A Republican bill with 18 Democratic cosponsors · See all 36 cosponsors
Last activity — Read twice and referred to the Committee on Finance.
In committee
Introduced and handed to a committee in the chamber it started in.
The committee holds it, and most bills are never heard from again. A hearing or a committee vote would be news; silence is the usual outcome, and it kills the bill without anyone voting against it.
Its path through Congress
- Introduced
- In Committee
What this bill would do
The "Alternatives to Prevent Addiction In the Nation Act" seeks to amend the Social Security Act regarding Medicare Part D. It aims to ensure easier access to specific non-opioid pain management drugs. For plan years starting January 1, 2026, the bill changes how these drugs are covered by removing deductibles and placing them on the lowest cost-sharing tier. The bill also targets specific drugs approved by the FDA for acute or postoperative pain that do not act on opioid receptors. Additionally, it prohibits insurance plans from using step therapy or prior authorization for these specific drugs.
Yes· 3 of 8
- Scored +7
Does this lower the price of prescription medicines?
The bill lowers out-of-pocket costs for specific non-opioid pain management drugs by removing deductibles and placing them on the lowest cost-sharing tier.
- Scored +6
Does this make health care easier to get in general?
The bill increases healthcare access by prohibiting prior authorization and step therapy for qualifying non-opioid pain management drugs.
- Scored +5
Does this do more about addiction and overdose deaths?
The bill addresses the opioid crisis by providing financial and administrative incentives to use non-opioid alternatives for acute pain.
The opposite
No question was scored the opposite.
Who it would affect, and how
Potential Positive Impacts for People
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Lower out-of-pocket costs for pain management: For plan years starting January 1, 2026, the deductible will not apply to qualifying non-opioid pain management drugs, and these drugs will be placed on the lowest cost-sharing tier (Section 2(a)(1)(A)(i-ii)).
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Increased accessibility for low-income individuals: The bill applies these cost-sharing and deductible protections to low-income individuals under the Social Security Act (Section 2(b)(1)).
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Removal of insurance hurdles: Prescription drug plans or MA-PD plans are prohibited from requiring prior authorization before a drug is provided (Section 3(1)(2)(A)(ii)).
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Prevention of forced opioid use: The bill prohibits step therapy requirements that would force an individual to use an opioid before they can receive a qualifying non-opioid pain management drug (Section 3(1)(2)(A)(i)).
Potential Negative Impacts for People
- Strict eligibility requirements for drugs: To qualify for these benefits, a drug must have an FDA-approved label for postoperative or acute pain, must not act on opioid receptors, must have no therapeutically equivalent product sold in the U.S., and must have a monthly wholesale acquisition cost that does not exceed a specific threshold set by the Secretary (Section 2(a)(1)(B)).
Groups and Interests Ranking
Every group the model scored this bill for, from -10 to +10. Tap or hover a score for the reason it gave.
- Healthcare
- Does this lower the price of prescription medicines? — The bill lowers out-of-pocket costs for specific non-opioid pain management drugs by removing deductibles and placing them on the lowest cost-sharing tier. Does this make health care easier to get in general? — The bill increases healthcare access by prohibiting prior authorization and step therapy for qualifying non-opioid pain management drugs. Does this do more about addiction and overdose deaths? — The bill addresses the opioid crisis by providing financial and administrative incentives to use non-opioid alternatives for acute pain. Does this put more money into Medicare, the health coverage for people over 65? — The bill increases benefits within Medicare Part D by removing deductibles and lowering cost-sharing tiers for qualifying drugs.
- Demographic And Interest Groups
- Would people over 65 be better off under this? — The bill reduces out-of-pocket costs and administrative hurdles for seniors using Medicare Part D for non-opioid pain management. Would households on low incomes be better off under this? — The bill specifically mandates improved cost-sharing and deductible relief for low-income individuals under the Social Security Act. Would veterans be better off under this, taking everything together? — The bill may benefit veterans who rely on Medicare Part D for pain management by lowering costs and removing authorization barriers.
- Social Issues And Justice
- Is this likely to lift people out of poverty? — The bill reduces healthcare expenses for low-income individuals by modifying cost-sharing rules for specific drugs.
- 5/20/2026
- 2 Cosponsors added.
- 3/19/2026
- 2 Cosponsors added.
- 2/3/2026
- 2 Cosponsors added.
- 12/1/2025
- 1 Cosponsor added.
- 11/19/2025
- 1 Cosponsor added.
- 10/7/2025
- 2 Cosponsors added.
- 6/10/2025
- 2 Cosponsors added.
- 4/10/2025
- 2 Cosponsors added.
- 4/9/2025
- 2 Cosponsors added.
- 3/12/2025
- 2 Cosponsors added.
- 2/20/2025
- 2 Cosponsors added.
- 2/6/2025
- Read twice and referred to the Committee on Finance.
- 16 Cosponsors added.
- Introduced in Senate
One bill Congress.gov lists as related to this one — companions in the other chamber, earlier versions, and bills this one absorbed or was folded into.
John BoozmanRepublican · Arkansas
Marsha BlackburnRepublican · Tennessee
Michael BennetDemocrat · Colorado
Richard BlumenthalDemocrat · Connecticut
Cory BookerDemocrat · New Jersey
Jim BanksRepublican · Indiana
Ted BuddRepublican · North Carolina
Katie BrittRepublican · Alabama
Shelley CapitoRepublican · West Virginia
John CornynRepublican · Texas
Christopher CoonsDemocrat · Delaware
Catherine Cortez MastoDemocrat · Nevada
Steve DainesRepublican · Montana
Tammy DuckworthDemocrat · Illinois
Deb FischerRepublican · Nebraska
Ruben GallegoDemocrat · Arizona
Mazie HironoDemocrat · Hawaii
Cindy Hyde-SmithRepublican · Mississippi
Jon HustedRepublican · Ohio
James JusticeRepublican · West Virginia
Amy KlobucharDemocrat · Minnesota
Mark KellyDemocrat · Arizona
Angus KingIndependent · Maine
Timothy KaineDemocrat · Virginia
John KennedyRepublican · Louisiana
Jerry MoranRepublican · Kansas
Jeff MerkleyDemocrat · Oregon
Roger MarshallRepublican · Kansas
David McCormickRepublican · Pennsylvania
Jon OssoffDemocrat · Georgia
Alex PadillaDemocrat · California
Adam SchiffDemocrat · California
Jeanne ShaheenDemocrat · New Hampshire
Tim SheehyRepublican · Montana
Raphael WarnockDemocrat · Georgia
Mark WarnerDemocrat · Virginia