Senate bill · S. 475 (119th Congress)
Alternatives to PAIN Act
U.S. Senate
Sponsor: Thom Tillis (U.S. Senator for North Carolina, Republican)
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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.
- Introduced
- In committee
- Up for a vote
- Passed one chamber
- Passed
- Enacted
Committee
Senate Committee on Finance · U.S. Senate
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Cosponsors
36
Cosponsors listed on Congress.gov, shown A to Z.
- Democratic18
- Republican17
- Other1
This bill has cosponsors from more than one party.
Shown in neutral colors by design; Agora is non-partisan.
- Adam B. Schiff
- Alex Padilla
- Amy Klobuchar
- Angus S. King, Jr.
- Catherine Cortez Masto
- Christopher A. Coons
- Cindy Hyde-Smith
- Cory A. Booker
- David McCormick
- Deb Fischer
- James C. Justice
- Jeanne Shaheen
Show the full list (36 names)Show fewer cosponsors
- Jeff Merkley
- Jerry Moran
- Jim Banks
- John Boozman
- John Cornyn
- John Kennedy
- Jon Husted
- Jon Ossoff
- Katie Boyd Britt
- Mark Kelly
- Mark R. Warner
- Marsha Blackburn
- Mazie K. Hirono
- Michael F. Bennet
- Raphael G. Warnock
- Richard Blumenthal
- Roger Marshall
- Ruben Gallego
- Shelley Moore Capito
- Steve Daines
- Tammy Duckworth
- Ted Budd
- Tim Kaine
- Tim Sheehy
Related bills
As identified by Congress.gov.
Full history
- Feb 6, 2025
Introduced
Introduced in U.S. Senate
U.S. Senate
- Feb 6, 2025
Referred to committee
Read twice and referred to the Committee on Finance.
- Feb 6, 2025
Referred to committee
Read twice and referred to the Committee on Finance.
- Feb 6, 2025
Referred to committee
Read twice and referred to the Committee on Finance.
Read the record
- Read on Congress.gov (opens in a new tab) The official record on Congress.gov.