US Federal 2025-2026 Regular Session

US Federal House Bill HB5139

Introduced
 
Introduced
9/4/25  

Caption

EPIPEN Act

Impact

The bill mandates that group health plans and health insurance coverage must provide coverage for epinephrine delivery systems without applying any deductibles and limit cost-sharing to a maximum of $60 for a package of two delivery systems. Additionally, any payments made toward cost-sharing must count toward the plan's deductible and out-of-pocket maximums, ensuring that these costs do not disproportionately affect consumers' healthcare finances.

Summary

House Bill 5139, known as the 'Epinephrine’s Pharma Inflated Price Ends Now Act' or the 'EPIPEN Act', is designed to amend several federal statutes, including the Public Health Service Act, Employee Retirement Income Security Act, and Internal Revenue Code. Its primary focus is on establishing requirements related to cost-sharing for epinephrine delivery systems, aiming to make these life-saving devices more affordable and accessible for individuals with severe allergies.

Contention

Opposition to HB5139 may arise due to concerns over how these coverage requirements could affect healthcare costs and insurance premiums. Critics may argue that while the bill promotes necessary access to epinephrine delivery systems, it may unintentionally lead to higher premiums for consumers as insurers adjust their pricing to compensate for mandated coverage. Furthermore, the stipulation that out-of-network providers can impose higher cost-sharing could raise concerns regarding equitable access and the actual affordability of these systems in practical scenarios.

Companion Bills

No companion bills found.

Previously Filed As

US SB2962

INS-EPINEPHRINE DELIVERY SYS

US SB1126

In casualty insurance, providing for coverage for epinephrine delivery systems.

US HB236

AN ACT relating to coverage for epinephrine devices.

US HB32

AN ACT relating to coverage for epinephrine devices.

US HB3454

EPINEPHRINE DELIVERY DEVICE

US AB775

Cost-sharing cap on epinephrine delivery systems under health insurance policies and plans. (FE)

US SB764

Cost-sharing cap on epinephrine delivery systems under health insurance policies and plans. (FE)

US SB1440

Epinephrine delivery systems

US S07807

Defines epinephrine device as a single-use device or nasal spray device used for the automatic injection or administration of a premeasured dose of epinephrine into the human body for the purpose of emergency treatment of a person appearing to experience anaphylactic symptoms.

US HB1670

Health insurance; cost-sharing for epinephrine injectors.

Similar Bills

TX SB1619

Relating to the use of an epinephrine delivery system by certain entities.

TX HB2283

Relating to the use of an epinephrine delivery device by certain entities.

MI HB5050

Health: pharmaceuticals; administration of epinephrine; modify. Amends secs. 17744a & 17744d of 1978 PA 368 (MCL 333.17744a & 333.17744d). TIE BAR WITH: HB 5054'25, HB 5049'25, HB 5051'25, HB 5052'25, HB 5053'25

MI HB5051

Health: pharmaceuticals; administration of epinephrine; modify. Amends title & secs. 1, 2 & 3 of 2020 PA 312 (MCL 28.821 et seq.). TIE BAR WITH: HB 5054'25, HB 5049'25, HB 5050'25, HB 5052'25, HB 5053'25

CA SB568

Pupil health: epinephrine delivery systems: schoolsites and childcare programs.

CA AB228

Pupil health: epinephrine delivery systems.

TX HB2801

Relating to the definition of an epinephrine delivery device and the use of those devices in public and private schools.

MO HB1826

Modifies provisions relating to epinephrine delivery systems