Utah 2025 Regular Session

Utah Senate Bill SB0146 Compare Versions

Version 1 (Old)

Version 2 (New)

Old	New		Differences
1		-	~~Enrolled Copy~~ S.B. 146
	1	+	01-21 09:10 S.B. 146
2	2		1
3	3		Glucagon Amendments
4	4		2025 GENERAL SESSION
5	5		STATE OF UTAH
6	6		Chief Sponsor: Jen Plumb
7		-	House Sponsor: Raymond P. Ward
8	7		2
9	8
10	9		3
11	10		LONG TITLE
12	11		4
13	12		General Description:
14	13		5
15	14		This bill amends provisions related to the storage and administration of glucagon kits in
16	15		6
17	16		public and private schools.
18	17		7
19	18		Highlighted Provisions:
20	19		8
21	20		This bill:
22	21		9
23	22		▸ defines terms;
24	23		10
25	24		▸ makes technical changes;
26	25		11
27	26		▸ allows a school to stock glucagon kits;
28	27		12
29	28		▸ allows a qualified adult to administer a glucagon kit to a student experiencing
30	29		13
31	30		hypoglycemia;
32	31		14
33	32		▸ establishes a standing prescription for a school to obtain glucagon kits;
34	33		15
35	34		▸ exempts certain parties from civil liability when administering or prescribing a glucagon
36	35		16
37	36		kit; and
38	37		17
39	38		▸ establishes training for the use and storage of a glucagon kit.
40	39		18
41	40		Money Appropriated in this Bill:
42	41		19
43	42		None
44	43		20
45	44		Other Special Clauses:
46	45		21
47	46		This bill provides a special effective date.
48	47		22
49	48		Utah Code Sections Affected:
50	49		23
51	50		AMENDS:
52	51		24
53	52		26B-4-401, as last amended by Laws of Utah 2024, Chapter 311
54	53		25
55	54		26B-4-406, as renumbered and amended by Laws of Utah 2023, Chapter 307
56	55		26
57	56		26B-4-409, as last amended by Laws of Utah 2024, Chapter 311
58	57		27
59		-	26B-4-410, as last amended by Laws of Utah 2024, Chapter 311 ~~S.B. 146 Enrolled Copy~~
	58	+	26B-4-410, as last amended by Laws of Utah 2024, Chapter 311
60	59		28
61	60		26B-4-411, as renumbered and amended by Laws of Utah 2023, Chapter 307
62	61		29
63	62		58-17b-1002, as last amended by Laws of Utah 2023, Chapter 329
64	63		30
65	64		58-17b-1003, as enacted by Laws of Utah 2020, Chapter 372
66	65		31
67		-	58-17b-1004, as last amended by Laws of Utah 2023, Chapter 329
	66	+	58-17b-1004, as last amended by Laws of Utah 2023, Chapter 329 S.B. 146 01-21 09:10
68	67		32
69	68		58-17b-1005, as last amended by Laws of Utah 2024, Chapter 507
70	69		33
71	70		58-17b-1006, as enacted by Laws of Utah 2020, Chapter 372
72	71		34
73	72		58-17b-1007, as enacted by Laws of Utah 2020, Chapter 372
74	73		35
75	74		ENACTS:
76	75		36
77	76		26B-4-412, Utah Code Annotated 1953
78	77		37
79	78
80	79		38
81	80		Be it enacted by the Legislature of the state of Utah:
82	81		39
83	82		Section 1. Section 26B-4-401 is amended to read:
84	83		40
85	84		26B-4-401 . Definitions.
86	85		41
87	86		As used in this part:
88	87		42
89	88		(1) "Agent" means a coach, teacher, employee, representative, or volunteer.
90	89		43
91	90		(2)(a) "Amateur sports organization" means, except as provided in Subsection (2)(b):
92	91		44
93	92		(i) a sports team;
94	93		45
95	94		(ii) a public or private school;
96	95		46
97	96		(iii) a public or private sports league;
98	97		47
99	98		(iv) a public or private sports camp; or
100	99		48
101	100		(v) any other public or private organization that organizes, manages, or sponsors a
102	101		49
103	102		sporting event for its members, enrollees, or attendees.
