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Alternatives to PAIN Act

USA119th CongressS-475| Senate 
| Updated: 2/6/2025
Thomas Tillis

Thomas Tillis

Republican Senator

North Carolina

Cosponsors (32)
Jeanne Shaheen (Democratic)Ruben Gallego (Democratic)Katie Boyd Britt (Republican)Adam B. Schiff (Democratic)Jon Ossoff (Democratic)Catherine Cortez Masto (Democratic)Jim Banks (Republican)Cindy Hyde-Smith (Republican)Jerry Moran (Republican)Alex Padilla (Democratic)Christopher A. Coons (Democratic)Marsha Blackburn (Republican)Mark R. Warner (Democratic)Angus S. King (Independent)Amy Klobuchar (Democratic)John Boozman (Republican)Tim Kaine (Democratic)Tim Sheehy (Republican)James C. Justice (Republican)John Kennedy (Republican)Deb Fischer (Republican)Michael F. Bennet (Democratic)John Cornyn (Republican)Cory A. Booker (Democratic)Jeff Merkley (Democratic)Jon Husted (Republican)Raphael G. Warnock (Democratic)Steve Daines (Republican)Richard Blumenthal (Democratic)Mark Kelly (Democratic)Ted Budd (Republican)Shelley Moore Capito (Republican)

Finance Committee

  • Introduced
  • In Committee
  • On Floor
  • Passed Chamber
  • Enacted
This legislation seeks to enhance beneficiary access to non-opioid pain management drugs under Medicare Part D. Starting January 1, 2026, for qualifying non-opioid pain management drugs, the standard deductible will not apply. Furthermore, these drugs will be placed on the lowest cost-sharing tier available within a Medicare Part D plan, significantly reducing out-of-pocket expenses for beneficiaries. A qualifying non-opioid pain management drug is defined as one approved by the FDA for acute pain, does not act on opioid receptors, has no therapeutically equivalent alternative sold in the U.S., and whose monthly wholesale acquisition cost does not exceed a specified threshold. To further ensure access, the bill prohibits Medicare Part D plans from imposing step therapy requirements that mandate opioid use first, or any prior authorization requirements for these qualifying non-opioid pain management drugs. These measures aim to remove barriers and encourage the use of non-addictive pain relief options.
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Timeline

Bill from Previous Congress

S 118-3832
Alternatives to PAIN Act
Feb 6, 2025
Introduced in Senate
Feb 6, 2025
Read twice and referred to the Committee on Finance.
Feb 12, 2025

Latest Companion Bill Action

HR 119-1227
Introduced in House
  • Bill from Previous Congress

    S 118-3832
    Alternatives to PAIN Act


  • February 6, 2025
    Introduced in Senate


  • February 6, 2025
    Read twice and referred to the Committee on Finance.


  • February 12, 2025

    Latest Companion Bill Action

    HR 119-1227
    Introduced in House

Health

Related Bills

  • HR 119-1227: Alternatives to PAIN Act
Drug therapyHealth care costs and insuranceMedicarePrescription drugs

Alternatives to PAIN Act

USA119th CongressS-475| Senate 
| Updated: 2/6/2025
This legislation seeks to enhance beneficiary access to non-opioid pain management drugs under Medicare Part D. Starting January 1, 2026, for qualifying non-opioid pain management drugs, the standard deductible will not apply. Furthermore, these drugs will be placed on the lowest cost-sharing tier available within a Medicare Part D plan, significantly reducing out-of-pocket expenses for beneficiaries. A qualifying non-opioid pain management drug is defined as one approved by the FDA for acute pain, does not act on opioid receptors, has no therapeutically equivalent alternative sold in the U.S., and whose monthly wholesale acquisition cost does not exceed a specified threshold. To further ensure access, the bill prohibits Medicare Part D plans from imposing step therapy requirements that mandate opioid use first, or any prior authorization requirements for these qualifying non-opioid pain management drugs. These measures aim to remove barriers and encourage the use of non-addictive pain relief options.
View Full Text

Suggested Questions

Get AI-generated questions to help you understand this bill better

Timeline

Bill from Previous Congress

S 118-3832
Alternatives to PAIN Act
Feb 6, 2025
Introduced in Senate
Feb 6, 2025
Read twice and referred to the Committee on Finance.
Feb 12, 2025

Latest Companion Bill Action

HR 119-1227
Introduced in House
  • Bill from Previous Congress

    S 118-3832
    Alternatives to PAIN Act


  • February 6, 2025
    Introduced in Senate


  • February 6, 2025
    Read twice and referred to the Committee on Finance.


  • February 12, 2025

    Latest Companion Bill Action

    HR 119-1227
    Introduced in House
Thomas Tillis

Thomas Tillis

Republican Senator

North Carolina

Cosponsors (32)
Jeanne Shaheen (Democratic)Ruben Gallego (Democratic)Katie Boyd Britt (Republican)Adam B. Schiff (Democratic)Jon Ossoff (Democratic)Catherine Cortez Masto (Democratic)Jim Banks (Republican)Cindy Hyde-Smith (Republican)Jerry Moran (Republican)Alex Padilla (Democratic)Christopher A. Coons (Democratic)Marsha Blackburn (Republican)Mark R. Warner (Democratic)Angus S. King (Independent)Amy Klobuchar (Democratic)John Boozman (Republican)Tim Kaine (Democratic)Tim Sheehy (Republican)James C. Justice (Republican)John Kennedy (Republican)Deb Fischer (Republican)Michael F. Bennet (Democratic)John Cornyn (Republican)Cory A. Booker (Democratic)Jeff Merkley (Democratic)Jon Husted (Republican)Raphael G. Warnock (Democratic)Steve Daines (Republican)Richard Blumenthal (Democratic)Mark Kelly (Democratic)Ted Budd (Republican)Shelley Moore Capito (Republican)

Finance Committee

Health

Related Bills

  • HR 119-1227: Alternatives to PAIN Act
  • Introduced
  • In Committee
  • On Floor
  • Passed Chamber
  • Enacted
Drug therapyHealth care costs and insuranceMedicarePrescription drugs