Maryland 2025 Regular Session

Maryland Senate Bill SB459

Introduced
1/22/25  
Refer
1/22/25  
Report Pass
2/24/25  
Engrossed
2/27/25  
Refer
2/28/25  
Report Pass
4/3/25  
Enrolled
4/7/25  
Chaptered
5/20/25  

Caption

Education and Health - Emergency Use Epinephrine - Alterations

Impact

The proposed amendments are expected to directly impact the protocols of nonpublic and public schools by allowing designated school personnel to administer epinephrine without the need for prior identification of students as having an allergic condition. This not only reduces barriers during critical moments but also ensures that appropriate measures are in place for training staff to recognize and respond to anaphylactic emergencies. Furthermore, it clarifies the liability landscape, stating that those who administer the medication in good faith are not liable for any outcomes, thereby encouraging more individuals to participate in such emergency responses.

Summary

Senate Bill 459 aims to enhance the response to anaphylaxis emergencies in educational settings and other designated facilities by modifying existing regulations around the use of emergency epinephrine. The bill redefines the term 'auto-injectable epinephrine' to 'emergency use epinephrine', which includes a broader range of drug delivery devices approved for this purpose. It also establishes an Emergency Use Epinephrine Program that requires participating facilities to have trained staff who can administer epinephrine to individuals experiencing anaphylaxis, regardless of whether the individual has been previously diagnosed with an allergy. This measure intends to facilitate quick responses to allergic reactions that can be potentially life-threatening.

Sentiment

Overall, the sentiment surrounding SB 459 appears to be positive among healthcare providers and advocates for allergy awareness, who view the bill as a necessary step to protect students and the community at large from anaphylaxis. Supporters emphasize the importance of immediate access to epinephrine in emergencies, which can save lives. However, there may be concerns among some educators and systemic advocates regarding the training requirements and potential implications on school policies, raising discussions about the breadth of authority granted to non-medical personnel in healthcare decisions.

Contention

Notable points of contention may arise around the adequacy of training for school personnel, as well as debates about the practicality of implementing such policies in various educational environments. Opponents might express concerns that while the intent is commendable, the execution of ensuring all personnel are well-trained and prepared for such critical interventions could present challenges. Additionally, discussions around liability might spark debate regarding excessive protection for staff versus the responsibility of training and preparedness in potentially life-threatening situations.

Companion Bills

MD HB420

Crossfiled Education and Health - Emergency Use Epinephrine - Alterations

Previously Filed As

MD SB180

Public and Nonpublic Schools - Bronchodilators - Use, Availability, Training, and Policies

MD HB86

Public and Nonpublic Schools - Bronchodilators - Use, Availability, Training, and Policies

MD HB266

Public and Nonpublic Schools - Bronchodilator Availability and Use - Policies

MD HB939

Health Insurance - Epinephrine Injectors - Limits on Cost Sharing (Epinephrine Cost Reduction Act of 2024)

MD SB989

Health Insurance - Epinephrine Injectors - Limits on Cost Sharing (Epinephrine Cost Reduction Act of 2024)

MD HB722

Physician Assistants - Parity With Other Health Care Practitioners (Physician Assistant Parity Act of 2023)

MD SB674

Physician Assistants - Parity With Other Health Care Practitioners (Physician Assistant Parity Act of 2023)

MD HB1426

Education - Blueprint for Maryland's Future - Alterations

MD SB1102

Education – Blueprint for Maryland’s Future – Alterations

MD SB1101

Higher Education - Maryland Police Officers and Probation Agents Scholarship Program - Alterations

Similar Bills

MD HB420

Education and Health - Emergency Use Epinephrine - Alterations

MD HB536

Education and Health - Emergency Use Epinephrine - Alterations

MD HB49

Public Health – Emergency and Allergy Treatment Program – Nurse Practitioners

MD SB380

Public Health - Emergency and Allergy Treatment Program - Nurse Practitioners

NH HB677

Relative to the possession and use of epinephrine at recreation camps, schools, and institutions of higher education.

NH HB63

Relative to the use of nasal spray to treat anaphylaxis.

WI SB7

Use of epinephrine delivery systems and standing orders for epinephrine. (FE)

WI AB9

Use of epinephrine delivery systems and standing orders for epinephrine. (FE)