PolicyBrief
H.R. 1189
119th CongressFeb 11th 2025
National Plan for Epilepsy Act
IN COMMITTEE

The "National Plan for Epilepsy Act" aims to create a comprehensive national strategy to improve epilepsy prevention, diagnosis, treatment, and research through coordinated federal efforts and an advisory council.

Jim Costa
D

Jim Costa

Representative

CA-21

LEGISLATION

National Epilepsy Plan Kicks Off: Coordinated Care and Research Push for 3.5 Million Americans

The National Plan for Epilepsy Act is rolling out, and it's a pretty big deal for the nearly 3.5 million adults and 456,000 kids in the US living with epilepsy. This isn't just another piece of legislation; it's setting up a coordinated national strategy to tackle this brain disorder head-on. The goal? To prevent, diagnose, treat, and ultimately find a cure for epilepsy (SEC. 3).

Getting Real About Epilepsy

The law acknowledges some stark realities. For instance, over 30% of people with epilepsy have uncontrolled seizures, and individuals with epilepsy face a 3-times higher risk of early death (SEC. 2). It also highlights the financial strain, noting that 53% of those with uncontrolled seizures live in households earning less than $25,000 a year, with annual healthcare costs topping $54 billion nationwide (SEC. 2). This plan aims to directly address these issues.

Action Plan: What's Changing?

This Act isn't just talk; it's about action. Here’s the breakdown:

  • Coordinated Effort: The Secretary of Health and Human Services is tasked with creating and updating a national plan, coordinating research and services across all federal agencies (SEC. 3). Think NIH, CDC, FDA, and even the Department of Defense and Veterans Affairs all working together (SEC. 3).
  • Advisory Council: An Advisory Council on Epilepsy Research, Care, and Services is being formed. This isn't just a bunch of bureaucrats; it includes people actually living with epilepsy (four individuals with different types), caregivers (two), healthcare providers (two), researchers (two), and representatives from epilepsy nonprofits (three) (SEC. 3). They'll meet at least quarterly and hold public meetings, ensuring diverse voices are heard (SEC. 3).
  • Real-World Impact Example: Imagine a family in rural America with a child newly diagnosed with epilepsy. Under this plan, they could potentially benefit from improved care coordination, meaning quicker access to specialists and better management of the condition, regardless of their location or income.
  • Data Sharing: Agencies inside and outside the Department of Health and Human Services are required to share epilepsy-related data (SEC. 3). This could lead to breakthroughs in understanding the condition and developing more effective treatments.
  • Regular Check-ins: The Advisory Council will report to Congress every two years, starting 18 months after the law's enactment, evaluating progress and making recommendations (SEC. 3). The Secretary also submits an annual report to Congress (SEC. 3). This means consistent oversight and accountability.

The Long Game

While the Act sets an ambitious agenda, it also has a built-in sunset clause, ending on December 31, 2035 (SEC. 3). It's a long-term commitment, but with regular reviews to ensure it stays effective. The mandated biennial meetings of Federal and non-Federal organizations, convened by the Advisory Council, are designed to keep research and strategies current and collaborative (SEC. 3). The requirement for annual assessments, beginning two years post-enactment, ensures the plan remains responsive to the evolving needs of the epilepsy community (SEC. 3).

In a nutshell, the National Plan for Epilepsy Act is about bringing together resources, expertise, and real-world experience to improve the lives of millions affected by epilepsy. It's a comprehensive approach that focuses on everything from research and treatment to care coordination and public awareness, with built-in mechanisms for accountability and adaptation.