LINCOLN- Lawmakers took a step Wednesday to cap the out-of-pocket cost for epinephrine injectors and ensure Nebraska schools and licensed child care programs have policies to respond to allergic reactions. Legislative Bill 457, from State Sen. Eliot Bostar of Lincoln, advanced 31-0 to the second stage of debate. It would limit out-of-pocket costs for medically necessary epinephrine injectors, including EpiPens, to no more than $60 for a two-pack, regardless of the type.

Bostar said some generic injectors can cost between $320 and $750, while name brand injectors can cost between $650 to $730. If passed, the cap would take effect Jan. 1, 2026. “The absence of a cure for life-threatening food allergies underscores the critical importance of epinephrine auto injectors for preventing fatal anaphylaxis, which is a life threatening allergic reaction that, without prompt administration of epinephrine, the consequences can be dire,” Bostar said at his bill’s Feb. 10 hearing.

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