Child Care Laws
A comprehensive collection of all verified child care legislation — both enacted and pending — tracked across all 50 states and federal jurisdictions.
Every record is verified against official state legislature and government sources.
Educational Disclaimer: This platform is for general informational purposes only and is not medical advice. It does not replace professional medical consultation, diagnosis, or treatment. Always consult a qualified healthcare professional. If you are experiencing a medical emergency, call 911 immediately. Verify any information against official sources before relying on it.
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Epinephrine auto-injectors for authorized entities and day-care facilities
"Childcare Epinephrine Access Bill"
A 2025 session bill intended to further clarify and ensure that day-care facilities can obtain prescriptions for and maintain a constant supply of epinephrine auto-injectors with potential funding support.
House Bill 928 (Elijah's Law)
"Elijah's Law"
Mandates that childcare facilities implement food allergy and anaphylaxis training for staff, develop emergency action plans, and maintain access to epinephrine auto-injectors.
Kansas City Ordinance on Anaphylaxis Protocols
"Elijah's Law"
A local ordinance in Kansas City, Missouri, requiring anaphylaxis management protocols in child care settings.
To Establish Elijah's Law in Arkansas; and to require the Department of Health and the Department of Education to establish a statewide anaphylaxis policy for childcare facilities
"Elijah's Law"
Requires the state to establish a comprehensive anaphylaxis policy for all child care facilities, including emergency protocols, staff training, and individualized allergy plans.
Anaphylaxis Policy Act
Requires Nebraska childcare programs and schools to adopt and implement anaphylaxis prevention and response policies by July 1, 2026.
To Require The Department Of Health To Create And Make Available To Childcare Facilities Certain Information Regarding Food Allergies.
"Elijah's Law"
Requires childcare facilities to implement food allergy management and emergency response protocols to protect children from anaphylaxis.
Elijah's Law
"Elijah's Law"
Requires the California Department of Social Services to create guidelines for childcare facilities to prevent and respond to anaphylaxis, including staff training and emergency protocols.
Maryland House Bill 1195
Requires the Maryland Department of Health and Department of Education to develop guidelines to reduce the risk of exposure to major food allergens in child care settings.
Childcare providers: food allergies: emergency epinephrine auto-injectors
"Elijah's Law"
Requires the State Department of Social Services to establish food allergy protocols for child day care facilities, including emergency epinephrine use.
Regulations. Exemptions. Waivers. (Child Care Centers and Group Child Care Homes)
Requires Connecticut childcare centers and group homes to have staff trained in the administration of asthma inhalant medications if a child with such a prescription is enrolled.
An Act concerning children and families; relating to allergy prevention in child care facilities (Senate Substitute for House Bill 2062)
"Kansas Child Care Allergy Policy and Stock Epinephrine Act"
Directs Kansas health authorities to adopt rules and standard policies regarding food allergy management, notification, and emergency epinephrine access across child care and early childhood programs.
Health and Human Services Omnibus (Elijah's Law Provisions)
"Elijah's Law"
Requires child care providers to maintain allergy information for each child and establishes protocols for emergency response to anaphylaxis.
An Act Relating to Child Care; Requiring Child Care Facilities to Maintain Certain Allergy Information and Epinephrine.
"Elijah's Law"
Requires childcare facilities to implement food allergy management plans and maintain stock epinephrine auto-injectors.
Provides relative to the management of food allergies for children in early learning centers.
"Elijah's Law (Louisiana)"
Requires the Department of Education to collaborate with the Department of Health to create guidelines for the management of life-threatening food allergies in early learning centers (daycares).
Child Care Centers - Management of Anaphylactic Food Allergies - Guidelines and Training.
"Elijah's Law (Maryland)"
Requires the State Department of Education to establish guidelines for child care centers to manage anaphylactic food allergies and requires centers to implement policies and training based on these guidelines.
An Act Relating to Food and Drugs - Elijah's Law
"Elijah's Law"
Directs the Department of Human Services to establish food allergy guidelines for all licensed childcare providers.
Authority to possess and self-administer medication - rules
Authorizes the executive director of the Department of Early Childhood to adopt rules regarding the possession and self-administration of medication for food allergies and anaphylaxis in childcare settings.
An Act concerning health
"Elijah's Law"
Requires the Department of Public Health to establish food allergy management guidelines for daycare providers and requires providers to implement allergy policies.
Childhood Anaphylactic Policy Act
"Elijah's Law"
Requires the Department of Public Health to establish anaphylaxis policies and procedures for all school districts and daycare centers in the state.
Anaphylaxis Policy for School Districts and Child Care Providers
"Elijah's Law"
Requires the commissioner of health to establish an anaphylactic policy for school districts and child care providers to prevent and respond to anaphylaxis.
Elijah's Law
"Elijah's Law"
Requires the commissioner of health to establish anaphylactic policies for child care programs to protect children with severe food allergies.
Epinephrine Access and Emergency Treatment Act
Permits authorized entities, including childcare centers, to stock and administer undesignated epinephrine auto-injectors to individuals experiencing anaphylaxis.
Use of epinephrine auto-injectors in child-care centers and family child-care homes
Permits child-care centers to maintain and administer epinephrine auto-injectors and requires written emergency action plans and parental notification.
An Act relating to the emergency administration of epinephrine by certain entities
Authorizes certain entities, including childcare facilities, to stock and administer undesignated epinephrine auto-injectors.
