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H.R. 4509

U.S. HouseIn House Committee

Summary

H.R. 4509, the NOPAIN for Veterans Act, was introduced in the House on Jul 17, 2025 by Rep. Greg Landsman (D) with 35 co-sponsors. It was referred to Subcommittee on Health, and last saw action on Jan 13, 2026: Subcommittee Hearings Held.


Record

Text

H.R. 4509 has 35 co-sponsors.

hb4509/introduced-in-house.txt
119 HR 4509 IH: NOPAIN for Veterans Act
U.S. House of Representatives
2025-07-17
text/xml
EN
Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain.
I 119th CONGRESS 1st Session H. R. 4509 IN THE HOUSE OF REPRESENTATIVES July 17, 2025 Mr. Landsman (for himself, Mr. Van Orden , Mr. Pappas , Mr. Bergman , Ms. Sewell , and Mr. Hamadeh of Arizona ) introduced the following bill; which was referred to the Committee on Veterans' Affairs A BILL
To amend title 38, United States Code, to ensure that the Secretary of Veterans Affairs furnishes certain non-opioid pain medications to veterans, and for other purposes.
1.
Short title
This Act may be cited as the NOPAIN for Veterans Act .
2.
Inclusion of certain non-opioid pain medications in the National Formulary of the Department of Veterans Affairs
(a)
In general
Section 8125 of title 38, United States Code, is amended—
(1)
in subsection (d), by adding at the end the following new paragraph:
(4)
The term non-opioid pain management drug or biological product means a drug or biological product approved, granted, or cleared by the Food and Drug Administration to reduce postoperative pain, or to produce postsurgical or regional analgesia, without acting upon the body’s opioid receptors.
.
(2)
by redesignating subsection (d), as so amended, as subsection (e); and
(3)
by inserting, after subsection (c), the following new subsection (d):
(d)
The Secretary shall—
(1)
not later than one year after the date on which a non-opioid pain management drug or biological product becomes eligible for temporary additional payment under section 1833(t)(16)(G) of the Social Security Act ( 42 U.S.C. 1395l(t)(16)(G) ), or eligible for separate payment under section 416.174 of title 42, Code of Federal Regulations (or successor regulation), include such non-opioid pain management drug or biological product in the national formulary of the Department; and
(2)
include a non-opioid pain management drug or biological product in the drug standardization list of the Department.
.
(b)
Limitation
None of the funds in the Cost of War Toxic Exposures Fund under section 324 of title 38, United States Code, may be used to carry out the amendments made by this section.
(c)
Implementation
Not later than 90 days after the date of the enactment of this Act, the Secretary of Veterans Affairs shall implement the amendments made by this section.

Tracker

The tracker indicates the progress of this legislation as it moves through the legislative process.

  1. Introduced2025-07-17
  2. Passed House
  3. Passed Senate
  4. Conference
  5. To President
  6. Became Law

To amend title 38, United States Code, to ensure that the Secretary of Veterans Affairs furnishes certain non-opioid pain medications to veterans, and for other purposes.

Sponsors

Rep. Greg Landsman (D) sponsors H.R. 4509, and 35 members have co-sponsored it, 5 of them from the day it was introduced.

Committees

H.R. 4509 went before 2 committees: Health Subcommittee and Veterans' Affairs.

Health Subcommittee
Health Subcommittee
Hearings By (subcommittee) · Jan 13, 2026 · 143 Bills
Veterans' Affairs
Veterans' Affairs
Referred To · Jul 17, 2025 · 285 Bills

Actions

H.R. 4509 has taken 4 actions since Jul 17, 2025, the latest on Jan 13, 2026.

ChamberAction
Jan 13, 2026
House
Subcommittee Hearings HeldHealth Subcommittee
Dec 19, 2025
House
Referred to the Subcommittee on Health.Health Subcommittee
Jul 17, 2025
House
Introduced in House
Jul 17, 2025
House
Referred to the House Committee on Veterans' Affairs.Veterans' Affairs Committee

Votes

H.R. 4509 has not gone to a roll call.

