House bill · 115th Congress · Did not become law

ALTO Act

H.R. 5197Introduced Mar 7, 2018Policy area: Health

Where it went

IntroducedMar 7, 2018
Committee actionMay 9, 2018
Passed HouseJun 12, 2018 · by voice vote
Passed Senate—
To the President—
Became law—

Latest action: Jun 13, 2018 — Received in the Senate and Read twice and referred to the Committee on Health, Education, Labor, and Pensions.

Cost and committee reports

Official records Congress.gov attaches to H.R. 5197.

CBO cost estimateThe Congressional Budget Office published “H.R. 5197, Alternatives to Opioids (ALTO) in the Emergency Department Act” on June 7, 2018. CBO’s description reads “As ordered reported by the House Committee on Energy and Commerce on May 9, 2018”.
Read the CBO estimate ↗Source: Congressional Budget Office, June 7, 2018 ↗
Evidence
Field in the Congress.gov record
cboCostEstimates
CBO publication
https://www.cbo.gov/publication/53979
CBO publication date
June 7, 2018
Congress.gov bill record
H.R. 5197, 115th Congress
Congress.gov API record
https://api.congress.gov/v3/bill/115/hr/5197
Record last updated by Congress.gov
December 5, 2025
PORKER copy retrieved
September 22, 2026
Stored copy, SHA-256 of the file
9aa8de486fe2fcc77028a637fc940e2692802f63435088ef02da90774f9a2e4e
PORKER links to the estimate and does not repeat its dollar figures. Each estimate is for the version of the bill its description names; the bill may have changed since.
Constitutional authority statementThe sponsor’s statement of where the Constitution gives Congress the power to pass this bill. Statement by Mr. PASCRELL, as printed in the Congressional Record (Vol. 164, No. 40, March 7, 2018, Page H1476):
Article I, Section 8, Clause 3 of the United States Constitution.
Source: Congress.gov, Congressional Record March 7, 2018 ↗
Evidence
Field in the Congress.gov record
constitutionalAuthorityStatementText
Statement length
65 characters
Congress.gov bill record
H.R. 5197, 115th Congress
Congress.gov API record
https://api.congress.gov/v3/bill/115/hr/5197
Record last updated by Congress.gov
December 5, 2025
PORKER copy retrieved
September 22, 2026
Stored copy, SHA-256 of the file
9aa8de486fe2fcc77028a637fc940e2692802f63435088ef02da90774f9a2e4e
PORKER shows the statement exactly as printed, with the page markup removed. It is the sponsor’s claim; it is not a legal finding.

Congress.gov’s record for this bill does not list a committee report (as of December 5, 2025). Not every bill gets one.

Sent to: Energy and Commerce Committee, Health, Education, Labor, and Pensions CommitteeBills with a CBO estimate Bills with a committee report See it in the Data Web

From the Congress.gov bill record for H.R. 5197, last updated December 5, 2025. PORKER’s copy was retrieved September 22, 2026 and is refreshed nightly. Open “Evidence” on any line for the record, field and file fingerprint.

Vote results

No recorded roll-call votes on this bill in PORKER’s records (voice votes and unanimous consent are not roll calls; roll-call records start in 2011).

Cosponsors

24 cosponsors — 14 Republicans, 10 Democrats

14 of 24 cosponsors (58%) are from the other party.

Andy Barr (R-KY), Marsha Blackburn (R-TN), Earl Blumenauer (D-OR), Yvette Clarke (D-NY), Diana DeGette (D-CO), Daniel Donovan (R-NY), John Faso (R-NY), Brian Fitzpatrick (R-PA), Josh Gottheimer (D-NJ), Jaime Herrera Beutler (R-WA), J. Hill (R-AR), Pramila Jayapal (D-WA), Evan Jenkins (R-WV), Ro Khanna (D-CA), Derek Kilmer (D-WA), Ron Kind (D-WI), David McKinley (R-WV), Bruce Poliquin (R-ME), Jamie Raskin (D-MD), Ileana Ros-Lehtinen (R-FL), Adam Schiff (D-CA), Steve Stivers (R-OH), Scott Tipton (R-CO), Greg Walden (R-OR).

More from the sponsor

Other 115th Congress bills sponsored by Rep. Bill Pascrell.

Sponsor’s state and district

New Jersey in Congress · NJ-9 district

Open in Bill Explorer →

Data as of Sep 22, 2026 · bill record checked by PORKER from Congress.gov · votes from Senate.gov and the House Clerk. PORKER is non-partisan.