Legislative Database

Authorizes students to possess and self-administer diabetes medications and related supplies on school property and at school-related events.

Permits school districts to acquire, maintain, and administer epinephrine via nasal spray in addition to auto-injectors for emergency use.

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

Sets requirements for students to possess and self-administer prescription medications, including those for asthma and anaphylaxis, on school property.

Updates guidelines for the management of students with life-threatening allergies, including training for school personnel on the administration of epinephrine auto-injectors.

Provides state-level guidance for Texas school districts on managing food allergies, including staff training and access to unassigned epinephrine.

Mandates training for school bus drivers and monitors to administer epinephrine to students experiencing anaphylaxis.

A legislative resolution formally recognizing May 2026 as Asthma and Allergy Awareness Month in Rhode Island.

Requires school entities to develop policies allowing students to possess and self-administer asthma inhalers and epinephrine auto-injectors.

Updates Ohio law to permit students to possess and administer FDA-approved intranasal epinephrine spray in addition to auto-injectors.

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

Authorizes students with documented medical conditions to possess and use epinephrine and asthma medications at school and encourages schools to maintain stock epinephrine.

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

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

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

A state-led recognition program for schools that meet specific asthma management and environmental trigger reduction standards.

District policy authorizing the acquisition and administration of stock epinephrine, including auto-injectors and nasal sprays, for emergency use.

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

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

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

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

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.

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.

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

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

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.

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 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.

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)

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.

Requires schools to adopt and notify parents of policies regarding the use and storage of epinephrine auto-injectors or nasal sprays.

Mandates training for designated school personnel on recognizing anaphylaxis and administering epinephrine auto-injectors or nasal sprays.

Carryout Food Allergen Identification Law

Requires restaurants altering food for consumer-identified food allergies to affix an identifying marker on delivery and carryout food packaging.

Food Allergy Awareness Notice Act

Mandates that restaurants display food allergy awareness notifications for customers and back-of-house staff to mitigate allergen cross-contact risks.

The Virginia Department of Health's 2026 Food Regulations Update takes effect September 10, 2026, introducing updated food allergen disclosure requirements for food establishments and a new produce safety regulatory program.

Mandates that Maryland restaurants provide written disclosures identifying major food allergens present in menu items and establishes compliance standards and penalties.

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)

Virginia Restaurant Food Allergy Awareness Act

Directs the Virginia Department of Health to require retail food establishments to display food allergy awareness notices and include consumer allergy notification prompts on menus.

SponsorJennifer B. Boysko

Elijah's Law

This bill establishes food allergy safety and anaphylaxis response protocols in licensed child care centers and family day care homes.

Provides updated mandatory guidance for Texas school districts to adopt and administer policies for students with diagnosed food allergies at risk for anaphylaxis.

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.

Establishes clinical protocols for the use of stock epinephrine in Kentucky schools for students with or without a known diagnosis.