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118-hr-7142Committee
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Alternatives to PAIN Act

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Summary

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The Alternatives to PAIN Act amends Medicare Part D to reduce cost barriers for non-opioid pain management drugs. Beginning in 2025, qualifying non-opioid pain medications would be exempt from deductibles and placed on the lowest cost-sharing tier. The bill also prohibits Medicare Part D plans from requiring step therapy (including mandatory opioid use first) or prior authorization for these drugs. The legislation aims to expand access to non-opioid alternatives while preserving physicians' authority to prescribe opioids when medically appropriate.

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Bill details

Congress
118
Bill type
hr
Introduced
January 30, 2024
Sponsor
Not yet available
Last action
December 17, 2024— Referred to the Subcommittee on Health.

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