H.R. 1189: National Plan for Epilepsy Act

Introduced Feb 11, 202574 cosponsors

Sponsor

Jim Costa

Jim Costa

Democrat · CA-21

Bill Progress

IntroducedFeb 11
Committee 
Pass House 
Pass Senate 
Signed 
Law 

Latest Action · Feb 11, 2025

1/4

Referred to the House Committee on Energy and Commerce.

Epilepsy care needs a real national plan

4 min readLast updated May 23, 2026

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.

H.R. 1189 Bill Summary

What H.R. 1189 actually does.

1

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.

2

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.

3

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.

4

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.

5

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.

6

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.

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On the Record

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

1 actions

House: Committee Action

Feb 11, 2025

Referred to the House Committee on Energy and Commerce.

About the Sponsor

Jim Costa

Jim Costa

Democrat, California's 21st congressional district · 21 years in Congress

Committees: Agriculture, Foreign Affairs

View full profile →

Cosponsors (74)

This bill gained 5 cosponsors in the last 30 days

This bill has 74 cosponsors: 53 Democrats, 21 Republicans, reflecting bipartisan support. Cosponsors represent 26 states: Arizona, California, District of Columbia, and 23 more.

53Democrats21Republicans·26 statesBipartisan

Committee Sponsors

Energy and Commerce Committee

24D30R
|15 signed39 not yet

15 of 54 committee members cosponsored

14 Democrats across this committee haven't cosponsored yet. Mobilize their constituents

H.R. 1189 Quick Facts

Cosponsors
74+5
Gregory Murphy
Ted Lieu
Brian Fitzpatrick
Michael Lawler
Nydia Velázquez
+69 more
Committee
Energy and Commerce
Chamber
House
Policy
Health
Introduced
Feb 11, 2025

Referred to the House Committee on Energy and Commerce.

Feb 11, 2025

Constituent Resources

Get notified when this bill moves

Official Sources

H.R. 1189 on Congress.gov

Official bill page with status, text, sponsors, and actions for the National Plan for Epilepsy Act.

CDC Epilepsy

CDC’s official epilepsy page covers prevalence, public health surveillance, quality of life, and related federal work referenced by the bill.

Centers for Medicare & Medicaid Services

CMS is specifically named in the bill’s advisory council and is relevant to coverage, care coordination, and federal health program participation.

Health Resources and Services Administration

HRSA is named in the bill and is relevant to access to care, workforce, and health services infrastructure for people with epilepsy.

VA Epilepsy Centers of Excellence

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

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