Emergency administration of epinephrine by authorized entities
Permits authorized entities to stock and administer epinephrine auto-injectors to individuals experiencing anaphylaxis.
Epinephrine auto-injectors: emergency administration
Authorizes pharmacies to dispense epinephrine auto-injectors to 'authorized entities' like childcare centers.
Emergency Anaphylaxis Treatment Act
Authorizes public entities, including childcare centers, to stock and administer epinephrine auto-injectors.
To Allow Certain Entities To Maintain A Stock Of Epinephrine Auto-injectors
Allows authorized entities in Arkansas to maintain a supply of epinephrine auto-injectors for emergency use.
Emergency Epinephrine Act
Permits authorized entities to maintain a supply of epinephrine auto-injectors for emergency administration.
Licensing standards; child care facilities
"Florida Child Care Statute"
The primary statute authorizing the Florida Department of Children and Families to establish minimum health and safety standards for childcare facilities.
Louisiana Revised Statute 40:1146
"Act 657 Emergency Medications"
Allows 'qualified entities,' including licensed early learning centers, to maintain a stock supply of life-saving medications including epinephrine and albuterol under statewide standing orders.
Administration of auto-injectable epinephrine; definition; conditions; exceptions
"Louisiana Early Learning Center Epinephrine Law"
Allows early learning centers to stock auto-injectable epinephrine and requires at least one trained employee to be available to administer it in an emergency.
Nevada Revised Statutes Section 450B.710 - Maintenance and emergency administration of auto-injectable epinephrine by authorized entities
"Nevada Entity Epinephrine Access Law"
Authorizes designated 'authorized entities'—which include daycares, youth camps, recreation facilities, and other public venues—to acquire, store, and administer auto-injectable epinephrine under an standing prescription. Requires completion of an approved anaphylaxis training course and provides liability protection for emergency administration in good faith.
Elijah's Law - Possession and administration of an appropriate weight-based dosage of epinephrine by employees in child day centers
"Elijah's Law (Virginia)"
Requires the Virginia Board of Education to amend its regulations to mandate that child day centers implement policies for the possession, storage, and administration of undesignated stock epinephrine auto-injectors and train staff to recognize anaphylaxis and administer weight-based doses.
Administration of medications by employees of child day centers and family day homes
"Virginia Childcare Medication Administration Training Statute"
Provides an exemption under the Virginia Drug Control Act allowing designated childcare staff who successfully complete an approved medication administration training (MAT) course to administer prescribed drugs, emergency epinephrine, and asthma inhalers to children in care.
Possession and administration of an appropriate weight-based dosage of epinephrine by employees
"Virginia Child Day Center Epinephrine Mandate (Elijah's Law Implementation)"
Directs the Virginia Board of Education to amend regulations requiring licensed child day centers to adopt policies for the possession and administration of weight-based epinephrine dosages by trained staff to any child believed to be experiencing anaphylaxis.
Public Health Code (Administration of Epinephrine by Authorized Entities)
"Michigan Entity Epinephrine Access Law"
Allows authorized entities, which may include day care centers, youth camps, sports leagues, and recreation facilities, to acquire and stock undesignated auto-injectors under a standing order. Trained employees may administer epinephrine to individuals experiencing anaphylaxis with statutory civil immunity protection.
Emergency Use Auto-Injectable Epinephrine Program
"Maryland Entity Epinephrine Law (Camps and Public Entities)"
Establishes a state program allowing trained personnel of youth camps, educational institutions, and child-serving entities to obtain department certificates, purchase undesignated epinephrine auto-injectors via standing order, and administer them in emergency situations.
Municipal recreational programs and camps; Asthma inhalers and epinephrine autoinjectors
"Municipal Youth Programs Emergency Inhaler & Epinephrine Law"
Permits municipal employees and volunteers operating municipal recreational programs, camps, and youth childcare activities to receive training and to possess and administer prescribed asthma inhalers and epinephrine auto-injectors to provide emergency aid.
Epinephrine Autoinjector Accessibility (Entity Stock Epinephrine)
"Maine Entity Stock Epinephrine Law"
Allows authorized entities, including daycare and childcare centers, recreation programs, and youth camps, to obtain prescriptions for and stock undesignated epinephrine auto-injectors, permitting trained staff to administer them in anaphylactic emergencies under statutory civil immunity.
Allowance to stock emergency medication; qualified entities
"Emergency Medication Stocking for Qualified Entities"
Authorizes 'qualified entities'—explicitly including licensed early learning centers, camps, and recreational facilities, but excluding elementary and secondary schools which are covered under Title 17—to obtain and stock lifesaving emergency medications recognized by the Louisiana Department of Health, including epinephrine and albuterol. Provides a liability framework for training, storage, and emergency administration.
Administration of auto-injectable epinephrine; early learning centers
"Child Care Center Epinephrine Access Law"
Requires early learning centers (childcare centers) to adopt a policy authorizing trained employees to administer stock auto-injectable epinephrine to any child believed in good faith to be experiencing anaphylaxis, regardless of whether the child has a prescription. Authorizes centers to maintain a stock supply under a physician's standing protocol, requires at least one trained staff member on site, and grants civil immunity to prescribers, trainers, and childcare staff.
