HR 4509 United States House · 119th Congress

NOPAIN for Veterans Act

HR 4509, the NOPAIN for Veterans Act, requires the Department of Veterans Affairs (VA) to add FDA-approved non-opioid pain medications to its national formulary within one year of their approval for pain management. These medications must reduce pain without acting on opioid receptors, directly affecting veterans receiving VA care who need pain treatment. The bill mandates the VA include such drugs in its formulary and drug standardization list, expanding access to non-opioid options. It also prohibits using funds from the Cost of War Toxic Exposures Fund to implement these changes, with implementation required within 90 days of the bill's enactment.
Bill status in committee 1 of 4 stages cleared
Introduction
Jul 2025
Committee Review
Floor Vote
President
Introduced Jul 17, 2025 Last action Jan 13, 2026
Floor votes

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Full legislative history

Actions timeline

Total actions
4
Key actions
1
Committee
3
Jan 13, 2026
Lower · Passed
Subcommittee Hearings Held
lower
Dec 19, 2025
Committee
Referred to the Subcommittee on Health.
lower
Jul 17, 2025
Committee
Referred to the House Committee on Veterans' Affairs.
lower
Jul 17, 2025
Introduced
Introduced in House
lower
1 primary · 35 co-sponsors

Sponsors