Federal Legislation

Requires school food service personnel in federally assisted meal programs to receive annual training on preventing, recognizing, and responding to food-related allergic reactions.

Establishes enforceable limits on toxic heavy metals in infant and toddler food and strengthens testing and transparency requirements for manufacturers.

SponsorRep. Krishnamoorthi, Raja [D-IL-8]

While primarily a transportation funding bill, it includes safety mandates for public transportation vehicles to carry emergency medical kits that include contents for the treatment of anaphylaxis and cardiac arrest, and requires training for frontline transit employees on the use of these kits.

Legislation regarding food labeling standards.

SponsorNot specified

Amends title XVIII of the Social Security Act to provide Medicare coverage for medical nutrition therapy services for individuals with certain diseases, which can include conditions like celiac disease or severe food allergies requiring specialized diets.

SponsorSen. Susan Collins [R-ME]

Mandates that school food service personnel participating in federal child nutrition programs receive annual training on food allergy prevention, identification, and emergency response.

To amend the Federal Food, Drug, and Cosmetic Act to include gluten-containing grain in the definition of a major food allergen.

SponsorRep. Cleaver, Emanuel [D-MO-5]

HELP Copays Act

Bans copay accumulator adjustment policies that prevent manufacturer copay assistance from counting toward patient deductibles and out-of-pocket maximums.

SponsorSen. Roger Marshall (R-KS) (Bipartisan)

One School One Nurse Act

Assists in the recruitment, hiring, and retention of school nurses at every elementary and secondary public school to support children with asthma and severe allergies.

Safe Step Act

Requires group health plans to establish a transparent exceptions process (24-72 hours) for step therapy protocols, allowing doctors to override insurer fail-first requirements when medically necessary.

SponsorSen. Tammy Baldwin (D-WI), Rep. Lucy McBath (D-GA) (Bipartisan)

Dillon's Law

Provides legal protection to trained Good Samaritans who administer epinephrine in emergencies, particularly in schools, to reduce preventable deaths from anaphylaxis.

SponsorRep. Glenn Grothman (R-WI), Rep. Debbie Dingell (D-MI) (Bipartisan)

Gio's Law

Establishes a federal grant program for first responder agencies to obtain epinephrine auto-injectors and train police, firefighters, and emergency personnel to recognize and treat anaphylaxis.

SponsorRep. Laura Gillen (NY-04) (Bipartisan)

ADINA Act

Requires drug labels for human use to clearly identify any ingredient derived from a major food allergen or gluten-containing grain; drugs without disclosure deemed misbranded.

SponsorRep. Kelly Morrison (MN-03) (Bipartisan)

FASTER Act of 2026

Bipartisan bill introduced by Rep. Anna Paulina Luna (FL-13) to amend the Federal Food, Drug, and Cosmetic Act to include barley, rye, and oats as major food allergens alongside wheat. The bill replaces 'wheat' with 'gluten-containing grain' (defined as wheat, rye, barley, oats, and crossbred hybrids like triticale) in the major food allergen definition, closing a labeling gap that leaves millions of Americans with celiac disease and gluten intolerance exposed to hidden gluten sources. Also directs HHS to report to Congress on celiac disease surveillance, diagnostics, prevention, and treatment development within one year of enactment.

SponsorRep. Anna Paulina Luna (FL-13) (Bipartisan)

FAA proposed rule (Docket No. FAA-2026-9178, 91 FR 50496) to improve emergency medical kit efficacy and flexibility for commercial airline operations under 14 CFR 121, enhancing onboard preparedness for in-flight medical emergencies including anaphylaxis. Comments due October 5, 2026.

Amends the Child Nutrition Act of 1966 to require food allergy training for school personnel, including epinephrine administration, and supports WIC-eligible individuals impacted by food allergies.

Requires school food service personnel nationwide to be trained on recognizing and responding to serious allergic reactions.

SponsorDick Durbin

The Strengthening Protections for Children with Food Allergies Act (H.R. 10228) would amend the Child Nutrition Act of 1966 to require food allergy identification and response training for staff in federal child nutrition programs, including the Child and Adult Care Food Program (CACFP) and summer meal programs. Introduced by Rep. Mark DeSaulnier (D-CA-10) on September 2, 2026, and referred to the House Committee on Education and Workforce.