104	103		50
105	104		(b) "Amateur sports organization" does not include a professional:
106	105		51
107	106		(i) team;
108	107		52
109	108		(ii) league; or
110	109		53
111	110		(iii) sporting event.
112	111		54
113	112		(3) "Anaphylaxis" means a potentially life-threatening hypersensitivity to a substance.
114	113		55
115	114		(a) Symptoms of anaphylaxis may include shortness of breath, wheezing, difficulty
116	115		56
117	116		breathing, difficulty talking or swallowing, hives, itching, swelling, shock, or asthma.
118	117		57
119	118		(b) Causes of anaphylaxis may include insect sting, food allergy, drug reaction, and
120	119		58
121	120		exercise.
122	121		59
123	122		(4) "Asthma action plan" means a written plan:
124	123		60
125	124		(a) developed with a school nurse, a student's parent or guardian, and the student's health
126	125		61
127	126		care provider to help control the student's asthma; and
128		-	- 2 - Enrolled Copy S.B. 146
129	127		62
130	128		(b) signed by the student's:
131	129		63
132	130		(i) parent or guardian; and
133	131		64
134	132		(ii) health care provider.
135	133		65
136	134		(5) "Asthma emergency" means an episode of respiratory distress that may include
	135	+	- 2 - 01-21 09:10 S.B. 146
137	136		66
138	137		symptoms such as wheezing, shortness of breath, coughing, chest tightness, or breathing
139	138		67
140	139		difficulty.
141	140		68
142	141		(6) "Child" means an individual who is under [the age of 18] 18 years old.
143	142		69
144	143		(7) "Department health care provider" means a health care provider who is acting in the
145	144		70
146	145		capacity of a health care provider during employment for the department.
147	146		71
148	147		(8) "Epinephrine auto-injector" means a portable, disposable drug delivery device that
149	148		72
150	149		contains a measured, single dose of epinephrine that is used to treat a person suffering a
151	150		73
152	151		potentially fatal anaphylactic reaction.
153	152		74
154	153		(9) "Glucagon authorization" means the same as that term is defined in Section 53G-9-504.
155	154		75
156	155		(10) "Glucagon kit" means a medical device that contains a premeasured dose of glucagon
157	156		76
158	157		for the emergency treatment of hypoglycemia.
159	158		77
160	159		[(9)] (11) "Health care provider" means an individual who is licensed as:
161	160		78
162	161		(a) a physician under Title 58, Chapter 67, Utah Medical Practice Act;
163	162		79
164	163		(b) a physician under Title 58, Chapter 68, Utah Osteopathic Medical Practice Act;
165	164		80
166	165		(c) an advanced practice registered nurse under Section 58-31b-302; or
167	166		81
168	167		(d) a physician assistant under Title 58, Chapter 70a, Utah Physician Assistant Act.
169	168		82
170	169		(12) "Hypoglycemia" means a potentially life threatening condition resulting from
171	170		83
172	171		abnormally low blood glucose levels.
173	172		84
174	173		[(10)] (13) "Pharmacist" means the same as that term is defined in Section 58-17b-102.
175	174		85
176	175		[(11)] (14) "Pharmacy intern" means the same as that term is defined in Section 58-17b-102.
177	176		86
178	177		[(12)] (15) "Physician" means the same as that term is defined in Section 58-67-102.
179	178		87
180	179		[(13)] (16) "Public school" means a district school or a charter school.
181	180		88
182	181		[(14)] (17) "Qualified adult" means a person who:
183	182		89
184	183		(a) is at least 18 years old; and
185	184		90
186	185		(b)(i) for purposes of administering an epinephrine auto-injector, has successfully
187	186		91
188	187		completed the training program established in Section 26B-4-407;
189	188		92
190	189		(ii) for purposes of administering a glucagon kit, has successfully completed the
191	190		93
192	191		training program established in Section 26B-4-412; and
193	192		94
194	193		[(ii)] (iii) for purposes of administering stock albuterol, has successfully completed
195	194		95
196	195		the training program established in Section 26B-4-408.
