Stock Epinephrine in US Schools & Childcare — Compliance Research
A web-grounded 50-state research snapshot of which states require or permit stock (undesignated) epinephrine in K-12 schools and childcare, whether they mandate compliance reporting, and the official source for each — combined with our verified database of stock-epinephrine school laws.
Every state entry is grounded in real web sources with direct official links.
· AI sweep uses web search (may take ~20-40s).Educational Disclaimer: This platform is for general informational purposes only and is not medical advice. It does not replace professional medical consultation, diagnosis, or treatment. Always consult a qualified healthcare professional. If you are experiencing a medical emergency, call 911 immediately. Verify any information against official sources before relying on it.
We strive for accuracy. Laws and links change frequently, and mistakes can happen. If you spot a law, citation, or source link that doesn't look right, pleasereport or flag itso we can correct it.
Per-school compliance is not publicly available — but we search for published aggregate data
There is no national registry of which individual schools or childcare centers physically carry stock epinephrine; that data is held by districts and state agencies. So this dashboard does two things: (1) reports the legal mandate layer (state law), and (2) actively searches the web for any published aggregate compliance / adoption statistics — state DOE or health department annual stock-epinephrine reports, CDC School Health Profiles, and school nurse association surveys. When a state has published aggregate data, it appears in the Published Compliance Data column with a direct source link. "No public aggregate data" means none could be verified — not that schools aren't complying. Do not treat a "Required" state as proof that any specific school is in compliance.
State-by-State Research Snapshot
· updated 9/19/2026, 8:37:09 PMThe research sweep returned no data. Please try again.
Published Aggregate & Survey Sources
These are the verified national and state sources the dashboard searches for published aggregate stock-epinephrine adoption, reporting, and school health policy data. The Published Compliance Data column above cites one of these (or a state-specific report) whenever a published aggregate statistic could be verified for that state. "No public aggregate data" means none could be verified — not that schools aren't complying.
CDC School Health Profiles
CDC-funded biennial survey of middle and high school principals and lead health educators nationwide, tracking school health policies and practices (including anaphylaxis/chronic-condition management).
cdc.gov/school-health-profilesA National Review of State Laws for Stock Epinephrine in Schools (Volerman et al., 2022)
Peer-reviewed aggregate (J Sch Health, via CDC Stacks): all 50 states + DC allow undesignated epinephrine; 14 mandate and 37 allow schools to stock it. The authoritative national mandate-count source.
stacks.cdc.gov/view/cdc/114978NASN — Allergies & Anaphylaxis Resources
National Association of School Nurses resource hub, including the Report of Epinephrine Administration sample report and statewide standing-order references (e.g., Virginia Dept. of Health).
nasn.org/allergies-anaphylaxisNASN — Every Student Counts (National School Health Data Set)
NASN’s national school health dataset initiative encouraging uniform school-nurse data collection, which can surface aggregate epinephrine administration and stock-epi adoption figures.
nasn.org/research/everystudentcountsMinnesota Dept. of Health — School Health Profiles
State-published CDC School Health Profiles results for Minnesota, reporting school health policy prevalence by district.
health.state.mn.usVermont Dept. of Health — School Health Profiles
State-published CDC School Health Profiles results for Vermont, monitoring school health education and policy practices.
healthvermont.govState DOH & Agency Compliance Reports
Published state Department of Health, DOE, and agency stock-epinephrine reports and program pages across the country. Where a state publishes an annual administration or availability report (e.g., Texas, Illinois), that aggregate data feeds directly into the Published Compliance Data column above.
Texas DSHS — Administered Epinephrine Auto-Injectors in Schools Report (2021-22)
Texas Department of State Health Services published aggregate report on epinephrine auto-injector administration in schools, including stock-epinephrine advisory committee reporting.
dshs.texas.govIllinois ISBE — Undesignated Epinephrine Use Report (Annual)
Illinois State Board of Education annual report to the General Assembly on the availability and use of undesignated (stock) epinephrine auto-injectors in schools.
isbe.netIllinois ISBE — Report of Use of Undesignated Epinephrine (2014-15)
ISBE published summary of characteristics of undesignated epinephrine administrations reported during the 2014-15 school year.
isbe.netVirginia VDH — Undesignated Stock Epinephrine & Albuterol for K-12 Schools
Virginia Department of Health, with the Virginia Department of Education, administers the statewide standing order for undesignated stock epinephrine (and albuterol) in K-12 schools.
vdh.virginia.govNew York — NYSDOH / NYSED Epinephrine Resources (NYS Center for School Health)
New York State Department of Health and Education Department approved training and protocols for schools carrying stock epinephrine and training unlicensed personnel.
schoolhealthny.comFlorida FLDOE — Students with Life-Threatening Allergies Guidance
Florida Department of Education guidance on life-threatening allergies and epinephrine auto-injector use in schools (companion to HB 99 stock-epinephrine requirements).
fldoe.orgFARE — Public Access to Epinephrine (State-by-State Directory)
Food Allergy Research & Education maintains a state-by-state directory of stock-epinephrine entity laws and the state agency responsible for implementation in each jurisdiction.
foodallergy.orgState Asthma Action Plan Mandates in Schools
A verified snapshot of which states require or recommend a written Asthma Action Plan (AAP) on file for students with asthma in K-12 schools. Mandate type reflects whether the policy is set by statute, state guidance/regulation, or recommendation. The authoritative nationwide benchmark is AAFA\u2019s State Honor Roll, linked below.
Hover or click any state to see its asthma action plan mandate type, statutory citation, and a direct link to the official source. States shown in gray have no verified state-level AAP mandate on file — see the AAFA State Honor Roll for the nationwide benchmark.
| State | Mandate Type | Citation / Policy | Summary & Source |
|---|---|---|---|
| Illinois | Required by statute | 105 ILCS 5/22-30 | School districts must keep an asthma action plan on file for each student with asthma, developed with the student’s medical provider. codes.findlaw.com |
| California | Required by statute | Cal. Education Code §49414.7 | Permits students to carry and self-administer asthma medication and requires an Asthma Action Plan on file with the school. cde.ca.gov |
| New Jersey | Required by statute | N.J.S.A. 18A:40-12.3 | School districts must allow self-carry/administration of asthma medication; an asthma treatment plan is required. www-doh.nj.gov |
| New York | Required by guidance | NYSDOH Guide for Asthma Management in Schools | Each student with asthma should have a written Asthma Action Plan from their health care provider on file at school. health.ny.gov |
| Rhode Island | Required by guidance | RI Dept. of Health — Asthma in Schools & Child Care | Schools and child care facilities must have an updated written asthma action plan for each child, plus an emergency protocol for students without one. health.ri.gov |
| Ohio | Required by guidance | Ohio Dept. of Education — Supporting Students with Asthma | Provides a sample Asthma Emergency Action Plan and requires school policies to meet Ohio law for students with asthma. education.ohio.gov |
| Massachusetts | Recommended | MA 2022–2026 Strategic Plan for Asthma | Recommends schools adopt policies requiring students with an asthma diagnosis to have an individualized Asthma Action Plan at school. mass.gov |
| Texas | Recommended | TX Education Code §38.015 / DSHS Implementation Guide | Self-carry of asthma medication is permitted by statute; the DSHS implementation guide recommends an asthma action plan from the provider, shared with the school. codes.findlaw.com |
AAFA State Honor Roll™ 2025
The Asthma and Allergy Foundation of America’s annual report scores all 50 states + DC against 27 core school policies (including emergency asthma protocols and chronic-condition record-keeping). The authoritative nationwide asthma-in-schools policy benchmark.
aafa.org/state-honor-rollAAFA 2025 State Honor Roll Report (PDF)
Full 2025 report PDF with per-state scorecards across medication, awareness, and school-environment policies for students with asthma and allergies.
aafa.org (PDF)American Lung Association — Asthma Medication in Schools
National overview of state laws and guidelines on stocking quick-relief asthma medication and asthma action plans in schools; links to state-specific resources.
lung.orgAAP — Asthma Management in Schools
American Academy of Pediatrics toolkit for school-based asthma management, including asthma action plan templates and guidance for school nurses and personnel.
aap.orgVerified Stock-Epinephrine Laws (Database)
Maryland Code, Education Article § 7-426.1
Requires public schools to establish policies for the emergency administration of epinephrine to students who are determined to be or perceived to be in anaphylaxis.
Maine Revised Statutes Title 20-A § 6305
Authorizes public schools to stock epinephrine auto-injectors and train personnel to administer them to students experiencing anaphylaxis.
Kentucky Revised Statutes § 158.834
Allows schools to maintain a supply of epinephrine auto-injectors for emergency use on students experiencing anaphylaxis.
Self-administration of asthma or other airway constricting disease medication or epinephrine auto-injectors
Requires school districts to maintain a supply of epinephrine auto-injectors and permits trained personnel to administer them to students experiencing anaphylaxis.
Administration of Epinephrine in Schools
Authorizes schools to maintain a supply of epinephrine auto-injectors and provides immunity for school personnel who administer them in good faith.
School Epinephrine Access Act
Authorizes public schools to maintain a supply of epinephrine auto-injectors for use by trained personnel in the event of an anaphylactic emergency.
Administration of Epinephrine to Students
Allows school districts to stock epinephrine auto-injectors and provides liability protection for school employees who administer the medication.
Stock Emergency-Use Epinephrine Guidelines
Permits schools to maintain a supply of stock emergency-use epinephrine for administration to any student experiencing anaphylaxis.
Rules for Student Possession and Administration of Asthma, Allergy and Anaphylaxis Management Medications
Establishes requirements for student self-carry of asthma and anaphylaxis medications and mandates school management plans for food allergies.
South Dakota Codified Law 13-33A-5
Requires schools to adopt and notify parents of policies regarding the use and storage of epinephrine auto-injectors or nasal sprays.
South Dakota Codified Law 13-33A-6
Authorizes school personnel to administer epinephrine to students experiencing anaphylaxis, regardless of prior diagnosis or prescription.
South Dakota Codified Law 13-32-11
Allows students diagnosed with asthma or anaphylaxis to possess and self-administer prescription medication at school.
South Dakota Codified Law 13-33A-7
Mandates training for designated school personnel on recognizing anaphylaxis and administering epinephrine auto-injectors or nasal sprays.
South Dakota House Bill 1016
Revises pharmacy provisions and clarifies the authority for schools to acquire and maintain a stock of epinephrine auto-injectors.
Rhode Island General Laws Chapter 23-6.4
Provides for the maintenance of a stock supply of epinephrine auto-injectors and emergency administration protocols.
NH Student Epinephrine Self-Carry Law
Possession and Use of Epinephrine Permitted; Availability of Epinephrine
Permits pupils with severe life-threatening allergies to possess and self-administer prescribed epinephrine at school and school activities upon submission of written healthcare provider approval and parental consent. Requires the school nurse or principal to maintain at least one backup pupil-provided dose in an accessible location.
NH Stock Epinephrine in Schools Law
Use of Epinephrine; Availability; Training and Immunity
Authorizes public and nonpublic schools to voluntarily maintain a supply of undesignated stock epinephrine auto-injectors obtained via standing order. Designates trained school personnel to administer epinephrine to any individual believed to be experiencing anaphylaxis, establishes training standards, and confers civil liability immunity.
Massachusetts School Stock Epinephrine Law
Administration of auto-injectable epinephrine; designated school personnel; immunity
Authorizes trained school personnel to administer undesignated stock auto-injectable epinephrine to students experiencing life-threatening anaphylaxis and provides liability protections.
Montana School Stock Epinephrine Act
Emergency use of epinephrine in school settings
Allows Montana public and nonpublic schools to maintain a stock supply of epinephrine auto-injectors for emergency use on individuals suffering from severe allergic reactions.
Missouri School Stock Epinephrine and Asthma Rescue Medication Act
An Act relating to the administration of medications in public schools
Authorizes school boards in Missouri to adopt policies allowing schools to acquire and maintain prefilled epinephrine auto-injectors and asthma rescue medications to treat students experiencing unexpected severe respiratory distress or anaphylaxis.
New Jersey School Epinephrine Mandate
An Act concerning the emergency administration of epinephrine to students and supplementing chapter 40 of Title 18A of the New Jersey Statutes
Mandates that New Jersey public and nonpublic K-12 schools maintain undesignated stock epinephrine auto-injectors and designate trained delegates to administer them in cases of emergency anaphylaxis.
Virginia School Personnel Immunity for Student Self-Administration
Civil immunity for school board employees supervising self-administration of certain medication
Provides civil immunity to school board employees, including transportation personnel, who supervise or assist a student's self-administration of inhaled asthma medications or epinephrine auto-injectors pursuant to school board policies, absent gross negligence or willful misconduct.
Virginia Student Asthma and Anaphylaxis Self-Carry and School Bus Administration Statute
Possession and administration of inhaled asthma medications, epinephrine, glucagon, and seizure rescue medications by certain students or school board employees
Requires local school boards to adopt policies permitting students with diagnosed asthma or anaphylaxis to possess and self-administer inhaled asthma medication and auto-injectable epinephrine on school buses, school property, and at school-sponsored events, provided parental consent and an individualized health care plan are in place.
Elijah's Law (Virginia)
Elijah's Law - Possession and administration of an appropriate weight-based dosage of epinephrine by employees in child day centers
Requires the Virginia Board of Education to amend its regulations to mandate that child day centers implement policies for the possession, storage, and administration of undesignated stock epinephrine auto-injectors and train staff to recognize anaphylaxis and administer weight-based doses.
Virginia School Medication Civil Immunity Statute
Civil immunity for school board employees supervising self-administration or administering certain medication
Provides civil immunity from liability for damages resulting from ordinary acts or omissions to school employees, including transportation personnel, who supervise self-administration or administer prescribed or stock epinephrine and asthma inhalers in good faith pursuant to state guidelines.
Virginia Student Self-Carry and Stock Medication Statute
Possession and administration of inhaled asthma medications, epinephrine, glucagon, and seizure rescue medications by certain students or school board employees
Requires local school boards to adopt policies permitting diagnosed students to possess and self-administer inhaled asthma medications and auto-injectable epinephrine on school buses, during the school day, and on school property, with parental and provider authorization. Also provides for stock albuterol and stock epinephrine administration in school divisions.
Virginia Childcare Medication Administration Training Statute
Administration of medications by employees of child day centers and family day homes
Provides an exemption under the Virginia Drug Control Act allowing designated childcare staff who successfully complete an approved medication administration training (MAT) course to administer prescribed drugs, emergency epinephrine, and asthma inhalers to children in care.
Virginia Child Day Center Epinephrine Mandate (Elijah's Law Implementation)
Possession and administration of an appropriate weight-based dosage of epinephrine by employees
Directs the Virginia Board of Education to amend regulations requiring licensed child day centers to adopt policies for the possession and administration of weight-based epinephrine dosages by trained staff to any child believed to be experiencing anaphylaxis.
Virginia School Stock Albuterol Law
Possession and administration of undesignated stock albuterol inhalers in public schools
Authorizes local school boards to adopt policies allowing trained school personnel and school nurses to stock and administer undesignated albuterol inhalers and valved holding chambers to students experiencing respiratory distress.
Virginia Student Self-Carry and Self-Administration Law
Self-administration of inhaled asthma medications and auto-injectable epinephrine
Permits students diagnosed with asthma or anaphylaxis to possess and self-administer inhaled asthma medications and epinephrine auto-injectors at school, on school buses, or during school activities, subject to written physician and parental authorization.
Virginia School Stock Epinephrine Law
Possession and administration of epinephrine; school personnel
Requires local school boards to adopt and implement policies for the possession and administration of undesignated stock epinephrine auto-injectors by trained school personnel or nurses in any school, providing civil liability immunity for good-faith emergency administration.
NDE Rule 59
Regulations for School Health and Safety: Emergency Response to Life-Threatening Asthma or Systemic Allergic Reactions (Anaphylaxis)
Mandates that all accredited and approved public, private, and early childhood education programs adopt and implement an Emergency Response Protocol for life-threatening asthma or anaphylaxis. Facilities are strictly required to procure and maintain stock epinephrine auto-injectors, albuterol, and nebulizer equipment, and train school staff on emergency response.
Montana Child Care Medication Administration Rule
Medication Administration in Child Care Facilities
Establishes licensing rules for childcare facilities across Montana, prohibiting staff from administering any medication or supplement without explicit individual written parental and healthcare authorization, and mandating secure storage inaccessible to children.
