Bills · 119th Congress · H.R. 1227
Alternatives to PAIN Act
IntroducedConfirmed from the official record
Sponsored by Mariannette Miller-Meeks RRepublican, introduced . Policy area, as Congress files it: Health.
Status is read from the official actions by their Library of Congress codes: Became Public Law (36000) or a law number on the bill reads "Became law"; Vetoed (31000) reads "Vetoed"; Presented to President (28000) reads "Sent to the President"; passed or agreed to in the House (8000) and in the Senate (17000) reads "Passed both chambers"; one of them alone reads "Passed the House" or "Passed the Senate" ("Agreed to" for a resolution); reported to the House (5000) or the Senate (14000) reads "Reported by committee"; anything else reads "Introduced".
Source: Congress.gov data service (Library of Congress). Text versions: our copies of govinfo.gov’s files. Our copy was saved October 14, 2026.
Cosponsors
114 cosponsors.
Text
| Version | Date | Our copy |
|---|---|---|
| Introduced in House | Read our copyThe official file |
Actions
- 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.
- 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.
- Introduced in House
- Introduced in House
Committees
- Ways and Means Committee (House)Referred To, February 12, 2025
- Energy and Commerce Committee (House)Referred To, February 12, 2025
Hearings
We hold hearing records only for bills that became law.
Who lobbied on this bill
Confirmed from the official record17 lobbying reports name H.R. 1227, for 10 clients.
| Client | Registrant | Amount for the whole quarter | Lobbyists named for this issue | Filed | Report |
|---|---|---|---|---|---|
| BLUE CROSS AND BLUE SHIELD OF FLORIDA INC | BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC.Second quarter of 2026 | $80,000reported as expenses |
| Open the report | |
| VERTEX PHARMACEUTICALS INCORPORATED | STANTON PARK GROUPSecond quarter of 2026 | $50,000reported as income |
| Open the report | |
| VERTEX PHARMACEUTICALS INCORPORATED | AVENUE SOLUTIONSSecond quarter of 2026 | $60,000reported as income |
| Open the report | |
| AMERICAN ASSOCIATION OF NURSE PRACTITIONERS | AMERICAN ASSOCIATION OF NURSE PRACTITIONERSSecond quarter of 2026 | $400,000reported as expenses |
| Open the report | |
| BLUE CROSS AND BLUE SHIELD ASSOCIATION | BLUE CROSS AND BLUE SHIELD ASSOCIATIONSecond quarter of 2026 | $990,000reported as expenses |
| Open the report | |
| GUIDEWELL MUTUAL HOLDING CORPORATION | GUIDEWELL MUTUAL HOLDING CORPORATIONSecond quarter of 2026 | $20,000reported as expenses |
| Open the report | |
| AMERICAN PSYCHIATRIC ASSOCIATION | AMERICAN PSYCHIATRIC ASSOCIATIONSecond quarter of 2026 | $137,391reported as expenses |
| Open the report | |
| VERTEX PHARMACEUTICALS INCORPORATED | CGCN GROUP, LLCSecond quarter of 2026 | $50,000reported as income |
| Open the report | |
| VERTEX PHARMACEUTICALS | TIBER CREEK GROUPSecond quarter of 2026 | $60,000reported as income |
| Open the report | |
| VERTEX PHARMACEUTICALS INCORPORATED | CROSSROADS STRATEGIES, LLCSecond quarter of 2026 | $50,000reported as income |
| Open the report | |
| AMERICAN SOCIETY OF ANESTHESIOLOGISTS | AMERICAN SOCIETY OF ANESTHESIOLOGISTSSecond quarter of 2026 | $270,000reported as expenses |
| Open the report | |
| PRIME THERAPEUTICS | PRIME THERAPEUTICSSecond quarter of 2026 | $100,000reported as expenses |
| Open the report | |
| VERTEX PHARMACEUTICALS INCORPORATED | EMPIRE CONSULTING GROUPSecond quarter of 2026 | $50,000reported as income |
| Open the report | |
| VERTEX PHARMACEUTICALS INCORPORATED | VERTEX PHARMACEUTICALS INCORPORATEDSecond quarter of 2026 | $1,200,000reported as expenses |
| Open the report | |
| BLUE CROSS AND BLUE SHIELD OF KANSAS INC | BLUE CROSS AND BLUE SHIELD OF KANSAS, INC.Second quarter of 2026 | $10,000reported as expenses |
| Open the report | |
| VERTEX PHARMACEUTICALS INCORPORATED | MARSHALL & POPP, LLCSecond quarter of 2026 | $60,000reported as income |
| Open the report | |
| TRIS PHARMA, INC. AND ITS WHOLLY OWNED SUBSIDIARY ADNEURIS THERAPEUTICS FKA TRIS | AEGIS LLCSecond quarter of 2026 | $50,000reported as income |
| Open the report |
A lobbying report states the registrant's income from the client (a lobbying firm) or its own lobbying expenses (an organization lobbying for itself), for the whole quarter and every issue together, as the filer printed it. A report under $5,000 states no figure. It is not the amount spent on one bill.
