Allergy & Asthma Laws by Year

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

Requires clear labeling of barley, rye, and oats as major allergens on packaged foods, and orders federal health studies on celiac disease prevalence and treatment.

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

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

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.

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.

This bill expands the types of epinephrine devices permitted in schools and camps to include nasal sprays.

Requires private health insurers to provide epinephrine products without deductibles, copayments, or coinsurance.

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

A pending Massachusetts bill that would require restaurants to designate an allergy-knowledgeable server liaison for allergic customers.

Requires parity in the mental and physical health treatment of the residents of New York state; provides that both mental and physical health will be matters of public concern and provision therefor shall be made by the state.

Prevents discrimination by insurers based on an individual's mental health or substance use disorder; incorporates into state law federal enforcement rules set forth in the federal Mental Health Parity and Addiction Equity Act of 2008.

Relates to establishing residential treatment facilities as an alternative to incarceration designated by the commissioner for the care and treatment of persons with serious mental illness who are accused of at least one felony level crime.

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.

Legislation regarding food labeling standards.

Proposed legislation to provide civil liability protection for entities and individuals that maintain and use stock epinephrine in emergencies, expanding the scope beyond schools to public places including aircraft.

Proposed legislation to allow schools to maintain a stock supply of albuterol and other asthma rescue medications for emergency use by students experiencing respiratory distress.

A pending bill intended to further codify and potentially expand the ability or requirement for schools to maintain a stock supply of epinephrine auto-injectors.

Updates school health codes to permit the stocking and administration of any FDA-approved epinephrine formulation, such as nasal sprays, for treating anaphylaxis.

Establishes a structured, science-based approach to improving indoor air quality in schools to reduce exposure to asthma triggers like mold and poor ventilation.

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

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

If passed, New Jersey food service businesses (restaurants, cafes, delis, coffee shops, convenience stores, grocery stores, food trucks, movie theaters, cafeterias) would have to list the major food allergens in each menu item — either on the menu itself, via a QR code linking to a website, or on separate written materials like a chart or booklet.

Designates May 2026 as Asthma and Allergy Awareness Month to increase public understanding of these chronic conditions.

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

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

Requires New Jersey restaurants and food service businesses to disclose the top 9 major food allergens in each menu item — on the menu, via QR code, or on a separate handout — so diners with food allergies can eat out safely.

Mandates the Cabinet for Health and Family Services add alpha-gal syndrome to the state list of noncommunicable diseases that healthcare providers and facilities must report.

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

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

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.

This bill allows child care facilities to stock epinephrine and designate personnel to administer it during emergencies.

This bill increases access to epinephrine auto-injectors in public venues by allowing authorized entities to stock and administer them.

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

Amends existing stock epinephrine laws to include needle-free nasal spray delivery systems for treating anaphylaxis in schools.

Requires the New York State Department of Health to include Alpha-gal syndrome on the list of reportable tick-borne diseases to track its spread.

Proposed legislation to establish emergency medication administration protocols for asthma inhalers and epinephrine delivery systems in public schools.

Requires clear labeling of barley, rye, and oats as major food allergens on all packaged foods, so Americans with celiac disease can easily identify whether a food is safe to eat. Brings U.S. labeling standards in line with 87 other countries that already require this.

This bill mandates a school nurse in every school, requires staff training on anaphylaxis, requires medical action plans for students with food allergies, and prohibits food at school celebrations.

Establishes a structured, science-based approach to addressing indoor air quality in school buildings to mitigate environmental asthma triggers.

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

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

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

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.

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.

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.

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

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

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

Requires public schools to adopt a policy for managing anaphylaxis and permits schools to maintain a stock supply of epinephrine auto-injectors. Staff must be trained in administration, and the law provides civil immunity for those who administer the medication in good faith during an emergency.

Proposes that private health insurance plans in Michigan must cover epinephrine products without any out-of-pocket costs like copays or deductibles.

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.

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

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

Grants students the right to carry and self-administer emergency asthma or allergy medication. Requires a written treatment plan from a physician and parental consent. The school must also maintain a backup supply provided by the parent.

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

Provides the same permissions to private schools as public schools to stock emergency epinephrine and asthma medication, including liability protections for staff.

Requires school districts to allow students to self-carry and self-administer medication for asthma or anaphylaxis if they have a treatment plan and have demonstrated the necessary skill level to the school nurse.

Requires Montana childcare centers to maintain and post a list of children's food allergies in food preparation areas.

Proposed legislation to allow childcare facilities to stock undesignated epinephrine and train staff to administer it in emergencies, similar to the existing school laws.

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 the FAA to update regulations requiring airline emergency medical kits (EMKs) to include epinephrine auto-injectors and requires airlines to establish formal policies for passengers with food allergies.

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

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.

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

Allows schools to maintain a stock of albuterol inhalers and spacers and permits trained staff to administer them during respiratory distress.