Emergency Response for Life-Threatening Conditions: Qualified Epinephrine Auto-Injector Entities
"Utah Stock Epinephrine Entity Law"
Permits designated qualified entities, including recreation areas, amusement parks, food establishments, and venues/stadiums, to obtain a prescription for, store, and authorize trained adults to administer stock epinephrine auto-injectors during anaphylactic emergencies without civil liability.
Epinephrine Auto-Injector and Stock Albuterol Act - Qualified Entities and Public Venues
"Utah Public Entity Epinephrine and Stock Albuterol Law"
Authorizes qualified public and private entities, including recreation camps, sports venues, stadiums, and amusement facilities, to obtain, stock, and designate trained personnel to administer emergency stock epinephrine auto-injectors and stock albuterol to individuals experiencing an anaphylactic or asthma emergency.
Emergency Injection for Anaphylactic Reaction Act - Authority to Obtain and Use Epinephrine Rescue Medication, Glucagon, or Stock Albuterol
"Utah Public Access Epinephrine and Rescue Medication Law"
Authorizes qualified entities—including recreation camps, venues, restaurants, and other public accommodations—and trained individuals to obtain, store, and administer stock epinephrine rescue medication or stock albuterol during an emergency without liability, provided training protocols are met.
Emergency Injection for Anaphylactic Reaction Act - Entity Stock Epinephrine
"Utah Public Access to Epinephrine Act (Entities)"
Authorizes qualified authorized entities—including dining establishments, recreational facilities, and public venues—to voluntarily obtain and maintain stock epinephrine auto-injectors and permits trained personnel to administer them in good-faith anaphylaxis emergencies without civil liability.
Child Care Facilities - Medication Handling and Storage Rules
"Child Care Medication Administration and Safety Standards"
Regulates the storage and handling of prescription and emergency medications in licensed child care facilities, mandating that medications remain inaccessible to unauthorized children while allowing authorized staff to administer documented rescue medications.
Child Care Center Licensing - Health and Safety, Medication Administration
"Utah Child Care Center Licensing Rules"
Child care licensing standards administered by the Utah Department of Health and Human Services require child care facilities to track known allergies, document emergency instructions for allergic reactions, safely store prescription medications out of children's reach, and maintain individualized protocols.
Epinephrine Auto-Injector Policies for Certain Entities and Venues
"Texas Entity Stock Epinephrine Law"
Permits authorized entities, including day camps, youth programs, sports venues, and recreational facilities, to obtain standing orders, store unassigned epinephrine auto-injectors, and train staff to administer them during suspected anaphylaxis emergencies.
Maintenance, Administration, and Disposal of Epinephrine Auto-Injectors and Asthma Medicine at Certain Youth Facilities
"Texas Youth Facility Epinephrine and Asthma Medicine Stock Law"
Authorizes youth facilities and youth recreation camps to adopt policies to acquire, store, and administer unassigned epinephrine auto-injectors and asthma medicine by authorized, trained personnel during emergencies, with statutory civil liability immunity.
Texas Human Resources Code Section 42.067
"Texas Childcare Epinephrine Storage Law"
Requires day-care centers to store epinephrine delivery systems in a secure location that is easily accessible to employees or volunteers.
Storage of Epinephrine Delivery System
"Childcare Epinephrine Storage Law"
Requires day-care centers to store epinephrine delivery systems in a secure location that is easily accessible to authorized employees or volunteers for emergency use.
Texas Health and Safety Code Chapter 773 Subchapter E
"Entity Stock Epinephrine Law"
Allows public entities and venues to stock and administer unassigned epinephrine auto-injectors to individuals experiencing anaphylaxis.
Texas Human Resources Code Section 42.067
"Texas Childcare Epinephrine Storage Law"
Requires day-care centers to store epinephrine delivery systems in a secure location that is easily accessible to employees or volunteers.
Tennessee Public Chapter No. 346 (HB 760 / SB 817)
"Stock Asthma Medication Law"
Permits authorized entities, including restaurants, recreation camps, and sports arenas, to acquire and stock bronchodilator rescue inhalers for use in respiratory emergencies.
Organized Camp Law
"Tennessee Camp Regulations"
General health and safety regulations for organized camps in Tennessee. Currently, Tennessee law does NOT explicitly authorize camps to obtain and maintain a stock supply of epinephrine for emergency use.
Epinephrine Administration by Authorized Entities
"Entity Epinephrine Access Act"
Allows physicians to prescribe epinephrine auto-injectors to authorized entities (like camps) and permits trained employees to administer them to individuals experiencing anaphylaxis with civil immunity.
Epinephrine in Public Venues (Entity Law)
"Entity Law"
Allows authorized entities (camps, stadiums, etc.) to stock epinephrine and allows trained employees to administer it to individuals in respiratory distress or anaphylaxis.
An Act to protect children with food allergies
"Elijah’s Law"
This law requires the Department of Early Education and Care (EEC) to establish policies for childcare centers to manage life-threatening food allergies. It mandates that childcare providers have anaphylaxis emergency plans in place and provides for the training of staff on recognizing symptoms and administering epinephrine. It encourages, but does not strictly mandate, the stocking of undesignated epinephrine.
Life-Saving Epinephrine Act
"Life-Saving Epinephrine Act"
Allows businesses and public venues (stadiums, restaurants, camps) to acquire and stock epinephrine auto-injectors. It requires staff training by a recognized organization and provides civil immunity for those who administer the medication in good faith during an emergency.
Public Access to Epinephrine Act
"Act 2016-193"
Allows authorized entities, including childcare centers, to stock and administer epinephrine auto-injectors to individuals experiencing anaphylaxis.
