H.R. 1189: National Plan for Epilepsy Act
Sponsor
Jim Costa
Democrat · CA-21
Bill Progress
Latest Action · Feb 11, 2025
Referred to the House Committee on Energy and Commerce.
Epilepsy care needs a real national plan
Why it matters
The bill’s findings cite more than $54 billion a year in epilepsy-related health care costs, with nearly 3,000,000 adults and 456,000 children affected nationwide. H.R. 1189 would force the federal government to publish one coordinated epilepsy plan, measure progress every year, and put patients and caregivers on the advisory council shaping it.
H.R. 1189 tells the Health and Human Services Secretary to create and keep updating a National Plan for Epilepsy. In plain English, that means one federal roadmap for research, diagnosis, treatment, care coordination, data collection, and public input.
The bill says that roadmap must estimate how much the federal government is already spending on epilepsy, line up work across agencies, encourage better treatments, improve early diagnosis, and look at how epilepsy affects both patients and caregivers. It also requires a yearly check on whether the country is making progress.
The bill’s findings explain why sponsors want that structure. According to the bill’s findings, nearly 3,000,000 adults and 456,000 children in the United States have epilepsy, more than 30% live with uncontrolled seizures, and health care costs exceed $54 billion a year. The findings also cite that 32% of adults with epilepsy are unable to work and that 53% of people with uncontrolled seizures live in households earning less than $25,000 a year.
H.R. 1189 also creates a formal advisory council. Federal agencies like NIH, CMS, CDC, FDA, HRSA, the Department of Defense, and the Department of Veterans Affairs would have seats, alongside people living with epilepsy, family caregivers, clinicians, researchers, and nonprofit groups.
That council would meet at least quarterly, keep its meetings open to the public, and send reports to Congress starting 18 months after enactment. HHS would also have to publish its first national progress assessment within 2 years and update it every year after that.
The bill does not create a direct cash benefit or set a new funding amount. Its main effect is to make the federal government coordinate epilepsy policy in public, on a timeline, through the end of 2035 unless Congress extends it.
H.R. 1189 Bill Summary
What H.R. 1189 actually does.
One federal epilepsy roadmap
H.R. 1189 requires HHS to establish and keep updating a National Plan for Epilepsy covering prevention, diagnosis, treatment, care, research, and quality of life.
Annual progress checks start within 2 years
The HHS Secretary would have to publish the first national assessment within 2 years of enactment and update it every year after that, creating a regular public scorecard.
Patients and caregivers get seats at the table
The advisory council must include 4 people living with different types of epilepsy and 2 family caregivers, alongside clinicians, researchers, nonprofit groups, and federal agencies.
Quarterly public meetings
The advisory council must meet at least once every quarter, and all of its meetings must be open to the public. Separate expert meetings must happen every 2 years.
Congress gets recurring reports
The council’s first report would be due 18 months after enactment, then every 2 years. HHS would also submit annual reports to Congress on federally funded epilepsy efforts and recommended next steps.
Agencies must share epilepsy data
Federal agencies inside and outside HHS would have to provide epilepsy-related data needed for the plan and reports, helping one office track work that is currently spread across government.
Who benefits from H.R. 1189?
People living with epilepsy
According to the bill’s findings, nearly 3,000,000 adults and 456,000 children in the United States have epilepsy. They would gain a national plan focused on earlier diagnosis, better coordinated care, treatment development, and public accountability.
Families managing uncontrolled seizures
The bill’s findings cite that more than 30% of people with epilepsy live with uncontrolled seizures, and that 53% of those individuals live in households earning less than $25,000 a year. A coordinated federal plan could shape future recommendations on access, care gaps, and family costs.
Caregivers
Family caregivers would hold 2 seats on the advisory council, and the plan must examine the physical, mental, and social effects of epilepsy on caregivers as well as patients.
Clinicians and researchers
Doctors, specialists, and biomedical researchers would get formal representation on the advisory council, with a built-in process for pushing federal agencies to align research priorities and report what they are funding.
Who is affected by H.R. 1189?
HHS
HHS would become the lead agency responsible for building the national plan, tracking federal epilepsy work, publishing annual assessments, and reporting to Congress through the 2035 sunset.
Federal health and service agencies
Agencies including NIH, CMS, CDC, FDA, HRSA, the Department of Defense, and the Department of Veterans Affairs would have to participate in the advisory council and share epilepsy-related information for planning and reporting.
Adults whose epilepsy affects work
The bill’s findings cite that 32% of adults with epilepsy are unable to work. They would not get a direct benefit from H.R. 1189, but they could be affected by future recommendations on treatment access, care coordination, and support services.
Congress
Congress would receive annual HHS reports plus advisory council reports every 2 years, giving lawmakers repeated chances to review whether the plan is producing measurable changes before it expires at the end of 2035.
What Congress Is Saying
H.R. 1189 hasn't been debated on the floor yet.
This section updates when a legislator speaks about it on the floor or in committee.
HR1189 Legislative Journey
House: Committee Action
Feb 11, 2025
Referred to the House Committee on Energy and Commerce.
