Legislative Database

Establishes clinical protocols for the administration of emergency epinephrine in Kentucky schools under standing orders.

Requires schools to maintain stock supplies of undesignated epinephrine and FDA-approved asthma rescue inhalers for emergency administration by trained personnel.

Allows schools to stock and administer single-dose nasal epinephrine in addition to injectable auto-injectors for treating anaphylaxis.

Allows any form of premeasured epinephrine, including nasal sprays, to be used in schools to treat allergic reactions.

Caps out-of-pocket insurance copayments for a two-pack of medically necessary epinephrine auto-injectors at $60 starting January 1, 2026, and directs state agencies to create model anaphylaxis response policies for public schools and licensed child care programs.

Provides legal framework and liability protections for the administration of emergency allergy treatment for individuals experiencing severe allergic reactions.

Requires Nebraska childcare programs and schools to adopt and implement anaphylaxis prevention and response policies by July 1, 2026.

Provides mandatory policy guidance for childcare providers on managing anaphylaxis, including medication administration and emergency response.

Oakley Debbs Act

Addresses gaps in school anaphylaxis emergency action plans to protect students with life-threatening food allergies.

SponsorCarlos G. Smith

Updates the existing school stock epinephrine statute to include epinephrine nasal spray as an approved delivery method for anaphylaxis emergencies.

Adds single-use epinephrine nasal spray to the list of medications that schools may stock and that students may self-administer for chronic conditions like anaphylaxis.

Provides the standard of care for supporting students with allergies and anaphylaxis in schools, including training for stock epinephrine administration.

Emergency Medication in Schools Act

Authorizes local school boards and charter schools to maintain standing orders and unlocked, secure stock supplies of pediatric/standard-dose epinephrine auto-injectors and albuterol canisters for emergency use by school nurses and designated trained personnel during respiratory distress or anaphylaxis.

Extends authority for stocking and administering epinephrine to recreation camps and higher education institutions, effective July 2025.

Expands the authority of school nurses and trained personnel to administer stock epinephrine to any person in a school or childcare setting who is having an anaphylactic reaction.

Muñoz SAFE Act

Requires local educational agencies to store epinephrine auto-injectors in an accessible location (not locked) and include that location in annual notices to parents and staff.

Expands existing school stock epinephrine laws to allow for all "lifesaving medications" (such as nasal sprays) to be stocked and administered by trained school personnel.

Caps out-of-pocket costs for a 30-day supply of epinephrine auto-injectors at $25 and asthma inhalers at $50 for state-regulated health insurance plans.

School Stock Epinephrine Act

Mandates school districts and accredited nonpublic schools to adopt protocols for responding to life-threatening asthma or systemic allergic reactions and permits the administration of stock epinephrine.

Establishes mandatory protocols for Illinois schools to respond to anaphylactic reactions, including training and epinephrine administration.

Elijah's Law

Requires licensed day care facilities to develop an anaphylaxis management policy and ensure staff are trained in anaphylaxis recognition and response.

Puerto Rico School Emergency Epinephrine and Asthma Act

Authorizes school staff in Puerto Rico to administer self-injected epinephrine and emergency asthma medication to students in acute respiratory or anaphylactic distress.

Louisiana Entity Stock Epinephrine Act

Authorizes trained personnel of authorized entities such as recreation camps, sports arenas, amusement parks, and youth venues in Louisiana to stock and administer undesignated epinephrine auto-injectors in emergency anaphylactic situations.

Puerto Rico Emergency Epinephrine Protocol Act

Authorizes the acquisition and administration of auto-injectable epinephrine by designated personnel in educational and public facilities across Puerto Rico.

Permits Vermont schools to maintain a stock supply of epinephrine auto-injectors and allows trained staff to administer them to any student in anaphylaxis.

Authorizes Guam schools to maintain a stock supply of epinephrine auto-injectors and allows trained personnel to administer them to students in emergencies.

Expands the authority to administer epinephrine auto-injectors to school bus drivers and school crossing guards who have completed training.

Arizona Stock Epinephrine and Asthma Inhalers in Schools Act

Authorizes school districts and charter schools in Arizona to stock epinephrine auto-injectors and prescribed asthma inhalers under standing orders and train designated personnel to administer them in respiratory and anaphylactic emergencies.

Establishes protocols for the administration of medication, including emergency allergy medication, in licensed childcare settings.

Mississippi Asthma and Anaphylaxis Child Safety Act

Permits public and private K-12 schools in Mississippi to maintain undesignated stock epinephrine auto-injectors and allows trained school employees to administer them during suspected anaphylactic emergencies.

Allows schools to maintain a stock of epinephrine injectors and permits trained personnel to administer them to any student perceived to be having an anaphylactic reaction.

Authorizes schools to maintain a stock of epinephrine auto-injectors and provides for their administration by school employees to students during an emergency.

Permits schools to procure and maintain a supply of epinephrine autoinjectors and provides immunity for school employees who administer them in good faith.

Permits Alaska schools to maintain a supply of epinephrine auto-injectors for emergency use by trained staff.

Authorizes schools to maintain a stock supply of epinephrine auto-injectors and requires the Commissioner of Health to provide a statewide standing order for their distribution to schools.

Requires school districts and charter schools to stock epinephrine auto-injectors and train personnel for emergency administration.

School Access to Emergency Epinephrine Act

Allows students to self-carry asthma and allergy medication and permits schools to stock and administer undesignated epinephrine and asthma medication.

Sabrina's Law

Ontario law requiring every school board to establish and maintain an anaphylaxis policy to protect students with life-threatening allergies. Policies must include strategies to reduce allergen exposure, communication procedures for parents, students, and staff, and regular training for teachers and staff on managing anaphylactic emergencies. Named after Sabrina Shannon, a 13-year-old student from Pembroke, Ontario who died after suffering an anaphylactic reaction at school. Effective January 1, 2006.