Pennsylvania's Elijah's Law (HB 928) to ensure childcare employees have access to and training on epinephrine devices, passed the House in June 2025 and is now pending in the Senate.

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.

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

Proposed legislation requiring Missouri restaurants to provide written notification of major allergens on menus or via digital QR codes.

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

Allows schools to stock and administer needle-free nasal spray epinephrine and vials for injection to increase flexibility in emergency allergy response.

Allows public and nonpublic schools to procure and maintain a supply of epinephrine auto-injectors. It permits trained school employees to administer the medication to any student or person experiencing anaphylaxis, provided the school has adopted a formal policy.

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.

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

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

Ensures that school districts cannot prohibit students with life-threatening allergies or respiratory diseases from carrying and using their own prescribed epinephrine auto-injectors or inhalers.

Allows school nurses to delegate the administration of epinephrine to trained unlicensed staff and permits schools to maintain a stock supply of epinephrine for use in life-threatening emergencies for any student.

New Mexico law allowing/mandating stock epinephrine in schools. Dept. of Health; school property; school district/governing bodies develop; health care provider prescribes; pharmacies/manufacturers/wholesalers; may accept gifts/grants/bequests/donations; nurse/staff/volunteer administer.

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.

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

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

Permits Florida public schools to purchase and stock epinephrine auto-injectors for emergency use. Schools must adopt a protocol developed by a physician and train personnel to recognize and treat anaphylaxis.

Authorizes public and private schools to stock short-acting bronchodilators (albuterol). Trained personnel may administer the medication to any student in respiratory distress, even without a personal prescription.

The FAA proposes letting each airline decide what goes in its in-flight medical kits instead of requiring a standard list. The allergy community is alarmed because the rule does not mandate epinephrine auto-injectors — it only says kits 'could include' epinephrine. Advocates want a firm requirement for modern epinephrine devices on every commercial flight. Comment by October 5, 2026.

Arkansas law allowing/mandating stock epinephrine in schools. School districts and public charter schools; physician prescribes; school nurse/staff administer to students. No training requirements outlined.

Requires childcare facilities to collect and maintain supplemental health information, including allergy details, for all enrolled children.

Arizona law allowing/mandating stock epinephrine in schools. Dept. of Education; school and school-related events; standing order from Chief Medical Officer; legislature may fund 2 juvenile + 2 adult doses; school nurse/staff administer; up to 4 doses.

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

Makes alpha-gal an officially recognized major food allergen so packaged food labels must clearly show when products contain mammalian-derived ingredients that can trigger life-threatening reactions in people with alpha-gal syndrome.

Expands the federal working group on tick-borne diseases and increases CDC funding to help states and researchers fight alpha-gal syndrome and other tick-borne illnesses.

Illinois law allowing/mandating stock epinephrine in schools. Board of Education; school, school-related events, before/after school activities under supervision; physician/PA/APN prescribes; nurse/staff/volunteer/student administer to person suffering anaphylaxis.

Maryland law allowing/mandating stock epinephrine in schools. Dept. of Education and Dept. of Health; local boards implement; health care provider prescribes; school nurse/staff administer to students.

Missouri law allowing/mandating stock epinephrine in schools. Dept. of Elementary and Secondary Education; any appropriate professional association develops; physician/PA/NP prescribes; pharmacies supply; nurse/staff administer.

Utah law allowing/mandating stock epinephrine in schools. Dept. of Public Health; school district physician/medical director of local health dept./local EMS director prescribes; physicians/pharmacies supply; nurse/staff/volunteer/student administer to person suffering anaphylaxis.

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

Requires local school boards to have policies for the possession and administration of stock epinephrine auto-injectors. It also permits (but does not require) schools to stock undose-designated albuterol inhalers for emergency use. The law mandates training for school personnel and provides civil immunity for those who administer the medication in good faith. It also protects the rights of students with diagnosed conditions to self-carry and self-administer their own rescue medications with provider and parental consent.

Directs the Secretary of Health to update anaphylaxis guidelines. It requires schools to maintain an anaphylaxis policy and plan, and clarifies that schools may maintain a stock of epinephrine autoinjectors via a standing order.

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

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

Sets health and safety standards for childcare facilities, including protocols for medication storage and emergency response.

If passed, beginning January 1, 2028, Illinois restaurant owners must put clear notices on menus and online menus identifying which menu items contain a major food allergen, with $500 fines for violations and possible shutdown after repeated inspection failures.

Would require food service establishments to provide written notification (on menus, placards, or electronically) of the presence of major food allergens in unpackaged food items.

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

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

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

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

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.

New York bill S8587A requiring child day care centers to have epinephrine devices and staff trained to use them on site in case of anaphylaxis or other severe allergic reaction.

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.

