Law Status Tracker

Updates terminology for epinephrine delivery devices in schools to ensure accessibility for asthma and anaphylaxis emergencies.

Expands access to epinephrine auto-injectors and nasal sprays in schools and recreational camps.

Proposes updates to allergy management and epinephrine access requirements in child care facilities.

Requires school districts to adopt policies to maintain a supply of epinephrine auto-injectors for allergic emergencies.

Requires food service establishments to implement allergy awareness training for staff regarding major food allergens.

Requires food establishments to label all prepackaged food with written notification of major food allergens.

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.

Requires food service establishments in New York to provide clear and conspicuous written notice of major food allergens contained in menu items.

Proposed amendment to expand school epinephrine policies to include broader life-saving medications and management plans for students with life-threatening allergies.

School Bus Epinephrine Bill

Allows school bus drivers to volunteer to be trained and authorized to administer epinephrine to students during emergencies.

Elijah's Law

Proposed legislation requiring licensed child care providers to adopt policies regarding allergies and the management of epinephrine delivery devices.

Epinephrine Access Act

This bill aims to expand access to epinephrine by allowing various entities, including schools and daycares, to stock and administer epinephrine auto-injectors, providing civil liability protection for those who administer it.

School Asthma Emergency Act

This bill would allow schools to stock asthma rescue medications (bronchodilators/nebulizers) and permit school nurses or trained staff to administer them to students with diagnosed asthma during emergencies.

Pending Emergency Medication Omnibus

A pending bill that seeks to amend existing statutes regarding the emergency administration of epinephrine and inhalers in schools, including updates to governing body policies and emergency response plans.

HB 156

Proposed legislation to expand the definition of permissible stock epinephrine in schools to include intranasal epinephrine devices.

Day Care Anaphylaxis Bill

Requires the Department of Human Resources to create an anaphylactic response policy for day cares, including individual emergency plans for children at risk, but does not mandate the stocking of epinephrine.

Alabama Epinephrine Modernization Act

Proposed legislation to expand the types of FDA-approved epinephrine allowed in schools and other entities to include non-injectable forms like nasal sprays.

Stock Bronchodilator Bill

Proposed legislation to allow public schools to maintain a stock supply of bronchodilators for use in respiratory emergencies.

Stock Epinephrine Bill

Proposed legislation to authorize health care practitioners to prescribe undesignated epinephrine for stocking in public schools.

SB351 / HB533

Pending legislation to expand the definition of approved epinephrine in schools and authorized entities to include any FDA-approved form, such as nasal sprays, rather than just auto-injectors.

Nasal Epinephrine Bill

Pending legislation that would allow schools to stock and administer FDA-approved nasal epinephrine in addition to traditional auto-injectors, requiring staff to complete anaphylaxis training.

SB351 / HB533

Proposed legislation to expand the types of FDA-approved epinephrine allowed in schools, including needle-free options like nasal sprays, and to update training requirements for school personnel.

Anaphylactic Response Policy for Day Cares

This pending legislation would require the Alabama Department of Human Resources to create an anaphylactic response policy for licensed day care centers, including mandatory staff training and individual emergency plans for children with severe allergies.

Epinephrine Alternatives Bill

Proposed legislation to allow schools to stock and use FDA-approved needle-free epinephrine alternatives, such as nasal sprays, in addition to traditional auto-injectors.

Child Care Anaphylaxis Bill

Pending legislation requiring the Alabama Department of Human Resources to create an anaphylactic response policy for daycares, including staff training and individual emergency plans, but does not mandate stock epinephrine.

FAA Proposed Rulemaking (Docket No. FAA-2026-9178)

A proposed rule by the FAA to update the contents of emergency medical kits on commercial flights, currently under review for whether it will mandate modern, easy-to-use epinephrine auto-injectors for anaphylaxis.

Alpha-gal Allergen Inclusion Act

This bill proposes to amend the Federal Food, Drug, and Cosmetic Act to classify alpha-gal as a major food allergen, which would mandate its inclusion on food labels.

Protecting Children with Food Allergies Act

This bill would require the USDA to develop training modules and educational materials for school food service personnel regarding the prevention, identification, and emergency response to food allergies in the National School Lunch Program.

NJ S3869

This bill updates New Jersey law to allow for the use of any FDA-approved epinephrine delivery device in schools and youth camps, moving away from restrictive language that only specified auto-injectors.

