Bills Pending Signature

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

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

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 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.

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)

Elijah's Law

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

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

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

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.

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

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

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

NJ Menu Allergen Disclosure Bill

Requires food service businesses to provide clear and conspicuous written notice of major food allergens (as defined by 21 U.S.C. 321(qq)) that the business knows or reasonably should know are contained as ingredients in each menu item, including temporary menu items. Information may be provided on the menu, via a QR code linking to a website, or on other written materials (separate menu, chart, grid, or booklet). Businesses must use common/usual allergen names or standardized icons approved by the Commissioner of Health. Exempts prepackaged foods subject to federal labeling. The Commissioner of Health shall adopt rules and regulations to implement. Takes effect the first day of the 13th month after enactment.

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

Requires food service establishments to implement allergy awareness training for staff regarding 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 establishments to label all prepackaged food with written notification of major food allergens.

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

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.

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)

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)

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.

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.

Dillon's Law

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

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.

Food Allergy Awareness Act

Amends Title 3 (Agriculture) of the Pennsylvania Consolidated Statutes to require retail food facilities to prominently display employee food-allergy-awareness posters and to include customer allergen notices on menus or other written information, and updates the state Food Code to the 2022 FDA edition.

A federal resolution supporting the designation of May 2025 as National Asthma and Allergy Awareness Month.

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

Requires food service establishments to include a notice on menus 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 and online ordering services to provide notices to staff and customers regarding food allergies and intolerances.

A resolution supporting the designation of May as National Asthma and Allergy Awareness Month.

Food Allergy Awareness in Restaurants and Menus Act

Updates Massachusetts food allergy safety protocols by requiring food service establishments to maintain allergen-aware procedures and clear customer notifications regarding major food allergens.

Requires the North Carolina State Board of Education to adopt a mandatory policy for all local school administrative units to manage students with life-threatening food allergies.

Proposed legislation to expand the availability of stock epinephrine in North Carolina schools and provide liability protections for staff who administer the medication in emergencies.

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

Amends the Public Health Service Act, with respect to asthma-related grants for child health services, to give an additional preference to a state that allows self-administration of asthma and anaphylaxis medication and makes a certification concerning civil liability protection for trained personnel administering epinephrine.

Amends the Public Health Service Act to give preference in awarding certain asthma-related grants to states that require schools to allow trained school personnel to administer emergency epinephrine to students believed to be having an anaphylactic reaction and provide adequate civil liability protection.

Provides preference for states regarding administration of epinephrine by school personnel and allows students to self-administer medication to treat asthma and anaphylaxis.

Directs the Secretary of Health and Human Services, in consultation with the Secretary of Education, to develop a voluntary policy for managing the risk of food allergy and anaphylaxis in schools and to establish school-based food allergy management grants.

Grants preference for federal asthma treatment grants to states that require schools to permit students to self-administer prescribed medication for asthma or anaphylaxis.

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.

Stock Bronchodilator Bill

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

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.

LB457

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

Epinephrine Mechanism Expansion

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

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.

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.

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.

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)

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

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.

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.

Emerson Kate Cole Act

Proposed legislation to mandate specific emergency protocols, including mandatory 911 calls following the administration of epinephrine, and enhanced training requirements for school employees.

Needle Free Epinephrine Bill

Proposed legislation to update existing statutes to explicitly allow the use of epinephrine nasal sprays in addition to auto-injectors in school settings.

Elijah's Law

Proposed legislation to mandate food allergy safety protocols and the availability of stock epinephrine in childcare settings to protect children from anaphylaxis.

Nevada Stock Inhaler Legislative Absence

Nevada currently lacks a dedicated statute authorizing or requiring schools or childcare facilities to maintain a standing supply of undesignated stock albuterol or rescue inhalers for students experiencing acute respiratory distress without a personal prescription.

Elijah's Law

Establishes 'Elijah's Law' for Missouri, requiring licensed child care facilities to adopt allergy prevention and emergency response policies, and explicitly adds child care facilities to authorized entities allowed to acquire and stock epinephrine auto-injectors.

School Epinephrine Mandate Bill

Proposed legislation to mandate that every school district require each educational building within every school to maintain a stock of epinephrine auto-injectors, require licensed medical personnel or trained school personnel to administer them in emergencies, and amend Miss. Code Ann. § 37-11-71 to convert permissive stocking into a statewide mandate.

Vermont Food Allergy Restaurant Bill

Requires Vermont food service establishments to designate a food safety officer who must complete an approved online food allergen awareness training course and be present during operating hours. Mandates allergen awareness signage in employee prep and dining areas and requires customer allergen disclosure notices on menus.

Undesignated Stock Albuterol Policy Gap

Minnesota does not have an enacted statute permitting or mandating public schools or childcare facilities to stock undesignated rescue inhalers (albuterol) for emergency use on students without an individualized prescription. Existing law only addresses individually prescribed inhalers.

Undesignated Stock Albuterol Inhaler Policy Gap

Michigan statutory law currently does not authorize or mandate schools or childcare facilities to stock undesignated rescue albuterol inhalers or spacers for general emergency use. Only individual student-specific prescribed inhalers are authorized under MCL § 380.1179.

School Epinephrine Administration Expansion Bill

Legislative bill to explicitly codify into the General Laws the authority for school districts and non-public schools to register to train unlicensed school personnel to administer epinephrine auto-injectors during school hours and school-sponsored events when a nurse is not immediately available.

Massachusetts Stock Albuterol Bill

Proposed legislation to authorize public and private elementary and secondary schools to obtain, store, and administer undesignated bronchodilators, spacers, and nebulizers to treat students experiencing respiratory distress in school, providing staff training protocols and liability protections.

Childcare Anaphylaxis Preparedness Bill / Elijah's Law Initiative

Proposes closing the gap between K-12 schools and early learning programs by allowing or requiring childcare centers to stock epinephrine, implement anaphylaxis response protocols, and ensure staff are trained to administer epinephrine during emergencies.

Utah School Stock Medication Reauthorization

Amends and refines provisions under Utah Code Title 26B regarding standing orders and distribution of epinephrine auto-injectors and stock albuterol by healthcare providers to qualified adults and school personnel across public and private schools.

FAA Emergency Medical Kit Rulemaking

FAA proposed regulatory framework under the FAA Reauthorization Act governing airline emergency medical kits across all commercial passenger carriers serving Texas airports, addressing performance standards for treating nine in-flight emergencies including anaphylaxis.

Airline Access to Emergency Epinephrine Act

Directs the FAA to require commercial airlines operating flights (including flights originating or landing in Texas) to carry at least two packs of epinephrine auto-injectors and ensure flight crewmembers are trained on symptom recognition and auto-injector administration.

Utah School Medication Amendments (S.B. 104)

Modifies provisions concerning the administration and handling of emergency and prescription rescue medications within K-12 school systems.

Epinephrine Delivery Systems Expansion Act

Updates and broadens entity epinephrine authorization statutes to cover modern epinephrine delivery systems (such as nasal formulations) across public establishments including dining and hospitality spaces.