Titles

H.R. 4509 goes by 3 titles, 1 of them short titles.

  • NOPAIN for Veterans Act — Display Title
  • NOPAIN for Veterans Act — Short Title(s) as Introduced
  • To amend title 38, United States Code, to ensure that the Secretary of Veterans Affairs furnishes certain non-opioid pain medications to veterans, and for other purposes. — Official Title as Introduced

Lobbying

9 clients hired 9 firms and 47 registered lobbyists who named H.R. 4509 in 26 quarterly filings, 2025 to 2026. Reported under the Lobbying Disclosure Act; a filing’s income covers everything its registrant worked that quarter, so the amounts below are the filings’, not this bill’s.

Filed under Veterans, Taxation/Internal Revenue Code, Health Issues, Defense, Budget/Appropriations, Medicare/Medicaid, Education, Energy/Nuclear.

Clients

Who paid to be heard, by how many filings named the bill.

ClientBusinessStateFirmsFilingsReported
AMERICAN BENEFITS COUNCIL OBO ALLIANCE TO FIGHT FOR HEALTH CAREBusiness trade associationDistrict of Columbia14$640K
BAKER HUGHES COMPANYDistrict of Columbia14
DISABLED AMERICAN VETERANSDistrict of Columbia14
FLEET RESERVE ASSOCIATIONVirginia14
PARALYZED VETERANS OF AMERICADistrict of Columbia13
AIR FORCE SERGEANTS ASSOCIATIONMilitary, Veterans AffairsMaryland12
AMERICAN PSYCHOLOGICAL ASSOCIATION SERVICES INC.(FKA AMERICAN PSYCHOLOGICAL ASSNDistrict of Columbia12
GREATER NEW YORK HOSPITAL ASSOCIATIONNew York12
AMERICAN ASSOCIATION OF COLLEGES OF NURSINGDistrict of Columbia11

Firms

Registrants who filed on the bill, by filings.

Lobbyists

Named on the filings that cite the bill. The 20 named most often, of 47.

Filings

The documents themselves, on the Senate’s Lobbying Disclosure site, largest reported first.

