S. 475 Introduced Health

Alternatives to PAIN Act

A bill to amend title XVIII of the Social Security Act to ensure appropriate access to non-opioid pain management drugs under part D of the Medicare program.

  1. Introduced
  2. Committee
  3. Passed Senate
  4. Passed House
  5. To President
  6. Became law
Sponsor Sen. Tillis, Thomas [R-NC] Introduced February 6, 2025 Cosponsors 36 (17 R, 18 D, 1 I) Latest action February 6, 2025

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 the Congressional Research Service, Library of Congress.

Congress.gov

Actions

  1. Feb 6, 2025 Read twice and referred to the Committee on Finance.
  2. Feb 6, 2025 Introduced in Senate

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