Arizona Stock Epinephrine and Asthma Inhalers in Schools Act
An Act Amending Title 15, Arizona Revised Statutes, Relating to School Epinephrine Auto-Injectors and Inhalers
Authorizes school districts and charter schools in Arizona to stock epinephrine auto-injectors and prescribed asthma inhalers under standing orders and train designated personnel to administer them in respiratory and anaphylactic emergencies.
Alaska School Stock Epinephrine Act
An Act Relating to Epinephrine Auto-Injectors in Schools
Authorizes Alaska public and private schools to stock auto-injectable epinephrine under a standing protocol and allows trained personnel to administer it to individuals experiencing suspected severe allergic anaphylaxis.
DC Access to Emergency Epinephrine in Schools Act
District of Columbia Access to Emergency Epinephrine in Schools Amendment Act
Authorizes public, public charter, and private schools in the District of Columbia to obtain standing orders for stock epinephrine auto-injectors and permits trained employees to administer epinephrine to any individual believed to be experiencing anaphylaxis.
Alaska Student Possession and Self-Administration of Asthma Relievers and Epinephrine
Guarantees public school students in Alaska the right to self-carry and self-administer prescribed asthma reliever inhalers and epinephrine auto-injectors with medical authorization and parent consent.
Virginia School Diabetes Care & Glucagon Law
Administration of Glucagon and Insulin in Public Schools
Authorizes trained school employees to administer glucagon or insulin to students with diabetes during emergency hypoglycemic episodes when a school nurse is not available, and protects trained staff from civil liability.
Virginia School Stock Albuterol Inhaler Law
Possession and Administration of Stock Albuterol Inhalers in Public Schools
Authorizes school boards to adopt policies permitting schools to stock albuterol inhalers and valved holding chambers, and allows trained school nurses and designated employees to administer albuterol to any student believed to be in respiratory distress.
Virginia Student Self-Carry Law
Possession and Self-Administration of Inhaled Asthma Medications and Epinephrine by Certain Students
Permits students diagnosed with asthma or anaphylaxis to possess and self-administer prescribed inhaled asthma medications or epinephrine auto-injectors during school, at school-sponsored activities, and on school buses, provided written parental and physician authorizations are on file.
Amarria's Law / Virginia School Stock Epinephrine Law
Administration of Epinephrine in Schools (Amarria's Law)
Requires local school boards to adopt policies requiring each school to maintain a stock supply of epinephrine auto-injectors and to train designated personnel to administer stock epinephrine in any anaphylactic emergency.
Virginia School Stock Epinephrine and Stock Albuterol Mandate
Policies Regarding Certain Inhaled Asthma Medications and Epinephrine Auto-Injectors in Public Schools
Requires local school boards to implement policies allowing schools to stock undesignated epinephrine auto-injectors and inhaled asthma medications, requiring trained school nurses and designated non-medical personnel to administer them to any student believed to be in respiratory distress or experiencing anaphylaxis.
Wisconsin School Stock Epinephrine Act
An Act to create 118.2925 of the statutes; relating to: maintenance and use of epinephrine auto-injectors by school boards and authorized personnel
Allows school boards and nonpublic school governing bodies to obtain standing orders, stock undesignated epinephrine auto-injectors, and administer them during suspected anaphylactic emergencies.
Alabama School Stock Epinephrine Act
Alabama Anaphylaxis Preparedness Act (Code of Alabama Title 16, Chapter 1, Section 48)
Permits Alabama local boards of education to acquire, store, and administer undesignated stock epinephrine auto-injectors in public schools to treat sudden life-threatening allergic reactions.
Elijah's Law
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 Stock Epinephrine Law
Undesignated Epinephrine Auto-Injectors in Schools
Authorizes school districts and charter schools to obtain a prescription for and maintain a stock supply of epinephrine auto-injectors to treat students experiencing anaphylaxis, and authorizes trained school personnel to administer them with civil immunity protections.
School Epinephrine Mandate Bill
An Act to Require Each School in Every School District to Have Epinephrine Auto-Injectors in Each Educational Building
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 School Stock Epinephrine Law
Stock supply and emergency administration of epinephrine
Permits schools to maintain a stock supply of FDA-approved emergency epinephrine delivery systems (including auto-injectors and nasal spray formulations) and allows trained designated personnel to administer them in emergencies. Requires statewide protocols and training standards adopted by the State Board in consultation with the Department of Health, while granting civil liability immunity.
Vermont School Epinephrine and Asthma Inhaler Statute
An Act Relating to Possession and Self-Administration of Emergency Medications in Schools
Guarantees the right of students in Vermont schools to possess and self-administer prescribed emergency medications including epinephrine auto-injectors and asthma inhalers.
Tennessee Epinephrine Access Act
An Act to Amend Tennessee Code Annotated, Title 68, Chapter 140, Relative to Epinephrine Auto-Injectors
Authorizes authorized entities in Tennessee to maintain stock epinephrine auto-injectors and permits trained individuals to administer them during suspected anaphylactic emergencies.
Washington Entity Epinephrine Access Law
An Act Relating to Authorizing Public and Private Entities to Maintain Stock Epinephrine Auto-Injectors
Allows authorized entities to acquire and maintain unassigned epinephrine auto-injectors and permits trained personnel to administer them to treat anaphylactic reactions.
Undesignated Stock Albuterol Policy Gap
Minnesota Emergency Stock Asthma Medication in Schools (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 School Emergency Quick-Relief Albuterol Stocking 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.
Michigan Entity Epinephrine Access Law
Public Health Code (Administration of Epinephrine by Authorized Entities)
Allows authorized entities, which may include day care centers, youth camps, sports leagues, and recreation facilities, to acquire and stock undesignated auto-injectors under a standing order. Trained employees may administer epinephrine to individuals experiencing anaphylaxis with statutory civil immunity protection.
Michigan Student Self-Carry Law
Revised School Code (Student Self-Possession and Self-Administration of Inhalers and Epinephrine)
Allows public and nonpublic school students to possess and self-administer prescribed asthma inhalers and epinephrine auto-injectors during school, on school transportation, and at school-sponsored activities, provided written parental permission and physician approval are on file. Provides liability immunity to school personnel except in cases of gross negligence.
Michigan Public School Stock Epinephrine Law
Revised School Code (Mandatory Epinephrine Stocking and Administration in Public Schools)
Requires the board of a public school district or board of directors of a public school academy to maintain at least two undesignated epinephrine auto-injectors on site at each school. Requires at least two staff members (or at least one in schools with fewer than 10 staff) to be trained in recognizing anaphylaxis symptoms and administering epinephrine, and requires an emergency follow-up and parental notification policy.
Vermont Standards of Practice for School Health Services: Allergies Protocol
Vermont Protocol for Managing Life-Threatening Allergic Reactions and Stock Epinephrine in Schools
Provides clinical standing orders and operational guidelines issued by the Vermont Department of Health and Agency of Education for school nurses and personnel managing anaphylaxis, allergic reaction prevention, stock epinephrine, and transportation policies.
Vermont Emergency Medication Self-Carry Law
Possession and Self-Administration of Emergency Medication
Requires schools to permit students to possess and self-administer prescribed emergency medication such as epinephrine auto-injectors and asthma inhalers, provided parent and healthcare provider authorizations are on file.
Vermont School Stock Epinephrine Law
Stock Supply and Emergency Administration of Epinephrine
Authorizes public and approved independent schools to stock undesignated epinephrine and permits trained school staff to administer it to any student experiencing anaphylaxis. Requires statewide policies, individualized allergy plans, and training protocols.
Vermont School Stock Epinephrine Law
Stock supply and emergency administration of epinephrine
Permits healthcare providers to prescribe undesignated stock epinephrine auto-injectors to schools and authorizes trained designated personnel to maintain and administer stock epinephrine in anaphylaxis emergencies.
School Epinephrine Administration Expansion Bill
An Act enabling trained school personnel to administer life saving epinephrine treatment
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.
105 CMR 210.000 (Massachusetts School Health Regulations)
Handling and Administration of Prescription Medications by School Personnel
Massachusetts Department of Public Health regulations permit school districts and non-public schools to register with DPH to stock undesignated epinephrine auto-injectors and authorize designated, trained unlicensed school staff to administer epinephrine in life-threatening anaphylactic emergencies when a school nurse is not immediately available.
Maryland Entity Epinephrine Law (Camps and Public Entities)
Emergency Use Auto-Injectable Epinephrine Program
Establishes a state program allowing trained personnel of youth camps, educational institutions, and child-serving entities to obtain department certificates, purchase undesignated epinephrine auto-injectors via standing order, and administer them in emergency situations.
Vermont School Stock Epinephrine Law
Stock supply and emergency administration of epinephrine
Permits public and independent schools to maintain a stock supply of unassigned epinephrine auto-injectors and authorizes designated school staff trained by a school nurse or healthcare provider to administer it to any student or individual experiencing an apparent life-threatening anaphylactic reaction, providing civil liability immunity.
Ohio School Food Allergy & Epinephrine Law
Food Allergy Policy and Undesignated Epinephrine Procurement in Schools
Requires Ohio school districts to establish written food allergy protection policies and permits schools to procure and maintain stock epinephrine auto-injectors under a prescriber-issued protocol.
North Carolina School Stock Epinephrine Law
School Epinephrine Auto-Injector Act
Requires local boards of education in North Carolina to provide for a supply of emergency epinephrine auto-injectors in schools and train designated personnel in recognizing anaphylaxis and administering epinephrine.
North Dakota School Epinephrine Statute
Possession and Administration of Epinephrine Auto-Injectors in Public Schools
Permits public and nonpublic schools in North Dakota to obtain and maintain a stock supply of epinephrine auto-injectors and authorizes designated staff who have completed training to administer them during anaphylactic emergencies.
New Hampshire Epinephrine Access Act
An Act Relative to Epinephrine in Schools and Public Venues
Authorizes New Hampshire public and nonpublic schools to maintain a supply of undesignated epinephrine auto-injectors and allows designated trained school personnel to administer epinephrine to individuals experiencing anaphylaxis.
North Carolina School Asthma and Anaphylaxis Student Self-Care Act
An Act Establishing Policies for School District Asthma and Allergy Management
Mandates North Carolina public schools to allow students with asthma or life-threatening allergies to possess and self-administer prescribed inhaled asthma medication or epinephrine injectors on school grounds.
Vermont School Stock Epinephrine Law
Stock Supply and Emergency Administration of Epinephrine
Authorizes public and approved independent schools, including public pre-K programs located in schools, to maintain a stock supply of unassigned epinephrine auto-injectors. Allows school nurses and trained designated personnel to administer stock epinephrine to any student or individual experiencing suspected life-threatening anaphylaxis, and provides civil liability protection.
Vermont Child Care Licensing Regulations (CBCCPP Medication Rules)
Center Based Child Care and Preschool Program Licensing Regulations - Medication Administration and Emergency Care
Governs administration of medications in licensed center-based child care and preschool programs. Staff administering prescription emergency medications (such as epinephrine auto-injectors and asthma inhalers) must complete state-approved medication administration training, store medications safely with original prescription labeling, maintain emergency care plans, and ensure only authorized trained staff administer medication (with limited self-administration permitted only for school-age children under direct supervision).
Vermont School Health Allergies and Stock Epinephrine Guidelines
Vermont Standards of Practice: School Health Services - Section 3: Allergies
Provides standard procedures for school nurses and designated staff on food allergy exposure prevention, anaphylaxis response, stock epinephrine storage and handling, annual staff training, and individual emergency allergy action plans.
Childcare Anaphylaxis Preparedness Bill / Elijah's Law Initiative
An Act Relating to Protecting Vermont's Youngest Children from Anaphylaxis
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.
Vermont Child Care Licensing Regulations (CBCCPP)
Vermont Center-Based Child Care and Preschool Programs (CBCCPP) Licensing Regulations
Requires licensed center-based childcare and preschool facilities to maintain health and safety standards, manage known medical conditions with emergency protocols and medication storage, and reduce environmental irritants and triggers.
Vermont School Stock Epinephrine and Allergy Management Law
Stock Supply and Emergency Administration of Epinephrine
Permits public and independent schools to maintain a stock supply of epinephrine auto-injectors and intranasal epinephrine for emergency administration to individuals experiencing anaphylaxis. Mandates the State Board of Education, with the Department of Health, to establish allergen exposure prevention policies, emergency response protocols, staff training standards, and individualized allergy management plans.
Municipal Youth Programs Emergency Inhaler & Epinephrine Law
Municipal recreational programs and camps; Asthma inhalers and epinephrine autoinjectors
Permits municipal employees and volunteers operating municipal recreational programs, camps, and youth childcare activities to receive training and to possess and administer prescribed asthma inhalers and epinephrine auto-injectors to provide emergency aid.
Maine Entity Stock Epinephrine Law
Epinephrine Autoinjector Accessibility (Entity Stock Epinephrine)
Allows authorized entities, including daycare and childcare centers, recreation programs, and youth camps, to obtain prescriptions for and stock undesignated epinephrine auto-injectors, permitting trained staff to administer them in anaphylactic emergencies under statutory civil immunity.
Child Care Center Epinephrine Access Law
Administration of auto-injectable epinephrine; early learning centers
Requires early learning centers (childcare centers) to adopt a policy authorizing trained employees to administer stock auto-injectable epinephrine to any child believed in good faith to be experiencing anaphylaxis, regardless of whether the child has a prescription. Authorizes centers to maintain a stock supply under a physician's standing protocol, requires at least one trained staff member on site, and grants civil immunity to prescribers, trainers, and childcare staff.
School Emergency Epinephrine & Lifesaving Medications Law
Administration of medication; conditions; student self-administration of asthma medications and auto-injectable epinephrine; undesignated stock epinephrine and lifesaving medications in schools
Governs school medication administration. Guarantees students the right to self-carry and self-administer prescribed asthma inhalers and epinephrine auto-injectors. Mandates each public elementary and secondary school adopt a policy permitting a school nurse or trained employee to administer undesignated stock auto-injectable epinephrine under a standing protocol to any student in anaphylaxis. Authorizes authorized prescribers to dispense and schools to maintain undesignated lifesaving medications, providing civil liability immunity.
Utah School Epinephrine and Stock Albuterol Act
Emergency Response for Life-Threatening Conditions / School Health - Qualified Adult Training and Epinephrine/Albuterol Administration
Utah law mandates all primary and secondary schools (public and private) to stock at least one emergency epinephrine auto-injector, permits designated trained qualified adults to administer stock epinephrine during anaphylaxis, authorizes stock albuterol administration for diagnosed asthma emergencies, and provides civil liability immunity.
Utah Epinephrine Access and Entity Stocking Law
Emergency Injection for Anaphylactic Reaction Act (Entity Stocking and Administration)
Authorizes qualified entities (including public venues, recreation camps, and sports facilities) and designated qualified adults who have completed approved training to obtain, store, and administer stock epinephrine auto-injectors to any individual experiencing suspected anaphylaxis, with civil liability protections.
Life-Threatening Allergies in Schools; Stock Supply of Epinephrine Delivery Systems
Authorizes school districts and charter schools to obtain and possess undesignated stock epinephrine delivery systems under a standing protocol from the Commissioner of Health, allowing designated staff to administer doses to any individual believed to be suffering anaphylaxis.
Possession and use of epinephrine auto-injectors; model policy
Mandates that school districts adopt an anaphylaxis policy ensuring that allergic students can self-carry epinephrine or have immediate, unlocked access to epinephrine delivery systems in close proximity during the instructional day, backed by individualized healthcare plans.
An Act relative to the possession and use of epinephrine at recreation camps, schools, and institutions of higher education
Requires public school districts employing a nurse to maintain stock epinephrine, broadens statutory definitions from auto-injectors to include all epinephrine delivery devices (including nasal sprays), permits cross-individual emergency use, and authorizes recreation camps and colleges to possess stock supplies.
Emergency Medication in Schools Act
Emergency Medication in Schools Act — albuterol; epinephrine; stock supply; storage
Authorizes local school boards and charter schools to maintain standing orders and unlocked, secure stock supplies of pediatric/standard-dose epinephrine auto-injectors and albuterol canisters for emergency use by school nurses and designated trained personnel during respiratory distress or anaphylaxis.
Authorization for pupil to self-administer medication for asthma, anaphylaxis or diabetes; contents of request; establishment of protocols relating to self-administration of medication; immunity from liability
Protects the right of public and charter school students to carry and self-administer prescription asthma inhalers and auto-injectable epinephrine at school, while establishing liability immunity for districts and staff acting in compliance with medical authorizations.
Utah Qualified Entity Epinephrine Training and Operational Guidelines
Utah Department of Health and Human Services Anaphylaxis and Stock Epinephrine Guidelines for Qualified Entities
Provides official guidance from the Utah Department of Health and Human Services for qualified entities such as amusement parks, recreation areas, and food establishments on training adult volunteers to recognize anaphylaxis, safely store stock epinephrine, and activate emergency medical services.
