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HR 4509
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NOPAIN for Veterans Act

To amend title 38, United States Code, to ensure that the Secretary of Veterans Affairs furnishes certain non-opioid pain medications to veterans, and for other purposes.

Introduced Jul 17, 2025

Latest action (Jan 13, 2026) Subcommittee Hearings Held

Summary

This bill requires the Department of Veterans Affairs to add new non-opioid pain management medications to its national formulary within one year of when those medications become eligible for Medicare coverage. The medications covered are FDA-approved drugs that reduce postoperative pain without using opioid receptors. The VA must also include these medications in its drug standardization list. The Secretary of Veterans Affairs must implement these changes within 90 days of enactment.

AI-generated plain-language summary of the bill text — neutral, and may be imperfect. See the full text below for the exact wording.

Sponsor (1)

Actions (4)

  1. Jan 13, 2026 Subcommittee Hearings Held · house
  2. Dec 19, 2025 Referred to the Subcommittee on Health. · house
  3. Jul 17, 2025 Referred to the House Committee on Veterans' Affairs. · house
  4. Jul 17, 2025 Introduced in House

More bills on these subjects (8)

Other bills that carry the most legislative subjects in common with this one (topical discovery — distinct from the procedural related bills above).

Similar bills (6)

Bills with similar text or summary — includes reintroductions across Congresses. Ranked by semantic similarity of the bill text (computed locally); a neutral discovery aid, not a claim the bills are duplicates.

Text versions (1)

  • Introduced in House · Jul 17, 2025

Only one text version is on file, so there’s no earlier version to compare against yet.

Full text

IN THE HOUSE OF REPRESENTATIVES

July 17, 2025

Mr. Landsman (for himself, Mr. Van Orden, Mr. Pappas, Mr. Bergman, Ms. Sewell, and Mr. Hamadeh of Arizona) introduced the following bill; which was referred to the Committee on Veterans’ Affairs

A BILL

To amend title 38, United States Code, to ensure that the Secretary of Veterans Affairs furnishes certain non-opioid pain medications to veterans, and for other purposes.

Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled,

SECTION 1. SHORT TITLE.

This Act may be cited as the “NOPAIN for Veterans Act”.

SEC. 2. INCLUSION OF CERTAIN NON-OPIOID PAIN MEDICATIONS IN THE NATIONAL FORMULARY OF THE DEPARTMENT OF VETERANS AFFAIRS.

(a) In General.—Section 8125 of title 38, United States Code, is amended—

(1) in subsection (d), by adding at the end the following new paragraph:

“(4) The term ‘non-opioid pain management drug or biological product’ means a drug or biological product approved, granted, or cleared by the Food and Drug Administration to reduce postoperative pain, or to produce postsurgical or regional analgesia, without acting upon the body’s opioid receptors.”.

(2) by redesignating subsection (d), as so amended, as subsection (e); and

(3) by inserting, after subsection (c), the following new subsection (d):

“(d) The Secretary shall—

“(1) not later than one year after the date on which a non-opioid pain management drug or biological product becomes eligible for temporary additional payment under section 1833(t)(16)(G) of the Social Security Act (42 U.S.C. 1395l(t)(16)(G)), or eligible for separate payment under section 416.174 of title 42, Code of Federal Regulations (or successor regulation), include such non-opioid pain management drug or biological product in the national formulary of the Department; and

“(2) include a non-opioid pain management drug or biological product in the drug standardization list of the Department.”.

(b) Limitation.—None of the funds in the Cost of War Toxic Exposures Fund under section 324 of title 38, United States Code, may be used to carry out the amendments made by this section.

(c) Implementation.—Not later than 90 days after the date of the enactment of this Act, the Secretary of Veterans Affairs shall implement the amendments made by this section. <all>

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