10/29/2025
H.R. 4509, NOPAIN for Veterans Act
5994 actions taken
4006 needed to reach next goal
Dear reader,
H.R. 4509, the NOPAIN for Veterans Act, would expand access to safe, non-opioid pain management options within the Department of Veterans Affairs (VA) health care system. This bill would require VA to include Food and Drug Administration (FDA)-approved non-opioid medications and biological products in its national formulary, ensuring veterans have access to effective and less addictive alternatives for treating pain. By mandating the inclusion of these therapies in the VA formulary, the bill seeks to improve the quality of pain care, reduce reliance on traditional opioid-based treatments, and provide veterans with the safest and most effective options available to manage acute and chronic pain.
According to the VA Cooperative Studies Program Epidemiology Analytics Resource Fact Sheet (April 2022) on opioid-use—veterans face a significantly higher risk of opioid use disorder due to the increased prevalence of chronic pain, mental health conditions and social stressors. These findings underscore the urgent need for a comprehensive, nationwide pain management approach within VA.
DAV strongly supports H.R. 4509 in accordance with DAV Resolution No. 324, which calls for a consistent, patient-centered pain management strategy that integrates safe and compassionate alternatives to opioids. By expanding access to nonaddictive treatments, the bill seeks to reduce dependency, improve long-term pain outcomes and enhance the quality of life for service-disabled veterans living with chronic pain.
We urge DAV members and supporters to contact their representative today and advocate for passage of H.R. 4509, the NOPAIN for Veterans Act. Thank you for supporting DAV CAN—the Commander’s Action Network.
This bill would require VA to include Food and Drug Administration (FDA)-approved non-opioid medications and biological products in its national formulary, ensuring veterans have access to effective and less addictive alternatives for treating pain.