Utah Stock Epinephrine Entity Law
Emergency Response for Life-Threatening Conditions: Qualified Epinephrine Auto-Injector Entities
Permits designated qualified entities, including recreation areas, amusement parks, food establishments, and venues/stadiums, to obtain a prescription for, store, and authorize trained adults to administer stock epinephrine auto-injectors during anaphylactic emergencies without civil liability.
Utah Qualified Entity Anaphylaxis Immunity Act
Emergency Epinephrine and Asthma Rescue Medication Civil Immunity for Qualified Entities
Provides comprehensive civil and criminal Good Samaritan immunity to qualified entities, venue operators, prescribing clinicians, and trained adults who administer epinephrine rescue medication or stock albuterol in good faith to individuals experiencing anaphylaxis or acute respiratory distress.
Utah Public Entity Epinephrine and Stock Albuterol Law
Epinephrine Auto-Injector and Stock Albuterol Act - Qualified Entities and Public Venues
Authorizes qualified public and private entities, including recreation camps, sports venues, stadiums, and amusement facilities, to obtain, stock, and designate trained personnel to administer emergency stock epinephrine auto-injectors and stock albuterol to individuals experiencing an anaphylactic or asthma emergency.
Utah Public Access Epinephrine and Rescue Medication Law
Emergency Injection for Anaphylactic Reaction Act - Authority to Obtain and Use Epinephrine Rescue Medication, Glucagon, or Stock Albuterol
Authorizes qualified entities—including recreation camps, venues, restaurants, and other public accommodations—and trained individuals to obtain, store, and administer stock epinephrine rescue medication or stock albuterol during an emergency without liability, provided training protocols are met.
Utah DHHS School and Youth Program Anaphylaxis Guidelines
State Guidelines for Anaphylaxis Emergency Action Plans and Medication Administration
Sets statewide clinical recommendations and model protocols for training personnel, storing unlocked stock auto-injectors, formulating Allergy and Anaphylaxis Emergency Action Plans (AAEAPs), and managing life-threatening allergic reactions in youth and school environments.
Utah Student Self-Carry Law for Inhalers and Epinephrine
Possession and Self-Administration of Asthma Medication and Epinephrine in Public Schools
Permits public school students to possess and self-administer prescribed asthma medications and epinephrine auto-injectors at school, school-sponsored activities, and on school transportation, provided that written parent authorization and healthcare provider confirmation are on file.
Utah School Stock Epinephrine Mandate
Mandatory School Stock Epinephrine and Administration Protocols
Requires all public and private primary and secondary schools to stock at least one emergency epinephrine auto-injector for use on individuals experiencing suspected anaphylaxis, outlines training standards for adult volunteers, and grants civil immunity.
Utah Entity Epinephrine Stocking Law (Recreation Camps, Youth Sports, and Childcare)
Emergency Response for Life-Threatening Conditions: Qualified Entities Authorization to Obtain and Use Epinephrine Auto-Injectors
Designates recreation camps, day care facilities, youth sports leagues, and amusement parks as 'qualified entities' authorized to obtain standing orders, acquire and maintain stock epinephrine auto-injectors, and have trained volunteer qualified adults administer them during suspected anaphylactic emergencies with statutory immunity.
Stock Epinephrine in Maine Schools
An Act to Increase Student Access to Epinephrine Auto-injectors
Permits public and private schools in Maine to stock non-patient-specific epinephrine auto-injectors under a collaborative practice agreement or standing order to treat suspected anaphylaxis.
Maryland Public Schools - Epinephrine Auto-Injectors and Albuterol - Policy and Training
Authorizes county boards of education to establish policies allowing schools to stock undesignated epinephrine auto-injectors and emergency bronchodilators such as albuterol for administration to students experiencing anaphylaxis or respiratory distress.
Minnesota Stock Epinephrine Statute
Students with Asthma, Severe Allergies, or Other Life-Threatening Conditions; Emergency Epinephrine and Medication Administration
Authorizes school districts and charter schools in Minnesota to enter into arrangements with licensed practitioners to maintain stock epinephrine auto-injectors and establishes emergency administration guidelines.
Utah State School Anaphylaxis Guidelines
Life-Threatening Conditions in Schools: Anaphylaxis and Stock Epinephrine Guidelines
Provides official guidance from the Utah Department of Health and Human Services for implementing emergency stock epinephrine protocols, staff training requirements, safe storage, and anaphylaxis emergency management during school and youth-serving functions.
Utah DHHS School and Entity Anaphylaxis Guidelines
Utah Department of Health and Human Services Anaphylaxis Guidelines and Training Protocols
Provides official guidance and standardized protocols for schools and qualified authorized entities (including recreation camps and daycares) on managing life-threatening allergies, safe unlocked storage of stock epinephrine, symptom identification, volunteer 'qualified adult' training requirements, standing orders, and reporting protocols.
Utah Student Epinephrine Self-Carry and Stock Mandate
Possession and Administration of Epinephrine Auto-Injectors in Public and Private Schools and Youth Settings
Requires all primary and secondary schools in Utah to stock at least one unassigned epinephrine auto-injector in an accessible, unlocked location. Also mandates that students with valid authorization be permitted to self-possess and self-administer epinephrine at school and during school-sponsored off-site activities (such as field trips and school-affiliated camps).
Utah Entity Stock Epinephrine and Qualified Adult Statute
Emergency Response for Life-Threatening Conditions - Qualified Epinephrine Auto-Injector Entities
Designates recreation camps, youth sports leagues, day care facilities, schools, and other entities as qualified entities permitted to obtain a prescription for and maintain stock epinephrine auto-injectors. Allows designated and trained qualified adults (volunteers aged 18+) to administer emergency epinephrine to any individual experiencing an apparent anaphylactic reaction and provides civil liability protection.
DHHS School Allergy & Anaphylaxis Guidelines
Utah Standards of Care: Allergy and Anaphylaxis Management in the School Setting
Provides comprehensive clinical and administrative guidance for school nurses, district transportation departments, and school staff on developing individualized healthcare plans (IHPs), Allergy and Anaphylaxis Emergency Action Plans (AAEAPs), staff delegation, stock epinephrine maintenance, and managing severe allergic emergencies during transportation.
Utah Stock Epinephrine Statute
School Health - Voluntary Participation and Stock Emergency Epinephrine
Requires all primary and secondary schools across Utah to make stock injectable epinephrine rescue medication available to qualified volunteer employees, while limiting the minimum requirement to just one device per campus.
Utah Stock Albuterol and Emergency Epinephrine Statute
Authority to Obtain and Use Epinephrine Rescue Medication, Glucagon, or Stock Albuterol
Authorizes designated qualified adults and school or early care personnel to obtain, maintain, and administer standing-order stock albuterol, epinephrine, and glucagon to individuals experiencing severe respiratory distress or anaphylaxis.
Kansas Child Care Allergy Policy and Stock Epinephrine Act
An Act concerning children and families; relating to allergy prevention in child care facilities (Senate Substitute for House Bill 2062)
Directs Kansas health authorities to adopt rules and standard policies regarding food allergy management, notification, and emergency epinephrine access across child care and early childhood programs.
Student Asthma Medication and Epinephrine Self-Carry and Administration Statute
Utah Administration of Medication to Students - Possession and Self-Administration of Asthma Medication and Epinephrine
Authorizes public school students to possess and self-administer asthma rescue medication and epinephrine auto-injectors/nasal sprays while on school grounds, during school-sponsored activities, and on school-provided transportation with an action plan and parental/physician authorization.
Utah School Stock Medication Reauthorization
Health and Human Services Amendments (School Stock Medications)
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.
Utah Anaphylaxis and Outside Food Guidelines in Schools
Emergency Response for Life-Threatening Conditions in Schools: Anaphylaxis Guidelines
Provides comprehensive state guidance and model policies for LEAs on stock epinephrine management, individualized health plans (IHPs), delegation to school staff, and emergency protocols covering school grounds and transportation.
Utah Child Care Licensing Center Medication and Health Rules
Child Care Center Medication Administration and Emergency Care Rules
State childcare licensing regulations require licensed centers to maintain child health records documenting known allergies, securely store emergency medications, obtain parental authorization, and follow emergency response procedures.
Utah DHHS School Anaphylaxis and Allergy Guidelines
Utah Standards of Care: Allergy and Anaphylaxis Management in the School Setting & Allergy and Anaphylaxis Emergency Action Plan
Comprehensive state agency clinical guidance and standardized forms issued by the Utah Department of Health & Human Services providing step-by-step school emergency protocols for food and environmental anaphylaxis, standing orders, safe unlocked storage, and Individualized Healthcare Plans (IHPs).
Student Self-Administration of Asthma and Epinephrine Medication Act
Possession and Self-Administration of Epinephrine Auto-Injectors and Asthma Inhalers in Public Schools
Directs school boards and charter schools to allow students to carry and self-administer prescribed asthma inhalers and epinephrine auto-injectors at school, school-sponsored activities, and on school buses, provided the required medical and parental authorization plans are on file.
Utah School Stock Epinephrine Law
Utah Emergency Injection for Anaphylaxis Act - Requirement to Stock Epinephrine Rescue Medication in Schools
Requires all primary and secondary public and private schools to maintain at least one unassigned emergency injectable epinephrine auto-injector on campus, store it unlocked and accessible, train designated personnel, and provide civil immunity for good-faith emergency administration.
Emergency Epinephrine Auto-Injector Act
Authorizes authorized entities and public venues to stock undesignated epinephrine auto-injectors and permits trained personnel to administer them in suspected anaphylactic emergencies.
Emergency Epinephrine Auto-Injectors for Authorized Entities Act
Permits public and private authorized entities across Colorado to stock non-patient-specific epinephrine auto-injectors and establishes civil immunity protections for emergency administration.
Lincoln's Law
An Act Relating to Epinephrine in Public Schools
Requires all K-8 Florida public school staff to be trained and prepared to administer emergency stock epinephrine auto-injectors to students experiencing anaphylaxis.
An Act Relating to Epinephrine Auto-Injectors in Public Entities and Places of Public Accommodation
Allows authorized entities throughout Georgia to obtain undesignated prescriptions for stock epinephrine auto-injectors and permits trained personnel to administer them during anaphylactic episodes.
Federal SAMPRO Act (P.L. 116-292)
School-Based Allergies and Asthma Management Program Act
Grants federal award preference to states whose public school districts implement comprehensive asthma and allergy management programs, individualized emergency action plans, environmental trigger mitigation, and school nurse training.
Utah Student Self-Carry and Self-Administration Statute
Possession and Self-Administration of Asthma and Anaphylaxis Medication by Students
Guarantees public school students the right to possess and self-administer prescribed asthma medication and epinephrine auto-injectors at school, school-sponsored activities, and on school-provided transportation.
Utah School IPM Environmental Asthma Trigger Rule
School Environmental Health and Safety Integrated Pest Management Rule
Requires all K-12 public, private, and charter schools (including attached preschools) to establish Integrated Pest Management (IPM) programs to reduce environmental pests and chemical pesticide triggers that exacerbate student asthma and respiratory allergies.
Utah School Stock Epinephrine Law
Emergency Epinephrine Protocol and School Stocking Mandate
Requires all primary and secondary elementary and secondary schools (both public and private) to stock at least one emergency epinephrine auto-injector and outlines protocols and immunity for designated, trained school personnel to administer it during life-threatening anaphylactic emergencies.
Maintenance and use of epinephrine delivery systems in schools
Permits public, private, and charter school personnel to maintain and administer undesignated stock epinephrine auto-injectors and pre-measured delivery systems to treat students experiencing anaphylaxis.
Student Self-Carry Epinephrine Law
Possession and use of epinephrine auto-injectors by pupils
Authorizes students in elementary and secondary schools to possess and self-administer prescribed epinephrine auto-injectors on school grounds and at school-sponsored events with medical and parental authorization.
Guam School Epinephrine Act
Emergency Administration of Epinephrine in Schools Act
Authorizes Guam public and non-public schools to obtain standing orders for stock epinephrine auto-injectors and permits designated trained school staff to administer them during anaphylaxis emergencies.
Texas Stock Epinephrine and Albuterol in Schools Policy
Emergency Epinephrine and Asthma Medication Administration at Off-Campus and In-Transit School Events
Permits authorized school personnel who are trained to administer unassigned asthma medication or stock epinephrine to an individual experiencing respiratory distress or anaphylaxis at off-campus school activities, including sports stadiums and event arenas.
Texas School Anaphylaxis Guidelines and Policy Mandate
Policies for the Care of Certain Students at Risk for Anaphylaxis
Requires school districts and open-enrollment charter schools to adopt and administer a policy for the care of students with diagnosed, life-threatening food allergies based on state guidelines developed by DSHS, covering risk reduction, training, and emergency reaction protocols on campuses and school transportation.
Texas Student Asthma and Anaphylaxis Self-Carry Law
Self-Administration of Prescription Asthma or Anaphylaxis Medicine by Students
Grants students with asthma or anaphylaxis the statutory right to possess and self-administer prescribed asthma or anaphylaxis medicine while on school property or at school-related activities (including school buses), provided they have provider authorization, parental consent, and demonstrated competency.
Texas School Stock Epinephrine and Respiratory Distress Medication Law
Maintenance and Administration of Epinephrine Delivery Systems and Medication for Respiratory Distress
Authorizes school districts and charter/private schools to voluntarily adopt policies maintaining stock epinephrine delivery systems and medication for respiratory distress (bronchodilators). The law explicitly permits the policy to allow authorized and trained personnel to administer stock epinephrine off-campus and while in transit to or from a school event, which encompasses school buses.
Tennessee School Epinephrine Expansion Act
AN ACT to amend Tennessee Code Annotated, Title 49 and Title 68, Chapter 140, Part 5, relative to epinephrine (SB 1716 / HB 1550)
Expands the prescribed forms of epinephrine that a Tennessee LEA (school district) or nonpublic school is authorized to administer when a student is believed to be experiencing a life-threatening allergic or anaphylactic reaction to any prescribed form of epinephrine, not just epinephrine auto-injectors. Amends TCA Title 49 and Title 68, Chapter 140, Part 5.
Washington School and Youth Camp Stock Epinephrine Act
An Act Relating to Epinephrine Autoinjectors in Schools and Youth Camps
Permits Washington public and private schools to maintain a supply of epinephrine auto-injectors under a standing order for trained personnel to administer to individuals experiencing anaphylaxis.
Virginia Stock Epinephrine and Asthma Medication Act
Possession and administration of inhaled asthma medications and epinephrine by certain students and school personnel
Authorizes public school personnel to possess and administer undesignated stock epinephrine auto-injectors and inhaled asthma medications to students experiencing anaphylaxis or respiratory distress.
West Virginia Student Self-Carry and Stock Epinephrine Law
Self-administration of asthma medication and epinephrine auto-injectors in public schools
Authorizes West Virginia county boards of education to stock undesignated epinephrine auto-injectors and permits trained personnel to administer them during anaphylaxis emergencies.
Wisconsin Entity Stock Epinephrine Law
Life-saving allergy medication; use of epinephrine delivery systems
Allows authorized entities and trained individuals to obtain, stock, and administer epinephrine delivery systems to any person believed in good faith to be experiencing anaphylaxis.
Texas Student Asthma and Anaphylaxis Self-Carry Law
Self-Administration of Prescription Asthma or Anaphylaxis Medicine by Students
Protects a student's right to possess and self-administer prescription asthma or anaphylaxis medicine at school campuses, school-sponsored activities, and school-associated youth and camp programs, provided physician and parental authorization is on file.
Texas Entity Stock Epinephrine Law
Epinephrine Auto-Injector Policies for Certain Entities and Venues
Permits authorized entities, including day camps, youth programs, sports venues, and recreational facilities, to obtain standing orders, store unassigned epinephrine auto-injectors, and train staff to administer them during suspected anaphylaxis emergencies.
Texas Youth Facility Epinephrine and Asthma Medicine Stock Law
Maintenance, Administration, and Disposal of Epinephrine Auto-Injectors and Asthma Medicine at Certain Youth Facilities
Authorizes youth facilities and youth recreation camps to adopt policies to acquire, store, and administer unassigned epinephrine auto-injectors and asthma medicine by authorized, trained personnel during emergencies, with statutory civil liability immunity.
Texas Student Self-Carry and Self-Administration Law
Self-Administration of Prescription Asthma or Anaphylaxis Medicine by Students
Entitles students with asthma or severe allergies to possess and self-administer prescribed asthma and anaphylaxis medication on school property, during school-related events, or in transit, provided provider authorization and parental consent requirements are satisfied.
