Bills Pending Signature

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

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.

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.

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

Food Allergy Safety, Treatment, Education, and Research Act

FASTER Act of 2026

SponsorRep. Luna, Anna Paulina [R-FL-13] (Republican)

FAA proposed rule (Docket No. FAA-2026-9178, 91 FR 50496) to improve emergency medical kit efficacy and flexibility for commercial airline operations under 14 CFR 121, enhancing onboard preparedness for in-flight medical emergencies including anaphylaxis. Comments due October 5, 2026.

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.

Expressing support for the designation of May 2025 as National Asthma and Allergy Awareness Month.

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.

A bill to include alpha-gal as an allergen.

Updates New Hampshire statutes regarding the storage and administration of stock epinephrine in schools to include newer delivery methods and clarified training requirements.

SponsorMargaret Drye

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.

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.

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

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.

Nonprescription Medication Administration in Schools

Clarifies statutory authority and grants liability protections for school personnel to administer nonprescription medications (such as over-the-counter antihistamines for mild-to-moderate allergic symptoms) with parental authorization, addressing recent nursing scope-of-practice restrictions.

Epinephrine Modernization Bill

A pending bill to replace the term 'auto-injector' with 'delivery device' across Texas statutes to ensure FDA-approved nasal sprays and other emerging technologies are legally recognized for emergency use.

School Nurse Notification Act

Requires a school to notify parents if a nurse is not assigned to the school during all instructional hours.

Pending Childcare Epinephrine Training Bill

Pending legislation that would explicitly make day-care centers responsible for training employees in the administration of an epinephrine delivery device.

Epinephrine Delivery Systems Update

A pending bill that updates existing school health statutes to replace the term 'epinephrine auto-injectors' with 'epinephrine delivery systems.' This change is intended to allow schools to stock newer, needle-free epinephrine options such as nasal sprays.

Epinephrine Access Bill

A companion or similar bill to H.590 that seeks to amend General Law to require schools to maintain non-patient specific epinephrine auto-injectors for emergency use.

Massachusetts Stock Epinephrine Bill

This pending bill would require all schools to maintain a stock supply of non-patient specific epinephrine auto-injectors. It mandates that the Department of Public Health create regulations for storage in unlocked locations and staff training.

Stock Albuterol Bill

This pending bill would explicitly authorize school districts to maintain a stock of albuterol inhalers and spacers for emergency use. It provides civil immunity for school nurses and trained staff who administer the medication to a student believed to be in respiratory distress, regardless of whether the student has a personal prescription.

Protecting Children with Food Allergies Act

A federal bill that would require the USDA to include food allergy awareness and management training for local school food service personnel participating in the National School Lunch Program.

2026 Self-Administration Update

Updates and clarifies the requirements for students to carry and use asthma and anaphylaxis medications, emphasizing the need for a prescriber's school orders and parental authorization.

Protecting Children with Food Allergies Act

A federal bill that would require local school food service personnel to receive annual training and certification on food allergies as part of the National School Lunch Program.

House Bill 3894

A bill to further expand the ability of schools and potentially other entities to maintain stock "undesignated" asthma medication (inhalers) in addition to epinephrine.

Protecting Children with Food Allergies Act

Proposed federal legislation to require annual food allergy training and certification for local school food service personnel.

Epinephrine Update Bill

Proposed legislation to clarify and expand the ability of school nurses and designated personnel to administer epinephrine to any individual on school premises believed to be experiencing anaphylaxis, providing further liability protections.

Pending Bill H.3621 (School Bus Safety and Health)

A proposed bill (tracked in recent sessions) aimed at enhancing bus safety. Legislative analysts have suggested amendments to include mandatory medical kits including epinephrine.

HB 4122

Expands the ability to stock epinephrine beyond schools to "authorized entities" (e.g., restaurants, recreation camps, sports arenas). It allows these entities to acquire and provide epinephrine to individuals for emergency use and provides civil immunity.

Student Asthma and Anaphylaxis Self-Carry Update

Proposed bill to modernize student self-carry rights to explicitly include intranasal epinephrine and updated asthma rescue delivery methods.

HB 333

Proposed legislation to expand the definition of 'epinephrine auto-injector' to 'injectable epinephrine rescue medication,' potentially allowing for lower-cost delivery methods like vials and syringes.

School Bus Epinephrine Administration Act

Requires that trained school bus drivers and monitors be authorized to administer epinephrine auto-injectors to students experiencing an allergic reaction during transport.