About the Sponsor
Jim Costa
Democrat, California's 21st congressional district · 21 years in Congress
Committees: Agriculture, Foreign Affairs
View full profile →
Cosponsors (74)
This bill has 74 cosponsors: 53 Democrats, 21 Republicans, reflecting bipartisan support. Cosponsors represent 26 states: Arizona, California, District of Columbia, and 23 more.
Gregory Murphy
Republican · NC
Ted Lieu
Democrat · CA
Brian Fitzpatrick
Republican · PA
Michael Lawler
Republican · NY
Nydia Velázquez
Democrat · NY
Seth Moulton
Democrat · MA
John Moolenaar
Republican · MI
Laura Gillen
Democrat · NY
Gus Bilirakis
Republican · FL
Eleanor Norton
Democrat · DC
Shri Thanedar
Democrat · MI
Debbie Dingell
Democrat · MI
Committee Sponsors
Energy and Commerce Committee
15 of 54 committee members cosponsored
14 Democrats across this committee haven't cosponsored yet. Mobilize their constituents
H.R. 1189 Quick Facts
- Committee
- Energy and Commerce
- Chamber
- House
- Policy
- Health
- Introduced
- Feb 11, 2025
Referred to the House Committee on Energy and Commerce.
Feb 11, 2025
Official Sources
Official bill page with status, text, sponsors, and actions for the National Plan for Epilepsy Act.
CDC’s official epilepsy page covers prevalence, public health surveillance, quality of life, and related federal work referenced by the bill.
CMS is specifically named in the bill’s advisory council and is relevant to coverage, care coordination, and federal health program participation.
HRSA is named in the bill and is relevant to access to care, workforce, and health services infrastructure for people with epilepsy.
The Department of Veterans Affairs is named in the bill, and VA’s Epilepsy Centers of Excellence are an official federal program directly tied to epilepsy care.
H.R. 1189 Common Questions
What would H.R. 1189 actually do?
It would require HHS to create a National Plan for Epilepsy, coordinate work across agencies, track progress every year, and get advice from patients, caregivers, doctors, and researchers.
How many people does this bill say epilepsy affects?
The bill’s findings cite nearly 3,000,000 adults and 456,000 children in the United States, and say 1 in 26 people will develop a form of epilepsy in their lifetime.
Why does H.R. 1189 focus so much on uncontrolled seizures?
Because the bill’s findings cite that more than 30% of people with epilepsy live with uncontrolled seizures, which sponsors use to argue the current system is falling short.
Would people with epilepsy and caregivers have a direct role?
Yes. H.R. 1189 requires 4 council seats for people living with different types of epilepsy and 2 seats for family caregivers.
Which agencies would be involved in the epilepsy plan?
The bill names NIH, CMS, CDC, FDA, HRSA, the Department of Defense, and the Department of Veterans Affairs as agencies represented on the advisory council.
When would the first progress report come out?
The advisory council’s first report would be due 18 months after enactment. HHS would have up to 2 years to publish the first annual national progress assessment.
Does H.R. 1189 give people money or insurance coverage?
No. It does not create direct payments or a new insurance benefit. Its main job is to make the federal government coordinate epilepsy policy, data, and reporting.
How much does the bill say epilepsy costs each year?
The bill’s findings cite more than $54 billion a year in U.S. health care costs associated with epilepsy and seizures.
Based on H.R. 1189 bill text
H.R. 1189 Bill Text
“To establish a national plan to coordinate research on epilepsy, and for other purposes.”
Source: U.S. Government Publishing Office
Get notified when H.R. 1189 moves
Committee votes, floor action, cosponsor changes — straight to your inbox.
Bill alerts + Legisletter's monthly briefing. Unsubscribe anytime.
Health Bills
9 related bills we're tracking
Give Kids a Chance Act of 2025
Motion to reconsider laid on the table Agreed to without objection.
Dec 1, 2025
Improving Seniors’ Timely Access to Care Act of 2025
Referred to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
May 20, 2025
CONNECT for Health Act of 2025
Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
Jun 26, 2025
Right to Contraception Act
Referred to the House Committee on Energy and Commerce.
Feb 5, 2025
Medicare Patient Access and Practice Stabilization Act of 2025
Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
Jan 31, 2025
Chiropractic Medicare Coverage Modernization Act of 2025
Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
Jan 16, 2025
988 LGBTQ+ Youth Access Act of 2025
Referred to the House Committee on Energy and Commerce.
Sep 17, 2025
Ensuring Lasting Smiles Act
Referred to the Committee on Energy and Commerce, and in addition to the Committees on Education and Workforce, and Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
May 8, 2025
Pride In Mental Health Act of 2025
Referred to the House Committee on Energy and Commerce.
Jun 5, 2025
Trending Right Now
Bills gaining momentum across Congress
Generating Retirement Ownership through Long-Term Holding
Referred to the House Committee on Ways and Means.
Mar 11, 2025
Access Technology Affordability Act of 2025
Referred to the House Committee on Ways and Means.
Feb 24, 2025
Protecting Privacy in Purchases Act
Placed on the Union Calendar, Calendar No. 447.
Feb 25, 2026
Tracking Health in Congress? Monitor bills, track cosponsor momentum, and launch advocacy campaigns — all from one advocacy platform.