United States · Bill · HR
H.R. 5197 (115th)
ALTO Act
Introduced
7 March 2018
Last action
13 June 2018 · Introduced
Status
Received in the Senate and Read twice and referred to the Committee on Health, Education, Labor, and Pensions.
Sponsors
Rep. Pascrell, Bill, Jr. [D-NJ-9], Rep. McKinley, David B. [R-WV-1], Rep. DeGette, Diana [D-CO-1], Rep. Tipton, Scott R. [R-CO-3], Rep. Khanna, Ro [D-CA-17], Rep. Barr, Andy [R-KY-6], Rep. Kind, Ron [D-WI-3], Rep. Jayapal, Pramila [D-WA-7], Rep. Poliquin, Bruce [R-ME-2], Sen. Blackburn, Marsha [R-TN], Rep. Fitzpatrick, Brian K. [R-PA-1], Sen. Schiff, Adam B. [D-CA], Rep. Walden, Greg [R-OR-2], Rep. Donovan, Daniel M., Jr. [R-NY-11], Rep. Stivers, Steve [R-OH-15], Rep. Ros-Lehtinen, Ileana [R-FL-27], Rep. Clarke, Yvette D. [D-NY-9], Rep. Herrera Beutler, Jaime [R-WA-3], Rep. Blumenauer, Earl [D-OR-3], Rep. Raskin, Jamie [D-MD-8], Rep. Faso, John J. [R-NY-19], Rep. Hill, J. French [R-AR-2], Rep. Jenkins, Evan H. [R-WV-3], Rep. Gottheimer, Josh [D-NJ-5], Rep. Kilmer, Derek [D-WA-6]
Subjects
Healthcare
Source updated
5 December 2025
Summary
Alternatives to Opioids (ALTO) in the Emergency Department Act This bill requires the Department of Health and Human Services to carry out a three-year demonstration program awarding grants to hospitals and emergency departments to develop, implement, enhance, or study alternative pain management protocols and treatments that promote limited use of opioids in emergency departments.
This text is taken from the official record. PoliticalRepo does not editorialize.
Timeline
7 March 2018
Introduced
Referred to the House Committee on Energy and Commerce.
Source: IntroReferral
7 March 2018
Introduced
Introduced in House
Source: IntroReferral
7 March 2018
Introduced
Introduced in House
Source: IntroReferral
9 March 2018
Referred
Referred to the Subcommittee on Health.
Source: Committee
25 April 2018
Committee
Forwarded by Subcommittee to Full Committee (Amended) by Voice Vote .
Source: Committee
25 April 2018
Committee
Subcommittee Consideration and Mark-up Session Held.
Source: Committee
9 May 2018
Reported
Ordered to be Reported (Amended) by Voice Vote.
Source: Committee
9 May 2018
Committee
Committee Consideration and Mark-up Session Held.
Source: Committee
12 June 2018
Passed
Motion to reconsider laid on the table Agreed to without objection.
Source: Floor
12 June 2018
Passed
On motion to suspend the rules and pass the bill, as amended Agreed to by voice vote. (text: CR H5067-5068)
Source: Floor
12 June 2018
Passed
Passed/agreed to in House: On motion to suspend the rules and pass the bill, as amended Agreed to by voice vote.(text: CR H5067-5068)
Source: Floor
12 June 2018
Floor
DEBATE - The House proceeded with forty minutes of debate on H.R. 5197.
Source: Floor
12 June 2018
Floor
Considered under suspension of the rules. (consideration: CR H5067-5069)
Source: Floor
12 June 2018
Floor
Mr. Walden moved to suspend the rules and pass the bill, as amended.
Source: Floor
13 June 2018
Introduced
Received in the Senate and Read twice and referred to the Committee on Health, Education, Labor, and Pensions.
Source: IntroReferral
Votes
No vote records are attached yet.
Versions
- Referred in Senate · 13 June 2018 · Download file
- Engrossed in House · 12 June 2018 · Download file
- Introduced in House · 7 March 2018 · Download file
Documents
7 official files
Referred in Senate (text)
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Referred in Senate (text)
Referred in Senate · EN · 13 June 2018
Referred in Senate (PDF)
Referred in Senate · EN · 13 June 2018
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Engrossed in House (text)
Engrossed in House · EN · 12 June 2018
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Engrossed in House (PDF)
Engrossed in House · EN · 12 June 2018
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Introduced in House (text)
Introduced in House · EN · 7 March 2018
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Introduced in House (PDF)
Introduced in House · EN · 7 March 2018
ViewDownloadOpen at official source
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Introduced in House
summary · EN · 7 March 2018
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Sponsors
- Rep. Pascrell, Bill, Jr. [D-NJ-9] · D · Sponsor
- Rep. McKinley, David B. [R-WV-1] · R · Sponsor
- Rep. DeGette, Diana [D-CO-1] · D · Sponsor
- Rep. Tipton, Scott R. [R-CO-3] · R · Sponsor
- Rep. Khanna, Ro [D-CA-17] · D · Cosponsor
- Rep. Barr, Andy [R-KY-6] · R · Cosponsor
- Rep. Kind, Ron [D-WI-3] · D · Cosponsor
- Rep. Jayapal, Pramila [D-WA-7] · D · Cosponsor
- Rep. Poliquin, Bruce [R-ME-2] · R · Cosponsor
- Sen. Blackburn, Marsha [R-TN] · R · Cosponsor
- Rep. Fitzpatrick, Brian K. [R-PA-1] · R · Cosponsor
- Sen. Schiff, Adam B. [D-CA] · D · Cosponsor
- Rep. Walden, Greg [R-OR-2] · R · Cosponsor
- Rep. Donovan, Daniel M., Jr. [R-NY-11] · R · Cosponsor
- Rep. Stivers, Steve [R-OH-15] · R · Cosponsor
- Rep. Ros-Lehtinen, Ileana [R-FL-27] · R · Cosponsor
- Rep. Clarke, Yvette D. [D-NY-9] · D · Cosponsor
- Rep. Herrera Beutler, Jaime [R-WA-3] · R · Cosponsor
- Rep. Blumenauer, Earl [D-OR-3] · D · Cosponsor
- Rep. Raskin, Jamie [D-MD-8] · D · Cosponsor
- Rep. Faso, John J. [R-NY-19] · R · Cosponsor
- Rep. Hill, J. French [R-AR-2] · R · Cosponsor
- Rep. Jenkins, Evan H. [R-WV-3] · R · Cosponsor
- Rep. Gottheimer, Josh [D-NJ-5] · D · Cosponsor
- Rep. Kilmer, Derek [D-WA-6] · D · Cosponsor
- · sshr00 · Standing
- · hsif00 · Standing
Related records
- related to → SUPPORT for Patients and Communities Act
- related to → Alternatives to Opioids (ALTO) in the Emergency Department Act
Sources
PoliticalRepo is an index and interpretation layer, not the authoritative legal source.
- Official source: https://www.congress.gov/bill/115th-congress/house-bill/5197
- Open data entity: https://api.congress.gov/v3/bill/115/hr/5197
- us · 115-hr-5197 · source updated 5 December 2025