A recent study aimed to identify the prevalence of pre-existing chronic conditions in older adults with newly diagnosed epilepsy compared to those without epilepsy. Utilizing a random sample of nearly five million Medicare beneficiaries over 65, authors conducted a retrospective cohort study that focused on data from 2016 to 2018 with an over-sampling of non-Hispanic Black and Hispanic individuals. The findings revealed that older adults with incident epilepsy had significantly higher prevalence rates of chronic conditions such as stroke, neurological disorders, substance use disorders, and psychiatric disorders, with adjusted prevalence rate ratios of 4.82, 3.17, 3.00, and 1.98, respectively. The study also noted that the excess prevalence was more pronounced in younger age groups and Hispanic beneficiaries compared to non-Hispanic White and non-Hispanic Black beneficiaries.