Reports read: 1 of 1 quarters read in full (2026-Q2). With no registered key the service allows 15 requests a minute, so this covers the latest quarter only. With a key it covers four.
Senate Office of Public Records cannot vouch for the data or analyses derived from these data after the data have been retrieved from LDA.gov.
All saved lobbying reports that name H.R. 1227
Contributions from these lobbyists and firms to the sponsor and cosponsors
| To | Reported by | Paid to, as reported | Amount | Date |
|---|---|---|---|---|
| Donald G. Davis DDemocratCosponsor | SELFfiled by E. GARRETT, a lobbyist named on this bill's lobbying reports (same LDA lobbyist number 107217) | DON DAVIS FOR NCHonoree: Don Davis | $500 | Open the report |
| Andrea Salinas DDemocratCosponsor | AMERICAN PSYCHIATRIC ASSOCIATION POLITICAL ACTION COMMITTEEfiled by AMERICAN PSYCHIATRIC ASSOCIATION, a registrant that filed a lobbying report naming this bill (same LDA registrant number 3151) | ANDREA SALINAS FOR OREGONHonoree: Andrea Salinas | $1,000 | Open the report |
| Michael Lawler RRepublicanCosponsor | AMERICAN SOCIETY OF ANESTHESIOLOGISTS POLITICAL ACTION COMMITTEE (ASA PAC)filed by AMERICAN SOCIETY OF ANESTHESIOLOGISTS, a registrant that filed a lobbying report naming this bill (same LDA registrant number 3388) | LAWLER FOR CONGRESS, INC.Honoree: Rep. Mike Lawler | $500 | Open the report |
| Eugene Simon Vindman DDemocratCosponsor | SELFfiled by MIKE MCKAY, a lobbyist named on this bill's lobbying reports (same LDA lobbyist number 53388) | VINDMAN FOR CONGRESSHonoree: Yevgeny "Eugene" VIndman | $227.27 | Open the report |
| Donald G. Davis DDemocratCosponsor | SELFfiled by MIKE MCKAY, a lobbyist named on this bill's lobbying reports (same LDA lobbyist number 53388) | DON DAVIS FOR NCHonoree: Don Davis | $227.27 | Open the report |
| Andrea Salinas DDemocratCosponsor | AMERICAN PSYCHIATRIC ASSOCIATION POLITICAL ACTION COMMITTEEfiled by AMERICAN PSYCHIATRIC ASSOCIATION, a registrant that filed a lobbying report naming this bill (same LDA registrant number 3151) | ANDREA SALINAS FOR OREGONHonoree: Andrea Salinas | $2,500 | Open the report |
| Eugene Simon Vindman DDemocratCosponsor | AMERICAN SOCIETY OF ANESTHESIOLOGISTS POLITICAL ACTION COMMITTEE (ASA PAC)filed by AMERICAN SOCIETY OF ANESTHESIOLOGISTS, a registrant that filed a lobbying report naming this bill (same LDA registrant number 3388) | VINDMAN FOR CONGRESSHonoree: Rep. Eugene Vindman | $1,500 | Open the report |
| Michael Lawler RRepublicanCosponsor | AMERICAN ASSOCIATION OF NURSE PRACTITIONERS PACfiled by AMERICAN ASSOCIATION OF NURSE PRACTITIONERS, a registrant that filed a lobbying report naming this bill (same LDA registrant number 401040928) | LAWLER FOR CONGRESS, INC.Honoree: The Honorable Mike Lawler | $1,000 | Open the report |
| Brian K. Fitzpatrick RRepublicanCosponsor | GUIDEWELL MUTUAL HOLDING CORPORATION POLITICAL ACTION COMMITTEE (GUIDEWELL PAC)filed by GUIDEWELL MUTUAL HOLDING CORPORATION, a registrant that filed a lobbying report naming this bill (same LDA registrant number 401103191) | TEAM AMERICA - BRINGING AMERICA TOGETHER PACHonoree: Rep. Brian Fitzpatrick | $1,000 | Open the report |
