S 475 — Alternatives to PAIN Act

Congress 119

Latest action: — Read twice and referred to the Committee on Finance.

Lobbied by (5)

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	VERTEX PHARMACEUTICALS INCORPORATED	VERTEX PHARMACEUTICALS INCORPORATED	—	`S. 475`
1st Quarter - Report	2026 first_quarter	MARSHALL & POPP, LLC	VERTEX PHARMACEUTICALS INCORPORATED	$60,000	`S.475`
1st Quarter - Report	2026 first_quarter	AMERICAN SOCIETY OF ANESTHESIOLOGISTS	AMERICAN SOCIETY OF ANESTHESIOLOGISTS	—	`S.475`
1st Quarter - Report	2026 first_quarter	AEGIS LLC	TRIS PHARMA, INC.	$50,000	`S.475`
1st Quarter - Report	2025 first_quarter	AEGIS LLC	TRIS PHARMA, INC.	$50,000	`S.475`

Action timeline

2025-02-06 — Read twice and referred to the Committee on Finance.
2025-02-06 · 10000 — Introduced in Senate

Text versions

Introduced in Senate · 2025-02-06 — open

Connected on the graph

Inbound (10)

date	from	type	amount	role	source
—	Sheehy, Tim	cosponsor_of_bill	—	cosponsor	sponsorship
—	Husted, Jon	cosponsor_of_bill	—	cosponsor	sponsorship
—	Booker, Cory A.	cosponsor_of_bill	—	cosponsor	sponsorship
—	Cortez Masto, Catherine	cosponsor_of_bill	—	cosponsor	sponsorship
—	Kelly, Mark	cosponsor_of_bill	—	cosponsor	sponsorship
2026-01-01	VERTEX PHARMACEUTICALS INCORPORATED	lobbies_on_bill	—	S.475	lobbying_bill_mention
2026-01-01	TRIS PHARMA, INC.	lobbies_on_bill	—	S.475	lobbying_bill_mention
2026-01-01	AMERICAN SOCIETY OF ANESTHESIOLOGISTS	lobbies_on_bill	—	S.475	lobbying_bill_mention
2026-01-01	VERTEX PHARMACEUTICALS INCORPORATED	lobbies_on_bill	—	S. 475	lobbying_bill_mention
2025-02-06	Tillis, Thomas	sponsor_of_bill	—	sponsor	sponsorship

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	Tillis, Thomas (R, senate NC)	sponsor	0	—	5
2	Booker, Cory A. (D, senate NJ)	cosponsor	3	—	4
3	Cortez Masto, Catherine (D, senate NV)	cosponsor	3	—	4
4	Kelly, Mark (D, senate AZ)	cosponsor	1	—	2
5	Husted, Jon (R, senate OH)	cosponsor	0	—	1
6	Sheehy, Tim (R, senate MT)	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	not employed	0	$0	4,238	$235,156	$235,156
2	TRIS PHARMA, INC.	2	$100,000	0	$0	$100,000
3	VERTEX PHARMACEUTICALS INCORPORATED	2	$60,000	0	$0	$60,000
4	retired	0	$0	185	$24,845	$24,845
5	self employed	0	$0	203	$20,155	$20,155
6	self-employed	0	$0	200	$16,104	$16,104
7	sabin metal co	0	$0	1	$10,500	$10,500
8	ariel corporation	0	$0	1	$10,500	$10,500
9	miller strategies, llc	0	$0	1	$7,000	$7,000
10	was portables	0	$0	1	$7,000	$7,000
11	arch street mgt llc	0	$0	1	$6,500	$6,500
12	apollo	0	$0	2	$5,000	$5,000
13	rocket llc	0	$0	1	$3,500	$3,500
14	jma wireless	0	$0	1	$3,500	$3,500
15	dezenhall resources	0	$0	1	$3,500	$3,500
16	fierce government relations	0	$0	1	$3,500	$3,500
17	apollo global management	0	$0	1	$3,000	$3,000
18	179 bar and grill	0	$0	1	$3,000	$3,000
19	shore to summit wealth management	0	$0	1	$2,602	$2,602
20	joseph d. carney associates, llc	0	$0	1	$2,504	$2,504
21	miller strategies llc	0	$0	1	$2,500	$2,500
22	public strategies washington	0	$0	1	$2,500	$2,500
23	accomplished chimney, inc	0	$0	1	$2,000	$2,000
24	mehlman consulting	0	$0	1	$1,500	$1,500
25	raab government strategies	0	$0	1	$1,500	$1,500

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.

6 predicted yes (1%) · 3 predicted no (1%) · 534 unknown (98%)

By party: · R: 3 yes / 0 no / 274 unknown · D: 3 yes / 0 no / 260 unknown · I: 0 yes / 3 no

6 high-confidence positions (voted + sponsor + cosponsor)

Tillis, Thomas (R · senate · NC) · sponsor
Booker, Cory A. (D · senate · NJ) · cosponsor
Cortez Masto, Catherine (D · senate · NV) · cosponsor
Husted, Jon (R · senate · OH) · cosponsor
Kelly, Mark (D · senate · AZ) · cosponsor
Sheehy, Tim (R · senate · MT) · 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 Sheehy, Tim (cosponsor) · sponsorship
2026-05-17 · cosponsored by Kelly, Mark (cosponsor) · sponsorship
2026-05-17 · cosponsored by Husted, Jon (cosponsor) · sponsorship
2026-05-17 · cosponsored by Booker, Cory A. (cosponsor) · sponsorship
2026-05-17 · cosponsored by Cortez Masto, Catherine (cosponsor) · sponsorship
2026-01-01 · lobbied on by VERTEX PHARMACEUTICALS INCORPORATED (s.475) · lobbying_bill_mention
2026-01-01 · lobbied on by TRIS PHARMA, INC. (s.475) · lobbying_bill_mention
2026-01-01 · lobbied on by AMERICAN SOCIETY OF ANESTHESIOLOGISTS (s.475) · lobbying_bill_mention
2026-01-01 · lobbied on by VERTEX PHARMACEUTICALS INCORPORATED (s. 475) · lobbying_bill_mention
2025-02-06 · sponsored by Tillis, Thomas (sponsor) · sponsorship

pac.dog is a free, independent, non-partisan research tool. Every candidate, committee, bill, vote, member, and nonprofit on this site is mirrored from primary U.S. government sources (FEC, congress.gov, govinfo.gov, IRS) and each state's Secretary of State / election commission — no third-party data vendors, no paywall, no editorial intermediation. Citations to the originating source are on every detail page.