Texas School Stock Epinephrine and Respiratory Distress Medication Law
Maintenance and Administration of Epinephrine Delivery Systems and Medication for Respiratory Distress
Authorizes school districts and open-enrollment charter schools to adopt policies maintaining and administering unassigned epinephrine and respiratory distress medication. While stock epinephrine is required at the campus level if adopted, policies may permit trained personnel to administer epinephrine off-campus or while in transit to/from school events such as on school buses.
Texas Childcare Epinephrine Storage Law
Texas Human Resources Code Section 42.067
Requires day-care centers to store epinephrine delivery systems in a secure location that is easily accessible to employees or volunteers.
Texas Stock Epinephrine Law
Maintenance, Administration, and Disposal of Epinephrine Auto-Injectors
Permits school districts and open-enrollment charter schools to adopt policies for the maintenance and administration of unassigned (stock) epinephrine auto-injectors for students experiencing anaphylaxis.
Texas Food Allergy Management Law
Care of Students with Diagnosed Food Allergies at Risk for Anaphylaxis
Requires school districts and open-enrollment charter schools to adopt and implement a policy for the care of students with diagnosed food allergies at risk for anaphylaxis, based on state-developed guidelines.
Oklahoma School Epinephrine Access
Authorizes schools to maintain and administer stock epinephrine auto-injectors to students experiencing anaphylaxis.
North Dakota Century Code § 23-01-05.2
Statute governing the availability and use of stock epinephrine in schools and public settings.
Elijah's Law
An Act concerning food allergy safety, emergency preparedness, and anaphylaxis response in licensed child care settings
This bill establishes food allergy safety and anaphylaxis response protocols in licensed child care centers and family day care homes.
Oregon School Epinephrine Access
Allows school districts to stock epinephrine and train personnel to administer it in emergency anaphylaxis situations.
School Nurse Notification Act
House Bill 692
Requires a school to notify parents if a nurse is not assigned to the school during all instructional hours.
School Stock Epinephrine Law
Texas Education Code Section 38.208
Permits school districts, charter schools, and private schools to maintain a supply of unassigned epinephrine auto-injectors and allows trained personnel to administer them to anyone believed to be experiencing anaphylaxis.
Policies for Care of Students with Diagnosed Food Allergies at Risk for Anaphylaxis
Texas Education Code Section 38.0151
Requires school districts and charter schools to adopt and administer a policy for managing students with diagnosed food allergies at risk for anaphylaxis, based on state-developed guidelines.
Pending Childcare Epinephrine Training Bill
Texas HB 2283 (89th Legislature)
Pending legislation that would explicitly make day-care centers responsible for training employees in the administration of an epinephrine delivery device.
Texas Childcare Epinephrine Storage Law
Texas Human Resources Code Section 42.067
Requires day-care centers to store epinephrine delivery systems in a secure location that is easily accessible to employees or volunteers.
Texas Child Care Licensing Standards
Minimum Standards for Child-Care Centers
Requires childcare centers to maintain an individualized food allergy emergency plan for children with known allergies, including a list of allergens, symptoms, and specific steps to take during a reaction.
School-Based Stock Epinephrine Policy
Authorizes schools to maintain a supply of epinephrine auto-injectors for emergency use and requires oversight by state education, pharmacy, and nursing agencies.
Stock Epinephrine Law
Authorization for Stock Epinephrine in Schools
Authorizes public and nonpublic schools to maintain and administer any prescribed form of epinephrine, including nasal sprays, for students experiencing a suspected life-threatening allergic reaction.
Relating to the maintenance, administration, and disposal of epinephrine auto-injectors and asthma medication by public schools
Authorizes public schools to maintain and administer stock albuterol and epinephrine auto-injectors to students in respiratory distress or anaphylaxis.
Guidelines for the Care of Students with Food Allergies at Risk for Anaphylaxis
Provides updated mandatory guidance for Texas school districts to adopt and administer policies for students with diagnosed food allergies at risk for anaphylaxis.
Stock Epinephrine Auto-Injectors in Schools
Permits Vermont schools to maintain a stock supply of epinephrine auto-injectors and allows trained staff to administer them to any student in anaphylaxis.
An Act relating to the administration of epinephrine by emergency medical services providers
Authorizes emergency medical services providers to carry and administer epinephrine to individuals experiencing anaphylaxis regardless of a prior prescription.
Epinephrine auto-injectors in schools
Amends Wyoming statutes to allow schools to maintain a stock supply of epinephrine auto-injectors and provides liability protection for trained personnel.
Tennessee School Allergy and Asthma Law
Administration of Medications to Students
Allows public and private schools to stock epinephrine auto-injectors and permits students with asthma or anaphylaxis to self-carry and self-administer their prescribed medications with proper authorization. It also provides immunity for school personnel who administer these medications in good faith.
Food Allergy Management Act
Tennessee Food Allergy and Anaphylaxis Management Act
Mandates the Commissioner of Education to establish a model policy for schools to manage food allergies and anaphylaxis, including requirements for physician documentation and emergency procedures.
Entity Epinephrine Access Act
Epinephrine Administration by Authorized Entities
Allows physicians to prescribe epinephrine auto-injectors to authorized entities (like camps) and permits trained employees to administer them to individuals experiencing anaphylaxis with civil immunity.
Management of Students with Life-Threatening Food Allergies
Tennessee Code Annotated § 49-50-1602
Authorizes public and nonpublic schools to maintain a stock of epinephrine auto-injectors for use by trained personnel on any student believed to be experiencing a life-threatening allergic reaction. Requires the Department of Education and Department of Health to provide guidelines for allergy management.
Stock Epinephrine Law
Stock Epinephrine in Schools (Permissive)
Allows (but does not require) schools to maintain a stock supply of epinephrine auto-injectors and permits trained school personnel to administer them to any student believed to be having an anaphylactic reaction.
Self-Carry Law
Student Self-Administration of Medications
Requires schools to permit students with asthma or anaphylaxis to self-carry and self-administer prescribed inhalers or epinephrine auto-injectors. This right extends to any school-sponsored activity, which includes the school bus.
Epinephrine Delivery Systems Update
HF 2489 (2025 Legislative Session Amendment)
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
An Act relative to emergency stock epinephrine in schools
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
An Act relative to emergency stock epinephrine in schools
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.
Glucagon Administration Law
Glucagon Administration by Non-Medical Personnel
Allows volunteer school personnel to be trained to administer glucagon to students with diabetes experiencing severe hypoglycemia when a school nurse is not available.
EEC Medication Regs
Standards for the Licensure or Approval of Family Child Care; Care of Children
Under these regulations, childcare providers must have at least one staff member trained in first aid and CPR (including EAI administration) on-site at all times. It mandates that all prescription medications (inhalers/EPI) be kept in the original container with the pharmacy label, which complicates the use of "stock" medication unless specifically permitted by a physician's global order.
MGL Controlled Substances Act (School Amendment)
Registration of school districts to possess epinephrine auto-injectors
This statute allows school departments and non-public schools to register with the Department of Public Health for the purpose of possessing and distributing epinephrine auto-injectors. This is the legal mechanism that allows schools to bypass the need for student-specific prescriptions for emergency backup supplies.
Stock Albuterol Bill
An Act relative to asthma emergency medication
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.
Elijah’s Law
An Act to protect children with food allergies
This law requires the Department of Early Education and Care (EEC) to establish policies for childcare centers to manage life-threatening food allergies. It mandates that childcare providers have anaphylaxis emergency plans in place and provides for the training of staff on recognizing symptoms and administering epinephrine. It encourages, but does not strictly mandate, the stocking of undesignated epinephrine.
MGL School Meds Law
Administration of Medications in Public and Private Schools
This law mandates that all public and private schools allow students with diagnosed asthma or life-threatening allergies to self-carry and self-administer their inhalers or epinephrine auto-injectors. Furthermore, Department of Public Health (DPH) regulations (105 CMR 210.005) allow school districts to register with the DPH to maintain a stock of epinephrine auto-injectors and train unlicensed personnel to administer them to any student in an emergency, regardless of a prior prescription.
Relative to the use of epinephrine auto-injectors in schools
Updates New Hampshire statutes regarding the storage and administration of stock epinephrine in schools to include newer delivery methods and clarified training requirements.
Epinephrine Accessibility Act
Allows pharmacists to substitute a lower-cost epinephrine auto-injector for a prescribed brand-name device and permits pharmacists to dispense epinephrine without a prescription under certain conditions.
Epinephrine Stocking in Schools
Authorizes New Mexico schools to maintain a stock supply of epinephrine auto-injectors and allows trained personnel to administer them to any individual experiencing anaphylaxis.
An Act to Increase Access to Life-Saving Epinephrine in Schools
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.
South Dakota School Stock Epinephrine Law
Epinephrine--Acquisition--Exclusion
Allows schools to acquire and maintain a stock of epinephrine auto-injectors or nasal spray for emergency use during anaphylactic reactions, exempting them from certain pharmacy prescription requirements.
Tennessee Food Allergy and Anaphylaxis Management Act
Tennessee Food Allergy and Anaphylaxis Management Act of 2006
Requires the commissioner of education to establish a model policy for local education agencies to manage food allergies and anaphylaxis in schools.
Prescription Drug Affordability Act (Epinephrine Affordability)
Establishes a Prescription Drug Affordability Board with authority to set upper payment limits on high-cost drugs, including epinephrine auto-injectors.
Acquisition, possession, provision or administration of auto-injectable epinephrine and opioid antagonists by schools.
Authorizes public and private schools to maintain a stock supply of epinephrine auto-injectors and provides civil immunity for staff who administer them in good faith.
An Act enabling schools to maintain a supply of epinephrine auto-injectors.
Permits school districts to maintain a stock supply of epinephrine auto-injectors to be used by trained personnel for emergency treatment of anaphylaxis.
Rule 59 Updates
Change school board and school district duties relating to student health and safety.
Updates emergency protocols for school stock epinephrine and albuterol, including weight-based dosing requirements and prescriber expansion to Physician Assistants.
Elijah's Law
Health and Human Services Omnibus (Elijah's Law Provisions)
Requires child care providers to maintain allergy information for each child and establishes protocols for emergency response to anaphylaxis.
EpiPen Cost Cap Act
An Act relating to anaphylaxis; to cap out-of-pocket costs for epinephrine.
Limits patient out-of-pocket costs for a two-pack of epinephrine auto-injectors to no more than $60 for covered individuals.
Child Care Center Health and Safety Policies
State regulations for childcare licensing. It requires that all medications (including inhalers and epi-pens) be stored safely and only administered with written parental permission. It mandates that centers have a policy for handling medical emergencies, but does not mandate the presence of stock medications.
School Epinephrine Training Requirement
Training for administration of epinephrine
Designated school personnel must be trained by a licensed health care professional to recognize anaphylaxis symptoms and properly administer and store epinephrine auto-injectors or nasal spray before they can administer school-stocked medication.
Student Self-Carry Law
Self-administration permitted of prescription asthma and anaphylaxis medication by students
Students diagnosed with asthma or anaphylaxis are permitted to possess and self-administer their prescribed medication while on school property or at school-related events, provided they have parental and physician authorization.
South Dakota Stock Epinephrine Law
Epinephrine--Acquisition--Exclusion
Allows public and nonpublic schools to acquire and maintain a stock of epinephrine auto-injectors for emergency use in cases of severe allergic reactions. Schools that choose to stock must adopt a storage and use policy and notify parents.
Minnesota School Health - Stock Epinephrine Protocol
Authorizes licensed nurses in schools to administer epinephrine via a condition-specific protocol that does not reference a specific patient for emergency anaphylaxis management.
Public Act 186 & 187
Michigan School Health Services - Epinephrine Auto-Injector Policy
Requires Michigan schools to maintain a supply of epinephrine auto-injectors for use on any student suffering an allergic reaction and mandates staff training.
Bus Driver Training Policy
South Dakota Department of Education School Transportation Training Requirements
Requires all school bus drivers to receive appropriate training at least once every five years. However, current regulations do not explicitly mandate specific training for food allergy recognition or the administration of epinephrine auto-injectors.
Student Self-Carry Law
South Dakota Codified Law 13-32-10 and 13-32-11: Self-Administration of Medication
Requires schools to permit students with asthma or anaphylaxis to carry and self-administer their own prescribed inhalers or epinephrine auto-injectors while on school property, at school-related events, or during transportation, provided they have parental and physician authorization.
School Epinephrine Stock and Administration Act
South Dakota Codified Law 13-33A: Epinephrine Auto-Injectors and Nasal Spray
Allows schools to acquire and maintain a stock of epinephrine auto-injectors or nasal spray. It authorizes school nurses and designated personnel to administer epinephrine to any student believed to be experiencing anaphylaxis, regardless of a prior diagnosis, provided they follow a standing protocol.
Access to Treatment for Anaphylaxis Act
Access to Treatment for Anaphylaxis Act of 2018
Authorizes entities, including schools, to obtain, store, and administer undesignated epinephrine auto-injectors to individuals experiencing anaphylaxis, providing civil liability protection for trained personnel.
Higher Ed Emergency Medication Act
Access to Epinephrine Autoinjectors in Institutions of Higher Education
Permits Delaware institutions of higher education to maintain a supply of stock epinephrine auto-injectors. It provides civil immunity for trained employees who administer the medication in good faith during an emergency.
Elijah's Law (Delaware Implementation)
Child Care Center Licensing
Updated licensing standards for Delaware child care centers that require facilities to maintain stock epinephrine auto-injectors and ensure staff are trained in recognizing anaphylaxis and administering the medication.
Delaware Stock Epinephrine and Albuterol Law
School Access to Emergency Medication Act
Requires all public schools (pre-K through grade 12) to maintain a stock supply of emergency medications, specifically epinephrine auto-injectors and albuterol inhalers. It mandates that school nurses train designated personnel to administer these medications to any student or person believed to be experiencing anaphylaxis or respiratory distress, regardless of a prior diagnosis.
Clinical Protocol for Epinephrine Use in the School Setting
Establishes clinical protocols for the use of stock epinephrine in Kentucky schools for students with or without a known diagnosis.
An Act relative to the administration of epinephrine auto-injectors in schools
Updates requirements for the administration of epinephrine auto-injectors in schools and provides for training of school employees.
Authorizing schools to maintain stock supplies of epinephrine auto-injectors
Authorizes public and private schools to maintain a stock supply of epinephrine auto-injectors and allows for administration by trained personnel.
An Act to amend the Indiana Code concerning health
Authorizes healthcare providers to prescribe epinephrine auto-injectors to entities like businesses and camps for emergency use.
Epinephrine Auto-Injector Act
Allows authorized entities such as restaurants and theaters to stock epinephrine auto-injectors for emergency use by trained personnel.
South Dakota Student Self-Carry Law
Self-administration permitted of prescription asthma and anaphylaxis medication by students
Students diagnosed with asthma or anaphylaxis are permitted to possess and self-administer their prescribed medication while on school property or at school-related events, provided they have written authorization from a physician and parent.
South Dakota School Epinephrine Stocking Law
Epinephrine--Acquisition--Exclusion
Schools are permitted to maintain a stock of epinephrine auto-injectors or nasal spray for emergency use. Schools must adopt a policy for storage and use and notify parents. Designated personnel must be trained by a health care professional to recognize symptoms and administer the medication.
South Dakota School Stock Epinephrine Law
Epinephrine auto-injectors or nasal spray--Acquisition and maintenance
Allows South Dakota schools to voluntarily acquire and maintain a stock of epinephrine auto-injectors or nasal sprays. It requires schools that choose to stock to adopt storage and use policies, train designated personnel, and provides limited immunity from liability for administration in good faith.
2026 Self-Administration Update
Possession and Self-Administration of Prescription Medication
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.
South Dakota Student Self-Carry Law
Self-administration of prescription asthma and anaphylaxis medication
Grants students the right to possess and self-administer prescribed asthma or anaphylaxis medication while on school property or at school-related events, provided they have parental and physician authorization.
South Dakota Stock Epinephrine Law
Epinephrine Acquisition, Policy, and Administration
Allows South Dakota schools to acquire and maintain a stock of epinephrine auto-injectors for emergency use by trained personnel on any student believed to be experiencing anaphylaxis, regardless of a prior prescription.
Act 2016-193
Public Access to Epinephrine Act
Allows authorized entities, including childcare centers, to stock and administer epinephrine auto-injectors to individuals experiencing anaphylaxis.
