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Miller-Meeks’ Bipartisan Alternatives to PAIN Act Surpasses 70 Cosponsors, Gaining Momentum in Congress

January 12, 2026

WASHINGTON, D.C. — Congresswoman Mariannette Miller-Meeks (IA-01) today highlighted that her bipartisan bill, the Alternatives to Prevent Addiction in the Nation (PAIN) Act (H.R. 1227), has reached a major milestone, garnering the support of 74 cosponsors—37 Republicans and 37 Democrats—in a strong show of real momentum behind efforts to combat the opioid crisis through safer, non-addictive pain management.

“I’m proud to see such strong bipartisan support for a commonsense bill that prioritizes patients, promotes safer pain treatment, and helps address the opioid crisis head-on,” said Miller-Meeks. “The Alternatives to PAIN Act is about expanding access to non-opioid options for pain relief, removing unnecessary roadblocks, and delivering the kind of innovative care Americans deserve.”

The bill would eliminate cost-sharing for qualifying non-opioid pain management drugs under Medicare Part D, place them on the lowest-cost tier, and prohibit the use of prior authorization or step therapy—ensuring seniors and other Medicare beneficiaries can access safer treatments without red tape.

With overdose deaths continuing to devastate communities nationwide, the Alternatives to PAIN Act represents a bipartisan step forward in the fight to reduce opioid dependence.

“This bill is gaining real momentum because it puts patients over politics,” Miller-Meeks continued. “With more than 70 cosponsors and rising, now is the time for Congress to act. Let’s get this across the finish line and deliver real help to the millions of Americans suffering from pain.”

The legislation has also been introduced in the Senate as S.475.

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