HR 1227 — Alternatives to PAIN Act
Congress 119 · introduced 2025-02-12
Latest action: — 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.
Sponsors
- Garamendi, John (D, CA-8) — cosponsor
- Owens, Burgess (R, UT-4) — cosponsor
- Lawler, Michael (R, NY-17) — cosponsor
- Menendez, Robert (D, NJ-8) — cosponsor
- Cherfilus-McCormick, Sheila (D, FL-20) — cosponsor
- Salinas, Andrea (D, OR-6) — cosponsor
- Cammack, Kat (R, FL-3) — cosponsor
- Whitesides, George (D, CA-27) — cosponsor
- Mast, Brian J. (R, FL-21) — cosponsor
- Kelly, Robin L. (D, IL-2) — cosponsor
- Fleischmann, Charles J. "Chuck" (R, TN-3) — cosponsor
- Nehls, Troy E. (R, TX-22) — cosponsor
- Davis, Donald G. (D, NC-1) — cosponsor
- Randall, Emily (D, WA-6) — cosponsor
- Harrigan, Pat (R, NC-10) — cosponsor
- Bentz, Cliff (R, OR-2) — cosponsor
- Scott, Austin (R, GA-8) — cosponsor
- Miller, Carol D. (R, WV-1) — cosponsor
- Thanedar, Shri (D, MI-13) — cosponsor
- Cleaver, Emanuel (D, MO-5) — cosponsor
Lobbied by (6)
LDA filings that named this bill in their activity descriptions. The lobbying firm (registrant) is paid by the client to lobby on this and related issues.
| Filing | Period | Registrant (lobbying firm) | Client | Income | Matched |
|---|---|---|---|---|---|
| 1st Quarter - Report | 2026 first_quarter | EMPIRE CONSULTING GROUP | VERTEX PHARMACEUTICALS INCORPORATED | $50,000 | HR 1227 |
| 1st Quarter - Report | 2026 first_quarter | VERTEX PHARMACEUTICALS INCORPORATED | VERTEX PHARMACEUTICALS INCORPORATED | — | H.R. 1227 |
| 1st Quarter - Report | 2026 first_quarter | MARSHALL & POPP, LLC | VERTEX PHARMACEUTICALS INCORPORATED | $60,000 | H.R. 1227 |
| 1st Quarter - Report | 2026 first_quarter | AMERICAN SOCIETY OF ANESTHESIOLOGISTS | AMERICAN SOCIETY OF ANESTHESIOLOGISTS | — | H.R. 1227 |
| 1st Quarter - Report | 2026 first_quarter | AEGIS LLC | TRIS PHARMA, INC. | $50,000 | H.R.1227 |
| 1st Quarter - Report | 2025 first_quarter | AEGIS LLC | TRIS PHARMA, INC. | $50,000 | H.R.1227 |
Action timeline
- · H11100 — 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.
- · H11100 — 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.
