (R-NY)
  • Seth Moulton (D-MA)
  • Troy Balderson (R-OH)
  • Michael Guest (R-MS)
  • Yvette Clarke (D-NY)
  • Nikki Budzinski (D-IL)
  • Ted Lieu (D-CA)
  • Charles Fleischmann (R-TN)
  • Claudia Tenney (R-NY)
  • Scott Peters (D-CA)
  • H. Griffith (R-VA)
  • Jake Auchincloss (D-MA)
  • Glenn Thompson (R-PA)
  • Steve Cohen (D-TN)
  • Tracey Mann (R-KS)

Subjects

  • Drug therapy
  • Health care costs and insurance
  • Medicare
  • Prescription drugs
Read on Congress.gov

Sourced from Congress.gov (public domain).

This is legal information, not legal advice. Laws vary by jurisdiction and change frequently. Always verify current law with official sources and consult a licensed attorney in your jurisdiction for advice on your specific situation.