Emergency Anaphylaxis Treatment Act
"Public Access to Epinephrine Act"
Authorizes 'authorized entities' (such as camps, restaurants, and sports arenas) to obtain and stock epinephrine auto-injectors and allows trained employees to administer them to individuals experiencing anaphylaxis.
Emergency Anaphylaxis Treatment Act
"South Carolina Public Access to Epinephrine Act"
Allows 'authorized entities' (including childcare centers and camps) to obtain and stock epinephrine auto-injectors. It requires staff training on administration and provides civil immunity for those who administer the medication in good faith during an emergency.
Epinephrine auto-injectors; emergency administration
"Dillon's Law (Entity Law)"
Authorizes 'authorized entities,' which includes childcare centers and youth camps, to stock epinephrine auto-injectors. Trained employees may administer the medication to individuals experiencing a severe allergic reaction when a physician's prescription is not specific to that individual.
West Virginia Code § 16-50-4. Epinephrine auto-injector availability and use
"Authorized Entity Stock Epinephrine"
Allows 'authorized entities' (which includes childcare centers and youth camps) to acquire and stock epinephrine auto-injectors. It permits trained employees to administer the medication to individuals experiencing anaphylaxis and provides immunity from civil liability for doing so.
Child Care Licensing Law: Training Requirements
"SC Child Care Training Statute"
Requires childcare providers to complete annual training, which includes health and safety topics. While not explicitly naming food allergies, DSS regulations use this authority to require first aid training.
Life-saving Allergy Medication - Stock Supply of Epinephrine Auto-Injectors - Emergency Administration
"Rhode Island Public Access to Epinephrine Act"
Allows 'authorized entities' such as youth camps, restaurants, and sports arenas to obtain and stock epinephrine auto-injectors for emergency use by trained individuals.
Public Access to Epinephrine Act
"Entity Stocking Law"
Permits 'authorized entities,' including childcare centers, summer camps, and other public venues, to obtain and stock undesignated epinephrine auto-injectors. It allows trained employees to administer the medication to individuals experiencing anaphylaxis and provides civil immunity for the entity and the individual administering the drug.
Emergency Anaphylaxis Treatment Act
"Emergency Anaphylaxis Treatment Act"
Authorizes authorized entities (like camps and venues) to obtain and stock epinephrine auto-injectors and allows trained individuals to administer them in emergencies.
Emergency Anaphylaxis Treatment Act
"Entity Epinephrine Law"
Allows authorized entities, including summer camps and public venues, to obtain and stock epinephrine auto-injectors and provides civil immunity for trained individuals who administer them in good faith during an emergency.
Epinephrine Auto-Injector Entity Act
"Authorized Entity Act"
Allows 'authorized entities,' which can include childcare centers and youth camps, to obtain prescriptions for and stock epinephrine auto-injectors. It requires staff training and provides immunity for good-faith emergency administration.
Epinephrine auto-injector prescriptions – Training – Providing and administering auto-injectors – Immunity from liability
"Oklahoma Entity Stock Law"
Allows 'authorized entities,' which can include childcare centers and youth programs, to obtain and stock undesignated epinephrine auto-injectors for emergency use by trained personnel.
Qualified Entity Epinephrine Administration
"Public Access Epinephrine"
Allows 'qualified entities,' which can include childcare centers, to maintain and administer epinephrine to individuals experiencing anaphylaxis.
Public Access to Epinephrine
"Public Access Law"
Allows authorized entities (such as recreation camps, restaurants, and sports arenas) to obtain and stock epinephrine auto-injectors for use by trained employees in emergencies.
Licensing of Youth Camps
"Rhode Island Youth Camp Act"
Establishes safety procedures and licensing requirements for youth camps in Rhode Island, authorizing the Department of Health to set regulations for child safety.
Life-Saving Allergy Medication — Stock Supply of Epinephrine Auto-Injectors — Emergency Administration
"Rhode Island Public Access to Epinephrine Act"
Allows authorized entities to obtain and maintain a stock supply of epinephrine auto-injectors and permits trained employees to administer them to individuals experiencing anaphylaxis.
Emergency Epinephrine for Child Care Facilities
"Child Care Epinephrine Immunity"
Provides civil and criminal immunity to trained child care staff who administer epinephrine in an emergency.
Pennsylvania Act 93 of 2018
"Emergency Epinephrine Act (Dillon’s Law)"
Allows "authorized entities" (including airport terminals, restaurants, and stadiums) to obtain and stock epinephrine auto-injectors and allows trained employees to administer them to anyone perceived to be in anaphylaxis.
Emergency Use Auto-Injectable Epinephrine Program
"Maryland Entity Stock Epinephrine Law"
Establishes a certificate program that allows businesses and organizations, including childcare centers and youth camps, to obtain and stock epinephrine auto-injectors for emergency use by trained individuals.
Use of epinephrine auto-injectors in child-care centers and family child-care homes
"House Bill 148"
Authorizes licensed child-care centers and certified family child-care homes to obtain prescriptions for and maintain a stock of epinephrine auto-injectors. It requires the medication to be stored in a secure but accessible location and requires at least one trained staff member to be present.
Epinephrine Auto-Injector Entity Act
"Public Access to Epinephrine Act"
Allows 'authorized entities' (camps, restaurants, sports arenas) to obtain and stock epinephrine auto-injectors and provides civil immunity for staff who administer them in good faith during an emergency.
