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School & Childcare Policy Gap Map

A focused look at which states are missing the 5 core allergy and asthma policies every school and childcare setting should have — stock epinephrine, self-carry, food allergy guidelines, and asthma management — with model legislation for each gap.

Based on 1000 verified, enacted laws from official legislative sources.

Methodology: Gaps reflect the absence of an enacted, verified law in our database for each of the 5 school/childcare policy areas. A "missing" designation means no such law has been verified and tracked — pending bills, regulations, or laws not yet captured may exist. Analysis reflects the PolicyPantry Research System's verified coverage as of today.

20

States with all 5 policies

3

States missing 4+ policies

1

1.2

Avg gaps per state

56

States + DC analyzed

Gaps per state:0 — All 5 policies in place1 — Minor gap2 — Moderate gap3 — Significant gap4 — Major gap5 — No school/childcare policies
Leaflet © OpenStreetMap

Biggest Policy Gaps — Schools & Childcare

How many states are missing each policy area (out of 56 states + DC)

🍼 Childcare Stock Epinephrine26 states missing
46%
30 have it
🥜 K-12 Food Allergy Policy13 states missing
23%
43 have it
🎒 K-12 Self-Carry Epinephrine12 states missing
21%
44 have it
🫁 K-12 Asthma Management11 states missing
20%
45 have it
🏫 K-12 Stock Epinephrine4 states missing
7%
52 have it

Click a state to see its gaps.

What a Model Policy Looks Like

Each of the 5 core school/childcare policies below has a verified model or reference law. Use these as templates when advocating for legislation in states that are missing them.

🍼Childcare Stock Epinephrine

Childcare centers may stock and administer undesignated epinephrine auto-injectors.

Model: Elijah's Law (NY S2183, 2023) — requires daycare stock epinephrine and staff training

🏫K-12 Stock Epinephrine

Public schools may stock and administer undesignated epinephrine auto-injectors.

Model: School Access to Emergency Epinephrine Act (H.R. 2094, 2013) — federal incentive for state school stock epi laws

🎒K-12 Self-Carry Epinephrine

Students may carry and self-administer their own prescribed epinephrine.

Model: FARE advocacy priority — self-carry laws now in most states; gaps remain

🥜K-12 Food Allergy Policy

Mandates food allergy guidelines, training, or accommodation policies for schools.

Model: CDC Voluntary Guidelines for Managing Food Allergies in Schools (2013)

🫁K-12 Asthma Management

Requires asthma management plans or allows asthma medication self-carry in schools.

Model: AAFA State Honor Roll — tracks school asthma & anaphylaxis policies nationwide

Where Advocacy Is Needed Most

Ranked by number of missing school & childcare policies — these states need the most attention from advocates.

1
American Samoa(AS)5/5 missing
🍼 Childcare Stock Epinephrine🏫 K-12 Stock Epinephrine🎒 K-12 Self-Carry Epinephrine🥜 K-12 Food Allergy Policy🫁 K-12 Asthma Management
Advocate
2
Georgia(GA)5/5 missing
🍼 Childcare Stock Epinephrine🏫 K-12 Stock Epinephrine🎒 K-12 Self-Carry Epinephrine🥜 K-12 Food Allergy Policy🫁 K-12 Asthma Management
Advocate
3
Northern Mariana Islands(MP)4/5 missing
🍼 Childcare Stock Epinephrine🏫 K-12 Stock Epinephrine🎒 K-12 Self-Carry Epinephrine🫁 K-12 Asthma Management
Advocate
4
Guam(GU)3/5 missing
🍼 Childcare Stock Epinephrine🎒 K-12 Self-Carry Epinephrine🫁 K-12 Asthma Management
Advocate
5
Kansas(KS)3/5 missing
🍼 Childcare Stock Epinephrine🏫 K-12 Stock Epinephrine🎒 K-12 Self-Carry Epinephrine
Advocate
6
Puerto Rico(PR)3/5 missing
🍼 Childcare Stock Epinephrine🎒 K-12 Self-Carry Epinephrine🥜 K-12 Food Allergy Policy
Advocate
7
U.S. Virgin Islands(VI)3/5 missing
🍼 Childcare Stock Epinephrine🎒 K-12 Self-Carry Epinephrine🫁 K-12 Asthma Management
Advocate
8
Utah(UT)3/5 missing
🍼 Childcare Stock Epinephrine🎒 K-12 Self-Carry Epinephrine🥜 K-12 Food Allergy Policy
Advocate
9
Alabama(AL)2/5 missing
🎒 K-12 Self-Carry Epinephrine🫁 K-12 Asthma Management
Advocate
10
Delaware(DE)2/5 missing
🍼 Childcare Stock Epinephrine🫁 K-12 Asthma Management
Advocate
11
Michigan(MI)2/5 missing
🍼 Childcare Stock Epinephrine🥜 K-12 Food Allergy Policy
Advocate
12
Mississippi(MS)2/5 missing
🍼 Childcare Stock Epinephrine🫁 K-12 Asthma Management
Advocate
13
Montana(MT)2/5 missing
🍼 Childcare Stock Epinephrine🥜 K-12 Food Allergy Policy
Advocate
14
New Mexico(NM)2/5 missing
🍼 Childcare Stock Epinephrine🫁 K-12 Asthma Management
Advocate
15
Oklahoma(OK)2/5 missing
🍼 Childcare Stock Epinephrine🎒 K-12 Self-Carry Epinephrine
Advocate

Leading States — Models to Follow

Wisconsin
5/5
Washington
5/5
Virginia
5/5
Texas
5/5
Pennsylvania
5/5
New York
5/5
Nevada
5/5
Nebraska
5/5
Missouri
5/5
Minnesota
5/5
Louisiana
5/5
Kentucky
5/5
Iowa
5/5
Indiana
5/5
Illinois
5/5
Hawaii
5/5
Florida
5/5
Connecticut
5/5
Colorado
5/5
Arizona
5/5
Wyoming
4/5
West Virginia
4/5
Vermont
4/5
South Carolina
4/5
Rhode Island
4/5
Oregon
4/5
Ohio
4/5
North Dakota
4/5
North Carolina
4/5
New Jersey
4/5
New Hampshire
4/5
Massachusetts
4/5
Maryland
4/5
Maine
4/5
Idaho
4/5
District of Columbia
4/5
California
4/5
Arkansas
4/5
Alaska
4/5

Close the School & Childcare Gaps

3 states are missing 4 or more core school policies. Use our tools to contact your legislators about adopting model legislation for your state.

While we strive for accuracy, information may change over time. Always double-check and verify against official sources before relying on it.

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