1. Short title; findings (a) Short title This Act may be cited as the Alternatives to Prevent Addiction In the Nation Act or the Alternatives to PAIN Act . (b) Findings Congress finds the following: (1) In 2019, approximately 10 million people misused prescription opioids. (2) 3 million U.S. citizens and 16 million individuals worldwide have had or currently suffer from opioid use disorder (OUD). (3) In 2021, the number of overdose deaths involving opioids was 10 times the number in 1999, and overdoses involving opioids killed more than 80,000 people in 2021 alone. (4) Most Medicare beneficiaries are prescribed opioids to manage post-surgical pain. (5) Data from 2017 indicates that, of those prescribed an abundance of opioids, 90% did not properly dispose of the extra. (6) A combination of opioid overreliance, improper storage, and easy access to opioids can worsen the addiction crisis. (7) 1 study from 2019 found that among young people misusing opioids, over 55% obtained them from friends or relatives. (8) Some individuals require opioids to manage their condition including for chronic pain and palliative care. (9) Nothing should interfere with the ability of a health care provider to prescribe or administer a course of treatment that is medically appropriate. 2. Appropriate cost-sharing for qualifying non-opioid pain management drugs under medicare part D (a) Medicare part d Section 1860D–2 of the Social Security Act ( 42 U.S.C. 1395w–102 ) is amended— (1) in subsection (b)— (A) in paragraph (1)(A), by striking paragraphs (8) and (9) and inserting paragraphs (8), (9), and (10) ; (B) in paragraph (2)— (i) in subparagraph (A), by striking paragraphs (8) and (9) and inserting paragraphs (8), (9), and (10) ; (ii) in subparagraph (C)(i), in the matter preceding subclause (I), by striking and (9) and inserting , (9), and (10) ; and (iii) in subparagraph (D)(i), in the matter preceding subclause (I), by striking and (9) and inserting , (9), and (10)