H.R. 1227 · 119th Congress · 2025–2026
Alternatives to PAIN Act
H.R. 1227 in the 119th Congress (2025–2026) was introduced on Feb 12, 2025, sponsored by Mariannette Miller-Meeks with 114 co-sponsors.
During the 119th Congress (2025–2026), Donald Trump was president, and Republicans held majorities in both the House and Senate.
- Status
- Introduced
- Introduced
- Feb 12, 2025
- Co-sponsors
- 114
- Policy area
- Health
What it does
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).
Summary by the nonpartisan Congressional Research Service.
Sponsor
Mariannette Miller-Meeks (R-IA). Co-sponsors: 63 Democrats, 51 Republicans.
Where it stands
- IntroducedFeb 12, 2025
- Passed the House—
- Passed the Senate—
- Sent to the President—
- Became law—
Latest action: 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 (Feb 12, 2025)
More bills from Mariannette Miller-Meeks in the 119th Congress
- H.R. 1970: Providing Veterans Essential Medications Act
- H.R. 6703: Lower Health Care Premiums for All Americans Act
- H.R. 9615: BRACE Act
- H.R. 9682: Cure Hepatitis C Act of 2026
- H.R. 9757: Conversational AI Services Act
- H.R. 10170: Memory Chip Competitiveness Assessment Act of 2026
- H.R. 10450: REVEAL Act
- H.R. 10632: Medicaid Whistleblower Protection Act
Other Health bills in the 119th Congress
- H.R. 766: SEWER Act
- H.R. 2483: SUPPORT for Patients and Communities Reauthorization Act of 2025
- S. 2398: Kay Hagan Tick Reauthorization Act
- H.R. 12: Women’s Health Protection Act of 2025
- H.J.Res. 123: Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the…
- S.J.Res. 197: A joint resolution providing for congressional disapproval under chapter 8 of title 5, United…
- H.J.Res. 197: Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the…
- H.R. 271: Defund Planned Parenthood Act of 2025
- H.R. 272: Protecting Life and Taxpayers Act of 2025
- H.R. 307: ARC Act of 2025
Committees
More
From GovInfo bill records, Congressional Research Service summaries, Voteview roll calls and lobbying reports.
Cite or embed this page
Capitol Receipts, “H.R. 1227 (119th Congress): Alternatives to PAIN Act,” https://www.capitolreceipts.com/bill/119-hr-1227/alternatives-to-pain-act (accessed 2026-10-17).