Related Laws Explorer

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

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

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.

Missouri House Bill 3446 (2026 Regular Session), introduced by Rep. Walsh Moore, would add RSMo § 196.184 requiring restaurants to provide written disclosure of major food allergens in each menu item, on the menu or via a QR/digital menu with a non-digital alternative.

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.

Elijah's Law

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

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)

Requires food service establishments and online ordering services to provide notices to staff and customers regarding food allergies and intolerances.

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

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 school districts and private schools to maintain a comprehensive Food Allergy Management and Prevention Plan to address safety and training.

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.

Elijah's Law

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

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.

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

LB457

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

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