S 494 United States Senate · 119th Congress

National Plan for Epilepsy Act

Summary
National Plan for Epilepsy Act This bill requires the Department of Health and Human Services (HHS) to establish a national plan, form an advisory council, and take other actions to address epilepsy. The requirements sunset on December 31, 2035. Specifically, the bill requires HHS to carry out a National Plan for Epilepsy to prevent, diagnose, treat, and cure epilepsy. In carrying out the plan, HHS must implement activities such as coordinating research and services across all federal agencies and soliciting public comments. Also, HHS must establish an Advisory Council on Epilepsy Research, Care, and Services. The advisory council must report to HHS and Congress every two years with an evaluation of federally funded efforts. Additionally, HHS must annually report to Congress with recommended actions based on its assessments of the nation’s progress on epilepsy.
Bill status passed 3 of 5 stages cleared
Introduction
Feb 2025
Committee Review
Jul 2026
Senate Passage
Aug 2026
House Passage
President
Introduced Feb 10, 2025 Last action Aug 10, 2026
Maddy AI version diff · 1 comparison

What changed between versions

Introduced in Senate Engrossed in Senate · 10 edits · Aug 4, 2026
MAJOR
The Senate stripped the bill of its core programmatic structure. The original version would have created a formal National Plan for Epilepsy under the Public Health Service Act, complete with an Advisory Council, annual assessments, annual reports to Congress, cross-agency data sharing mandates, and a 2035 sunset date. The engrossed version replaces all of that with a single review-and-report requirement: the Secretary of HHS must conduct a review of existing Federal epilepsy programs and submit one report to Congress within two years.
Scope change
The bill shifted from establishing a permanent national program with ongoing obligations (Advisory Council, annual assessments, annual reports, data sharing) to a one-time review process that produces a single report to Congress after two years. The scope narrowed dramatically from creating new structures and mandates to simply evaluating what already exists and recommending improvements.
SCOPE

The entire findings section (9 statistical findings about epilepsy prevalence, costs, and disparities) was removed.

A new Section 2 requires the Secretary of HHS to review existing Federal programs, activities, and strategic plans related to epilepsy research, prevention, early identification, diagnosis, and treatment, and to provide recommendations to Congress.

REQUIREMENT

The formal National Plan for Epilepsy as a standing national project under the Public Health Service Act was eliminated, including all mandated activities such as establishing an integrated plan, coordinating research across Federal agencies, and encouraging development of treatments.

The cross-agency data sharing mandate requiring agencies within and outside HHS to share epilepsy-related data with the Secretary was removed.

The review must include consideration of evidence-based research findings, knowledge gaps, disparities, coordination gaps among Federal programs, level of Federal investment, opportunities to improve collaboration, prevent sudden unexpected death in epilepsy, improve surveillance, and support development of new treatments.

ENFORCEMENT

The Advisory Council on Epilepsy Research, Care, and Services was removed entirely, including its specific membership composition (Federal representatives from NIH, CMS, CDC, FDA, HRSA, DoD, VA; plus non-Federal members including 4 people living with epilepsy, 2 caregivers, 2 health care providers, 2 researchers, and 3 nonprofit representatives), quarterly meeting requirement, and biennial reporting obligation.

The annual Secretary report to Congress (evaluating all federally funded epilepsy efforts, recommending priority actions, and describing progress) was removed.

TIMELINE

The annual assessment requirement (first due 2 years after enactment, then annually) was removed.

The sunset provision (section ceasing to be effective December 31, 2035) was removed.

A single report is due to the Senate HELP Committee and House Energy and Commerce Committee no later than 2 years after enactment, covering stakeholder input received, recommendations for improving coordination, and any recommended changes to Federal programs along with statutory or other barriers to implementation.

Floor votes

How they voted

This bill passed the Senate by voice vote (no roll call recorded).
Full legislative history

Actions timeline

Total actions
10
Key actions
4
Committee
3
Aug 4, 2026
Upper · Passed
Passed Senate with an amendment by Unanimous Consent. (consideration: CR S4426-4427; text: CR S4426-4427)
upper
Aug 4, 2026
Upper · Passed
Passed/agreed to in Senate: Passed Senate with an amendment by Unanimous Consent.
upper
Jul 28, 2026
Upper · Passed
Committee on Health, Education, Labor, and Pensions. Reported by Senator Cassidy with an amendment in the nature of a substitute. Without written report.
upper
Jul 22, 2026
Upper · Passed
Committee on Health, Education, Labor, and Pensions. Ordered to be reported with an amendment in the nature of a substitute favorably.
upper
Feb 10, 2025
Committee
Read twice and referred to the Committee on Health, Education, Labor, and Pensions.
upper
Feb 10, 2025
Introduced
Introduced in Senate
upper
1 primary · 27 co-sponsors

Sponsors