ClientRegistrantPeriodReportedDocument
AMERICAN PSYCHOLOGICAL ASSOCIATION SERVICES INC.(FKA AMERICAN PSYCHOLOGICAL ASSNAMERICAN PSYCHOLOGICAL ASSOCIATION SERVICES INC.(FKA AMERICAN PSYCHOLOGICAL ASSN2026 first_quarter$580K1st Quarter - Report
GREATER NEW YORK HOSPITAL ASSOCIATIONGREATER NEW YORK HOSPITAL ASSOCIATION2025 second_quarter$570K2nd Quarter - Report
GREATER NEW YORK HOSPITAL ASSOCIATIONGREATER NEW YORK HOSPITAL ASSOCIATION2025 first_quarter$530K1st Quarter - Report
AMERICAN PSYCHOLOGICAL ASSOCIATION SERVICES INC.(FKA AMERICAN PSYCHOLOGICAL ASSNAMERICAN PSYCHOLOGICAL ASSOCIATION SERVICES INC.(FKA AMERICAN PSYCHOLOGICAL ASSN2026 second_quarter$340K2nd Quarter - Report
DISABLED AMERICAN VETERANSDISABLED AMERICAN VETERANS2026 first_quarter$175.9K1st Quarter - Report
DISABLED AMERICAN VETERANSDISABLED AMERICAN VETERANS2025 fourth_quarter$161.3K4th Quarter - Report
AMERICAN BENEFITS COUNCIL OBO ALLIANCE TO FIGHT FOR HEALTH CAREERNST & YOUNG LLP (WASHINGTON COUNCIL ERNST & YOUNG)2025 fourth_quarter$160K4th Quarter - Report
AMERICAN BENEFITS COUNCIL OBO ALLIANCE TO FIGHT FOR HEALTH CAREERNST & YOUNG LLP (WASHINGTON COUNCIL ERNST & YOUNG)2025 third_quarter$160K3rd Quarter - Report
AMERICAN BENEFITS COUNCIL OBO ALLIANCE TO FIGHT FOR HEALTH CAREERNST & YOUNG LLP (WASHINGTON COUNCIL ERNST & YOUNG)2025 second_quarter$160K2nd Quarter - Report
AMERICAN BENEFITS COUNCIL OBO ALLIANCE TO FIGHT FOR HEALTH CAREERNST & YOUNG LLP (WASHINGTON COUNCIL ERNST & YOUNG)2025 first_quarter$160K1st Quarter - Report
DISABLED AMERICAN VETERANSDISABLED AMERICAN VETERANS2026 second_quarter$149.2K2nd Quarter - Report
DISABLED AMERICAN VETERANSDISABLED AMERICAN VETERANS2025 third_quarter$141.4K3rd Quarter - Report
BAKER HUGHES COMPANYBAKER HUGHES COMPANY2026 second_quarter$130K2nd Quarter - Report
FLEET RESERVE ASSOCIATIONFLEET RESERVE ASSOCIATION2026 second_quarter$120K2nd Quarter - Report
FLEET RESERVE ASSOCIATIONFLEET RESERVE ASSOCIATION2026 first_quarter$120K1st Quarter - Report
FLEET RESERVE ASSOCIATIONFLEET RESERVE ASSOCIATION2025 fourth_quarter$120K4th Quarter - Report
FLEET RESERVE ASSOCIATIONFLEET RESERVE ASSOCIATION2025 third_quarter$120K3rd Quarter - Report
PARALYZED VETERANS OF AMERICAPARALYZED VETERANS OF AMERICA2026 second_quarter$112.1K2nd Quarter - Report
BAKER HUGHES COMPANYBAKER HUGHES COMPANY2026 first_quarter$110K1st Quarter - Report
BAKER HUGHES COMPANYBAKER HUGHES COMPANY2025 third_quarter$110K3rd Quarter - Report

Classification

The Congressional Research Service files H.R. 4509 under Armed Forces and National Security, one of its 31 policy areas, and gives it 2 legislative subjects.

CRS Subjects

CRS assigns every bill one policy area from its 31; H.R. 4509’s is Armed Forces and National Security.

hr4509/policy-areas.txt
Armed Forces and National SecurityAgriculture and FoodAnimalsArts, Culture, ReligionCivil Rights and Liberties, Minority IssuesCommerceCongressCrime and Law EnforcementEconomics and Public FinanceEducationEmergency ManagementEnergyEnvironmental ProtectionFamiliesFinance and Financial SectorForeign Trade and International FinanceGovernment Operations and PoliticsHealthHousing and Community DevelopmentImmigrationInternational AffairsLabor and EmploymentLawNative AmericansPublic Lands and Natural ResourcesScience, Technology, CommunicationsSocial WelfareSports and RecreationTaxationTransportation and Public WorksWater Resources Development

Legislative Subjects

H.R. 4509 carries 2 of CRS’s legislative subjects, from Prescription drugs to Veterans' medical care.

hr4509/subjects.txt
Prescription drugsVeterans' medical care

Constitutional authority

The clause the sponsor cites as Congress’s power to enact H.R. 4509, as entered in the Congressional Record.

[Congressional Record Volume 171, Number 123 (Thursday, July 17, 2025)][House]From the Congressional Record Online through the Government Publishing Office [www.gpo.gov]By Mr. LANDSMAN:H.R. 4509.Congress has the power to enact this legislation pursuantto the following:Article 1 Section 8 of the U.S. Constitution[Page H3476]

Source: congress.gov · legiscan.com