Alpha-gal Allergen Inclusion Act

This bill would amend the Federal Food, Drug, and Cosmetic Act to classify alpha-gal as a major food allergen, requiring it to be labeled on food products.

Protecting Children with Food Allergies Act

A proposed federal bill that would require training for school food service personnel to prevent, identify, and respond to food-related allergic reactions.

Elijah E. Cummings Family Asthma Act

A federal bill aimed at improving asthma prevention, management, and surveillance in schools and communities to reduce school absenteeism and health costs.

Directs the FAA to require air carriers to carry epinephrine auto-injectors and train crew on anaphylaxis recognition and administration.

LB457

Proposed legislation requiring licensed childcare programs to adopt specific policies for managing food allergies and anaphylaxis, including individualized health care plans.

H.R. 2216

This bill proposes to exempt the Northern Mariana Islands from specific eligibility requirements for the federal Essential Air Service program, which subsidizes passenger airline service to isolated communities. It does not contain provisions regarding allergy or asthma safety.

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

Department of Health Leadership Act

This bill proposes to reorganize the American Samoa Department of Health leadership and the Health Services Regulatory Board. While it does not explicitly mandate allergy or asthma protocols in venues or stadiums, it establishes the regulatory framework that would oversee public health policies, including potential future emergency preparedness mandates for public spaces.

Epinephrine Information Act

Requires schools that choose to stock epinephrine to provide teachers with written informational materials on how to use the devices.

To update the National Action Plan for Adverse Drug Event Prevention to consider advances in pharmacogenomic research and testing, including medication allergy lists.

Alpha-Gal Allergen Inclusion Act

Adds alpha-gal to the federal list of major food allergens, requiring clear and specific labeling on all U.S. packaged food products to help Americans with AGS identify products that could trigger a life-threatening allergic reaction.

SponsorSen. Mark R. Warner (D-VA) (Bipartisan)

STOP TICKS Act

Reauthorizes and expands the federal Tick-Borne Disease Working Group (TBDWG) and increases CDC grant funding for states and researchers combating vector-borne diseases including alpha-gal syndrome.

SponsorSen. Mark R. Warner (D-VA) (Democratic)

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)

Increases food allergy safety in public schools by requiring a nurse in every school, staff training on anaphylaxis, medical action plans, and prohibiting food at school celebrations.

Amends state law to require training for school bus drivers and monitors in the administration of epinephrine for allergic emergencies.

New Jersey Restaurant Allergen Disclosure Act (S.3394/A.4826)

S.3394/A.4826 requires New Jersey food service businesses to provide clear and conspicuous written notice of major food allergens (the top 9) that they know or reasonably should know are contained in each menu item, including temporary menu items. Disclosure may be on the menu, via a QR code linking to a website, or on separate written materials. More than 950,000 New Jersey residents live with food allergies, yet restaurants are currently not required to clearly disclose allergens.

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)

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)

Requires food service establishments to include a notice on menus regarding food allergies and intolerances.

Requires food service establishments and online ordering services to provide notices to staff and customers regarding food allergies and intolerances.

Requires school districts and private schools to maintain a comprehensive Food Allergy Management and Prevention Plan to address safety and training.

Requires food service establishments to provide allergy awareness training to staff and display information regarding major food allergens.

Proposes authorizing child care facilities to maintain a stock supply of epinephrine and train designated personnel to administer it in emergencies.

FAA Emergency Medical Kit Rule (FAA-2026-9178)

The FAA's proposed rule (Docket FAA-2026-9178) would eliminate the prescriptive list of required items in airline emergency medical kits (EMKs) and first aid kits, replacing it with a performance-based requirement that lets each airline decide what to stock. While the FAA says this 'modernizes' the kits, the proposal only states that treatment for anaphylaxis 'could include' epinephrine — it does not require modern epinephrine auto-injectors or nasal spray. AAFA, FARE, the American Medical Association, and Senators Duckworth and Schumer are urging the FAA to mandate FDA-approved epinephrine delivery devices on every flight. Public comments are open until October 5, 2026.

A bill concerning the reporting requirements for Alpha-gal syndrome in Illinois.

Updates for Epinephrine Delivery Systems

Updates Pennsylvania statute to replace epinephrine auto-injector with epinephrine delivery system to ensure all FDA-approved formulations can be utilized in schools.