197		-	- 3 - S.B. 146 Enrolled Copy
198	196		96
199	197		[(15)] (18) "Qualified epinephrine auto-injector entity":
200	198		97
201	199		(a) means a facility or organization that employs, contracts with, or has a similar
202	200		98
203	201		relationship with a qualified adult who is likely to have contact with another person
204	202		99
205	203		who may experience anaphylaxis; and
	204	+	- 3 - S.B. 146 01-21 09:10
206	205		100
207	206		(b) includes:
208	207		101
209	208		(i) recreation camps;
210	209		102
211	210		(ii) an education facility, school, or university;
212	211		103
213	212		(iii) a day care facility;
214	213		104
215	214		(iv) youth sports leagues;
216	215		105
217	216		(v) amusement parks;
218	217		106
219	218		(vi) food establishments;
220	219		107
221	220		(vii) places of employment; and
222	221		108
223	222		(viii) recreation areas.
224	223		109
225	224		(19) "Qualified glucagon kit entity" means a public or private school that employs,
226	225		110
227	226		contracts with, or has a similar relationship with a qualified adult who is likely to have
228	227		111
229	228		contact with another person who may experience a diabetic emergency.
230	229		112
231	230		[(16)] (20) "Qualified health care provider" means a health care provider who:
232	231		113
233	232		(a) is licensed under Title 58, Occupations and Professions; and
234	233		114
235	234		(b) may evaluate and manage a concussion within the health care provider's scope of
236	235		115
237	236		practice.
238	237		116
239	238		[(17)] (21) "Qualified stock albuterol entity" means a public or private school that employs,
240	239		117
241	240		contracts with, or has a similar relationship with a qualified adult who is likely to have
242	241		118
243	242		contact with another person who may experience an asthma emergency.
244	243		119
245	244		[(18)] (22)(a) "Sporting event" means any of the following athletic activities that is
246	245		120
247	246		organized, managed, or sponsored by an organization:
248	247		121
249	248		(i) a game;
250	249		122
251	250		(ii) a practice;
252	251		123
253	252		(iii) a sports camp;
254	253		124
255	254		(iv) a physical education class;
256	255		125
257	256		(v) a competition; or
258	257		126
259	258		(vi) a tryout.
260	259		127
261	260		(b) "Sporting event" does not include:
262	261		128
263	262		(i) the issuance of a lift ticket or pass by a ski resort, the use of the ticket or pass, or a
264	263		129
265	264		ski or snowboarding class or school at a ski resort, unless the skiing or
266		-	- 4 - Enrolled Copy S.B. 146
267	265		130
268	266		snowboarding is part of a camp, team, or competition that is organized, managed,
269	267		131
270	268		or sponsored by the ski resort;
271	269		132
272	270		(ii) as applied to a government entity, merely making available a field, facility, or
273	271		133
274	272		other location owned, leased, or controlled by the government entity to an amateur
	273	+	- 4 - 01-21 09:10 S.B. 146
275	274		134
276	275		sports organization or a child, regardless of whether the government entity charges
277	276		135
278	277		a fee for the use; or
279	278		136
280	279		(iii) free play or recess taking place during school hours.
281	280		137
282	281		[(19)] (23) "Stock albuterol" means a prescription inhaled medication:
283	282		138
284	283		(a) used to treat asthma; and
285	284		139
286	285		(b) that may be delivered through a device, including:
287	286		140
288	287		(i) an inhaler; or
289	288		141
290	289		(ii) a nebulizer with a mouthpiece or mask.