Act 2014-405
Anaphylaxis Preparedness Act
Allows public schools to maintain a supply of undesignated epinephrine auto-injectors for use by trained personnel during anaphylactic emergencies.
SC Student Self-Carry Law
Self-Administration of Asthma and Anaphylaxis Medication
Requires school districts to allow students to self-carry and self-administer prescribed asthma and anaphylaxis medication if they have a written statement from a physician and parent.
Public Access to Epinephrine Act
Emergency Anaphylaxis Treatment Act
Authorizes 'authorized entities' (such as camps, restaurants, and sports arenas) to obtain and stock epinephrine auto-injectors and allows trained employees to administer them to individuals experiencing anaphylaxis.
Epinephrine Update Bill
Administration of Lifesaving Medications in Schools
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.
Self-Carry Law
Student Self-Administration of Medication
Requires school districts to adopt policies allowing students to self-carry and self-administer medication for asthma or anaphylaxis if they have a written statement from a healthcare provider and a parent/guardian.
SAVE Act
Safe Access to Vital Epinephrine (SAVE) Act
Allows South Carolina school districts to maintain a stock supply of epinephrine auto-injectors and permits trained school personnel to administer them to any student or individual perceived to be experiencing anaphylaxis, regardless of whether the individual has a prior prescription.
Schools; epinephrine auto-injectors; stock
Authorizes schools to stock and maintain a supply of epinephrine auto-injectors and allows trained personnel to administer them to students in respiratory distress.
Elijah's Law
Childcare providers: food allergies: emergency epinephrine auto-injectors
Requires the State Department of Social Services to establish food allergy protocols for child day care facilities, including emergency epinephrine use.
An Act Concerning The Use Of Epinephrine Auto-Injectors By School Personnel
Permits school bus drivers and other school personnel to administer epinephrine auto-injectors to students experiencing anaphylaxis.
Concerning Asthma, Food Allergy, and Anaphylaxis Health Management in Schools
Updates school health management protocols for students with asthma and food allergies, including self-administration and staff-administration of medication.
WDE Epinephrine Guidelines
Wyoming Department of Education Guidelines for Stock Epinephrine
Provides specific protocols for school districts that choose to stock epinephrine, including training requirements for non-medical staff and the necessity of calling 911 after administration.
Child Care Licensing Rules
Wyoming Administrative Code, Chapter 4, Section 7 - Medications
Childcare facilities are not required to administer medication. If they choose to do so, they must have a written policy, parental consent, and staff must complete medication administration training.
Self-Administration of Asthma and Anaphylaxis Medication
Wyoming Statutes Title 21. Education § 21-4-310
Requires school districts to allow students to self-administer and carry their own prescribed asthma or anaphylaxis medication, provided they have parental and physician authorization.
SAVE Act
Safe Access to Vital Epinephrine (SAVE) Act
Allows South Carolina schools to maintain a stock supply of epinephrine auto-injectors to be used by trained personnel for any student or individual perceived to be having an anaphylactic reaction.
Federal Stock Epinephrine Act
School Access to Emergency Epinephrine Act
Encourages states to adopt laws requiring schools to maintain stock epinephrine and provides liability protection for staff who administer it in emergencies.
School Medication Immunity
South Carolina Tort Claims Act - School Immunity Amendment
Provides immunity from liability to school districts and employees for injuries resulting from a student's self-administration of asthma or anaphylaxis medication, or for injuries sustained by a student using such medication without authorization.
Self-Carry Asthma/Anaphylaxis Law
School districts to adopt policy authorizing student to self administer asthma medication
Requires school districts to adopt policies that allow students to possess and self-administer prescribed asthma and anaphylaxis medications while on school property.
SAVE Act
Emergency Anaphylaxis Treatment Act
Allows South Carolina school districts to maintain a supply of epinephrine auto-injectors for use by trained personnel to treat students experiencing anaphylaxis.
FAAMA
Food Allergy and Anaphylaxis Management Act
Directs the Secretary of Health and Human Services to develop voluntary guidelines for schools and early childhood education programs to manage the risk of food allergy and anaphylaxis.
DSS Child Care Regulations
South Carolina Child Care Licensing Regulations: Health, Sanitation, and Safety
Mandates that childcare centers maintain health records for each child, including known allergies. It requires centers to have a written policy for handling medical emergencies and specific procedures for the storage and administration of medication.
Safe Access to Vital Epinephrine (SAVE) Act
Self-Administration of Asthma and Anaphylaxis Medication
Requires school districts to allow students to self-carry and self-administer asthma medication and epinephrine auto-injectors if they have a written statement from a physician and parent. This applies to early childhood programs operated within school districts.
South Carolina Public Access to Epinephrine Act
Emergency Anaphylaxis Treatment Act
Allows 'authorized entities' (including childcare centers and camps) to obtain and stock epinephrine auto-injectors. It requires staff training on administration and provides civil immunity for those who administer the medication in good faith during an emergency.
Dillon's Law (Entity Law)
Epinephrine auto-injectors; emergency administration
Authorizes 'authorized entities,' which includes childcare centers and youth camps, to stock epinephrine auto-injectors. Trained employees may administer the medication to individuals experiencing a severe allergic reaction when a physician's prescription is not specific to that individual.
Authorized Entity Stock Epinephrine
West Virginia Code § 16-50-4. Epinephrine auto-injector availability and use
Allows 'authorized entities' (which includes childcare centers and youth camps) to acquire and stock epinephrine auto-injectors. It permits trained employees to administer the medication to individuals experiencing anaphylaxis and provides immunity from civil liability for doing so.
Student Self-Administration Law
West Virginia Code § 18-5-22b. Providing for self-administration of asthma medication
Requires county boards of education to permit students to carry and self-administer prescribed asthma inhalers and epinephrine auto-injectors. The student must provide a written medical authorization and demonstrate the ability to use the device correctly to the school nurse.
Virginia Childcare Epinephrine Regulations
Child Care Program Regulations
Administrative regulations that codify the requirement for child day centers and family day homes to have at least one staff member trained in epinephrine administration and to maintain weight-based dosages of stock epinephrine.
Lifesaving Medications Act
Expansion of Lifesaving Medications in Schools
Amends the SAVE Act to expand the definition of 'epinephrine auto-injectors' to 'lifesaving medications,' allowing schools to stock and administer a broader range of emergency drugs under a standing order from DHEC.
SAVE Act
Safe Access to Vital Epinephrine (SAVE) Act
Allows schools to maintain a supply of stock epinephrine auto-injectors and permits trained school personnel to administer them to any student or person believed to be experiencing anaphylaxis, providing civil immunity for such actions.
South Carolina Self-Carry Law
Student Self-Administration of Asthma Medication and Epinephrine
Requires school districts to adopt policies allowing students to self-carry and self-administer prescribed asthma medication or epinephrine auto-injectors during school, at school-sponsored events, and while in transit on school buses.
SC Child Care Training Statute
Child Care Licensing Law: Training Requirements
Requires childcare providers to complete annual training, which includes health and safety topics. While not explicitly naming food allergies, DSS regulations use this authority to require first aid training.
SC Child Care Nutrition Regulations
Regulations for the Licensing of Child Care Centers: Nutrition and Food Service
Requires childcare centers to maintain records of children's food allergies and provide appropriate food substitutions. Centers must ensure that children with allergies are not served restricted foods.
SC Child Care Health Regulations
Regulations for the Licensing of Child Care Centers: Health, Sanitation and Safety
Mandates that childcare centers have written policies for medical emergencies and medication administration. Staff must be trained in first aid, and medications must be stored safely but accessible for emergencies.
SAVE Act
Safe Access to Vital Epinephrine (SAVE) Act
Allows schools to maintain a stock supply of epinephrine auto-injectors and permits trained school personnel to administer them to any student or person experiencing anaphylaxis, regardless of a prior prescription.
South Carolina Student Self-Administration Law
Possession and self-administration of asthma medication or epinephrine auto-injectors
Requires school districts to allow students to self-carry and self-administer medication for asthma or anaphylaxis if they have a written statement from a healthcare provider and parental authorization.
Safe Access to Vital Epinephrine (SAVE) Act
Safe Access to Vital Epinephrine (SAVE) Act
Authorizes schools to maintain a stock supply of epinephrine auto-injectors and allows designated, trained personnel to administer them to any student experiencing anaphylaxis, regardless of a prior diagnosis.
Student Self-Medication (Asthma and Anaphylaxis)
Possession and self-administration of epinephrine auto-injectors and asthma inhalers
Requires school districts to allow students to self-carry and self-administer prescribed epinephrine or asthma inhalers. This right extends to school-sponsored activities, including transportation on school buses, provided a medical authorization is on file.
DHEC Asthma Guidelines
SC DHEC School Health Guide - Asthma Section
Provides the clinical protocol for school nurses to manage asthma attacks. It outlines the transition from metered-dose inhalers (MDIs) to nebulizers and emphasizes the need for Asthma Action Plans.
SCDE Food Allergy Guidelines
South Carolina Guidelines for Managing Food Allergies in Schools
Official guidance from the SC Department of Education (SCDE) and DHEC for school nurses and administrators on developing Individualized Healthcare Plans (IHPs) and 504 plans for students with food allergies, EoE, and Celiac disease.
HB 4122
Epinephrine Auto-injectors
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
Education -- Health and Safety of Pupils (Modernization)
Proposed bill to modernize student self-carry rights to explicitly include intranasal epinephrine and updated asthma rescue delivery methods.
Rhode Island School Epinephrine and Asthma Law
Health and Safety of Pupils - Epinephrine and Asthma Meds
Permits students to self-carry and self-administer prescribed asthma and allergy medication and allows schools to maintain a stock supply of epinephrine auto-injectors.
Rhode Island Public Access to Epinephrine Act
Life-saving Allergy Medication - Stock Supply of Epinephrine Auto-Injectors - Emergency Administration
Allows 'authorized entities' such as youth camps, restaurants, and sports arenas to obtain and stock epinephrine auto-injectors for emergency use by trained individuals.
Student Self-Carry Rights
Training in the use and storage of epinephrine auto-injector
Mandates that schools permit students to possess and self-administer their own epinephrine auto-injectors if they have a healthcare provider's note and parental authorization.
HB 333
Medications in Schools Amendments
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.
HB 475
School Prescription Amendments
Requires the Department of Health and Human Services to issue standing prescription drug orders for stock epinephrine and stock albuterol, simplifying the procurement process for schools.
Utah School Stock Epinephrine Law
Emergency Injection for Anaphylactic Reaction Act
Requires all primary and secondary schools (public and private) to stock at least one epinephrine auto-injector and ensures trained staff can administer it to anyone showing signs of anaphylaxis.
Voluntary Unassigned Epinephrine Delivery System Policies for Certain Entities
25 Texas Administrative Code § 40.25
Establishes rules for 'youth facilities' (which includes childcare and daycare centers) to voluntarily adopt policies for stocking and administering unassigned epinephrine to individuals experiencing anaphylaxis.
Stock Epinephrine Law
Tennessee Code Annotated, Title 68, Chapter 140, Part 5
Authorizes K-12 schools to maintain a stock of epinephrine (including auto-injectors and nasal sprays) for emergency use on students experiencing anaphylaxis, providing liability protection for trained personnel.
An act relating to the use of epinephrine auto-injectors by school and child care personnel.
Expands the authority of school nurses and trained personnel to administer stock epinephrine to any person in a school or childcare setting who is having an anaphylactic reaction.
Elijah's Law
An Act Relating to Child Care; Requiring Child Care Facilities to Maintain Certain Allergy Information and Epinephrine.
Requires childcare facilities to implement food allergy management plans and maintain stock epinephrine auto-injectors.
Relating to the distribution of epinephrine auto-injectors.
Authorizes the state health officer to establish a program for the distribution of epinephrine auto-injectors to designated entities and individuals at risk of anaphylaxis.
School Stock Epinephrine Act
Emergency response to life-threatening asthma or systemic allergic reactions; protocols; emergency medication; administration.
Mandates school districts and accredited nonpublic schools to adopt protocols for responding to life-threatening asthma or systemic allergic reactions and permits the administration of stock epinephrine.
Epinephrine Auto-Injector Stock and Administration
Establishes requirements for schools to stock and administer epinephrine to students or staff experiencing anaphylaxis, regardless of a prior prescription.
Emergency Anaphylaxis Treatment Act
Emergency Anaphylaxis Treatment Act
Authorizes authorized entities (like camps and venues) to obtain and stock epinephrine auto-injectors and allows trained individuals to administer them in emergencies.
South Carolina Student Self-Carry Law
Self-Administration of Asthma and Anaphylaxis Medication
Requires school districts to adopt policies allowing students to self-carry and self-administer prescribed asthma and anaphylaxis medication if they have a written statement from a physician and parent.
School Bus Epinephrine Administration Act
Relating to Education - School Bus Drivers and Monitors
Requires that trained school bus drivers and monitors be authorized to administer epinephrine auto-injectors to students experiencing an allergic reaction during transport.
Entity Epinephrine Law
Emergency Anaphylaxis Treatment Act
Allows authorized entities, including summer camps and public venues, to obtain and stock epinephrine auto-injectors and provides civil immunity for trained individuals who administer them in good faith during an emergency.
Student Self-Medication Law
Self-Administration of Asthma and Anaphylaxis Medication
Requires school districts to adopt policies allowing students to self-carry and self-administer prescribed asthma or anaphylaxis medication if they have written authorization from a healthcare provider and parent.
H 7896
Relating to Education – Health and Safety of Pupils
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
An Act Relating to Education -- Health and Safety of Pupils
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.
An Act Relating to Insurance - Accident and Sickness Insurance
Epinephrine Cost-Sharing and Coverage (Recent Law)
Requires health insurers to cover at least one twin-pack of epinephrine auto-injectors per year with zero copayment or deductible.
DOH Epinephrine Regulations
Epinephrine Auto-Injectors for Emergency Administration
Department of Health regulations establishing the training standards, storage requirements, and emergency protocols for entities that choose to stock epinephrine.
Public Access to Epinephrine Act
Life-saving Allergy Medication - Stock Supply of Epinephrine Auto-Injectors - Emergency Administration
Allows 'authorized entities,' including schools, to obtain and maintain a stock supply of epinephrine auto-injectors to be used by trained staff for individuals experiencing anaphylaxis.
Childcare Epinephrine Access Bill
Epinephrine auto-injectors for authorized entities and day-care facilities
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.
Authorized Entity Act
Epinephrine Auto-Injector Entity Act
Allows 'authorized entities,' which can include childcare centers and youth camps, to obtain prescriptions for and stock epinephrine auto-injectors. It requires staff training and provides immunity for good-faith emergency administration.
Public Access Epinephrine
Qualified Entity Epinephrine Administration
Allows 'qualified entities,' which can include childcare centers, to maintain and administer epinephrine to individuals experiencing anaphylaxis.
AN ACT relating to health services in schools.
Mandates that schools keep a supply of at least two epinephrine auto-injectors in a unlocked location and allows for the administration of epinephrine by trained school personnel to any student perceived to be having an anaphylactic reaction.
An Act to Increase Access to Epinephrine Auto-injectors.
Allows pharmacists to prescribe and dispense epinephrine auto-injectors to individuals with a history of severe allergies and to authorized entities for emergency use.
Public Access Law
Public Access to Epinephrine
Allows authorized entities (such as recreation camps, restaurants, and sports arenas) to obtain and stock epinephrine auto-injectors for use by trained employees in emergencies.
Emergency Medication Modernization Act
An Act Relating to Education -- Health and Safety of Pupils
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.
School Epinephrine Stocking Law
Allergic emergencies--Anaphylaxis--Use of epinephrine--Immunity for those administering
Permits school departments to maintain a stock supply of epinephrine auto-injectors for emergency first aid and provides civil immunity for trained personnel who administer the medication in good faith.
Rhode Island Public Access to Epinephrine Act
Life-Saving Allergy Medication — Stock Supply of Epinephrine Auto-Injectors — Emergency Administration
Allows authorized entities to obtain and maintain a stock supply of epinephrine auto-injectors and permits trained employees to administer them to individuals experiencing anaphylaxis.
Rhode Island School Anaphylaxis Law
Allergic emergencies — Anaphylaxis — Use of epinephrine — Immunity for those administering
Requires school departments and health agencies to establish procedures for managing anaphylaxis, allowing parents to authorize school staff and bus drivers to administer epinephrine in emergencies.
Student Self-Carry Law
Possession and self-administration of asthma medication by students
Authorizes students with asthma or anaphylaxis to possess and self-administer their own prescribed medication on school property with proper documentation.
Mandatory Stock Epinephrine Bill
Relates to requiring the maintenance of epinephrine auto-injectors by school districts
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.