Epinephrine Auto-Injectors for Authorized Entities
"PA Entity Stock Law"
Allows 'authorized entities' (like youth camps or sports arenas) to obtain prescriptions for and maintain stock epinephrine auto-injectors to be used by trained staff for emergency anaphylaxis treatment.
Senate Bill 1042
"Technical Fix for Public Entities"
Clarifies the definition of "authorized entities" and ensures that the immunity provisions for stocking epinephrine apply to the entity itself, its officers, and its employees, further encouraging businesses to adopt stock-epi programs.
Emergency Epinephrine Administration
"Oregon Entity Stock Epinephrine Law"
Allows "authorized entities" (including restaurants, camps, and sports arenas) to acquire and stock epinephrine auto-injectors. It permits trained employees to administer epinephrine to any individual perceived to be experiencing anaphylaxis and provides civil liability immunity.
Epinephrine Prescription Expansion
"HB 2564"
Expands the ability of pharmacists to prescribe and dispense epinephrine to authorized entities (including venues) without a traditional physician's prescription, streamlining the process for stadiums to acquire stock medication.
ORS 433.825
"Public Access to Epinephrine and Glucagon Act"
Allows authorized entities, including restaurants and camps, to acquire and possess premeasured doses of epinephrine and glucagon for emergency use by trained personnel on individuals experiencing severe reactions.
Programs for Treatment of Severe Allergic Responses
"Oregon Entity Access Law"
Allows authorized entities (camps, daycares, restaurants, etc.) to obtain a prescription for and stock epinephrine auto-injectors. It permits trained individuals to administer the medication to anyone experiencing a severe allergic reaction and provides civil immunity.
West Virginia Code § 16-50-4
"Epinephrine Auto-Injector Availability and Use"
Allows 'authorized entities,' which includes childcare centers and youth camps, to acquire and stock epinephrine auto-injectors. It provides immunity from liability for trained individuals who administer the medication in good faith during an emergency.
Epinephrine Auto-Injector Act
"Public Access to Epinephrine Act"
Allows public entities and venues to obtain prescriptions for and stock epinephrine auto-injectors for emergency use by trained individuals, providing liability protection.
Oklahoma Child Care Facilities Licensing Act Exemptions
"Child Care Licensing Act"
Exempts certain summer youth camps and programs affiliated with national non-profits or churches from standard childcare licensing requirements.
Epinephrine auto-injector prescriptions – Training – Providing and administering auto-injectors – Immunity from liability
"Entity Stocking Law"
Authorizes 'qualified entities,' which includes childcare centers and youth camps, to obtain and maintain a stock of epinephrine auto-injectors. It provides immunity for staff who administer the medication in good faith after completing a recognized training program.
Epinephrine autoinjectors for qualified entities
"Ohio Qualified Entity Epinephrine Law"
Allows qualified entities, including childcare centers, to procure and maintain a supply of epinephrine auto-injectors for use in emergencies.
Camp Safety Bill
"Oklahoma Camp Safety Law"
Requires all youth camps and outdoor programs to conduct site-specific hazard assessments and develop emergency action plans, including communication protocols with guardians.
Epinephrine Availability Act
"Oklahoma Public Access Epinephrine Law"
Allows authorized entities, including youth camps and sports venues, to obtain and stock epinephrine auto-injectors. It provides civil immunity for those who administer the medication in good faith during an emergency.
Elijah's Law
"Elijah's Law"
Requires childcare programs to follow state food allergy guidelines, including training for staff on recognizing and responding to anaphylaxis and the administration of epinephrine.
An Act Relating to the Use and Maintenance of Epinephrine at Child Care Facilities
Proposes authorizing child care facilities to maintain a stock supply of epinephrine and train designated personnel to administer it in emergencies.
An Act concerning food allergy safety, emergency preparedness, and anaphylaxis response in licensed child care settings
"Elijah's Law"
This bill establishes food allergy safety and anaphylaxis response protocols in licensed child care centers and family day care homes.
Elijah's Law Expansion
"Elijah's Law"
Amends public health law to require epinephrine devices and trained staff at child day care centers, building upon the original Elijah's Law.
AN ACT relating to allergies in child care facilities
Proposes updates to allergy management and epinephrine access requirements in child care facilities.
Rules for Certified Child Care Centers - Health Services
Requires certified childcare centers to have written health policies and individual care plans for children with allergies.
Provider Information Notice (PIN) 2022-02-CCP
"Incidental Medical Services (IMS) Guidelines"
Provides official guidance on the requirements for licensed childcare providers to administer Incidental Medical Services, including asthma treatments.
Licensing Requirements for Child Care Centers - Health Records
Mandates that childcare centers maintain health records for each child, including documented food allergies and emergency plans.
Child Care Facility Health and Safety Standards - Medication
"Florida Child Care Licensing Regulations"
Establishes mandatory protocols for the administration and storage of medications, including asthma treatments, in licensed Florida childcare facilities.
DELACARE: Regulations for Early Care and Education and School-Age Centers
Governs health and safety standards for Delaware childcare centers, including the administration of prescription medications for chronic conditions like asthma.
DELACARE: Regulations for Family and Large Family Child Care Homes
Sets medication administration and health management requirements for family-based childcare providers in Delaware.
Food Allergy Emergency Plan
Requires Texas child-care centers to maintain a signed food allergy emergency plan for any child with a diagnosed food allergy.
