{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T01:30:15Z","timestamp":1768354215701,"version":"3.49.0"},"reference-count":13,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,1,16]]},"abstract":"<jats:title>Lay Summary<\/jats:title>\n                  <jats:p>The opioid crisis is a serious health problem and a growing number of older adults (ages 65 and up) have been using and misusing prescription opioids. One of the major challenges to reducing prescription opioid use\/misuse among older adults is that they often cannot get other pain medications because those medications are not covered by insurance. The Alternatives to Prevent Addiction in the Nation (Alternatives to PAIN) Act will make nonopioid pain medications more accessible to older adults. It will require Medicare Part D plans to (i) set patient costs for nonopioid pain medications to be no higher than the cost of generic medication, and (ii) prohibit the utilization of step therapy (requiring patients to try less expensive treatments like generic opioids before \u201cstepping up\u201d to a nonopioid treatment) and prior authorization (requiring approval from the insurance company before the insurance will pay for the treatment) for nonopioid pain medications. Passage of the Alternatives to PAIN Act will bring us closer to making nonopioid pain treatments accessible to all older adults.<\/jats:p>","DOI":"10.1093\/tbm\/ibaf048","type":"journal-article","created":{"date-parts":[[2025,8,23]],"date-time":"2025-08-23T11:39:06Z","timestamp":1755949146000},"source":"Crossref","is-referenced-by-count":0,"title":["Pass legislation to expand access to nonopioid pain treatments among older adults"],"prefix":"10.1093","volume":"15","author":[{"given":"Lisa R","family":"LaRowe","sequence":"first","affiliation":[{"name":"Massachusetts General Hospital and Harvard Medical School"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amy","family":"Goetzinger","sequence":"additional","affiliation":[{"name":"University of North Carolina at Chapel 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