SponsorRep. Mark DeSaulnier [D-CA-10] (Democratic)

Amends the Federal Food, Drug, and Cosmetic Act to add alpha-gal to the definition of major food allergen.

Food Allergy Safety, Treatment, Education, and Research Act

Amends the Federal Food, Drug, and Cosmetic Act to include barley, rye, and oats as major food allergens and addresses Celiac disease prevalence and reactions.

SponsorRep. Luna, Anna Paulina [R-FL-13] (Republican)

Requires allergy training for school food workers and establishes safety protocols for children with food allergies in school meal programs.

CSU Treatment Expansion

Expands the indication of dupilumab to include the treatment of chronic spontaneous urticaria (CSU) in patients 12 years and older uncontrolled by antihistamines.

Formal resolution recognizing the health risks of particulate matter pollution, which include exacerbating asthma and other chronic lung diseases.

SponsorSen. Whitehouse, Sheldon [D-RI]

Expands coverage under Medicare, Medicaid, CHIP, and the Federal Employees Health Benefits Program to include medically necessary food and associated equipment and supplies. Defines medically necessary food as specially formulated and processed products (e.g., nutritional formulas) prescribed by health care practitioners for individuals with special dietary requirements due to certain digestive or metabolic disorders or conditions.

SponsorRep. James P. McGovern [D-MA-2] (Democratic)

Amends the Social Security Act to include penicillin allergy verification and evaluation as part of the initial preventive physical examination and annual wellness visits under the Medicare program.

SponsorMorgan Griffith

Establishes a presumption of service connection for veterans exposed to toxins at the Pentagon Reservation who developed specific diseases, including asthma and other respiratory conditions.

SponsorRep. Suhas Subramanyam

Dillon's Law

Federal Dillon's Law (H.R. 4564) would amend the Public Health Service Act to incentivize states to allow any trained individual to administer epinephrine in schools during anaphylaxis emergencies, with civil liability protections for good-faith responders. Named for Dillon Mueller, an 18-year-old who died from a bee-sting anaphylaxis in 2014.

SponsorRep. Glenn Grothman [R-WI-6] (Bipartisan)

Requires group health plans to implement a clear and transparent process for patients to request exceptions to step therapy protocols, ensuring timely access to prescribed medications for chronic conditions like asthma.

SponsorRick W. Allen

Requires federal health programs (Medicare, Medicaid, CHIP, FEHB) to cover medically necessary foods and vitamins for individuals with digestive or metabolic disorders, including Eosinophilic Esophagitis (EoE).

SponsorRep. Jim McGovern

Ensures that all payments made by or on behalf of a patient, including copay assistance from manufacturers, count toward a patient's deductible and out-of-pocket maximum.

SponsorRoger Marshall

Senate companion to H.R. 5509, requiring group health plans to establish a clear and transparent process for patients to seek an exception to step therapy protocols, ensuring quicker access to medically necessary treatments.

SponsorSen. Lisa Murkowski [R-AK]

Indoor Air Quality and Healthy Schools Act

The Indoor Air Quality and Healthy Schools Act would provide the Environmental Protection Agency (EPA) with the authority and resources to better protect against poor indoor air quality (IAQ) in schools. IAQ is essential for people suffering from asthma, as poor ventilation and indoor pollutants can trigger attacks and worsen respiratory health.

SponsorRep. Paul Tonko [D-NY-20] (Democratic)

Proposes expanding Medicare coverage to include medical nutrition therapy for patients with celiac disease and other conditions.

SponsorRobin Kelly

EPIPEN Act

Legislation regarding epinephrine pricing.

SponsorRep. Maxwell Frost [D-FL-10] (Democratic)

The Senate companion to H.R. 5684, this bill expands coverage for medically necessary food and formulas under Medicare, Medicaid, and other federal health programs.

SponsorRoger F. Wicker [R-MS]

Expands the definition of major food allergen to include galactose-alpha-1,3-galactose (alpha-gal).