Child Care Center Licensing Standards - Health and Medication
Sets requirements for health records, allergy documentation, and medication administration in childcare centers.
Minimum Licensing Requirements for Child Care Centers
Requires childcare facilities to maintain individualized care plans for children with special health needs, including asthma, who require emergency medication.
Minimum Licensing Requirements for Licensed Child Care Family Homes
Mandates care plans for children with asthma in family childcare homes and specifies storage requirements for rescue medications.
Administration of medications
Establishes comprehensive requirements for the administration of medications, including asthma inhalants and nebulizer treatments, in licensed childcare settings.
Child Care Learning Centers - Medications
"DECAL Medication Administration Rule"
Regulates the handling, storage, and administration of prescription and non-prescription medications in Georgia childcare centers.
Child Care Learning Centers - Training
"Georgia Childcare Staff Training Requirements"
Mandates annual health and safety training for childcare staff, including emergency response for children with chronic health conditions.
Child Development Facilities: Licensing - Food Service
Requires licensed childcare facilities to obtain and maintain information regarding food allergies and dietary restrictions for all children.
Child Development Facilities: Licensing - Medication
Establishes protocols for the administration of medication, including emergency allergy medication, in licensed childcare settings.
Food and allergic reactions
Requires licensed childcare providers to maintain a written care plan for every child with a known food allergy.
Child Care Licensing and Performance Standards for Family Day Care Homes
Sets health and safety standards for family-based childcare settings, including requirements for handling and administering medications.
Nebraska Child Care Allergy Policy
"LB457"
Proposed legislation requiring licensed childcare programs to adopt specific policies for managing food allergies and anaphylaxis, including individualized health care plans.
House Bill 5052 of 2025
"Childcare Epinephrine Amendment"
Proposed legislation to modify the administration of epinephrine in childcare settings under the Child Care Organizations Act.
Food allergy safety, emergency preparedness, and anaphylaxis response in child care settings
"Elijah's Law"
Proposed legislation to mandate food allergy safety protocols and the availability of stock epinephrine in childcare settings to protect children from anaphylaxis.
Standards for Licensed Child Day Centers: Children's Health Care Records and Care Plans
"Virginia Child Day Center Allergy Standards"
Mandates that licensed child day centers collect and maintain individualized emergency healthcare plans documenting known food and medication allergies, asthma triggers, and emergency administration steps for each enrolled child.
Elijah's Law
"Elijah's Law"
Establishes 'Elijah's Law' for Missouri, requiring licensed child care facilities to adopt allergy prevention and emergency response policies, and explicitly adds child care facilities to authorized entities allowed to acquire and stock epinephrine auto-injectors.
Child Care Licensing Regulations - Medication Administration and Medical Emergencies
"Vermont Child Care Licensing Regulations"
Child Development Division regulations require licensed child care providers to maintain emergency protocols, obtain written parental and medical authorization to store and administer emergency medications (such as EpiPens and inhalers), maintain individual care plans, and ensure designated staff are trained in medication administration and pediatric first aid.
Center Based Child Care and Preschool Program Licensing Regulations - Medication Administration and Emergency Care
"Vermont Child Care Licensing Regulations (CBCCPP Medication Rules)"
Governs administration of medications in licensed center-based child care and preschool programs. Staff administering prescription emergency medications (such as epinephrine auto-injectors and asthma inhalers) must complete state-approved medication administration training, store medications safely with original prescription labeling, maintain emergency care plans, and ensure only authorized trained staff administer medication (with limited self-administration permitted only for school-age children under direct supervision).
An Act Relating to Protecting Vermont's Youngest Children from Anaphylaxis
"Childcare Anaphylaxis Preparedness Bill / Elijah's Law Initiative"
Proposes closing the gap between K-12 schools and early learning programs by allowing or requiring childcare centers to stock epinephrine, implement anaphylaxis response protocols, and ensure staff are trained to administer epinephrine during emergencies.
Vermont Center-Based Child Care and Preschool Programs (CBCCPP) Licensing Regulations
"Vermont Child Care Licensing Regulations (CBCCPP)"
Requires licensed center-based childcare and preschool facilities to maintain health and safety standards, manage known medical conditions with emergency protocols and medication storage, and reduce environmental irritants and triggers.
Child Care Center Medication Administration and Emergency Care Rules
"Utah Child Care Licensing Center Medication and Health Rules"
State childcare licensing regulations require licensed centers to maintain child health records documenting known allergies, securely store emergency medications, obtain parental authorization, and follow emergency response procedures.
Relating to the Possession and Administration of Epinephrine Delivery Systems by Certain Entities
"Epinephrine Delivery Systems Expansion Act"
Updates and broadens entity epinephrine authorization statutes to cover modern epinephrine delivery systems (such as nasal formulations) across public establishments including dining and hospitality spaces.
Texas Youth Camp Safety and Health Regulations - Health and First Aid Standards
"Texas Youth Camp Health and Safety Rules"
Establishes administrative standards for licensed youth camps in Texas regarding health records, camper medication management, first-aid coverage, and safe storage of prescription treatments such as auto-injectors and inhalers.
Texas HB 2283 (89th Legislature)
"Pending Childcare Epinephrine Training Bill"
Pending legislation that would explicitly make day-care centers responsible for training employees in the administration of an epinephrine delivery device.