Emergency Medication in Schools Act
Emergency Medication in Schools Act
Allows public, charter, and private schools to maintain a stock supply of epinephrine auto-injectors and albuterol inhalers/spacers under a standing order from a healthcare practitioner. Provides civil immunity for good-faith administration.
Standing Order for Stock Emergency Medications in K-12 Schools
Authorizes school nurses and trained employees to administer stock epinephrine and other emergency medications to any student, employee, or visitor experiencing a life-threatening emergency.
Relating to Epinephrine Auto-Injectors
Authorizes public and private schools to stock epinephrine auto-injectors and provides liability protection for trained personnel who administer them in good faith.
Epinephrine Auto-Injectors in Schools
Permits Idaho schools to maintain a stock of epinephrine auto-injectors and allows trained personnel to administer them to students experiencing anaphylaxis.
Self-administration of medication for asthma, severe allergies, or other life-threatening conditions
Requires school districts to permit students to self-administer asthma or allergy medication and allows schools to stock epinephrine for emergency use.
School Bus Epinephrine Training Act
An Act Relating to Education -- Health and Safety of Pupils
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
An Act Relating to Education -- Health and Safety of Pupils
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.
Rhode Island School Epinephrine and Inhaler Law
Allergic emergencies — Anaphylaxis — Use of epinephrine — Immunity for those administering
Requires school bus drivers and monitors to be trained in epinephrine administration for identified students. Allows students to self-carry and self-administer prescribed inhalers and epinephrine auto-injectors in schools and on buses. Permits schools to maintain stock epinephrine for emergency first aid.
Chariho Anaphylaxis Policy
Chariho Regional School District Anaphylaxis Policy
A local district policy that mandates the maintenance of stock epinephrine ('Epipens') for use on previously unidentified students and staff and requires accessible storage for emergency use.
RIDOH Asthma Guidance
Asthma Information For Schools And Child Care Facilities
Official state guidance for schools and childcare centers on maintaining asthma-friendly environments, managing student asthma triggers, and coordinating care with health providers.
Epinephrine Injector Coverage Law
An Act Relating to Insurance -- Accident and Sickness Insurance Policies
Requires health insurers in Rhode Island to cover the full cost of epinephrine auto-injectors, eliminating co-pays and out-of-pocket costs for families.
Student Self-Carry and Stock Medication Bill
An Act Relating to Education -- Health and Safety of Pupils
Proposed to mandate that schools maintain stock epinephrine and asthma rescue inhalers and explicitly permit students to self-carry and self-administer these life-saving medications.
Rhode Island School Anaphylaxis Law
Allergic emergencies — Anaphylaxis — Use of epinephrine — Immunity for those administering
Authorizes schools to maintain stock epinephrine for emergency first aid and allows school bus drivers and monitors to administer epinephrine with parental authorization. Provides immunity from liability for those administering the medication in good faith.
Stock Epinephrine Law
Nevada Revised Statutes § 630.374
Allows physicians or physician assistants to issue orders for public or private schools to obtain and maintain auto-injectable epinephrine for emergency use.
Student Self-Administration of Medication
Nebraska Revised Statute 79-221
Ensures that students with asthma or severe allergies have the right to carry and self-administer their own prescribed inhalers or epinephrine auto-injectors while at school or school-sponsored activities, provided they have medical authorization.
Texas School Stock Epinephrine Law
Allows school districts to adopt and implement a policy for the maintenance, administration, and disposal of epinephrine auto-injectors.
Authority to obtain and use an injectable epinephrine rescue medication, glucagon kit, or stock albuterol
Authorizes schools to obtain and use stock epinephrine, glucagon, and albuterol for students experiencing respiratory or anaphylactic emergencies.
Student possession and self-administration of prescription medication
Allows students diagnosed with asthma or anaphylaxis to possess and self-administer prescription medication in schools.
RIDOH School Asthma Guidance
Asthma Information For Schools And Child Care Facilities
Official state guidance for schools and childcare centers to create asthma-friendly environments, including managing triggers and ensuring students have access to their rescue medications.
Rhode Island School Epinephrine Law
Allergic emergencies — Anaphylaxis — Use of epinephrine — Immunity for those administering
Allows school departments to permit schools to maintain stock epinephrine auto-injectors for emergency use and provides civil immunity for trained personnel who administer them. It also protects the rights of students to self-carry and self-administer their own prescribed epinephrine.
Stock Albuterol in Schools
PA House Bill 663 (2023-2024 Session)
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)
An Act to protection children with food allergies
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
An Act relative to stock inhalers in schools
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.
Maryland Entity Stock Epinephrine Law
Emergency Use Auto-Injectable Epinephrine Program
Establishes a certificate program that allows businesses and organizations, including childcare centers and youth camps, to obtain and stock epinephrine auto-injectors for emergency use by trained individuals.
School health services - Epinephrine auto-injectors
Authorizes schools to maintain a stock of epinephrine auto-injectors and provides for their administration by school employees to students during an emergency.
Louisiana Childcare Stock Medication Law
Early Learning Center Licensing Regulations - Medication Administration
Permits early learning centers to stock emergency medications including epinephrine and albuterol, and requires at least one employee to be trained in the use of auto-injectable epinephrine.
Louisiana Stock Epinephrine Law
Administration of auto-injectable epinephrine; definition; conditions; exceptions
Authorizes public schools to maintain a supply of auto-injectable epinephrine for emergency use and allows students to self-carry and self-administer their own prescribed medication.
House Bill 148
Use of epinephrine auto-injectors in child-care centers and family child-care homes
Authorizes licensed child-care centers and certified family child-care homes to obtain prescriptions for and maintain a stock of epinephrine auto-injectors. It requires the medication to be stored in a secure but accessible location and requires at least one trained staff member to be present.
Student Self-Administration Law
Self-administration of medication
Requires schools to allow students with asthma or anaphylaxis to carry and self-administer their medication (inhalers or epi-pens) while at school or school-sponsored activities. The student must provide a written statement from a healthcare provider and a parent/guardian.
School Health Services - Stock Medication Rules
Iowa Administrative Code 281—14.3
Provides the regulatory framework for schools to stock epinephrine and bronchodilators, including specific training requirements, procedural return-skills checks, and requirements for contacting emergency services.
Allergy Safe Schools Act
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.
Public Access to Epinephrine Act
Epinephrine Auto-Injector Entity Act
Allows 'authorized entities' (camps, restaurants, sports arenas) to obtain and stock epinephrine auto-injectors and provides civil immunity for staff who administer them in good faith during an emergency.
School Stock Epinephrine Law
Public School Code of 1949 - Section 1414.2
Allows schools to maintain a supply of non-patient-specific epinephrine auto-injectors and permits trained school employees to administer them to students experiencing anaphylaxis.
Nasal Epinephrine Access Bill
Epinephrine Delivery System Update
Updates the legal definition of 'epinephrine auto-injector' to 'epinephrine delivery system' to ensure that new FDA-approved formulations, such as nasal sprays, can be legally stocked and administered in schools and other public entities.
PA Entity Stock Law
Epinephrine Auto-Injectors for Authorized Entities
Allows 'authorized entities' (like youth camps or sports arenas) to obtain prescriptions for and maintain stock epinephrine auto-injectors to be used by trained staff for emergency anaphylaxis treatment.
Elijah's Law
Childhood Anaphylactic Policy Act
Requires the Department of Public Health to establish anaphylaxis policies and procedures for all school districts and daycare centers in the state.
Epinephrine Auto-Injectors in Schools
Requires Michigan school boards to maintain at least two epinephrine auto-injectors in each school and allows staff to administer them to any student in a life-threatening emergency.
Emergency Epinephrine Act (Stock Epinephrine in Schools)
Authorizes public and private schools to acquire and stock a supply of auto-injectable epinephrine and allows trained lay personnel to administer it to any student perceived to be having an anaphylactic reaction.
School Bus Driver Epinephrine Immunity Law
Act 2 of 2017
Provides civil immunity to school bus drivers and crossing guards who administer an epinephrine auto-injector to a student experiencing an allergic reaction, provided they have completed required training and follow district policy.
Student Self-Carry Law
Possession and Use of Asthma Inhalers and Epinephrine Auto-injectors
Requires school entities to develop policies allowing students to possess and self-administer their own prescribed asthma inhalers and epinephrine auto-injectors in school settings.
Act 2 of 2017
Act 2 of 2017 - Administration of Epinephrine Auto-injectors by School Bus Drivers and School Crossing Guards
Allows school bus drivers and crossing guards to voluntarily undergo training to administer epinephrine auto-injectors to students in an emergency, provided their employer permits it. Provides civil immunity for those who administer the medication.
HB 2082
House Bill 2082 (Childcare Allergy Treatment)
A legislative proposal to provide for the treatment and prevention of life-threatening allergic reactions specifically within childcare centers.
Elijah's Law
House Bill 928 (Elijah's Law)
Mandates that childcare facilities implement food allergy and anaphylaxis training for staff, develop emergency action plans, and maintain access to epinephrine auto-injectors.
Self-Administration Act
Student Access to Treatment Act of 2007
Allows students to self-administer and carry emergency medications, including asthma inhalers and epinephrine auto-injectors, provided they have a valid medication action plan and authorization from a healthcare provider and parent.
Childcare Medication Rules
DELACARE Regulations for Early Care and Education and School-Age Centers
Governs how childcare centers must handle medications. While it requires centers to have a plan for medical emergencies and trained staff to administer prescribed emergency medications (like a child's own EpiPen), it does not explicitly mandate the stocking of 'undesignated' epinephrine.
Delaware Epinephrine Access Act
Emergency Access to Epinephrine
Allows 'authorized entities' (including schools and potentially childcare centers) to obtain and stock epinephrine auto-injectors. It provides civil immunity for trained individuals who administer the medication in good faith during an emergency.
Anaphylaxis in Schools Act
Requires all Florida schools to train staff in anaphylaxis recognition and response and expands access to epinephrine delivery systems.
Student Rights to Carry Epinephrine
Statute confirming that students with life-threatening allergies have the right to carry an epinephrine auto-injector while at school.
Epinephrine Auto-injectors At Institutions Of Higher Education
Requires institutions of higher education to maintain a supply of epinephrine auto-injectors for use in emergency anaphylactic reactions.
Anaphylaxis Standardized Response Act
House Bill 2047
A pending bill that would standardize emergency procedures for anaphylaxis across Oregon schools to ensure a consistent and rapid response to allergic reactions.
Federal Epinephrine Incentive Act
School Access to Emergency Epinephrine Act
Federal law that provides funding preferences to states that require or permit schools to stock epinephrine and have laws protecting staff who administer it.
PA School Bus Epinephrine Act
Epinephrine Auto-injectors; School Bus Drivers and School Crossing Guards
Allows school bus drivers and crossing guards to be trained to administer epinephrine auto-injectors to students in an emergency, provided their employer permits it.
Asthma and Allergy Emergency Medication Bill
Administration of Short-Acting Asthma Medication and Epinephrine
Proposed legislation to expand the ability of school employees to administer short-acting asthma medications and epinephrine delivery systems to students in respiratory distress or anaphylaxis.
Pennsylvania School Self-Carry Law
Possession and Use of Asthma Inhalers and Epinephrine Auto-injectors
Requires Pennsylvania school entities to allow students to possess and self-administer asthma inhalers and epinephrine auto-injectors if they demonstrate capability and provide medical documentation.
HB 2395
Opioid Harm Reduction
While focused on Naloxone, this recent legislative push reflects Oregon's policy trend toward allowing non-medical venues to stock emergency medications for respiratory failure. It serves as a legislative precedent for expanding mandatory stock epinephrine in public venues.
Oregon Entity Stock Epinephrine Law
Emergency Epinephrine Administration
Allows "authorized entities" (including restaurants, camps, and sports arenas) to acquire and stock epinephrine auto-injectors. It permits trained employees to administer epinephrine to any individual perceived to be experiencing anaphylaxis and provides civil liability immunity.
Muñoz SAFE Act
Pupil health: emergency medical care: epinephrine auto-injectors
Requires local educational agencies to store epinephrine auto-injectors in an accessible location (not locked) and include that location in annual notices to parents and staff.
Relating to summer camps; to authorize summer camps to stock epinephrine auto-injectors
Specifically authorizes summer camps and other youth-serving entities to acquire and stock epinephrine auto-injectors for emergency use.
Emergency administration of epinephrine; authorized entities; prescriptions; training; immunity; definitions
Authorizes a practitioner to prescribe epinephrine to an "authorized entity" (e.g., restaurants, sports arenas) for emergency use on any individual believed to be experiencing anaphylaxis.
Elijah's Law
To Establish Elijah's Law in Arkansas; and to require the Department of Health and the Department of Education to establish a statewide anaphylaxis policy for childcare facilities
Requires the state to establish a comprehensive anaphylaxis policy for all child care facilities, including emergency protocols, staff training, and individualized allergy plans.
Self-administration and documentation of medication
Mandates that school districts permit the self-administration of medication for students with asthma or anaphylaxis if documented certification is provided.
Pupil health: emergency stock albuterol inhalers
Authorizes school districts to provide emergency stock albuterol inhalers and single-use disposable holding chambers to school nurses or trained volunteers.
OHA Epinephrine Training and Storage Rules
Emergency Administration of Epinephrine Rules
These administrative rules define the OHA requirements for training, storage, and reporting when a public venue or entity chooses to carry stock epinephrine. It requires that the training cover the recognition of symptoms and the proper use of an auto-injector.
Oregon Entity Access Law
Programs for Treatment of Severe Allergic Responses
Allows authorized entities (camps, daycares, restaurants, etc.) to obtain a prescription for and stock epinephrine auto-injectors. It permits trained individuals to administer the medication to anyone experiencing a severe allergic reaction and provides civil immunity.
Campbell County School District Policy 5202
District policy authorizing the acquisition, maintenance, and administration of stock epinephrine for emergency use in schools.
Wyoming School Epinephrine Administration
Authorizes schools to maintain and administer stock epinephrine auto-injectors for emergency use.
Child Care Licensing Rules - Medications
Wyoming Administrative Code Agency 049, Sub-Agency 0033, Chapter 4, Section 7
Governs how medications are handled in licensed childcare facilities. While it requires facilities to have policies for administering medication and requires staff training, it does not explicitly mandate or provide a framework for 'undesignated' stock epinephrine or albuterol to be kept on-site for children without a specific prescription.
Oregon Outdoor Youth Program Regulations
Outdoor Youth Programs: Administration
Requires outdoor youth programs to comply with state safety regulations, though specific mandates for stock epinephrine in these settings are currently absent in state law.
Oregon Epinephrine Stocking Law
Administration of epinephrine in schools
Allows schools to stock epinephrine auto-injectors and provides immunity for trained personnel who administer them to students experiencing anaphylaxis.
Oregon Emergency Epinephrine Law
Emergency Medical Care and Treatment
Allows trained individuals to administer epinephrine to persons experiencing severe allergic reactions and provides civil immunity for those who administer the medication in good faith. It also allows for the storage of stock epinephrine by authorized entities.
Medication Administration in Schools
W. Va. Code R. § 126-27-10 (Policy 2422.8)
Establishes the regulatory framework for school nurses to delegate the administration of emergency medications, including epinephrine and albuterol, to trained school personnel. It specifies that albuterol delegation requires a student-specific diagnosis and order.
Epinephrine Auto-Injector Availability and Use
West Virginia Code § 16-50-4
Allows 'authorized entities,' which includes childcare centers and youth camps, to acquire and stock epinephrine auto-injectors. It provides immunity from liability for trained individuals who administer the medication in good faith during an emergency.
School Access to Epinephrine Act
West Virginia Code § 18-5-22c
Allows public and private schools to maintain a supply of undesignated epinephrine auto-injectors. It permits trained school personnel to administer the medication to any student or person at the school having an anaphylactic reaction, regardless of whether they have a prior diagnosis.
OSPI Health Services Guidelines
Guidelines for the Care of Students with Anaphylaxis
The Office of Superintendent of Public Instruction (OSPI) provides the clinical and procedural framework that districts must follow. It includes the training standards for non-nursing staff and the specific emergency protocols for using stock medications.
Expanding access to albuterol in public and private schools
Signed in 2024, this law allows schools to maintain a supply of undesignated albuterol. It directs the DOH to issue a statewide standing order. Beginning in the 2027-28 school year, school nurses may administer stock albuterol to any student in respiratory distress; however, if the student does not have a personal prescription on file, only the school nurse (not general staff) may administer it.
Nevada Revised Statutes § 386.875 - Training concerning food allergies and development of comprehensive action plan concerning anaphylaxis
Requires public and charter schools to provide food allergy training to food service employees and develop a comprehensive anaphylaxis action plan.
