ThePolitibase
H.R. 1227In CommitteeHEALTH

Alternatives to PAIN Act

Drug therapy · Health care costs and insurance · Medicare
Sponsor
Rep. Miller-Meeks, Mariannette [R-IA-1]
R · IA-1
Key facts
Introduced: Feb 12, 2025
Chamber: House
Cosponsors: 89
Congress: 119th
Latest action · Feb 12, 2025
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.

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.

Summary by Congressional Research Service.

Timeline

  1. Feb 12, 2025
    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.
  2. Feb 12, 2025
    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.
  3. Feb 12, 2025
    Introduced in House
  4. Feb 12, 2025
    Introduced in House

Cosponsors (showing first 30 of 89)

In the News

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