Minimum Standards for Child-Care Centers
"Texas Child Care Licensing Standards"
Requires childcare centers to maintain an individualized food allergy emergency plan for children with known allergies, including a list of allergens, symptoms, and specific steps to take during a reaction.
Child Care Services - Health and Safety
"Tennessee Child Care Medication Rules"
Establishes rules for medication storage in childcare settings. Emergency medications like Epi-Pens and inhalers must be kept in an unlocked container that is inaccessible to children but readily available to staff.
Standards for the Licensure or Approval of Family Child Care; Care of Children
"EEC Medication Regs"
Under these regulations, childcare providers must have at least one staff member trained in first aid and CPR (including EAI administration) on-site at all times. It mandates that all prescription medications (inhalers/EPI) be kept in the original container with the pharmacy label, which complicates the use of "stock" medication unless specifically permitted by a physician's global order.
Child Care Center Health and Safety Policies
State regulations for childcare licensing. It requires that all medications (including inhalers and epi-pens) be stored safely and only administered with written parental permission. It mandates that centers have a policy for handling medical emergencies, but does not mandate the presence of stock medications.
Child Care Center Licensing
"Elijah's Law (Delaware Implementation)"
Updated licensing standards for Delaware child care centers that require facilities to maintain stock epinephrine auto-injectors and ensure staff are trained in recognizing anaphylaxis and administering the medication.
South Carolina Food Allergen Training Requirements
"Food Safety Certification"
Requires food service managers to complete an approved food safety training program, which includes education on major food allergens, cross-contact prevention, and responding to allergic reactions.
Wilderness Therapeutic Camps for Children
"Wilderness Camp Safety Standards"
Establishes health and safety standards for wilderness therapeutic camps, including requirements for medication management, staff training in emergency response, and the maintenance of health records for campers with chronic conditions.
Licensure of Day Camps as Child Care Centers
"Day Camp Regulation"
Day camps that operate for three or more consecutive weeks are classified as Child Care Centers and must be licensed by the Department of Social Services, requiring them to follow strict medication storage and administration protocols.
Wyoming Administrative Code, Chapter 4, Section 7 - Medications
"Child Care Licensing Rules"
Childcare facilities are not required to administer medication. If they choose to do so, they must have a written policy, parental consent, and staff must complete medication administration training.
Child Care Center Licensing Standards (Day Camps)
"Day Camp Licensing"
Day camps operating for three or more consecutive weeks are classified as child care centers and must be licensed by the Department of Social Services (DSS), requiring compliance with health and safety standards for medication administration.
Wilderness Therapeutic Camps for Children Regulations
"Wilderness Camp Licensing"
Establishes licensing standards for wilderness therapeutic camps, including requirements for health care, medication storage, and staff training to ensure the safety of children in remote settings.
South Carolina Child Care Licensing Regulations: Health, Sanitation, and Safety
"DSS Child Care Regulations"
Mandates that childcare centers maintain health records for each child, including known allergies. It requires centers to have a written policy for handling medical emergencies and specific procedures for the storage and administration of medication.
Child Care Program Regulations
"Virginia Childcare Epinephrine Regulations"
Administrative regulations that codify the requirement for child day centers and family day homes to have at least one staff member trained in epinephrine administration and to maintain weight-based dosages of stock epinephrine.
Regulations for the Licensing of Child Care Centers: Nutrition and Food Service
"SC Child Care Nutrition Regulations"
Requires childcare centers to maintain records of children's food allergies and provide appropriate food substitutions. Centers must ensure that children with allergies are not served restricted foods.
Regulations for the Licensing of Child Care Centers: Health, Sanitation and Safety
"SC Child Care Health Regulations"
Mandates that childcare centers have written policies for medical emergencies and medication administration. Staff must be trained in first aid, and medications must be stored safely but accessible for emergencies.
Epinephrine Auto-injectors
"HB 4122"
Expands the ability to stock epinephrine beyond schools to "authorized entities" (e.g., restaurants, recreation camps, sports arenas). It allows these entities to acquire and provide epinephrine to individuals for emergency use and provides civil immunity.
25 Texas Administrative Code § 40.25
"Voluntary Unassigned Epinephrine Delivery System Policies for Certain Entities"
Establishes rules for 'youth facilities' (which includes childcare and daycare centers) to voluntarily adopt policies for stocking and administering unassigned epinephrine to individuals experiencing anaphylaxis.
Public Place Epinephrine "May-Carry" Policy (2024 Update)
"Emergency Epinephrine in Public Places"
Official RIDOH guidance providing entities (like summer camps and restaurants) with the protocol for designating "authorized individuals" to administer epinephrine and the requirements for secure but accessible storage.
Rules and Regulations for Licensing of Recreational Facilities
"RI Recreational Facility Regulations"
Department of Health regulations for camps requiring basic health and safety standards, including food safety and emergency response procedures.
Regulations for the Licensing of Child Care Assistance Program (CCAP)-Reimbursable Youth Camps
"CCAP Youth Camp Regulations"
Proposed regulations to govern youth camps that receive state child care assistance, focusing on health and safety standards for vulnerable populations.
Family Child Care Home Regulations for Licensure
"RI Family Child Care Home Rules"
Requires family child care providers to maintain records of child allergies and medical conditions via physical exam forms and obtain parental permission to act in medical emergencies.