- · Intro-H — Introduced in House
- · 1000 — Introduced in House
Text versions
- Introduced in House · 2025-02-12 — open
Connected on the graph
Inbound (25)
| date | from | type | amount | role | source |
|---|---|---|---|---|---|
| — | Menendez, Robert | cosponsor_of_bill | — | cosponsor | sponsorship |
| — | Whitesides, George | cosponsor_of_bill | — | cosponsor | sponsorship |
| — | Owens, Burgess | cosponsor_of_bill | — | cosponsor | sponsorship |
| — | Garamendi, John | cosponsor_of_bill | — | cosponsor | sponsorship |
| — | Lawler, Michael | cosponsor_of_bill | — | cosponsor | sponsorship |
| — | Salinas, Andrea | cosponsor_of_bill | — | cosponsor | sponsorship |
| — | Cherfilus-McCormick, Sheila | cosponsor_of_bill | — | cosponsor | sponsorship |
| — | Cammack, Kat | cosponsor_of_bill | — | cosponsor | sponsorship |
| — | Davis, Donald G. | cosponsor_of_bill | — | cosponsor | sponsorship |
| — | Kelly, Robin L. | cosponsor_of_bill | — | cosponsor | sponsorship |
| — | Nehls, Troy E. | cosponsor_of_bill | — | cosponsor | sponsorship |
| — | Randall, Emily | cosponsor_of_bill | — | cosponsor | sponsorship |
| — | Mast, Brian J. | cosponsor_of_bill | — | cosponsor | sponsorship |
| — | Bentz, Cliff | cosponsor_of_bill | — | cosponsor | sponsorship |
| — | Miller, Carol D. | cosponsor_of_bill | — | cosponsor | sponsorship |
| — | Fleischmann, Charles J. "Chuck" | cosponsor_of_bill | — | cosponsor | sponsorship |
| — | Harrigan, Pat | cosponsor_of_bill | — | cosponsor | sponsorship |
| — | Scott, Austin | cosponsor_of_bill | — | cosponsor | sponsorship |
| — | Thanedar, Shri | cosponsor_of_bill | — | cosponsor | sponsorship |
| — | Cleaver, Emanuel | cosponsor_of_bill | — | cosponsor | sponsorship |
| 2026-01-01 | TRIS PHARMA, INC. | lobbies_on_bill | — | H.R.1227 | lobbying_bill_mention |
| 2026-01-01 | AMERICAN SOCIETY OF ANESTHESIOLOGISTS | lobbies_on_bill | — | H.R. 1227 | lobbying_bill_mention |
| 2026-01-01 | VERTEX PHARMACEUTICALS INCORPORATED | lobbies_on_bill | — | H.R. 1227 | lobbying_bill_mention |
| 2026-01-01 | VERTEX PHARMACEUTICALS INCORPORATED | lobbies_on_bill | — | H.R. 1227 | lobbying_bill_mention |
| 2026-01-01 | VERTEX PHARMACEUTICALS INCORPORATED | lobbies_on_bill | — | HR 1227 | lobbying_bill_mention |
Who matters
Members ranked by combined influence on this bill: role (sponsor 5 / cosponsor 1), capped speech count from the Congressional Record, and recorded-vote engagement.
| # | Member | Role | Speeches | Voted | Score |
|---|---|---|---|---|---|
| 1 | Davis, Donald G. (D, house NC-1) | cosponsor | 3 | — | 4 |
| 2 | Cammack, Kat (R, house FL-3) | cosponsor | 1 | — | 2 |
| 3 | Kelly, Robin L. (D, house IL-2) | cosponsor | 1 | — | 2 |
| 4 | Lawler, Michael (R, house NY-17) | cosponsor | 1 | — | 2 |
| 5 | Mast, Brian J. (R, house FL-21) | cosponsor | 1 | — | 2 |
| 6 | Randall, Emily (D, house WA-6) | cosponsor | 1 | — | 2 |
| 7 | Salinas, Andrea (D, house OR-6) | cosponsor | 1 | — | 2 |
| 8 | Whitesides, George (D, house CA-27) | cosponsor | 1 | — | 2 |
| 9 | Bentz, Cliff (R, house OR-2) | cosponsor | 0 | — | 1 |
| 10 | Cherfilus-McCormick, Sheila (D, house FL-20) | cosponsor | 0 | — | 1 |
| 11 | Cleaver, Emanuel (D, house MO-5) | cosponsor | 0 | — | 1 |
| 12 | Fleischmann, Charles J. "Chuck" (R, house TN-3) | cosponsor | 0 | — | 1 |
| 13 | Garamendi, John (D, house CA-8) | cosponsor | 0 | — | 1 |
| 14 | Harrigan, Pat (R, house NC-10) | cosponsor | 0 | — | 1 |
| 15 | Menendez, Robert (D, house NJ-8) | cosponsor | 0 | — | 1 |
| 16 | Miller, Carol D. (R, house WV-1) | cosponsor | 0 | — | 1 |
| 17 | Nehls, Troy E. (R, house TX-22) | cosponsor | 0 | — | 1 |
| 18 | Owens, Burgess (R, house UT-4) | cosponsor | 0 | — | 1 |
| 19 | Scott, Austin (R, house GA-8) | cosponsor | 0 | — | 1 |
| 20 | Thanedar, Shri (D, house MI-13) | cosponsor | 0 | — | 1 |
Who's influencing them
Orgs ranked by combined money flow on this bill: LDA filings citing the bill + individual contributions in cycle 2026from donors whose employer matches the org name (Schedule A) to any principal committee in the "who matters" list above.
