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HR 1227119th CongressIn Committee

Alternatives to PAIN Act

Introduced: Feb 12, 2025
Sponsor: Rep. Miller-Meeks, Mariannette [R-IA-1] (R-Iowa)
Standard Summary
Comprehensive overview in 1-2 paragraphs

The Alternatives to PAIN Act ensures Medicare Part D beneficiaries have appropriate access to non-opioid pain management drugs without cost barriers.

Key Points

  • 1Eliminates deductibles for qualifying non-opioid pain management drugs
  • 2Places qualifying drugs on lowest cost-sharing tier
  • 3Prohibits step therapy requiring opioids before non-opioid alternatives
  • 4Prohibits prior authorization requirements for qualifying drugs
  • 5Applies to plan years beginning January 1, 2026
  • 6Defines qualifying drugs as FDA-approved for acute pain without opioid receptors

Impact Areas

Medicare Part D beneficiariesNon-opioid pain management drug accessOpioid crisis preventionPharmaceutical coverage policiesPain management treatment optionsMedicare prescription drug program
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