Requires schools to designate staff to oversee the storage, maintenance, and administration of epinephrine devices and maintain logs of administrations.

New York Asthma Inhaler Coverage Act (S.3100A)

S.3100A expands New York insurance coverage for the treatment of asthma to include a second rescue and maintenance inhaler, along with any medically necessary devices for children. New Yorkers with asthma can face large financial barriers to drugs that hinder optimal treatment; high out-of-pocket costs hinder adherence, threaten patient health, and exacerbate health disparities. The bill passed the Senate 59-2 on March 17, 2025 and was reported and committed to the Finance Committee on May 12, 2026.

Epinephrine Mechanism Expansion

Pending legislation to expand the types of epinephrine delivery mechanisms permitted for use in New Jersey schools.

New Jersey Child Care Epinephrine Bill

Pending legislation that would require licensed child care centers to maintain a supply of epinephrine and ensure staff are trained to administer it.

Mandatory School Epinephrine Act

A pending legislative proposal that would mandate every school in every school district to maintain a supply of epinephrine auto-injectors in every educational building.

Childcare Epinephrine Amendment

Proposed legislation to modify the administration of epinephrine in childcare settings under the Child Care Organizations Act.

H.R. 5168

A federal bill introduced in 2025 to transition Puerto Rico to the Supplemental Nutrition Assistance Program (SNAP). While not a food safety law, it impacts the ability of low-income families with food allergies to access safe, allergen-free food options.

HB 384

This proposed legislation seeks to amend existing statutes to explicitly include intranasal epinephrine as a permissible medication for schools to stock and administer for anaphylaxis.

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.

Food Allergy Awareness Month Resolution

A legislative resolution designating May 2026 as Food Allergy Awareness Month in Wisconsin to increase public understanding of food allergies and anaphylaxis.

Food Allergy Awareness Month Resolution

A legislative resolution to designate May 2026 as Food Allergy Awareness Month in Wisconsin to increase public understanding of food allergies and anaphylaxis.

WI SB156

A pending bill that would require first responders in Wisconsin to be trained to administer epinephrine delivery systems, addressing gaps where police and EMTs may not currently carry or be authorized to use epinephrine.

Alpha-gal Reporting Bill

A pending bill that would require the West Virginia Department of Health to report positive Alpha-gal syndrome test results to the CDC to improve tracking of this tick-borne allergy.

Alpha-gal Reporting Bill

Proposed bill requiring the state Department of Health to track and report positive Alpha-gal syndrome test results to the CDC to better understand the prevalence of this tick-borne allergy.

Food Allergen Awareness Act

Proposed legislation intended to increase awareness of food allergens in food service establishments to prevent accidental exposure and anaphylaxis.

Stock Albuterol in Schools

Pending legislation that seeks to expand existing school emergency medication protocols to include stock albuterol for asthma emergencies, alongside epinephrine.

To amend the Federal Food, Drug, and Cosmetic Act to require the labeling of foods that contain mustard.

To amend the Federal Food, Drug, and Cosmetic Act to require the labeling of foods that contain gluten.

To amend the Federal Food, Drug, and Cosmetic Act to require the labeling of foods that contain fish.

To amend the Federal Food, Drug, and Cosmetic Act to require the labeling of foods that contain shellfish.

To amend the Federal Food, Drug, and Cosmetic Act to require the labeling of foods that contain tree nuts.

To amend the Federal Food, Drug, and Cosmetic Act to require the labeling of foods that contain soy.

To amend the Federal Food, Drug, and Cosmetic Act to require the labeling of foods that contain eggs.

To amend the Federal Food, Drug, and Cosmetic Act to require the labeling of foods that contain milk.

To amend the Federal Food, Drug, and Cosmetic Act to require the labeling of foods that contain peanuts.

To amend the Federal Food, Drug, and Cosmetic Act to require the labeling of foods that contain sesame.

To amend the Federal Food, Drug, and Cosmetic Act to require the Secretary of Health and Human Services to issue guidance regarding the labeling of certain foods, and for other purposes.

To amend the Public Health Service Act to provide for the establishment of a national allergy and asthma network, and for other purposes.

Food Allergen Awareness Act

A proposed bill that would require food service establishments to display a poster regarding food allergen awareness and require employees to understand how to explain potential allergens in food items.