US Federal 2025-2026 Regular Session

US Federal House Bill HB5139

Introduced
9/4/25  

Caption

EPIPEN Act Epinephrine’s Pharma Inflated Price Ends Now 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 HB1434

Auto-injectable epinephrine devices; authorize restaurants to obtain from Health Dept or from pharmacies under a standing order.

US SB41

Pharmacy benefits.

US HB4317

PBM Reform Act of 2025 Pharmacy Benefit Manager Reform Act of 2025

US AB1503

Pharmacy.

US SB328

Permitting a pharmacist to distribute pre-measured doses of epinephrine to a school for emergency medication kits.

US HB629

Enact the Pharmacist Prescribing Authority Act

US SB103

To Create The Pharmacy Nondiscrimination Act; To Require Pharmacy Benefits Managers To Accept Any Pharmacy Or Pharmacist Willing To Accept Relevant And Reasonable Terms Of Participation; And To Declare An Emergency.

US SB345

Pharmacy Benefits Manager regulation; to substitute "unaffiliated" pharmacy for "independent" pharmacy

US S817

To ensure access to epinephrine for minors

US SB2678

Pharmacy Benefit Prompt Pay Act; bring forward and prohibit spread pricing.

Similar Bills

TX HB2283

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

TX SB1619

Relating to the use of an epinephrine delivery system 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

TX HB2801

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

CA SB568

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

CA AB228

Pupil health: epinephrine delivery systems.

MO HB1826

Modifies provisions relating to epinephrine delivery systems