Nevada Senate Bill 453
Requires public schools to maintain a supply of epinephrine auto-injectors and permits trained personnel to administer them in an emergency.
New Mexico Emergency Medication in Schools Act
Authorizes schools to stock and administer emergency epinephrine to students experiencing anaphylaxis.
Utah Code Section 53G-9-204
Authorizes a public school to maintain a supply of epinephrine auto-injectors and provides immunity for school personnel who administer them in good faith.
New Hampshire Revised Statutes Annotated 200:44
Authorizes public schools to maintain a supply of epinephrine auto-injectors for use by trained personnel in the event of an anaphylactic emergency.
VDH/VDOE Joint Guidance
Undesignated Stock Epinephrine and Albuterol for K-12 Schools Policy
Official agency guidance from the Virginia Department of Health and Department of Education detailing the procurement process for public schools to obtain stock epinephrine and albuterol, including the requirement for a Memorandum of Understanding (MOU) and training records.
Oregon Student Self-Administration Law
ORS 339.869
Requires public schools to allow students to carry and self-administer emergency medication for asthma or anaphylaxis if they have parental and medical authorization.
Federal School Epinephrine Law
School Access to Emergency Epinephrine Act
Provides federal incentives and preferences for asthma-related grants to states that require schools to maintain stock epinephrine and have trained personnel to administer it.
Public Access to Epinephrine Act
Epinephrine Auto-Injector Act
Allows public entities and venues to obtain prescriptions for and stock epinephrine auto-injectors for emergency use by trained individuals, providing liability protection.
Minnesota Statutes 2025, Section 144.999
Authorizes entities including recreation camps, colleges, and universities to obtain, store, and use epinephrine auto-injectors for emergency use.
Epinephrine Dispensing Regulation
Pharmacist Dispensing of Epinephrine to Authorized Entities
Authorizes pharmacists to fill prescriptions for epinephrine auto-injectors issued to authorized entities (like stadiums or camps) rather than specific individuals.
Florida Child Care Licensing Regulations
Child Care Facility Health and Safety Standards - Medication
Establishes mandatory protocols for the administration and storage of medications, including asthma treatments, in licensed Florida childcare facilities.
Georgia Childcare Staff Training Requirements
Child Care Learning Centers - Training
Mandates annual health and safety training for childcare staff, including emergency response for children with chronic health conditions.
DECAL Medication Administration Rule
Child Care Learning Centers - Medications
Regulates the handling, storage, and administration of prescription and non-prescription medications in Georgia childcare centers.
Florida Child Care Statute
Licensing standards; child care facilities
The primary statute authorizing the Florida Department of Children and Families to establish minimum health and safety standards for childcare facilities.
DELACARE: Regulations for Early Care and Education and School-Age Centers
Governs health and safety standards for Delaware childcare centers, including the administration of prescription medications for chronic conditions like asthma.
DELACARE: Regulations for Family and Large Family Child Care Homes
Sets medication administration and health management requirements for family-based childcare providers in Delaware.
Administration of medications
Establishes comprehensive requirements for the administration of medications, including asthma inhalants and nebulizer treatments, in licensed childcare settings.
Regulations. Exemptions. Waivers. (Child Care Centers and Group Child Care Homes)
Requires Connecticut childcare centers and group homes to have staff trained in the administration of asthma inhalant medications if a child with such a prescription is enrolled.
Medication Administration Training (MAT) Rules
Colorado Rules for the Administration of Medications
Defines the training and authorization requirements for unlicensed personnel to administer medications in schools and childcare settings.
Incidental Medical Services (IMS) Guidelines
Provider Information Notice (PIN) 2022-02-CCP
Provides official guidance on the requirements for licensed childcare providers to administer Incidental Medical Services, including asthma treatments.
Colorado Child Care Health Regulations
Rules and Regulations Governing the Health and Sanitation of Child Care Facilities
Sets health and safety standards for childcare facilities, including protocols for medication storage and emergency response.
Minimum Licensing Requirements for Child Care Centers
Requires childcare facilities to maintain individualized care plans for children with special health needs, including asthma, who require emergency medication.
Minimum Licensing Requirements for Licensed Child Care Family Homes
Mandates care plans for children with asthma in family childcare homes and specifies storage requirements for rescue medications.
Child Care Licensing and Performance Standards for Family Day Care Homes
Sets health and safety standards for family-based childcare settings, including requirements for handling and administering medications.
General health, safety, medication, and nutrition requirements
Specifies requirements for medication storage, labeling, and handling within Alaska childcare programs.
Emergency administration of epinephrine by authorized entities
Permits authorized entities to stock and administer epinephrine auto-injectors to individuals experiencing anaphylaxis.
To Allow Certain Entities To Maintain A Stock Of Epinephrine Auto-injectors
Allows authorized entities in Arkansas to maintain a supply of epinephrine auto-injectors for emergency use.
An Act relating to the emergency administration of epinephrine by certain entities
Authorizes certain entities, including childcare facilities, to stock and administer undesignated epinephrine auto-injectors.
Arizona Administrative Rules for Child Care Facilities
Requires childcare facilities to collect and maintain supplemental health information, including allergy details, for all enrolled children.
Epinephrine auto-injectors: emergency administration
Authorizes pharmacies to dispense epinephrine auto-injectors to 'authorized entities' like childcare centers.
Child Development Facilities: Licensing - Food Service
Requires licensed childcare facilities to obtain and maintain information regarding food allergies and dietary restrictions for all children.
Child Development Facilities: Licensing - Medication
Establishes protocols for the administration of medication, including emergency allergy medication, in licensed childcare settings.
Food and allergic reactions
Requires licensed childcare providers to maintain a written care plan for every child with a known food allergy.
Elijah's Law
An Act Relating to Food and Drugs - Elijah's Law
Directs the Department of Human Services to establish food allergy guidelines for all licensed childcare providers.
Rules for Certified Child Care Centers - Health Services
Requires certified childcare centers to have written health policies and individual care plans for children with allergies.
Emergency Epinephrine Act
Permits authorized entities to maintain a supply of epinephrine auto-injectors for emergency administration.
Emergency Anaphylaxis Treatment Act
Authorizes public entities, including childcare centers, to stock and administer epinephrine auto-injectors.
Licensing Requirements for Child Care Centers - Health Records
Mandates that childcare centers maintain health records for each child, including documented food allergies and emergency plans.
Child Care Center Licensing Standards - Health and Medication
Sets requirements for health records, allergy documentation, and medication administration in childcare centers.
Anaphylaxis Policy Act
Requires Nebraska childcare programs and schools to adopt and implement anaphylaxis prevention and response policies by July 1, 2026.
Licensing Rules for Child Care Centers - Food
Requires child care centers to develop and implement a written plan for the prevention of and response to food and allergic reactions.
Kansas Department of Health and Environment: Preschools and Child Care Centers Regulations
Requires that food allergies or special dietary needs of children be known to all staff members.
Epinephrine Access and Emergency Treatment Act
Permits authorized entities, including childcare centers, to stock and administer undesignated epinephrine auto-injectors to individuals experiencing anaphylaxis.
Authority to possess and self-administer medication - rules
Authorizes the executive director of the Department of Early Childhood to adopt rules regarding the possession and self-administration of medication for food allergies and anaphylaxis in childcare settings.
Child Care Licensing Act
Oklahoma Child Care Facilities Licensing Act Exemptions
Exempts certain summer youth camps and programs affiliated with national non-profits or churches from standard childcare licensing requirements.
Authorized Entities Law
Epinephrine Auto-injector Entity Act
Allows 'authorized entities' (including childcare centers and youth camps) to obtain prescriptions for and stock epinephrine auto-injectors for emergency use by trained individuals.
Elijah's Law
Elijah's Law: Anaphylaxis Recognition and Emergency Response Procedures in Day Cares
A pending bill that would mandate childcare facilities to maintain a supply of epinephrine auto-injectors and require staff training on anaphylaxis recognition and emergency response procedures.
Entity Stocking Law
Epinephrine auto-injector prescriptions – Training – Providing and administering auto-injectors – Immunity from liability
Authorizes 'qualified entities,' which includes childcare centers and youth camps, to obtain and maintain a stock of epinephrine auto-injectors. It provides immunity for staff who administer the medication in good faith after completing a recognized training program.
Ohio Qualified Entity Epinephrine Law
Epinephrine autoinjectors for qualified entities
Allows qualified entities, including childcare centers, to procure and maintain a supply of epinephrine auto-injectors for use in emergencies.
Ohio School Stock Epinephrine Law
Procurement and use of epinephrine autoinjectors in schools
Permits school districts and other educational institutions to procure and maintain a supply of epinephrine auto-injectors for emergency use on school premises and provides immunity from civil liability for authorized personnel.
Oakley Debbs Act
An act relating to school safety and student health
Addresses gaps in school anaphylaxis emergency action plans to protect students with life-threatening food allergies.
Prescription Drug Cost-Sharing Cap for Chronic Diseases (Epinephrine Auto-Injectors)
Minnesota law requiring health plans to limit patient cost-sharing (co-pays and coinsurance) to no more than $25 per one-month supply for prescription drugs used to treat chronic diseases, including diabetes, asthma, and allergies requiring the use of epinephrine auto-injectors (EpiPens). Related medical supplies (syringes, inhalers, insulin pumps, test strips, glucometers, continuous glucose monitors, and epinephrine auto-injectors) are capped at $50 per month total. Applies to fully-insured individual, small group, and large group plans in Minnesota; self-insured employer plans are regulated by federal law and exempt. Effective January 1, 2025.
Sabrina's Law
Sabrina's Law, 2005 (An Act to Protect Anaphylactic Pupils)
Ontario law requiring every school board to establish and maintain an anaphylaxis policy to protect students with life-threatening allergies. Policies must include strategies to reduce allergen exposure, communication procedures for parents, students, and staff, and regular training for teachers and staff on managing anaphylactic emergencies. Named after Sabrina Shannon, a 13-year-old student from Pembroke, Ontario who died after suffering an anaphylactic reaction at school. Effective January 1, 2006.
Bill 201 (The EPI Bill)
Protection of Students with Life-Threatening Allergies Act
Alberta law requiring school boards to establish and maintain policies to protect students with life-threatening allergies, including maintaining at least one stock epinephrine auto-injector at each school. Permits school employees to administer epinephrine to a student experiencing a suspected anaphylactic reaction. Effective January 2020.
Kelsey Ryan Act
Florida law authorizing public school students with life-threatening allergic reactions to carry and self-administer epinephrine auto-injectors on school grounds. Named after Kelsey Ryan, a Florida student who advocated for the legislation.
FDA Approval of neffy (Epinephrine Nasal Spray) — First Needle-Free Anaphylaxis Treatment
On August 9, 2024, the U.S. Food and Drug Administration approved neffy (epinephrine nasal spray) as the first needle-free emergency treatment for Type I allergic reactions, including anaphylaxis, in adults and children weighing 30 kg (66 lb.) or more. Unlike traditional epinephrine auto-injectors such as EpiPen, neffy is administered intranasally. A 1 mg pediatric dose for patients weighing 15 to less than 30 kg was approved on March 5, 2025.
OSDE Model Medication Policy
Model Policy: Student Self-Administration of Asthma, Anaphylaxis, and Cystic Fibrosis Medication and Stocking of Epinephrine and Inhalers
Provides a template for school districts to implement the Emerson Kate Cole Act, including requirements for storing at least two epinephrine injectors and two inhalers if the district elects to stock them.
Oklahoma Public Access Epinephrine Law
Epinephrine Availability Act
Allows authorized entities, including youth camps and sports venues, to obtain and stock epinephrine auto-injectors. It provides civil immunity for those who administer the medication in good faith during an emergency.
Oklahoma Childcare Food Allergy Regulation
Child Care Services - Nutrition
Requires childcare facilities to follow CACFP guidelines and manage dietary needs. While it mentions nutrition, it lacks specific mandates for anaphylaxis emergency plans or stock epinephrine in the childcare setting.
Oklahoma School Anaphylaxis Regulations
Emergency administration of anaphylaxis medication in public schools
Requires school districts that choose to stock epinephrine to adopt formal policies, including training for designated personnel, proper storage, and protocols for administration during an emergency.
Epinephrine Device Definition Expansion (S7807A)
Expands the definition of 'epinephrine device' in New York State law to include epinephrine nasal sprays and other forms of epinephrine that may become available, aligning state law with all FDA-approved epinephrine treatments including the Neffy nasal spray.
Epinephrine Delivery Device (HB 3454)
Amends multiple Illinois Acts to replace references to 'epinephrine auto-injector' or 'epinephrine injector' with 'epinephrine delivery system', aligning state law with all FDA-approved epinephrine treatments (including the nasal spray Neffy). Renames the Epinephrine Injector Act to the FDA Approved Epinephrine Delivery Device or Product Act. Covers schools, law enforcement, after-school programs, camps, home health care, and health insurance.
8 NYCRR § 136.6
Regulations of the Commissioner of Education
Provides the regulatory framework for schools to maintain and administer stock epinephrine, including requirements for training and emergency access.
NYC Stock Epinephrine Mandate
New York City Local Law (Mandatory Stock Epinephrine)
Mandates that all New York City public schools and childcare facilities maintain stock epinephrine auto-injectors on-site and ensure staff are trained to respond to anaphylaxis.
Elijah's Law
Elijah's Law
Requires childcare programs to follow state food allergy guidelines, including training for staff on recognizing and responding to anaphylaxis and the administration of epinephrine.
Emergency Medication in Schools Act
Emergency Medication in Schools Act
Allows public and private schools to maintain a stock supply of epinephrine auto-injectors and albuterol inhalers for emergency use. Requires schools that choose to stock these medications to develop policies, provide training to personnel, and follow specific emergency protocols.
Relating to schools; to amend Section 16-1-48, Code of Alabama 1975; to allow schools to stock and use single dose nasal epinephrine.
Allows schools to stock and administer single-dose nasal epinephrine in addition to injectable auto-injectors for treating anaphylaxis.
Epinephrine auto-injectors; school districts; charter schools; emergency administration; immunity; training.
Requires school districts and charter schools to stock epinephrine auto-injectors and train personnel for emergency administration.
Relating to epinephrine auto-injectors; to authorize certain entities to acquire and stock epinephrine auto-injectors.
Allows public entities such as restaurants, camps, and sports arenas to stock undesignated epinephrine auto-injectors for emergency use.
Self-administration of medication
Protects the right of students to self-carry and self-administer prescribed asthma inhalers and epinephrine auto-injectors in schools.
An Act to Add a New Chapter 28 to Title 10, Guam Code Annotated, Relative to the Use of Epinephrine Auto-Injectors in Schools.
Authorizes Guam schools to maintain a stock supply of epinephrine auto-injectors and allows trained personnel to administer them to students in emergencies.
Elijah's Law
To Require The Department Of Health To Create And Make Available To Childcare Facilities Certain Information Regarding Food Allergies.
Requires childcare facilities to implement food allergy management and emergency response protocols to protect children from anaphylaxis.
Epinephrine Auto-Injectors
Permits Alaska schools to maintain a supply of epinephrine auto-injectors for emergency use by trained staff.
Oklahoma Childcare Allergy Management
Oklahoma Child Care Services Licensing Requirements
Requires childcare facilities to maintain health records including known allergies and to follow specific protocols for medication administration and the prevention of allergic reactions in the childcare environment.
Oklahoma Administrative Code for Anaphylaxis
Emergency administration of anaphylaxis medication
Regulatory requirements for school districts that choose to stock epinephrine, including the adoption of specific safety procedures, staff training, and secure storage protocols.
Stock Epinephrine Law
Stock Epinephrine Policy (Permissive)
Permits (but does not require) school districts to maintain at least two stock epinephrine auto-injectors at each school site. It provides civil immunity for staff who administer the medication in good faith during a suspected allergic emergency.
Childcare Epinephrine Access
Use of Epinephrine in Child Day Care
Allows child day care programs and recreation camps to possess and administer epinephrine auto-injectors to children in their care who are experiencing anaphylaxis. It provides civil immunity for staff who administer the medication in good faith.
Student Epinephrine Self-Carry Law
Possession and Use of Epinephrine Auto-Injectors Permitted
Requires schools to allow students with severe, life-threatening allergies to possess and self-administer a prescribed epinephrine auto-injector while on school property or at school-sponsored activities, provided they have written authorization from a parent and a healthcare provider.