| # | Org | LDA filings | LDA spend | Donor employees | Employee donations | Total |
|---|---|---|---|---|---|---|
| 1 | VERTEX PHARMACEUTICALS INCORPORATED | 3 | $110,000 | 0 | $0 | $110,000 |
| 2 | TRIS PHARMA, INC. | 2 | $100,000 | 0 | $0 | $100,000 |
| 3 | none | 0 | $0 | 229 | $45,692 | $45,692 |
| 4 | not employed | 0 | $0 | 199 | $39,121 | $39,121 |
| 5 | retired | 0 | $0 | 109 | $36,638 | $36,638 |
| 6 | self employed | 0 | $0 | 38 | $14,506 | $14,506 |
| 7 | tolunay-wong | 0 | $0 | 1 | $13,500 | $13,500 |
| 8 | castle harlan, inc. | 0 | $0 | 1 | $7,000 | $7,000 |
| 9 | essc | 0 | $0 | 1 | $6,830 | $6,830 |
| 10 | travis kisner | 0 | $0 | 1 | $6,830 | $6,830 |
| 11 | corpac | 0 | $0 | 1 | $6,500 | $6,500 |
| 12 | self | 0 | $0 | 8 | $6,325 | $6,325 |
| 13 | marcus & millichap | 0 | $0 | 1 | $5,000 | $5,000 |
| 14 | berenson partners, llc. | 0 | $0 | 1 | $3,643 | $3,643 |
| 15 | montage international | 0 | $0 | 1 | $3,500 | $3,500 |
| 16 | singleton shreiber llp | 0 | $0 | 1 | $3,500 | $3,500 |
| 17 | method security | 0 | $0 | 1 | $3,500 | $3,500 |
| 18 | dragonfly | 0 | $0 | 1 | $3,500 | $3,500 |
| 19 | thirdpoint llc | 0 | $0 | 1 | $3,500 | $3,500 |
| 20 | 0 | $0 | 1 | $3,500 | $3,500 | |
| 21 | bnp paribas | 0 | $0 | 1 | $3,500 | $3,500 |
| 22 | daniel defense | 0 | $0 | 1 | $3,500 | $3,500 |
| 23 | ohio machinery co. | 0 | $0 | 1 | $3,500 | $3,500 |
| 24 | thegroup | 0 | $0 | 1 | $3,500 | $3,500 |
| 25 | columna | 0 | $0 | 1 | $3,300 | $3,300 |
Predicted vote
Aggregated from: actual roll-call votes (when present) → sponsor → cosponsor → party median (predicts YES when ≥25% of the caucus sponsored/cosponsored). Each row labels its confidence tier so you can see why a position was predicted.