| Andrea Salinas DDemocratCosponsor | BLUEPAC - BLUE CROSS BLUE SHIELD ASSOCIATION PACfiled by BLUE CROSS AND BLUE SHIELD ASSOCIATION, a registrant that filed a lobbying report naming this bill (same LDA registrant number 6358) | ANDREA SALINAS FOR OREGONHonoree: Rep. Andrea Salinas | $1,000 | Open the report |
| Brian K. Fitzpatrick RRepublicanCosponsor | AMERICAN PSYCHIATRIC ASSOCIATION POLITICAL ACTION COMMITTEEfiled by AMERICAN PSYCHIATRIC ASSOCIATION, a registrant that filed a lobbying report naming this bill (same LDA registrant number 3151) | BRIAN FITZPATRICK FOR ALL OF USHonoree: Brian Fitzpatrick | $1,000 | Open the report |
| Brian K. Fitzpatrick RRepublicanCosponsor | AMERICAN SOCIETY OF ANESTHESIOLOGISTS POLITICAL ACTION COMMITTEE (ASA PAC)filed by AMERICAN SOCIETY OF ANESTHESIOLOGISTS, a registrant that filed a lobbying report naming this bill (same LDA registrant number 3388) | BRIAN FITZPATRICK FOR ALL OF USHonoree: Rep. Brian Fitzpatrick | $2,500 | Open the report |
| Brian K. Fitzpatrick RRepublicanCosponsor | GUIDEWELL MUTUAL HOLDING CORPORATION POLITICAL ACTION COMMITTEE (GUIDEWELL PAC)filed by GUIDEWELL MUTUAL HOLDING CORPORATION, a registrant that filed a lobbying report naming this bill (same LDA registrant number 401103191) | TEAM AMERICA - BRINGING AMERICA TOGETHER PACHonoree: Rep. Brian Fitzpatrick | $2,500 | Open the report |
| Michael Lawler RRepublicanCosponsor | ASAPACfiled by AMERICAN SOCIETY OF ANESTHESIOLOGISTS, a registrant that filed a lobbying report naming this bill (same LDA registrant number 3388) | LAWLER FOR CONGRESS INC.Honoree: Rep. Mike Lawler | $2,500 | Open the report |
| Donald G. Davis DDemocratCosponsor | SELFfiled by MIKE MCKAY, a lobbyist named on this bill's lobbying reports (same LDA lobbyist number 53388) | DON DAVIS FOR NCHonoree: Don Davis | $1,000 | Open the report |
| Donald G. Davis DDemocratCosponsor | SELFfiled by MIKE MCKAY, a lobbyist named on this bill's lobbying reports (same LDA lobbyist number 53388) | DON DAVIS FOR NCHonoree: Don Davis | $1,000 | Open the report |
| Donald G. Davis DDemocratCosponsor | SELFfiled by MIKE MCKAY, a lobbyist named on this bill's lobbying reports (same LDA lobbyist number 53388) | DON DAVIS FOR NCHonoree: Don Davis | $1,000 | Open the report |
| Brian K. Fitzpatrick RRepublicanCosponsor | AMERICAN PSYCHIATRIC ASSOCIATION POLITICAL ACTION COMMITTEEfiled by AMERICAN PSYCHIATRIC ASSOCIATION, a registrant that filed a lobbying report naming this bill (same LDA registrant number 3151) | BRIAN FITZPATRICK FOR ALL OF USHonoree: Brian Fitzpatrick | $2,500 | Open the report |
| Donald G. Davis DDemocratCosponsor | SELFfiled by BRITTANY HERNANDEZ, a lobbyist named on this bill's lobbying reports (same LDA lobbyist number 107303) | DON DAVIS FOR NCHonoree: Rep. Don Davis | $500 | Open the report |
| Brian K. Fitzpatrick RRepublicanCosponsor | AMERICAN SOCIETY OF ANESTHESIOLOGISTS POLITICAL ACTION COMMITTEE (ASA PAC)filed by AMERICAN SOCIETY OF ANESTHESIOLOGISTS, a registrant that filed a lobbying report naming this bill (same LDA registrant number 3388) | TEAM AMERICA - BRINGING AMERICA TOGETHER PACHonoree: Rep. Brian Fitzpatrick | $2,500 | Open the report |
| Donald G. Davis DDemocratCosponsor | AMERICAN SOCIETY OF ANESTHESIOLOGISTS POLITICAL ACTION COMMITTEE (ASA PAC)filed by AMERICAN SOCIETY OF ANESTHESIOLOGISTS, a registrant that filed a lobbying report naming this bill (same LDA registrant number 3388) | DON DAVIS FOR NCHonoree: Rep. Don Davis | $2,500 | Open the report |
