Ending Pricey Insulin Act or the EPI Act This bill establishes a maximum out-of-pocket cost of $50 for a 30-day supply of insulin. Specifically, no private or public health insurance plan may charge an enrollee more than $50 for a 30-day supply of insulin, regardless of the amount of insulin prescribed for that period. This includes any deductible, co-payment, coinsurance, or other cost-sharing requirement. This $50 limit also applies to the cash price for insulin prescriptions for uninsured individuals. The requirements of this bill apply beginning on January 1, 2022, irrespective of the date this bill is enacted.
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Timeline
Introduced in Senate
Read twice and referred to the Committee on Health, Education, Labor, and Pensions.
Introduced in Senate
Read twice and referred to the Committee on Health, Education, Labor, and Pensions.
Health
Child healthDigestive and metabolic diseasesEmployee benefits and pensionsHealth care costs and insuranceHealth care coverage and accessHealth technology, devices, suppliesInflation and pricesMedicaidMedicareMilitary medicineMilitary personnel and dependentsPoverty and welfare assistancePrescription drugsVeterans' medical care
EPI Act
USA117th CongressS-1132| Senate
| Updated: 4/15/2021
Ending Pricey Insulin Act or the EPI Act This bill establishes a maximum out-of-pocket cost of $50 for a 30-day supply of insulin. Specifically, no private or public health insurance plan may charge an enrollee more than $50 for a 30-day supply of insulin, regardless of the amount of insulin prescribed for that period. This includes any deductible, co-payment, coinsurance, or other cost-sharing requirement. This $50 limit also applies to the cash price for insulin prescriptions for uninsured individuals. The requirements of this bill apply beginning on January 1, 2022, irrespective of the date this bill is enacted.
Child healthDigestive and metabolic diseasesEmployee benefits and pensionsHealth care costs and insuranceHealth care coverage and accessHealth technology, devices, suppliesInflation and pricesMedicaidMedicareMilitary medicineMilitary personnel and dependentsPoverty and welfare assistancePrescription drugsVeterans' medical care