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S 475In Committee

Alternatives to PAIN Act

Introduced February 6, 2025

Summary

Alternatives to Prevent Addiction In the Nation Act or the Alternatives to PAIN ActThis 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.

Timeline

  1. Read twice and referred to the Committee on Finance.

  2. Introduced in Senate

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