SponsorRep. Van Drew, Jefferson [R-NJ-2]

Requires allergen disclosure in non-food articles, including prescription and over-the-counter medications.

SponsorNot specified

A bill to address asthma-related health issues.

Requires local school food service personnel to receive annual training and certification on food allergies as part of the National School Lunch Program.

To amend the Omnibus Crime Control and Safe Streets Act of 1968 to establish a grant program for provide access to, and training on the administration of, epinephrine products for law enforcement officers.

SponsorRep. Gillen, Laura [D-NY-4]

Amends the Richard B. Russell National School Lunch Act to require schools to offer plant-based milk alternatives alongside cow's milk. The bill aims to accommodate students with lactose intolerance or dairy allergies and ensures non-dairy beverages meet nutritional standards.

SponsorSen. John Fetterman [D-PA]

This bill expands the definition of major food allergen under the Federal Food, Drug, and Cosmetic Act to include galactose-alpha-1,3-galactose (alpha-gal).

A federal resolution supporting the designation of May 2025 as National Asthma and Allergy Awareness Month.

Federal bill to cap the cost of life-saving epinephrine injectors by establishing cost-sharing requirements under group health plans and health insurance coverage.

Federal bill to add alpha-gal to the definition of 'major food allergen' under the Federal Food, Drug, and Cosmetic Act, requiring labeling of alpha-gal in food products.

SponsorRep. Jefferson Van Drew [R-NJ-2] (Republican)

Dillon's Law

Incentivizes states to allow any trained individual to carry and use epinephrine devices at schools during allergy emergencies with liability protections.

A resolution expressing support for the designation of May 2025 as National Asthma and Allergy Awareness Month, noting the prevalence of food allergies and asthma in the United States.

Smoke and Heat Ready Communities Act

Authorizes EPA grants to help communities upgrade air quality systems and protect vulnerable populations, including children with asthma, from hazardous wildfire smoke and extreme heat.

SponsorSen. Jeff Merkley (D-OR), Rep. Earl Blumenauer (D-OR) (Democratic)

Chronic Disease Flexible Coverage Act

Expands coverage options for individuals with chronic diseases including asthma by allowing states to offer targeted chronic disease coverage plans outside of traditional open enrollment.

National Asthma and Allergy Awareness Month

Expresses support for the designation of May 2025 as National Asthma and Allergy Awareness Month to raise public awareness of these chronic conditions.

Amends the Child Nutrition Act of 1966 to include food allergy information in the existing training modules for local food service personnel. It requires training on preventing, recognizing, and responding to food-related allergic reactions in school cafeteria settings.

SponsorSen. Richard J. Durbin [D-IL]

Directs the Medicare Payment Advisory Commission to study and report on Medicare payment for emergency medical services, specifically including treatments involving epinephrine and albuterol administered by EMS.

SponsorRep. Richard Hudson [R-NC-9]

Proposed federal bill to cap out-of-pocket costs for epinephrine delivery systems at $60 for a two-pack across all commercial health plans.

SponsorMaxwell Frost

House companion to S. 1236. Requires schools participating in the national school lunch program to provide fluid milk substitutes (plant-based milk) that meet USDA nutritional standards to accommodate children who are lactose intolerant or have dairy allergies.

SponsorRep. Troy Carter [D-LA-2]

Requires group health plans to implement a clear and timely exceptions process for step therapy protocols. Exceptions must be granted if a required treatment is likely to cause an adverse reaction, delay care leading to irreversible harm, or prove ineffective.

SponsorRep. Rick W. Allen [R-GA-12]

This act revises requirements for milk provided by the National School Lunch Program, reversing restrictions to allow schools to serve whole or 2% milk. It also permits schools to offer non-dairy milk options and requires them to honor parental requests for non-dairy milk without requiring a doctor's note.

SponsorSen. Roger Marshall [R-KS]

Incentivizes states to allow any trained 'Good Samaritan' to carry and administer epinephrine in schools during emergencies. It provides civil liability protection for trained responders and prioritizes federal grant funding for states that implement these policies.