Nevada Child Care Licensing Act
NRS 432A.010 - Regulation of Child Care Facilities
Governs the licensing and operation of childcare facilities. While it requires staff training for medication administration, Nevada does not currently mandate that childcare centers maintain 'stock' (undesignated) epinephrine or albuterol.
Anaphylaxis Policy Act
Legislative Bill 457
Requires school districts and licensed childcare facilities to adopt and publish formal anaphylaxis policies. It also aims to cap the out-of-pocket costs for epinephrine injectors for insured individuals.
Montana Childcare Medication Rules
Medication Administration in Day Care Facilities
General regulations for childcare facilities regarding the administration of medication. While staff may administer prescribed medication with parental consent, there is no provision for 'stock' or undesignated emergency medication in these settings.
Montana Stock Albuterol Law
An Act allowing a school to maintain a stock supply of albuterol
Authorizes public and private schools to stock undesignated albuterol inhalers and spacers for use during respiratory distress emergencies. It requires a standing order from a physician, APRN, or PA, and mandates staff training and parental notification. It explicitly excludes childcare settings.
Texas Education Code Section 38.0151
Requires school districts and open-enrollment charter schools to adopt and administer a policy for the care of students with diagnosed food allergies at risk for anaphylaxis.
Student Self-Carry Law
Possession and use of epinephrine autoinjector
Protects the right of students to carry and self-administer prescribed epinephrine auto-injectors in schools and on school buses, provided they have physician authorization.
Epinephrine Access Act
An act to require each school in every school district to have epinephrine auto-injectors in each educational building, central administrative office and cafeteria
A 2024 bill introduced to mandate that all school districts maintain stock epinephrine in every educational building, administrative office, and cafeteria, and requires local boards to adopt specific storage and administration policies.
School Epinephrine Mandate Bill
School districts; require all schools to have epinephrine auto-injectors in every building and cafeteria
A pending 2025 bill that would transition Mississippi from a permissive stock epinephrine state to a mandatory one, requiring every school building and cafeteria to maintain a supply of auto-injectors.
Michigan School Epinephrine Law
Revised School Code Section 380.1179a
Requires all Michigan public schools to stock at least two epinephrine auto-injectors and ensures at least two staff members are trained to administer them in an emergency. It also provides immunity from liability for staff who administer the medication in good faith.
An Act relative to emergency stock supply of epinephrine in schools
This pending legislation would require all schools in Massachusetts to maintain a stock supply of non-patient specific epinephrine auto-injectors to be used in the event of an anaphylactic emergency.
Maryland School Epinephrine Law
Authorization to Administer Emergency Use Epinephrine
Authorizes public schools to stock and administer undesignated epinephrine auto-injectors to students perceived to be in anaphylaxis, requiring staff training and emergency protocols.
Ohio Revised Code Section 3313.7110
Authorizes schools to maintain a supply of epinephrine auto-injectors for use in emergency situations.
Ohio Entity Stock Epinephrine Law
Epinephrine Autoinjectors in Public Entities
Permits public entities, including restaurants and sports arenas, to stock and administer epinephrine auto-injectors to individuals experiencing an emergency allergic reaction, provided staff are trained.
Ohio Camp Epinephrine Guidance
Procurement of Epinephrine Autoinjectors by Schools, Camps and Qualified Entities
Provides official instructions for camps on how to procure, store, and report the use of stock epinephrine autoinjectors to the Department of Children and Youth.
Food Allergy Protection Policy
Ohio Revised Code Section 3313.719
Requires school districts to establish a written policy to protect students with food allergies and encourages training for staff on anaphylaxis signs and epinephrine administration.
Maine Childcare Licensing Health Rules
Rules for the Licensing of Child Care Facilities
Establishes that childcare staff may only administer prescription medication with written parental consent and after completing required training. It governs the safe storage and recording of all medications administered to children.
Maine Student Self-Carry Law
Educational duties (Medication Administration)
Requires the Commissioner of Education to develop rules that allow students to possess and self-administer emergency medications, including asthma inhalers and epinephrine auto-injectors, provided they have medical approval and demonstrate competency to a school nurse.
Maine Entity Stock Epinephrine Law
Epinephrine autoinjectors; emergency administration
Authorizes 'authorized entities,' which includes childcare centers and youth camps, to acquire and stock epinephrine auto-injectors. It provides civil liability immunity for individuals who administer the medication in good faith during an emergency.
Maine School Stock Epinephrine Law
Epinephrine autoinjectors; guidelines; emergency administration
Allows public and private schools to stock epinephrine auto-injectors through a collaborative practice agreement with a physician. It permits trained school personnel to administer the medication to any student perceived to be having an anaphylactic reaction.
Surgeon General Standing Order
Statewide Standing Order for the Dispensing and Administration of Epinephrine and Albuterol
Issued by the Louisiana Surgeon General, these standing orders allow pharmacies to dispense epinephrine and albuterol to qualified entities (like childcare centers) without a patient-specific prescription, facilitating the implementation of Act 657.
Elijah's Law (Louisiana)
Administration of auto-injectable epinephrine
Authorizes early learning centers (childcare) to maintain a supply of stock epinephrine auto-injectors. It requires at least one employee to be trained in administration and provides civil immunity for staff who administer the medication in good faith during an emergency.
School Health Clinical Protocols
Kentucky Department for Public Health Clinical Protocols
Official state clinical protocols that provide the mandatory training standards and emergency response steps for school staff when using stock epinephrine and stock rescue inhalers. It defines dosage by weight and storage requirements.
Elijah's Law (Kentucky)
KRS 199.8962 and 922 KAR 2:120 (Epinephrine in Child-Care)
Requires the Cabinet for Health and Family Services to establish regulations for licensed child-care centers to maintain epinephrine auto-injectors. It mandates training for staff and the creation of emergency action plans for anaphylaxis, while providing civil immunity for staff who administer the medication in good faith.
KDHE Child Care Regulations
K.A.R. 28-4-132 Child care practices; K.A.R. 28-4-128 Safety and emergency procedures.
Current state regulations for licensed childcare facilities require staff to undergo training in the prevention of and response to emergencies due to food and allergic reactions and general medication administration. However, they do not grant specific authority or a mandate for facilities to stock undesignated epinephrine or albuterol. Facilities generally only administer medications prescribed to a specific child and provided by the parent.
Kansas School Stock Medication Act
Emergency medication kits in schools; Epinephrine kits and albuterol inhalers; definitions; requirements.
Kansas law permits (but does not require) public and accredited nonpublic schools to maintain a stock supply of epinephrine and albuterol. Schools must obtain a prescription in the school's name. The law allows school nurses or trained designated school personnel to administer epinephrine for anaphylaxis and albuterol for respiratory distress to any student or staff member. Recent 2026 amendments updated the definition of epinephrine to epinephrine delivery systems, allowing the use of FDA-approved nasal sprays as stock.
School Health Services Rules
School district and accredited nonpublic school stock epinephrine auto-injector, bronchodilator canister, or bronchodilator canister and spacer voluntary supply
Provides the administrative framework for schools that choose to stock epinephrine and bronchodilators, including specific training requirements for non-nurse personnel and storage protocols.
School Access to Emergency Epinephrine Act
Self-administration and self-carry of asthma medication and epinephrine injectors
Allows students to self-carry asthma and allergy medication and permits schools to stock and administer undesignated epinephrine and asthma medication.
Anaphylaxis Response Policy
Establishes mandatory protocols for Illinois schools to respond to anaphylactic reactions, including training and epinephrine administration.
ODE Food Allergy Implementation Guidance
Ohio Department of Education Food Allergy Guidance
Provides schools with resources and templates for managing food allergies, including training for staff and bus drivers on recognizing anaphylaxis.
Public Access to Epinephrine
House Bill 200 - 131st General Assembly
Allows public places, including camps and sports venues, to maintain a supply of epinephrine auto-injectors for emergency use by trained individuals.
New York State Child Day Care Regulations - Group Family Day Care
Regulations for group family day care homes regarding the administration of asthma medication and emergency response.
Elijah's Law
Elijah's Law
Requires the New York Office of Children and Family Services (OCFS) to establish food allergy guidelines for all childcare facilities to prevent and respond to anaphylaxis.
Texas Administrative Code, Title 26, Section 746.3817
Defines the requirements for a food allergy emergency plan in Texas childcare centers.
Ohio School Stock Epinephrine Law
ORC § 3313.7110: Stock Epinephrine in Schools (Crossover)
Permits school districts to procure and maintain stock epinephrine auto-injectors. This law is often used as the "gold standard" template for youth camps in Ohio seeking to establish their own protocols.
Food Allergy Policy Requirement
Policy regarding students with food allergies
Requires every school district to establish a written policy to protect students with food allergies and encourages training for staff on recognizing and responding to anaphylaxis.
Epinephrine Self-Carry Law
Possession and use of epinephrine autoinjectors
Requires schools to allow students to carry and use their own prescribed epinephrine auto-injectors if they have written approval from a physician and parent.
Ohio Self-Carry Law
Self-administration of asthma or anaphylaxis medication
Allows students to carry and self-administer asthma inhalers and epinephrine auto-injectors with physician and parental authorization.
Federal Stock Epinephrine Incentive
School Access to Emergency Epinephrine Act
Federal law that incentivizes states to pass laws allowing schools to stock epinephrine by giving them preference for federal asthma grants.
Ohio Stock Epinephrine Law
Procurement of epinephrine autoinjectors by public and nonpublic schools
Permits schools to maintain a supply of stock epinephrine auto-injectors and allows trained school employees to administer them to any individual having an anaphylactic reaction.
Ohio Student Self-Carry Law
Possession and use of epinephrine auto-injectors and asthma inhalers
Allows students to carry and self-administer prescribed epinephrine auto-injectors and asthma inhalers with written authorization from a physician and parent.
Elijah's Law (Illinois)
Child Care Act of 1969 - Anaphylaxis Policy
Requires licensed daycare centers to develop an anaphylaxis management policy, including staff training and individual emergency action plans for children with known allergies.
Idaho Childcare Medication Rules
Child Care Licensing - Medication Administration and Storage
Governs how medications are handled in licensed childcare facilities. It requires written parental consent for all medications and specifies storage requirements. It does not contain provisions for stocking undesignated (stock) epinephrine or albuterol.
Hawaii Stock Epinephrine Bill
Relating to Epinephrine
This pending legislation would authorize health care practitioners to prescribe undesignated epinephrine auto-injectors to state departments and agencies, including the Department of Education. It allows schools to stock these devices and permits trained personnel to administer them to any individual suspected of having an anaphylactic reaction.
Family Child Care Medication Rule
Medication Administration for a Licensed Family Child Care Provider
Requires family-based childcare providers to maintain a JFS 01217 medication form and a JFS 01236 care plan for any child requiring emergency medication like epinephrine.
Ohio Child Care Medication Rule
Medication Administration in Licensed Child Care Centers
Requires licensed childcare centers to obtain written parental permission and a medical care plan (JFS 01236) before administering any prescription medication, including epinephrine and inhalers.
Ohio Stock Epinephrine Law
Procurement of epinephrine autoinjectors by public schools
Permits school districts to purchase and maintain a supply of stock epinephrine auto-injectors for use in emergencies and provides civil immunity for staff who administer them in good faith.
Ohio Entity Law
Procurement of Epinephrine Autoinjectors by Qualified Entities
Allows 'qualified entities' such as camps, daycare centers, and sports venues to obtain and maintain stock epinephrine for emergency use on individuals experiencing anaphylaxis.
Ohio Stock Epinephrine Law
Procurement of Epinephrine Autoinjectors by Public Schools
Permits school boards to procure and maintain a supply of epinephrine autoinjectors for use in emergency situations. It provides civil immunity for staff who administer the medication in good faith.
Undesignated Emergency Medications (UEM) Program
Access to Emergency Medications Amendment Act of 2023
Requires all DC public and public charter schools to stock undesignated epinephrine, albuterol, and glucagon, and mandates staff training and annual emergency action plans.
An Act Relating to Insurance - Accident and Sickness Insurance (Epinephrine Cost-Sharing)
Requires private health insurers to cover at least one twin-pack of epinephrine auto-injectors per year with zero copayments or deductibles.
Student Self-Carry Law
Possession, Use or Distribution of Drugs and Alcohol
Permits students to possess and self-administer prescribed asthma inhalers and epinephrine auto-injectors at school with appropriate medical authorization and parental consent.
Public Access Epinephrine Law
An Act Concerning the Access to Epinephrine
Allows 'authorized entities' to stock and maintain undesignated epinephrine auto-injectors for use in emergencies. While it expands access for businesses and public places, advocacy groups note that childcare centers still face regulatory hurdles in stocking undesignated medication without a specific child's prescription.
Childcare Epinephrine Administration Law
Administration of epinephrine by cartridge injector to certain children for purpose of emergency first aid
Authorizes childcare centers, group childcare homes, and family childcare homes to administer epinephrine via cartridge injector for emergency first aid. It requires staff training and provides immunity from civil liability for those who administer the medication in good faith.
Childcare Health Regulations
Child Care Facility Licensing Rules
State licensing rules for childcare centers require facilities to have written policies regarding the storage and access of inhalers and epinephrine. For school-age children in childcare, it allows for self-carry and self-administration if a written contract and healthcare provider orders are in place.
Stock Albuterol Law
Administration Of Inhaler For Respiratory Distress
Amends state law to explicitly allow public and nonpublic schools to obtain a stock supply of albuterol inhalers. It authorizes school nurses or trained personnel to administer the inhaler to any student believed to be in respiratory distress and provides civil immunity for such good-faith administration.
Emergency-Use Epinephrine Update
Epinephrine Administration in Schools
This recent act updates existing school health statutes by replacing the narrow term 'epinephrine auto-injector' with 'emergency-use epinephrine.' This change allows schools to stock and use alternative delivery methods, such as pre-filled syringes or nasal sprays, rather than being restricted solely to auto-injectors.
Epinephrine auto-injector stocking
Allows pharmacists to dispense epinephrine auto-injectors to authorized entities for emergency use.
School Access to Emergency Epinephrine
Allows school entities to train employees in the recognition of anaphylaxis and administration of epinephrine auto-injectors to students.
Epinephrine Injector Act
Authorizes certain entities, including day care settings, to acquire and maintain a supply of undesignated epinephrine auto-injectors.
Elijah's Law
Elijah's Law
Requires licensed day care facilities to develop an anaphylaxis management policy and ensure staff are trained in anaphylaxis recognition and response.
Georgia Department of Early Care and Learning (DECAL) Licensing Rules
Georgia childcare licensing rules require facilities to maintain records of children's allergies and implement procedures for managing special health needs.
Child Day Care Center and Group Day Care Home Regulations
Connecticut childcare regulations require facilities to maintain individual health care plans for children with special health care needs, including food allergies.
Federal School Epinephrine Incentive
School Access to Emergency Epinephrine Act
Federal law that encourages states like North Dakota to allow schools to stock undesignated epinephrine. States that comply receive preference for federal asthma grants. North Dakota currently allows but does not require stocking.
North Dakota School Self-Carry Law
Student self-administration of asthma or anaphylaxis medication
Current law allows students with asthma or anaphylaxis to carry and self-administer emergency medication. The 2025 amendment (SB 2196) clarifies and updates the requirements for student self-administration of these life-saving medications in the school setting.
Public Access Act
Public Access to Auto-Injectable Epinephrine Act
Allows 'authorized entities,' which includes childcare centers and daycare facilities, to obtain a prescription for and stock epinephrine auto-injectors. It requires staff training and provides immunity from liability for emergency administration to individuals experiencing anaphylaxis.
Arizona Childcare Medication Regulation
Medications (Child Care Facilities)
Regulates how medications are handled in licensed childcare centers. It specifically allows school-aged children in childcare facilities located on school premises to self-carry and self-administer emergency medications in accordance with school laws.
Elijah's Law
An Act relating to the administration of epinephrine by a child care facility
This pending legislation would expand the authority to stock epinephrine to childcare facilities. It mirrors the school law by allowing facilities to obtain a prescription for undesignated auto-injectors and providing immunity to staff who administer them in an emergency.
DHR Licensing Standards
Minimum Standards for Day Care Centers and Nighttime Centers
Alabama Department of Human Resources (DHR) regulations permit childcare staff to administer medication only with specific written parental and physician instructions. There is currently no state-level "Elijah’s Law" equivalent in Alabama that requires or provides a framework for undesignated (stock) epinephrine in childcare settings.
ND Dept. of Health & Human Services Guidance
North Dakota State EMS Treatment Protocols
Official state-wide protocols for EMS providers (EMTs and Paramedics) regarding the treatment of anaphylaxis and acute respiratory distress, including the administration of IM epinephrine and albuterol.
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