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Alternatives to PAIN Act

S. 475 Sen. Thomas Tillis (R-NC) In committee
Bill text PDF
  1. Introduced Feb 6
  2. Committee Feb 6
  3. Passed Senate Next
  4. Passed House Not yet
  5. To President Not yet
  6. Law Not yet
Where it stands
In committee, Feb 6, 2025Next: Senate vote
628d ago Feb 6, 2025: Read twice and referred to the Committee on Finance.
Final votes
No roll callsNo recorded vote on this bill yet
Lobbying
1company, 41 filings
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Member trades
2trades in the last 90 days
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Companies lobbying on this bill

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Summary

Alternatives to Prevent Addiction In the Nation Act or the Alternatives to PAIN Act

Full summary2 paragraphs

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.

Library of Congress summary, Feb 6, 2025

Summary versions
  • Introduced in SenateFeb 6, 2025

Official record from Congress.gov, the House Clerk and the Senate; lobbying from Lobbying Disclosure Act filings. Updated Oct 27, 2026.