States That Currently Cap Epinephrine Costs as of January 1, 2026

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Several states have enacted legislation to limit out-of-pocket (OOP) costs for epinephrine. These laws primarily target state-regulated health insurance plans.

The following table summarizes the states that currently cap these costs, the cap amounts, whether the language specifically limits coverage to auto-injectors or broader administration methods such as nasal sprays, and the source of information.

State Epinephrine Cost Caps (As of 1/1/2026)

StateCap AmountCoverage ScopeSource
New York$100 per yearBroad: Includes auto-injectors and nasal sprays.NY A.5392-B / S.7807-A
New HampshireFull Coverage ($0)Broad: Law updated in 2025 to include all delivery systems.NH HB 677 (2025)
Illinois$60 per 2-packBroad: Co-pay limit applies “regardless of the type of epinephrine injector.”IL Public Act 103-0454
New Jersey$25 per 30-day supplyRestrictive: Specifically “epinephrine auto-injector devices.”NJ P.L. 2023, c.105
Colorado$60 per 2-packRestrictive: Specifically “epinephrine auto-injector.”CO HB23-1002
Minnesota$25 per 30-day supplyRestrictive: Specifically “epinephrine auto-injectors.”MN Statutes § 62Q.481
Rhode IslandFull Coverage ($0)Restrictive: For at least one “auto-injector and cartridge.”RI Gen. Laws § 27-18-94
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Clarification:

Restricted States (NJ, CO, MN, RI): In these states, the current statutory language remains tied to “auto-injectors.” Unless these states follow the NH and NY model of amending the text, patients may still face high costs for nasal sprays even though injectors are capped.

Key Legislative Nuances

  • High-Deductible Health Plans (HDHPs): In states like New York and New Jersey, the cap may only apply after the deductible is met for certain HSA-qualified plans to avoid violating IRS regulations, though recent amendments in NY have attempted to clarify this for “preventive care” status.
  • “State-Regulated” Limitation: These caps typically only apply to plans regulated by the state (e.g., individual marketplace plans and small-group employer plans). They generally do not apply to large employer “self-insured” plans, which are governed by federal ERISA law.

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Dave Bloom
Dave Bloom
Dave Bloom is CEO and "Blogger in Chief" of SnackSafely.com.

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