,i  #aahth ,,congress  #b;d ,session    
,h4 ,r4 #fife  ,,in ,,the ,,house ,,of  
,,representatives  ,january #aa1        
#bjbd,mr4 ,frost 7for himself and ,ms4  
,matsui7 introduced the following bill2 
which was referred to the ,committee on 
,energy and ,commerce1 and in addition  
to the ,committees on ,ways and ,means1 
and ,education and the ,workforce1 for a
 period to be subsequently determined by
 the ,speaker1 in each case for         
consideration of such provisions as fall
 within the jurisdiction of the         
committee concerned  ,a ,,bill  ,to     
amend title ,,xxvii of the ,public      
,health ,service ,act1 the ,employee    
,retirement ,income ,security ,act of   
#aigd1 and the ,internal ,revenue ,code 
of #aihf to establish requirements with 
respect to cost sharing for epinephrine 
injectors under group health plans and  
group and individual health insurance   
coverage4  #a4 ,short title ,this ,act  
may be cited as the ,epinephrine's      
,pharma ,inflated ,price ,ends ,now ,act

 or the ,,epipen ,act4  #b4             
,requirements with respect to cost      
sharing for epinephrine injectors  7a7  
,,phsa ,part ,d of title ,,xxvii of the 
,public ,health ,service ,act 7#db      
,u4,s4,c4 #cjj;gg-#aaa et seq47 is      
amended by adding at the end the        
following new section3  #bgii;,a-#aa4   
,requirements with respect to cost      
sharing for epinephrine injectors  7a7  
,in general ,a group health plan1 and a 
health insurance issuer offering group  
or individual health insurance coverage1
 shall provide coverage of epinephrine  
injectors1 and with respect to such     
injectors1 may not-- 7#a7 apply any     
deductible2 or  7#b7 impose any cost    
sharing in excess of #fj per package of 
#b injectors 7or the equivalent74  7b7  
,application of cost sharing toward     
deductibles and out-of-,pocket maximums 
,any cost-sharing payments made pursuant
 to subsection 7a77#b7 shall be counted 
toward any deductible or out-of-pocket  
maximum that applies under the plan or  

coverage4  7c7 ,out-of-network providers
 ,nothing in this section requires a    
plan or issuer that has a network of    
providers to provide benefits for an    
epinephrine injector described in this  
section that is delivered by an         
out-of-network provider1 or precludes a 
plan or issuer that has a network of    
providers from imposing higher cost     
sharing than the levels specified in    
subsection 7a77#b7 for an epinephrine   
injector described in this section that 
is delivered by an out-of-network       
provider4  7d7 ,epinephrine injector    
defined ,in this section1 the term      
epinephrine injector means an           
auto-injector approved by the ,food and 
,drug ,administration for the           
administration of epinephrine4  4  7b7  
,,erisa  7#a7 ,in general ,subpart ,b of
 part #g of subtitle ,b of title ,i of  
the ,employee ,retirement ,income       
,security ,act of #aigd 7#bi ,u4,s4,c4  
#aahe et seq47 is amended by adding at  
the end the following new section3      

#gbf4 ,requirements with respect to cost
 sharing for epinephrine injectors  7a7 
,in general ,a group health plan1 and a 
health insurance issuer offering group  
health insurance coverage1 shall provide
 coverage of epinephrine injectors1 and 
with respect to such injectors1 may     
not-- 7#a7 apply any deductible2 or     
7#b7 impose any cost sharing in excess  
of #fj per package of #b injectors 7or  
the equivalent74  7b7 ,application of   
cost sharing toward deductibles and     
out-of-,pocket maximums ,any            
cost-sharing payments made pursuant to  
subsection 7a77#b7 shall be counted     
toward any deductible or out-of-pocket  
maximum that applies under the plan or  
coverage4  7c7 ,out-of-,network         
providers ,nothing in this section      
requires a plan or issuer that has a    
network of providers to provide benefits
 for an epinephrine injector described  
in this section that is delivered by an 
out-of-network provider1 or precludes a 
plan or issuer that has a network of    

providers from imposing higher cost     
sharing than the levels specified in    
subsection 7a77#b7 for an epinephrine   
injector described in this section that 
is delivered by an out-of-network       
provider4  7d7 ,epinephrine injector    
defined ,in this section1 the term      
epinephrine injector means an           
auto-injector approved by the ,food and 
,drug ,administration for the           
administration of epinephrine4  4  7#b7 
,clerical amendment ,the table of       
contents in section #a of the ,employee 
,retirement ,income ,security ,act of   
#aigd 7#bi ,u4,s4,c4 #ajja et seq47 is  
amended by inserting after the item     
relating to section #gbe the following3 
,sec4 #gbf4 ,requirements with respect  
to cost sharing for epinephrine         
injectors4  4  7c7 ,,irc  7#a7 ,in      
general ,subchapter ,b of chapter #ajj  
of the ,internal ,revenue ,code of #aihf
 is amended by adding at the end the    
following new section3  #ihbf4          
,requirements with respect to cost      

sharing for epinephrine injectors  7a7  
,in general ,a group health plan shall  
provide coverage of epinephrine         
injectors1 and with respect to such     
injectors1 may not-- 7#a7 apply any     
deductible2 or  7#b7 impose any cost    
sharing in excess of #fj per package of 
#b injectors 7or the equivalent74  7b7  
,application of cost sharing toward     
deductibles and out-of-,pocket maximums 
,any cost-sharing payments made pursuant
 to subsection 7a77#b7 shall be counted 
toward any deductible or out-of-pocket  
maximum that applies under the plan4    
7c7 ,out-of-,network providers ,nothing 
in this section requires a plan that has
 a network of providers to provide      
benefits for an epinephrine injector    
described in this section that is       
delivered by an out-of-network provider1
 or precludes a plan that has a network 
of providers from imposing higher cost  
sharing than the levels specified in    
subsection 7a77#b7 for an epinephrine   
injector described in this section that 

is delivered by an out-of-network       
provider4  7d7 ,epinephrine injector    
defined ,in this section1 the term      
epinephrine injector means an           
auto-injector approved by the ,food and 
,drug ,administration for the           
administration of epinephrine4  4  7#b7 
,clerical amendment ,the table of       
sections for subchapter ,b of chapter   
#ajj of the ,internal ,revenue ,code of 
#aihf is amended by adding at the end   
the following new item3  ,sec4 #ihbf4   
,requirements with respect to cost      
sharing for epinephrine injectors4  4   
7d7 ,effective date ,the amendments made
 by this section shall apply with       
respect to plan years beginning on or   
after ,january #a1 #bjbe4