Skip to main content

Agora
Sign in

House bill · H.R. 1227 (119th Congress)

Alternatives to PAIN Act

U.S. House of Representatives

Latest action Jun 18, 2026

Sponsor: Mariannette Miller-Meeks (U.S. Representative, IA-1, Republican)

Follow

Following needs an Agora account. You will sign in first, then come back to this page.

From Congress.gov and official rosters. This record was last updated Jul 30, 2026. About our data

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 from the Congressional Research Service. How we handle summaries

Where it stands

Assigned to a committee for review.

  1. Introduced
  2. In committee
  3. Up for a vote
  4. Passed one chamber
  5. Passed
  6. Enacted

Committee

House Committee on Energy and Commerce · U.S. House of Representatives

Also referred to House Committee on Ways and Means · U.S. House of Representatives.

Your position on this bill

Choose the position closest to yours. You'll sign in or create an account to save it.

Sign in or create an account to give your position

Cosponsors

107

Showing the 106 who are on Agora, A to Z. Congress.gov listed 107 as of Jul 24, 2026.

See all cosponsors on Congress.gov (opens in a new tab)
  • Democratic56
  • Republican50

This bill has cosponsors from more than one party.

Party is shown for the 106 cosponsors who are on Agora.

Shown in neutral colors by design; Agora is non-partisan.

Show the full list (106 names)

Related bills

As identified by Congress.gov.

Full history

  1. Jun 18, 2026

    Introduced

    Introduced in U.S. House

    U.S. House

  2. Feb 12, 2025

    Introduced

    Introduced in House

    U.S. House of Representatives

  3. Feb 12, 2025

    In committee

    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.

    U.S. House

  4. Feb 12, 2025

    Referred to committee

    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.

  5. Feb 12, 2025

    Referred to committee

    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.

Show full history (1 earlier event)
  1. Feb 12, 2025

    Referred to committee

    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.

Read the record