291	290		142
292	291		[(20)] (24) "Traumatic head injury" means an injury to the head arising from blunt trauma,
293	292		143
294	293		an acceleration force, or a deceleration force, with one of the following observed or
295	294		144
296	295		self-reported conditions attributable to the injury:
297	296		145
298	297		(a) transient confusion, disorientation, or impaired consciousness;
299	298		146
300	299		(b) dysfunction of memory;
301	300		147
302	301		(c) loss of consciousness; or
303	302		148
304	303		(d) signs of other neurological or neuropsychological dysfunction, including:
305	304		149
306	305		(i) seizures;
307	306		150
308	307		(ii) irritability;
309	308		151
310	309		(iii) lethargy;
311	310		152
312	311		(iv) vomiting;
313	312		153
314	313		(v) headache;
315	314		154
316	315		(vi) dizziness; or
317	316		155
318	317		(vii) fatigue.
319	318		156
320	319		Section 2. Section 26B-4-406 is amended to read:
321	320		157
322	321		26B-4-406 . Voluntary participation.
323	322		158
324	323		(1) Sections 26B-4-406 through [26B-4-411] 26B-4-412 do not create a duty or standard of
325	324		159
326	325		care for:
327	326		160
328	327		(a) a person to be trained in the use and storage of epinephrine auto-injectors, glucagon
329	328		161
330	329		kits, or stock albuterol; or
331	330		162
332	331		(b) except as provided in Subsection (5), a qualified epinephrine auto-injector entity to
333	332		163
334	333		store epinephrine auto-injectors, a qualified glucagon kit entity to store glucagon kits
335		-	- 5 - S.B. 146 Enrolled Copy
336	334		164
337	335		on its premises, or a qualified stock albuterol entity to store stock albuterol on its
338	336		165
339	337		premises.
340	338		166
341	339		(2) Except as provided in Subsections (3) and (5), a decision by a person to successfully
342	340		167
343	341		complete a training program under Section 26B-4-407 [or] , 26B-4-408, or 26B-4-412
	342	+	- 5 - S.B. 146 01-21 09:10
344	343		168
345	344		and to make emergency epinephrine auto-injectors, glucagon kits, or stock albuterol
346	345		169
347	346		available under the provisions of Sections 26B-4-406 through [26B-4-411] 26B-4-412 is
348	347		170
349	348		voluntary.
350	349		171
351	350		(3) A school, school board, or school official may not prohibit or dissuade a teacher or
352	351		172
353	352		other school employee at a primary or secondary school in the state, either public or
354	353		173
355	354		private, from:
356	355		174
357	356		(a) completing a training program under Section 26B-4-407[ or] , 26B-4-408, or
358	357		175
359	358		26B-4-412;
360	359		176
361		-	(b) possessing or storing an epinephrine auto-injector, glucagon kit, or stock albuterol on
	360	+	(b) possessing or storing an epinephrine auto-injector, glucagon kit. or stock albuterol on
362	361		177
363	362		school property if:
364	363		178
365	364		(i) the teacher or school employee is a qualified adult; and
366	365		179
367	366		(ii) the possession and storage is in accordance with the training received under
368	367		180
369	368		Section 26B-4-407[ or] , 26B-4-408, or 26B-4-412; or
370	369		181
371	370		(c) administering an epinephrine auto-injector, glucagon kit, or stock albuterol to any
372	371		182
373	372		person, if:
374	373		183
375	374		(i) the teacher or school employee is a qualified adult; and
376	375		184
377	376		(ii) the administration is in accordance with the training received under Section
378	377		185
379	378		26B-4-407[ or] , 26B-4-408, or 26B-4-412.
380	379		186
381	380		(4) A school, school board, or school official may encourage a teacher or other school
382	381		187
383	382		employee to volunteer to become a qualified adult.
384	383		188
385	384		(5)(a) Each primary or secondary school in the state, both public and private, shall make
386	385		189
387	386		an emergency epinephrine auto-injector available to any teacher or other school
388	387		190
389	388		employee who:
390	389		191
391	390		(i) is employed at the school; and
392	391		192
393	392		(ii) is a qualified adult.
