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Lower Epinephrine Costs: Ending High Prices for Life-Saving Medication

This new act aims to reduce the cost of epinephrine delivery systems (like EpiPens) for individuals with health insurance. It means health plans cannot apply deductibles or charge more than $60 per package of two systems, making this life-saving medication more accessible.
Key points
Maximum out-of-pocket cost for two epinephrine delivery systems (e.g., EpiPen) will be $60 for insured individuals.
Health plans will not be able to apply deductibles for these medications.
Any cost-sharing payments made will count towards annual out-of-pocket maximums.
Changes will apply to plan years beginning on or after January 1, 2026.
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Status: Introduced
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Additional Information
Print number: 119_HR_5139
Sponsor: Rep. Frost, Maxwell [D-FL-10]
Process start date: 2025-09-04