Child Care Center and School Age Program Regulations for Licensure
"Rhode Island Child Care Licensing Regulations"
Requires licensed child care centers to obtain individual care plans from health providers for children with food allergies, implement allergen protection measures, and obtain parental consent for posting allergy information.
Rhode Island Code of Regulations, Part 1, Section 214-RICR-40-00-1.8 - Health, Safety, and Nutrition
"Rhode Island Child Care Licensing Regulations"
Child care programs are required to protect children with food allergies from allergen contact. Programs must obtain parental consent to post allergy information in food preparation and child-use areas; if consent is denied, the information must be shared verbally with all staff and documented in the child's file.
Child Care Center and School Age Program Regulations for Licensure
"Rhode Island Child Care Licensing Regulations"
Requires licensed child care programs to implement policies to protect children with food allergies, including allergen avoidance and parental consent for posting allergy information.
An Act to protection children with food allergies
"Elijah's Law (Massachusetts version)"
This bill would require the Department of Early Education and Care (EEC) to establish a policy for childcare providers regarding the management of food allergies. It aims to authorize childcare centers to maintain stock epinephrine and requires staff training on recognizing anaphylaxis and administering auto-injectors.
Health and Medication Requirements for Youth Camps
"COMAR Youth Camp Epinephrine"
Regulations governing the administration and storage of emergency epinephrine in youth camp settings, including training requirements for staff.
Early Learning Center Licensing Regulations - Medication Administration
"Louisiana Childcare Stock Medication Law"
Permits early learning centers to stock emergency medications including epinephrine and albuterol, and requires at least one employee to be trained in the use of auto-injectable epinephrine.
DELACARE Regulations for Early Care and Education and School-Age Centers
"Childcare Medication Rules"
Governs how childcare centers must handle medications. While it requires centers to have a plan for medical emergencies and trained staff to administer prescribed emergency medications (like a child's own EpiPen), it does not explicitly mandate the stocking of 'undesignated' epinephrine.
Training for Emergency Glucagon and Epinephrine
"Epinephrine Training Standards"
Administrative rules defining the OHA-approved training courses for emergency epinephrine. It specifies that the training must include recognition of symptoms, dosage, and the requirement to call 911 immediately after administration.
Emergency Administration of Epinephrine Rules
"OHA Epinephrine Training and Storage Rules"
These administrative rules define the OHA requirements for training, storage, and reporting when a public venue or entity chooses to carry stock epinephrine. It requires that the training cover the recognition of symptoms and the proper use of an auto-injector.
Wyoming Administrative Code Agency 049, Sub-Agency 0033, Chapter 4, Section 7
"Child Care Licensing Rules - Medications"
Governs how medications are handled in licensed childcare facilities. While it requires facilities to have policies for administering medication and requires staff training, it does not explicitly mandate or provide a framework for 'undesignated' stock epinephrine or albuterol to be kept on-site for children without a specific prescription.
Outdoor Youth Programs: Administration
"Oregon Outdoor Youth Program Regulations"
Requires outdoor youth programs to comply with state safety regulations, though specific mandates for stock epinephrine in these settings are currently absent in state law.
Pharmacist Dispensing of Epinephrine to Authorized Entities
"Epinephrine Dispensing Regulation"
Authorizes pharmacists to fill prescriptions for epinephrine auto-injectors issued to authorized entities (like stadiums or camps) rather than specific individuals.
Rules and Regulations Governing the Health and Sanitation of Child Care Facilities
"Colorado Child Care Health Regulations"
Sets health and safety standards for childcare facilities, including protocols for medication storage and emergency response.
Colorado Rules for the Administration of Medications
"Medication Administration Training (MAT) Rules"
Defines the training and authorization requirements for unlicensed personnel to administer medications in schools and childcare settings.
General health, safety, medication, and nutrition requirements
Specifies requirements for medication storage, labeling, and handling within Alaska childcare programs.
Child Care Program Regulations
Requires licensed child care centers to maintain written care plans for children with known food allergies.
Arizona Administrative Rules for Child Care Facilities
Requires childcare facilities to collect and maintain supplemental health information, including allergy details, for all enrolled children.
Licensing Rules for Child Care Centers - Food
Requires child care centers to develop and implement a written plan for the prevention of and response to food and allergic reactions.
Kansas Department of Health and Environment: Preschools and Child Care Centers Regulations
Requires that food allergies or special dietary needs of children be known to all staff members.
Louisiana Early Learning Center Licensing Regulations
Requires food allergy and special diet information to be posted in food preparation areas while protecting child privacy.
Elijah's Law: Anaphylaxis Recognition and Emergency Response Procedures in Day Cares
"Elijah's Law"
A pending bill that would mandate childcare facilities to maintain a supply of epinephrine auto-injectors and require staff training on anaphylaxis recognition and emergency response procedures.
Health Services - Administration of Medication
"OAR Childcare Safety Standards"
Oregon administrative rules for certified childcare centers require that if a facility agrees to administer medication, staff must be trained. While it does not mandate the stocking of undesignated (stock) epinephrine, it requires centers to have a plan for children with known life-threatening conditions.
Child Care Services - Nutrition
"Oklahoma Childcare Food Allergy Regulation"
Requires childcare facilities to follow CACFP guidelines and manage dietary needs. While it mentions nutrition, it lacks specific mandates for anaphylaxis emergency plans or stock epinephrine in the childcare setting.
While we strive for accuracy, information may change over time. Always double-check and verify against official sources before relying on it.