394	393		193
395	394		(b) This section does not require a school described in Subsection (5)(a) to keep more
396	395		194
397	396		than one emergency epinephrine auto-injector on the school premises, so long as it
398	397		195
399	398		may be quickly accessed by a teacher or other school employee, who is a qualified
400	399		196
401	400		adult, in the event of an emergency.
402	401		197
403	402		(6)(a) Each primary or secondary school in the state, both public and private, may make
404		-	- 6 - Enrolled Copy S.B. 146
405	403		198
406	404		a glucagon kit available to any school employee who:
407	405		199
408	406		(i) is employed at the school; and
409	407		200
410	408		(ii) is a qualified adult.
411	409		201
412	410		(b) A qualified adult may administer a glucagon kit to a student who:
	411	+	- 6 - 01-21 09:10 S.B. 146
413	412		202
414	413		(i) has a diagnosis of diabetes by a health care provider;
415	414		203
416	415		(ii) has a glucagon authorization on file with the school; and
417	416		204
418	417		(iii) is showing symptoms of hypoglycemia.
419	418		205
420	419		(c) This Subsection (6) does not relieve a student's parent or guardian from providing a
421	420		206
422	421		student's medication or create an expectation that a school will have a glucagon kit
423	422		207
424	423		available.
425	424		208
426	425		[(6)] (7)(a) Each primary or secondary school in the state, both public and private, may
427	426		209
428	427		make stock albuterol available to any school employee who:
429	428		210
430	429		(i) is employed at the school; and
431	430		211
432	431		(ii) is a qualified adult.
433	432		212
434	433		(b) A qualified adult may administer stock albuterol to a student who:
435	434		213
436	435		(i) has a diagnosis of asthma by a health care provider;
437	436		214
438	437		(ii) has a current asthma action plan on file with the school; and
439	438		215
440	439		(iii) is showing symptoms of an asthma emergency as described in the student's
441	440		216
442	441		asthma action plan.
443	442		217
444	443		(c) This Subsection [(6)] (7) may not be interpreted to relieve a student's parent or
445	444		218
446	445		guardian of providing a student's medication or create an expectation that a school
447	446		219
448	447		will have stock albuterol available.
449	448		220
450	449		[(7)] (8) No school, school board, or school official shall retaliate or otherwise take adverse
451	450		221
452	451		action against a teacher or other school employee for:
453	452		222
454	453		(a) volunteering under Subsection (2);
455	454		223
456	455		(b) engaging in conduct described in Subsection (3); or
457	456		224
458	457		(c) failing or refusing to become a qualified adult.
459	458		225
460	459		Section 3. Section 26B-4-409 is amended to read:
461	460		226
462	461		26B-4-409 . Authority to obtain and use an epinephrine auto-injector, glucagon
463	462		227
464	463		kit, or stock albuterol.
465	464		228
466	465		(1) The school district physician, a department health care provider, the medical director of
467	466		229
468	467		the local health department, or the local emergency medical services director may
469	468		230
470	469		provide a prescription for the following if requested by a qualified adult, who is a
471	470		231
472	471		teacher or other school employee at a public or private primary or secondary school in
473		-	- 7 - S.B. 146 Enrolled Copy
474	472		232
475	473		the state, or a school nurse:
476	474		233
477	475		(a) epinephrine auto-injectors for use in accordance with this part;
478	476		234
479	477		(b) a glucagon kit for use in accordance with this part; or
480	478		235
481	479		[(b)] (c) stock albuterol for use in accordance with this part.
	480	+	- 7 - S.B. 146 01-21 09:10
482	481		236
483	482		(2)(a) A qualified adult may obtain an epinephrine auto-injector for use in accordance
484	483		237
485	484		with this part that is dispensed by:
486	485		238
487	486		(i) a pharmacist as provided under Section 58-17b-1004; or
488	487		239
489	488		(ii) a pharmacy intern as provided under Section 58-17b-1004.