Dillon's Law

Provides federal grants to states that allow trained individuals to administer epinephrine to anyone experiencing a life-threatening allergic reaction and provide civil liability protection.

Protecting Children with Food Allergies Act

Amends the Child Nutrition Act to require food allergy identification and response training for school nutrition personnel participating in federal school meal programs.

H 7896

Proposed legislation to require schools to maintain stock supplies of undesignated epinephrine and asthma rescue inhalers, and to ensure students can self-carry and self-administer these medications.

School Emergency Medication Modernization Act

Pending legislation that would mandate schools to stock undesignated epinephrine (including needle-free options) and asthma rescue inhalers with valved holding chambers. It also explicitly protects the rights of students to self-carry and self-administer their own prescribed emergency medications.

Rhode Island School Emergency Medication Mandate

Proposed legislation that would transition Rhode Island from a 'permissive' stocking state to a 'required' stocking state for both epinephrine and undesignated asthma rescue inhalers in schools.

Asthma Self-Administration Update

A 2025 session bill to update and strengthen the requirements for school entities to develop written policies for the possession and self-administration of asthma medication by students.

Childcare Epinephrine Access Bill

A 2025 session bill intended to further clarify and ensure that day-care facilities can obtain prescriptions for and maintain a constant supply of epinephrine auto-injectors with potential funding support.

Modernizing Epinephrine and Albuterol Access

Proposed legislation to expand the definition of epinephrine delivery systems and authorize schools to stock and administer short-acting asthma medications (albuterol) to students in respiratory distress.

Clean Air in Schools Act

Establishes a structured, science-based approach to addressing indoor air quality in schools to reduce triggers for students with asthma and respiratory allergies.

Inhaler Cost Cap Act

Proposed bill to cap the out-of-pocket cost for covered prescription inhalers used for FDA-approved respiratory conditions to ensure affordability for patients.

Emergency Medication Modernization Act

Proposed legislation to permit students diagnosed with asthma or at risk of anaphylaxis to carry and self-administer rescue inhalers and epinephrine, and expands the definition of epinephrine to include newer delivery methods like intranasal sprays.

CCAP Youth Camp Regulations

Proposed regulations to govern youth camps that receive state child care assistance, focusing on health and safety standards for vulnerable populations.

Mandatory Stock Epinephrine Bill

This pending legislation would shift the current 'permissive' stock epinephrine policy to a 'mandatory' one, requiring all school districts, boards of cooperative educational services, and charter schools to maintain epinephrine auto-injectors on site.

Clean Air in Schools Act

Aims to improve indoor air quality in schools to reduce asthma triggers and respiratory distress for students and teachers.

School Bus Epinephrine Training Act

This bill requires school bus drivers and monitors to receive training in the administration of epinephrine to treat cases of anaphylaxis during student transportation.

Epinephrine Nasal Spray and Stock Mandate Bill

Proposed legislation to require schools to stock epinephrine, including newly approved nasal spray delivery systems, and to ensure school bus drivers and monitors are trained in their administration.

Food Allergy Awareness in Restaurants

Would require food service establishments (including those in PA airports) to display food allergy awareness posters in staff areas and include allergy warnings on menus. It also encourages, but does not yet mandate, formal allergy training for all food handlers.

Stock Albuterol in Schools

This bill would amend the Public School Code to allow schools to stock albuterol inhalers and spacers for students who experience respiratory distress. It mirrors the structure of the stock epinephrine law.

Elijah's Law (Massachusetts version)

This bill would require the Department of Early Education and Care (EEC) to establish a policy for childcare providers regarding the management of food allergies. It aims to authorize childcare centers to maintain stock epinephrine and requires staff training on recognizing anaphylaxis and administering auto-injectors.

Massachusetts Stock Albuterol Bill

This pending bill would authorize public and private schools to maintain a stock of epinephrine auto-injectors AND asthma inhalers. It allows school nurses to provide these medications to any student believed to be having a respiratory distress event and provides civil immunity for staff who administer the medication in good faith.

PA Epinephrine Delivery System Bills

Bipartisan bills to update state statutes to include all FDA-approved epinephrine delivery systems, ensuring broader access to various epinephrine devices in schools.

PA Food Allergy Dining Bill

Proposed legislation to require restaurants to display food allergy awareness posters and include notices on menus regarding customer responsibility to inform staff of allergies.