Allows public schools to store and use epinephrine nasal sprays in addition to traditional auto-injectors.

Requires healthcare providers to report cases of alpha-gal syndrome to the Tennessee Department of Health.

Proposes use of epinephrine nasal spray in schools as alternative to auto-injectors.

Amending auto-injector language and potentially adding epinephrine to school environments.

Assesses feasibility of in-state manufacturing of insulin, naloxone, albuterol, and epinephrine.

Relates to epinephrine injectors and their administration.

Emergency stock supply of epinephrine in schools with cost coverage.

Allows entities to be prescribed epinephrine for immediate administration.

Mandates insurance coverage at no cost for epinephrine injectors for minors.

Caps the price of epinephrine auto-injectors through insurance regulation.

Ensures safe medication administration including epinephrine in emergencies.

Requires stock supply of non-patient specific epinephrine in schools.

Legislation regarding epinephrine pricing.

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.

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.

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).

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

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.

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.

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.

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.

Pending New York legislation (S.5381 / A.6558A) sponsored by Senator Pete Harckham and Assemblymember Lunsford that would require allergen labeling to help protect consumers with food allergies and celiac disease.

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.

Updates school self-administration laws to explicitly include newly FDA-approved epinephrine delivery systems, such as nasal sprays.

If passed, Michigan food service establishments would have to give consumers a written notice listing the major food allergens present in each unpackaged food item they serve or sell (via menus, brochures, table tents, deli-case notices, or other written means).

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).

Requires restaurants and other retail food facilities in Pennsylvania to post food-allergy-awareness posters in employee areas and to warn customers on menus about allergens used in the facility, asking customers to inform staff of their food allergies. Also updates the state Food Code to the 2022 FDA edition.

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.

Requires all food service permit holders in Michigan to provide written physical or electronic notification of any FDA-designated major food allergens used in unpackaged food items served or sold to consumers.

Requires New York insurance plans to cover a second rescue and maintenance asthma inhaler and medically necessary devices for children, reducing high out-of-pocket costs that prevent asthma patients from adhering to treatment.

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

California SB 1347 authorizing schools to provide emergency stock albuterol inhalers and explicitly authorizing pharmacies to furnish them to local educational agencies.

This bill updates Vermont law to allow schools to maintain a stock supply of intranasal epinephrine.

This bill requires first responders to be trained in recognizing and treating severe allergic reactions and to carry epinephrine delivery systems.

Requires first responders to be trained to administer epinephrine delivery systems.

Requires social services to provide Medicaid coverage for allergen introduction dietary supplements for infants.

Enables trained and authorized school personnel to administer epinephrine.

Ensures safe medication administration including epinephrine in emergencies.

Enables trained and authorized school personnel to administer epinephrine.

Allows police to receive, possess, and administer epinephrine auto-injectors.

Would require food facilities to display allergen awareness posters for staff and provide menu notices requesting customers inform staff of allergies.

Proposes to add alpha-gal syndrome and Lyme disease to the state's list of mandatory reportable conditions for tracking and resource allocation.

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

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

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

A bill to address asthma-related health issues.

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.

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.

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.

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.

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.

Proposes to allow schools to maintain a stock supply of intranasal epinephrine and authorizes school personnel to administer it for life-threatening allergic reactions.

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.

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

Requires Medicare, Medicaid, CHIP, and federal employee health plans to cover medically necessary specialized foods and formulas prescribed for people with digestive or metabolic conditions, including those affecting food allergy, celiac, EoE, and FPIES patients.

Gives the EPA authority and funding to improve indoor air quality in schools, helping students and staff with asthma and respiratory conditions breathe easier.

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

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

Requires child care facilities to implement emergency preparedness protocols, mandatory staff training, and individualized allergy action plans for children with food allergies.

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

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

Authorizes students to self-administer medication for asthma and allergies and allows schools to maintain a stock supply of emergency-use epinephrine.

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

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

Updates statutory language to permit the use of various epinephrine delivery systems.

Authorizes school nurses to maintain an adequate supply of epinephrine delivery systems for use in life-threatening anaphylactic reactions.

Allows authorized entities to acquire and stock epinephrine delivery systems for emergency use.

A local ordinance in Kansas City, Missouri, requiring anaphylaxis management protocols in child care settings.

Authorizes students to self-administer asthma and anaphylaxis medication, including epinephrine auto-injectors, while at school or school-sponsored activities.

The standardized state form required for managing a child's asthma in licensed childcare and school environments.

Requires restaurants to disclose the presence of the nine most common food allergens in menu items to enhance consumer safety.

Eliminates co-pays, coinsurance, and deductibles for one form of rescue inhaler and one form of maintenance inhaler for New Yorkers on state-regulated health insurance plans.

Expands the definition of epinephrine devices in schools to include all types of delivery devices, including nasal sprays, for use by school personnel.

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