House bill · 119th Congress · Latest step: Introduced
Alternatives to PAIN Act
Official title: To amend title XVIII of the Social Security Act to ensure appropriate access to non-opioid pain management drugs under part D of the Medicare program.
Sponsor: Rep. Mariannette Miller-Meeks R-IAWhere it went
- IntroducedFeb 12, 2025
- Committee action—
- Passed House—
- Passed Senate—
- To the President—
- Became law—
Latest action: Feb 12, 2025 — 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 provisions as fall within the jurisdiction of the committee concerned.
Cost and committee reports
Official records Congress.gov attaches to H.R. 1227.
- Constitutional authority statementThe sponsor’s statement of where the Constitution gives Congress the power to pass this bill. Statement by Mrs. MILLER-MEEKS, as printed in the Congressional Record (Vol. 171, No. 29, February 12, 2025, Page H677):Article 1, Section 8 of the U.S. ConstitutionSource: Congress.gov, Congressional Record February 12, 2025 ↗
Evidence
- Field in the Congress.gov record
- constitutionalAuthorityStatementText
- Statement length
- 45 characters
- Congress.gov bill record
- H.R. 1227, 119th Congress
- Congress.gov API record
- https://api.congress.gov/v3/bill/119/hr/1227
- Record last updated by Congress.gov
- October 20, 2026
- PORKER copy retrieved
- October 21, 2026
- Stored copy, SHA-256 of the file
b9c1d8279648b684215553a8ee8b6c6ee1d76dc1b955ba730cd9929c09dd59de
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 CBO cost estimate or a committee report (as of October 20, 2026). Not every bill gets one.
From the Congress.gov bill record for H.R. 1227, last updated October 20, 2026. PORKER’s copy was retrieved October 21, 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
116 cosponsors — 52 Republicans, 64 Democrats
64 of 116 cosponsors (55%) are from the other party.
Robert Aderholt (R-AL), Gabe Amo (D-RI), Jake Auchincloss (D-MA), Don Bacon (R-NE), Troy Balderson (R-OH), Becca Balint (D-VT), Nanette Barragán (D-CA), Tom Barrett (R-MI), Aaron Bean (R-FL), Cliff Bentz (R-OR), Sheri Biggs (R-SC), Gus Bilirakis (R-FL), Robert Bresnahan (R-PA), Julia Brownley (D-CA), Nikki Budzinski (D-IL), Tim Burchett (R-TN), Kat Cammack (R-FL), Salud Carbajal (D-CA), Mike Carey (R-OH), Earl Carter (R-GA), Sheila Cherfilus-McCormick (D-FL), Yvette Clarke (D-NY), Emanuel Cleaver (D-MO), Ben Cline (R-VA), Steve Cohen (D-TN), J. Correa (D-CA), Jim Costa (D-CA), Angie Craig (D-MN), Donald Davis (D-NC), Mark DeSaulnier (D-CA) and 86 more.
More from the sponsor
Other 119th Congress bills sponsored by Rep. Mariannette Miller-Meeks.
- H.R. 1721 (119th) Critical Infrastructure Manufacturing Feasibility Act
- H.R. 1722 (119th) Billion Dollar Boondoggle Act
- H.R. 3726 (119th) Fisher House Availability Act of 2026
- H.R. 4707 (119th) To designate the facility of the United States Postal Service located at 1019 Avenue H in Fort Madison, Iowa, as the "Martin L. Graber…
- H.R. 9615 (119th) BRACE Act
- H.R. 7266 (119th) Rural and Municipal Utility Cybersecurity Act
Related bills
- S. 475 (119th) Alternatives to PAIN ActRelated bill
Relationships as recorded by Congress.gov.
Sponsor’s state and district
Data as of Oct 21, 2026 · bill record checked by PORKER from Congress.gov · votes from Senate.gov and the House Clerk. PORKER is non-partisan.