# 119-hr-4509: NOPAIN for Veterans Act

119-hr-4509, NOPAIN for Veterans Act, is a 119th Congress bill sponsored by Rep. Landsman, Greg [D-OH-1] (D-OH); status in_committee; PRIA reads it as touching household money (as of 2026-10-24).

- Canonical: https://policyrisk.com/legislation/119-hr-4509
- As of: 2026-10-24
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: 119-hr-4509
- Congress: 119
- Title: NOPAIN for Veterans Act
- Status: in_committee
- Introduced: 2025-07-17
- Sponsor: Rep. Landsman, Greg [D-OH-1] (D-OH)
- Cosponsors: 36
- Policy area: Armed Forces and National Security
- Touches household money: yes
- Last recorded action: 2026-10-24

## Summary

**Guarantees VA will add FDA‑approved non‑opioid pain drugs to its national formulary for veterans.** This bill would define those drugs as FDA‑approved treatments that reduce postoperative pain or provide postsurgical or regional analgesia without acting on opioid receptors and set clear deadlines for VA to add them. - Veterans and families: Would expand access to FDA‑approved non‑opioid postoperative and regional pain treatments, giving more options to manage pain without opioids. - VA providers and the VA system: Would require the Secretary of Veterans Affairs to add eligible drugs to the VA national formulary and the VA drug standardization list within 90 days after enactment, and to add any drug that later becomes eligible for certain Medicare payment statuses within one year of that eligibility. - Funding oversight: Bars using funds from the Cost of War Toxic Exposures Fund to carry out these changes.

## Cosponsors (36)

- Rep. Van Orden, Derrick [R-WI-3] (R-WI), 2025-07-17T00:00:00.000Z
- Rep. Pappas, Chris [D-NH-1] (D-NH), 2025-07-17T00:00:00.000Z
- Rep. Bergman, Jack [R-MI-1] (R-MI), 2025-07-17T00:00:00.000Z
- Rep. Sewell, Terri A. [D-AL-7] (D-AL), 2025-07-17T00:00:00.000Z
- Rep. Hamadeh, Abraham J. [R-AZ-8] (R-AZ), 2025-07-17T00:00:00.000Z
- Rep. Khanna, Ro [D-CA-17] (D-CA), 2025-07-25T00:00:00.000Z
- Rep. Stanton, Greg [D-AZ-4] (D-AZ), 2025-10-03T00:00:00.000Z
- Rep. Suozzi, Thomas R. [D-NY-3] (D-NY), 2025-10-08T00:00:00.000Z
- Rep. Craig, Angie [D-MN-2] (D-MN), 2025-10-08T00:00:00.000Z
- Rep. Pfluger, August [R-TX-11] (R-TX), 2026-10-22T00:00:00.000Z
- Rep. Pettersen, Brittany [D-CO-7] (D-CO), 2025-10-31T00:00:00.000Z
- Rep. Morrison, Kelly [D-MN-3] (D-MN), 2025-11-07T00:00:00.000Z
- Del. Norton, Eleanor Holmes [D-DC-At Large] (D-DC), 2025-11-21T00:00:00.000Z
- Rep. McBride, Sarah [D-DE-At Large] (D-DE), 2025-12-01T00:00:00.000Z
- Rep. Kennedy, Timothy M. [D-NY-26] (D-NY), 2025-12-05T00:00:00.000Z
- Rep. Ciscomani, Juan [R-AZ-6] (R-AZ), 2025-12-09T00:00:00.000Z
- Rep. DelBene, Suzan K. [D-WA-1] (D-WA), 2025-12-11T00:00:00.000Z
- Rep. Schmidt, Derek [R-KS-2] (R-KS), 2025-12-19T00:00:00.000Z
- Rep. Harrigan, Pat [R-NC-10] (R-NC), 2026-01-12T00:00:00.000Z
- Rep. Thanedar, Shri [D-MI-13] (D-MI), 2026-01-22T00:00:00.000Z
- Rep. Morelle, Joseph D. [D-NY-25] (D-NY), 2026-02-11T00:00:00.000Z
- Rep. Vindman, Eugene Simon [D-VA-7] (D-VA), 2026-02-23T00:00:00.000Z
- Rep. Kiggans, Jennifer A. [R-VA-2] (R-VA), 2026-02-26T00:00:00.000Z
- Rep. Tran, Derek [D-CA-45] (D-CA), 2026-03-05T00:00:00.000Z
- Rep. Goodlander, Maggie [D-NH-2] (D-NH), 2026-03-26T00:00:00.000Z
- Rep. Fitzpatrick, Brian K. [R-PA-1] (R-PA), 2026-04-02T00:00:00.000Z
- Rep. Bynum, Janelle S. [D-OR-5] (D-OR), 2026-04-23T00:00:00.000Z
- Rep. Keating, William R. [D-MA-9] (D-MA), 2026-05-20T00:00:00.000Z
- Rep. Beatty, Joyce [D-OH-3] (D-OH), 2026-05-20T00:00:00.000Z
- Rep. Williams, Nikema [D-GA-5] (D-GA), 2026-05-26T00:00:00.000Z
- Rep. Budzinski, Nikki [D-IL-13] (D-IL), 2026-06-02T00:00:00.000Z
- Rep. Balint, Becca [D-VT-At Large] (D-VT), 2026-06-03T00:00:00.000Z
- Rep. Cleaver, Emanuel [D-MO-5] (D-MO), 2026-06-08T00:00:00.000Z
- Rep. Himes, James A. [D-CT-4] (D-CT), 2026-07-13T00:00:00.000Z
- Rep. Mackenzie, Ryan [R-PA-7] (R-PA), 2026-08-20T00:00:00.000Z
- Rep. Begich, Nicholas J. [R-AK-At Large] (R-AK), 2026-09-01T00:00:00.000Z

## Provisions PRIA read

- More non-opioid pain drugs for veterans: benefit, low. If enacted, the bill would require VA to add certain FDA‑cleared non‑opioid drugs and biologicals for postoperative or regional pain to its national formulary. The rule defines qualifying products as FDA approved, granted, or cleared for postoperative or postsurgical/regional analgesia that do not…

## Related bills

- 119-hr-842: Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act
- 119-hr-2102: Major Richard Star Act
- 119-hr-4206: CONNECT for Health Act of 2025
- 119-hr-1262: Mikaela Naylon Give Kids a Chance Act
- 119-hr-2048: Metastatic Breast Cancer Access to Care Act
- 119-hr-909: Crime Victims Fund Stabilization Act of 2025

## Sources
- [119-hr-4509 on Congress.gov](https://www.congress.gov/bill/119th-congress/house-bill/4509)

## Related
- [119-hr-842: Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage A…](https://policyrisk.com/legislation/119-hr-842)
- [119-hr-2102: Major Richard Star Act](https://policyrisk.com/legislation/119-hr-2102)
- [119-hr-4206: CONNECT for Health Act of 2025](https://policyrisk.com/legislation/119-hr-4206)
- [119-hr-1262: Mikaela Naylon Give Kids a Chance Act](https://policyrisk.com/legislation/119-hr-1262)
- [119-hr-2048: Metastatic Breast Cancer Access to Care Act](https://policyrisk.com/legislation/119-hr-2048)
- [119-hr-909: Crime Victims Fund Stabilization Act of 2025](https://policyrisk.com/legislation/119-hr-909)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/119-hr-4509 (as of 2026-10-24).