Legislative Database

Updates Idaho law to allow schools to stock and administer epinephrine delivery systems for students or individuals experiencing anaphylaxis.

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

Requires designated school personnel to be trained by a licensed health care professional to recognize anaphylaxis and administer epinephrine auto-injectors or nasal sprays.

Authorizes school personnel to administer epinephrine auto-injectors or nasal sprays to students experiencing anaphylaxis under standing protocols.

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

Regulations governing the administration of medication in schools, including emergency protocols for life-threatening asthma and anaphylaxis using epinephrine.

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.

Amends various Acts to update references from epinephrine auto-injectors to FDA-approved epinephrine delivery devices or products.

Expands the types of FDA-approved single-dose epinephrine delivery systems, including nasal sprays, that public schools are authorized to stock and administer.

Expands the types of FDA-approved epinephrine delivery systems (including needle-free options) available in schools and public organizations and provides liability protections.

Updates Ohio law to include FDA-approved intranasal epinephrine spray and other future delivery systems as authorized treatments for severe allergic reactions in schools.

Permits a pharmacist to distribute pre-measured doses of epinephrine to a school for emergency medication kits.

Permits schools to maintain a supply of stock emergency-use epinephrine for administration to any student experiencing anaphylaxis.

Authorizes school personnel to administer epinephrine to students experiencing anaphylaxis, regardless of prior diagnosis or prescription.

Tennessee School Epinephrine Expansion Act

Expands the prescribed forms of epinephrine that a Tennessee LEA (school district) or nonpublic school is authorized to administer when a student is believed to be experiencing a life-threatening allergic or anaphylactic reaction to any prescribed form of epinephrine, not just epinephrine auto-injectors. Amends TCA Title 49 and Title 68, Chapter 140, Part 5.

SponsorSen. Joey Hensley (primary); Sen. Harshbarger; House: Rep. Davis, Rep. Cepicky, Rep. Alexander, Rep. Terry (N/A)

Requires local boards of education to provide a supply of emergency epinephrine delivery systems (including nasal sprays) on school property for use by trained personnel.

This bill broadens the mechanisms permitted for the emergency administration of epinephrine in schools, institutions of higher education, and youth camps.

Expands the definition of epinephrine to "epinephrine delivery systems" to include needle-free options (like nasal sprays) for use by schools and the general public in emergencies.

Authorizes the administration of epinephrine through auto-injectors and nasal delivery systems in public health and school settings.

District policy authorizing the acquisition, maintenance, and administration of stock epinephrine for emergency use in schools.

Amends statutes to allow private schools to maintain a supply of FDA-approved epinephrine delivery devices for emergency use by trained personnel.

Amends multiple Illinois Acts to replace references to 'epinephrine auto-injector' or 'epinephrine injector' with 'epinephrine delivery system', aligning state law with all FDA-approved epinephrine treatments (including the nasal spray Neffy). Renames the Epinephrine Injector Act to the FDA Approved Epinephrine Delivery Device or Product Act. Covers schools, law enforcement, after-school programs, camps, home health care, and health insurance.

Expands the definition of approved epinephrine for school and entity stocking to include all FDA-approved premeasured delivery systems, including nasal sprays.

Specifically authorizes schools to stock and administer epinephrine via nasal spray in addition to traditional auto-injectors.

Authorizes law enforcement agencies to maintain a stock of epinephrine auto-injectors and nasal spray for emergency use by trained officers during official duties.

Allows practitioners and pharmacists to prescribe epinephrine auto-injectors to persons at risk of anaphylaxis or those in a position to assist them.

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.

Expands the term epinephrine in Texas law to FDA-approved epinephrine delivery systems, authorizing schools to stock and use newer forms of delivery for anaphylaxis.

Permits schools to acquire and maintain a stock of epinephrine auto-injectors pursuant to a prescription from an authorized health care provider.

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

Updates California law to allow schools to stock any FDA-approved epinephrine delivery system (e.g., nasal sprays) and clarifies requirements for preschools.

Permits institutions of higher education to adopt and implement policies for the maintenance and administration of epinephrine auto-injectors.

Authorizes the maintenance and emergency administration of stock epinephrine auto-injectors to individuals experiencing anaphylaxis.

Allows schools to acquire and maintain a stock of epinephrine auto-injectors pursuant to a prescription.

Requires New Hampshire schools to maintain a supply of epinephrine injectors or nasal spray and ensures trained personnel are on-site to administer it.

Authorizes school nurses and trained employees to administer epinephrine or albuterol to students in respiratory distress under standing physician protocols.

Provides for the maintenance of a stock supply of epinephrine auto-injectors and emergency administration protocols.

Revises pharmacy provisions and clarifies the authority for schools to acquire and maintain a stock of epinephrine auto-injectors.

Requires public school districts employing a nurse to maintain stock epinephrine, broadens statutory definitions from auto-injectors to include all epinephrine delivery devices (including nasal sprays), permits cross-individual emergency use, and authorizes recreation camps and colleges to possess stock supplies.

Expands emergency medical services personnel authority to administer epinephrine through any approved route, including intranasal sprays, during an anaphylactic emergency.

Wisconsin Entity Stock Epinephrine Law

Allows authorized entities and trained individuals to obtain, stock, and administer epinephrine delivery systems to any person believed in good faith to be experiencing anaphylaxis.

Dillon's Law

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

EpiPen Cost Cap Act

Limits patient out-of-pocket costs for a two-pack of epinephrine auto-injectors to no more than $60 for covered individuals.

Authorizes school nurses and trained employees to administer stock epinephrine and other emergency medications to any student, employee, or visitor experiencing a life-threatening emergency.

Authorizes schools to obtain and use stock epinephrine, glucagon, and albuterol for students experiencing respiratory or anaphylactic emergencies.

Statute confirming that students with life-threatening allergies have the right to carry an epinephrine auto-injector while at school.

Authorizes a practitioner to prescribe epinephrine to an "authorized entity" (e.g., restaurants, sports arenas) for emergency use on any individual believed to be experiencing anaphylaxis.

Authorizes entities including recreation camps, colleges, and universities to obtain, store, and use epinephrine auto-injectors for emergency use.