Congress.gov119th Congress

H.R. 1227

Alternatives to PAIN Act

Introduced Feb 12, 2025Latest action Feb 12, 2025Health

Plain-English 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.

Deterministically condensed from the official CRS summary; verify details in the official record.

Issue relevance

Why this appears in Paper Trail

Healthcare

Matched from official metadata: policy_area: Health

People and recorded decisions

Sponsors, Cosponsors & House Votes

Zoe Lofgren

Cosponsor · Democratic · CA

Michael Lawler

Cosponsor · Republican · NY

John Joyce

Cosponsor · Republican · PA

Scott Peters

Cosponsor · Democratic · CA

Tim Moore

Cosponsor · Republican · NC

Glenn Thompson

Cosponsor · Republican · PA

Josh Gottheimer

Cosponsor · Democratic · NJ

Michael Guest

Cosponsor · Republican · MS

Rob Bresnahan

Cosponsor · Republican · PA

William Troy Balderson

Cosponsor · Republican · OH

James Austin Scott

Cosponsor · Republican · GA

Earl Leroy Carter

Cosponsor · Republican · GA

Aaron Bean

Cosponsor · Republican · FL

George J Kelly Jr.

Cosponsor · Republican · PA

Brian K. Fitzpatrick

Cosponsor · Republican · PA

Ryan Edward Mackenzie

Cosponsor · Republican · PA

Gwen S Moore

Cosponsor · Democratic · WI

Mark DeSaulnier

Cosponsor · Democratic · CA

Cliff Bentz

Cosponsor · Republican · OR

Lucia Kay Ms. Mcbath

Cosponsor · Democratic · GA

Richard Hudson

Cosponsor · Republican · NC

Robert J. Menendez

Cosponsor · Democratic · NJ

John B. Larson

Cosponsor · Democratic · CT

Seth Moulton

Cosponsor · Democratic · MA

Jake Auchincloss

Cosponsor · Democratic · MA

Benjamin Lee Cline

Cosponsor · Republican · VA

Greg Steube

Cosponsor · Republican · FL

Rohit Khanna

Cosponsor · Democratic · CA

Lori Trahan

Cosponsor · Democratic · MA

Ted Lieu

Cosponsor · Democratic · CA

Rebecca 'Becca' Balint

Cosponsor · Democratic · VT

Stephen A The Hon Womack

Cosponsor · Republican · AR

Joseph D. Morelle

Cosponsor · Democratic · NY

Greg Landsman

Cosponsor · Democratic · OH

Adelita S. Grijalva

Cosponsor · Democratic · AZ

Mike Mr. Thompson

Cosponsor · Democratic · CA

Brian J. Mast

Cosponsor · Republican · FL

Thomas More Barrett

Cosponsor · Republican · MI

George Whitesides

Cosponsor · Democratic · CA

Don Davis

Cosponsor · Democratic · NC

Nikki Budzinski

Cosponsor · Democratic · IL

Gabriel F Amo

Cosponsor · Democratic · RI

Kevin Mullin

Cosponsor · Democratic · CA

Claudia Tenney

Cosponsor · Republican · NY

Eleanor Holmes Norton

Cosponsor · Democratic · DC

Sarah Elizabeth Mcbride

Cosponsor · Democratic · DE

John Garamendi

Cosponsor · Democratic · CA

Donald J Bacon

Cosponsor · Republican · NE

August Lee Pfluger II

Cosponsor · Republican · TX

Brittany Louise Pettersen

Cosponsor · Democratic · CO

Yvette D. Clarke

Cosponsor · Democratic · NY

Andrea Salinas

Cosponsor · Democratic · OR

Walter Michael Ezell

Cosponsor · Republican · MS

Salud O. Carbajal

Cosponsor · Democratic · CA

Sheri Biggs

Cosponsor · Republican · SC

Jennifer Kiggans

Cosponsor · Republican · VA

Tracey Mann

Cosponsor · Republican · KS

Sylvia R. Garcia

Cosponsor · Democratic · TX

Derrick F. Mr. Van Orden

Cosponsor · Republican · WI

Nicole Malliotakis

Cosponsor · Republican · NY

Kat Cammack

Cosponsor · Republican · FL

William R Keating

Cosponsor · Democratic · MA

Suhas Subramanyam

Cosponsor · Democratic · VA

Steve Cohen

Cosponsor · Democratic · TN

Terri A. Sewell

Cosponsor · Democratic · AL

Troy Nehls

Cosponsor · Republican · TX

Gus M Bilirakis

Cosponsor · Republican · FL

Lou Correa

Cosponsor · Democratic · CA

Shri Thanedar

Cosponsor · Democratic · MI

Mariannette Jane Miller-Meeks

Sponsor · Republican · IA

Jill Naomi Tokuda

Cosponsor · Democratic · HI

Tim Burchett

Cosponsor · Republican · TN

Greg Stanton

Cosponsor · Democratic · AZ

Chris Pappas

Cosponsor · Democratic · NH

Burgess Owens

Cosponsor · Republican · UT

Jamie Raskin

Cosponsor · Democratic · MD

Yevgeny 'Eugene' Vindman

Cosponsor · Democratic · VA

Carol D. Miller

Cosponsor · Republican · WV

Julia Brownley

Cosponsor · Democratic · CA

Gabriel Vasquez

Cosponsor · Democratic · NM

Cory Mills

Cosponsor · Republican · FL

Angela Dawn Craig

Cosponsor · Democratic · MN

Mark Pocan

Cosponsor · Democratic · WI

Nikema Williams

Cosponsor · Democratic · GA

Jimmy Panetta

Cosponsor · Democratic · CA

Thomas R. Suozzi

Cosponsor · Democratic · NY

John H. Rutherford

Cosponsor · Republican · FL

Randy K. Weber, Sr.

Cosponsor · Republican · TX

Robert Garcia

Cosponsor · Democratic · CA

H. Morgan Griffith

Cosponsor · Republican · VA

Robin L. Kelly

Cosponsor · Democratic · IL

Michael Rulli

Cosponsor · Republican · OH

Derek Schmidt

Cosponsor · Republican · KS

Jim Costa

Cosponsor · Democratic · CA

Pat Harrigan

Cosponsor · Republican · NC

Emily Randall

Cosponsor · Democratic · WA

Madeleine Dean

Cosponsor · Democratic · PA

Ashley Hinson Arenholz

Cosponsor · Republican · IA

Neal Patrick Md Facs Dunn

Cosponsor · Republican · FL

James P Mcgovern

Cosponsor · Democratic · MA

Jim Himes

Cosponsor · Democratic · CT

Morgan McGarvey

Cosponsor · Democratic · KY

Charles J. "Chuck" Fleischmann

Cosponsor · Republican · TN

Mike Carey

Cosponsor · Republican · OH

Robert B. Aderholt

Cosponsor · Republican · AL

Nanette Diaz Barragán

Cosponsor · Democratic · CA

Emanuel Cleaver

Cosponsor · Democratic · MO

Nick Langworthy

Cosponsor · Republican · NY

John J. McGuire III

Cosponsor · Republican · VA

Andrew R. Garbarino

Cosponsor · Republican · NY

No linked House roll-call vote is available yet. Senate votes are not currently synchronized.

Official Subjects

HealthPrescription drugsDrug therapyHealth care costs and insuranceMedicare

Sources & text

Official Congress.gov record ↗Introduced in House ↗Introduced in House ↗Introduced in House ↗

Congress.gov data last updated Aug 25, 2026. Automated summaries preserve a source version and generation timestamp; human edits are explicitly recorded.