| Michael Lawler RRepublicanCosponsor | AMERICAN SOCIETY OF ANESTHESIOLOGISTS POLITICAL ACTION COMMITTEE (ASA PAC)filed by AMERICAN SOCIETY OF ANESTHESIOLOGISTS, a registrant that filed a lobbying report naming this bill (same LDA registrant number 3388) | LAWLER FOR CONGRESS, INC.Honoree: Rep. Mike Lawler | $2,000 | Open the report |
| Andrea Salinas DDemocratCosponsor | SELFfiled by ELIZABETH BARNETT, a lobbyist named on this bill's lobbying reports (same LDA lobbyist number 48260) | ANDREA SALINAS FOR OREGONHonoree: Rep. Andrea Salinas | $500 | Open the report |
| Brian K. Fitzpatrick RRepublicanCosponsor | AMERICAN SOCIETY OF ANESTHESIOLOGISTS POLITICAL ACTION COMMITTEE (ASA PAC)filed by AMERICAN SOCIETY OF ANESTHESIOLOGISTS, a registrant that filed a lobbying report naming this bill (same LDA registrant number 3388) | BRIAN FITZPATRICK FOR ALL OF USHonoree: Rep. Brian Fitzpatrick | $2,500 | Open the report |
| Donald G. Davis DDemocratCosponsor | CONGRESSIONAL BLACK CAUCUS PACfiled by MIKE MCKAY, a lobbyist named on this bill's lobbying reports (same LDA lobbyist number 53388) | DON DAVIS FOR NCHonoree: Rep. Don Davis | $5,000 | Open the report |
| Angie Craig DDemocratCosponsor | PRIME THERAPEUTICS LLC EMPLOYEE PAC (PRIMEPAC)filed by PRIME THERAPEUTICS, a registrant that filed a lobbying report naming this bill (same LDA registrant number 400339576) | ANGIE CRAIG FOR CONGRESSHonoree: Rep. Angie Craig | $1,000 | Open the report |
| Brian K. Fitzpatrick RRepublicanCosponsor | AMERICAN PSYCHIATRIC ASSOCIATION POLITICAL ACTION COMMITTEEfiled by AMERICAN PSYCHIATRIC ASSOCIATION, a registrant that filed a lobbying report naming this bill (same LDA registrant number 3151) | BRIAN FITZPATRICK FOR ALL OF USHonoree: Brian Fitzpatrick | $3,500 | Open the report |
| Brian K. Fitzpatrick RRepublicanCosponsor | AMERICAN ASSOCIATION OF NURSE PRACTITIONERS POLITICAL ACTION COMMITTEEfiled by AMERICAN ASSOCIATION OF NURSE PRACTITIONERS, a registrant that filed a lobbying report naming this bill (same LDA registrant number 401040928) | BRIAN FITZPATRICK FOR ALL OF USHonoree: The Honorable Brian Fitzpatrick | $2,500 | Open the report |
| Donald G. Davis DDemocratCosponsor | AMERICAN SOCIETY OF ANESTHESIOLOGISTS POLITICAL ACTION COMMITTEE (ASA PAC)filed by AMERICAN SOCIETY OF ANESTHESIOLOGISTS, a registrant that filed a lobbying report naming this bill (same LDA registrant number 3388) | DON DAVIS FOR NCHonoree: Rep. Don Davis | $1,000 | Open the report |
| Brian K. Fitzpatrick RRepublicanCosponsor | AMERICAN SOCIETY OF ANESTHESIOLOGISTS POLITICAL ACTION COMMITTEE (ASA PAC)filed by AMERICAN SOCIETY OF ANESTHESIOLOGISTS, a registrant that filed a lobbying report naming this bill (same LDA registrant number 3388) | BRIAN FITZPATRICK FOR ALL OF USHonoree: Rep. Brian Fitzpatrick | $2,500 | Open the report |
Contribution reports are read for 10 of the 115 sponsors and cosponsors so far.
Lobbyists and registrants report their political contributions twice a year (form LD-203). A contribution is listed here when the report was filed by a lobbyist named on this bill's lobbying reports or by a registrant that filed one of them, and its payee is the member's own committee as the FEC lists it, under the exact-name rule. The contribution's date is as reported and can fall before or after the lobbying.