SponsorRep. Glenn Grothman [R-WI-6]

The 'Epinephrine's Pharma Inflated Price Ends Now Act' caps out-of-pocket costs for a two-pack of epinephrine at $60 for individuals with health insurance. The 2025 version expands coverage to include all delivery systems, such as nasal sprays and sublingual films.

SponsorRep. Maxwell Frost [D-FL-10]

Amends the Federal Food, Drug, and Cosmetic Act to require the labels of human drugs to identify each ingredient derived from a major food allergen or a gluten-containing grain. This aims to protect patients with severe food allergies or celiac disease from accidental exposure via medications.

SponsorRep. Kelly Morrison [D-MN-3]

Amends the Omnibus Crime Control and Safe Streets Act of 1968 to establish a grant program allowing the U.S. Attorney General to provide funds to state and local governments to purchase epinephrine products for law enforcement and train officers on their administration.

SponsorRep. Gwen Gillen [D-NY]

Aims to cap out-of-pocket costs for prescription asthma inhalers and nebulizers at $15 per month for insured and uninsured patients.

SponsorKweisi Mfume

This law reauthorizes the FAA and includes specific requirements for the agency to update protocols and contents of airplane medical kits to better address anaphylaxis emergencies, including medications that can be used by flight crews.

SponsorRep. Sam Graves

A bill to protect children with food allergies.

SponsorNot specified

This bill seeks to improve antibiotic stewardship by adding penicillin allergy verification and evaluation as a component of the 'Welcome to Medicare' and annual wellness visits.

SponsorKim Schrier

To amend the Federal Food, Drug, and Cosmetic Act to include alpha-gal in the definition of a major food allergen for purposes of food labeling requirements.

SponsorRep. Andrew R. Garbarino

To amend the Public Health Service Act to give a preference, with respect to project grants for preventive health services, for States that allow all trained individuals to carry and administer epinephrine, and for other purposes.

To amend the Federal Food, Drug, and Cosmetic Act to add alpha-gal to the definition of 'major food allergen'.

Mandates food allergy training for all school food service personnel participating in federal school meal programs to improve prevention and emergency response.

SponsorDick Durbin

To direct the Secretary of Health and Human Services, acting through the Director of the Centers for Disease Control and Prevention, to include alpha-gal syndrome on the list of nationally notifiable diseases.

SponsorAndrew R. Garbarino

EPIPEN Act

This bill establishes requirements with respect to cost-sharing for epinephrine injectors under group health plans and group and individual health insurance coverage, effectively capping out-of-pocket costs at $60 for a two-pack of epinephrine auto-injectors.

SponsorMaxwell Frost (Democratic)

Section 368 requires the FAA to update airline emergency medical kits to include appropriate medications and equipment for treating anaphylaxis.

SponsorMaria Cantwell

EMSC Reauthorization

Reauthorizes the EMSC program which supports state and territorial efforts (including American Samoa) to ensure emergency medical services are prepared for pediatric emergencies like anaphylaxis.

SponsorBuddy Carter

Directs the FAA to update aircraft emergency medical kit requirements to include epinephrine auto-injectors for both pediatric and adult use.

SponsorSam Graves

Lowers the primary annual PM2.5 standard from 12.0 µg/m3 to 9.0 µg/m3 to protect public health from respiratory diseases like asthma.

Senate companion to H.R. 4263, requiring clear labeling of major food allergens and gluten in drugs intended for human use.

SponsorRichard Blumenthal

This bill updates the Federal Food, Drug, and Cosmetic Act to strengthen food labeling requirements, including the disclosure of major allergens like gluten and improving nutrient information to help consumers make informed health choices.

SponsorRep. Pallone, Frank, Jr. [D-NJ-6]

ADINA Act

To amend the Federal Food, Drug, and Cosmetic Act to require the label of a drug intended for human use to identify each ingredient in such drug that is, or is derived directly or indirectly from, a major food allergen or a gluten-containing grain.

Amends the Public Health Service Act with regard to research on asthma.

FASTER Act

Declares sesame as the ninth major food allergen and requires it to be labeled on all packaged foods effective January 1, 2023.

SponsorTim Scott