20 predicted yes (4%) · 3 predicted no (1%) · 520 unknown (95%)
By party: · R: 10 yes / 0 no / 267 unknown · D: 10 yes / 0 no / 253 unknown · I: 0 yes / 3 no
20 high-confidence positions (voted + sponsor + cosponsor)
- Bentz, Cliff (R · house · OR-2) · cosponsor
- Cammack, Kat (R · house · FL-3) · cosponsor
- Cherfilus-McCormick, Sheila (D · house · FL-20) · cosponsor
- Cleaver, Emanuel (D · house · MO-5) · cosponsor
- Davis, Donald G. (D · house · NC-1) · cosponsor
- Fleischmann, Charles J. "Chuck" (R · house · TN-3) · cosponsor
- Garamendi, John (D · house · CA-8) · cosponsor
- Harrigan, Pat (R · house · NC-10) · cosponsor
- Kelly, Robin L. (D · house · IL-2) · cosponsor
- Lawler, Michael (R · house · NY-17) · cosponsor
- Mast, Brian J. (R · house · FL-21) · cosponsor
- Menendez, Robert (D · house · NJ-8) · cosponsor
- Miller, Carol D. (R · house · WV-1) · cosponsor
- Nehls, Troy E. (R · house · TX-22) · cosponsor
- Owens, Burgess (R · house · UT-4) · cosponsor
- Randall, Emily (D · house · WA-6) · cosponsor
- Salinas, Andrea (D · house · OR-6) · cosponsor
- Scott, Austin (R · house · GA-8) · cosponsor
- Thanedar, Shri (D · house · MI-13) · cosponsor
- Whitesides, George (D · house · CA-27) · cosponsor
Activity
Every typed-graph event involving this entity, newest first. Each row is one edge in the influence graph; click the date to jump to its provenance.
- 2026-05-17 · cosponsored by Cherfilus-McCormick, Sheila (cosponsor) · sponsorship
- 2026-05-17 · cosponsored by Garamendi, John (cosponsor) · sponsorship
- 2026-05-17 · cosponsored by Harrigan, Pat (cosponsor) · sponsorship
- 2026-05-17 · cosponsored by Scott, Austin (cosponsor) · sponsorship
- 2026-05-17 · cosponsored by Bentz, Cliff (cosponsor) · sponsorship
- 2026-05-17 · cosponsored by Menendez, Robert (cosponsor) · sponsorship
- 2026-05-17 · cosponsored by Lawler, Michael (cosponsor) · sponsorship
- 2026-05-17 · cosponsored by Thanedar, Shri (cosponsor) · sponsorship
- 2026-05-17 · cosponsored by Nehls, Troy E. (cosponsor) · sponsorship
- 2026-05-17 · cosponsored by Fleischmann, Charles J. "Chuck" (cosponsor) · sponsorship
- 2026-05-17 · cosponsored by Cammack, Kat (cosponsor) · sponsorship
- 2026-05-17 · cosponsored by Cleaver, Emanuel (cosponsor) · sponsorship
- 2026-05-17 · cosponsored by Whitesides, George (cosponsor) · sponsorship
- 2026-05-17 · cosponsored by Kelly, Robin L. (cosponsor) · sponsorship
- 2026-05-17 · cosponsored by Owens, Burgess (cosponsor) · sponsorship
- 2026-05-17 · cosponsored by Miller, Carol D. (cosponsor) · sponsorship
- 2026-05-17 · cosponsored by Davis, Donald G. (cosponsor) · sponsorship
- 2026-05-17 · cosponsored by Randall, Emily (cosponsor) · sponsorship
- 2026-05-17 · cosponsored by Mast, Brian J. (cosponsor) · sponsorship
- 2026-05-17 · cosponsored by Salinas, Andrea (cosponsor) · sponsorship
- 2026-01-01 · lobbied on by VERTEX PHARMACEUTICALS INCORPORATED (h.r. 1227) · lobbying_bill_mention
- 2026-01-01 · lobbied on by TRIS PHARMA, INC. (h.r.1227) · lobbying_bill_mention
- 2026-01-01 · lobbied on by VERTEX PHARMACEUTICALS INCORPORATED (h.r. 1227) · lobbying_bill_mention
- 2026-01-01 · lobbied on by VERTEX PHARMACEUTICALS INCORPORATED (hr 1227) · lobbying_bill_mention
- 2026-01-01 · lobbied on by AMERICAN SOCIETY OF ANESTHESIOLOGISTS (h.r. 1227) · lobbying_bill_mention