490	489		240
491	490		(b) A qualified adult may obtain a glucagon kit for use in accordance with this part that
492	491		241
493	492		is dispensed by:
494	493		242
495	494		(i) a pharmacist as provided under Section 58-17b-1004; or
496	495		243
497	496		(ii) a pharmacy intern as provided under Section 58-17b-1004.
498	497		244
499	498		[(b)] (c) A qualified adult may obtain stock albuterol for use in accordance with this part
500	499		245
501	500		that is dispensed by:
502	501		246
503	502		(i) a pharmacist as provided under Section 58-17b-1004; or
504	503		247
505	504		(ii) a pharmacy intern as provided under Section 58-17b-1004.
506	505		248
507	506		(3) A qualified adult:
508	507		249
509	508		(a) may immediately administer an epinephrine auto-injector to a person exhibiting
510	509		250
511	510		potentially life-threatening symptoms of anaphylaxis when a physician or physician
512	511		251
513	512		assistant is not immediately available; and
514	513		252
515	514		(b) shall initiate emergency medical services or other appropriate medical follow-up in
516	515		253
517	516		accordance with the training materials retained under Section 26B-4-407 after
518	517		254
519	518		administering an epinephrine auto-injector.
520	519		255
521	520		(4) If a school nurse is not immediately available, a qualified adult:
522	521		256
523	522		(a) may immediately administer a glucagon kit to an individual who:
524	523		257
525	524		(i) has a diagnosis of diabetes by a health care provider;
526	525		258
527	526		(ii) has a glucagon authorization on file with the school; and
528	527		259
529	528		(iii) is showing symptoms of hypoglycemia; and
530	529		260
531	530		(b) shall initiate appropriate medical follow-up in accordance with the training materials
532	531		261
533	532		retained under Section 26B-4-412 after administering a glucagon kit.
534	533		262
535	534		(5) If a school nurse is not immediately available, a qualified adult:
536	535		263
537	536		(a) may immediately administer stock albuterol to an individual who:
538	537		264
539	538		(i) has a diagnosis of asthma by a health care provider;
540	539		265
541	540		(ii) has a current asthma action plan on file with the school; and
542		-	- 8 - Enrolled Copy S.B. 146
543	541		266
544	542		(iii) is showing symptoms of an asthma emergency as described in the student's
545	543		267
546	544		asthma action plan; and
547	545		268
548	546		(b) shall initiate appropriate medical follow-up in accordance with the training materials
549	547		269
550	548		retained under Section 26B-4-408 after administering stock albuterol.
	549	+	- 8 - 01-21 09:10 S.B. 146
551	550		270
552	551		[(5)] (6)(a) A qualified entity that complies with Subsection[ (5)(b)] (6)(b), [or ](c), or (d),
553	552		271
554	553		may obtain a supply of epinephrine auto-injectors, glucagon kits, or stock albuterol,
555	554		272
556	555		respectively, from a pharmacist under Section 58-17b-1004, or a pharmacy intern
557	556		273
558	557		under Section 58-17b-1004 for:
559	558		274
560	559		(i) storing:
561	560		275
562	561		(A) the epinephrine auto-injectors on the qualified epinephrine auto-injector
563	562		276
564	563		entity's premises;
565	564		277
566	565		(B) the glucagon kits on the qualified glucagon kit entity's premises; and
567	566		278
568	567		[(B)] (C) stock albuterol on the qualified stock albuterol entity's premises; and
569	568		279
570	569		(ii) use by a qualified adult in accordance with [Subsection (3) or (4).] Subsections (3)
571	570		280
572	571		through (5).
573	572		281
574	573		(b) A qualified epinephrine auto-injector entity shall:
575	574		282
576	575		(i) designate an individual to complete an initial and annual refresher training
577	576		283
578	577		program regarding the proper storage and emergency use of an epinephrine
579	578		284
580	579		auto-injector available to a qualified adult; and
581	580		285
582	581		(ii) store epinephrine auto-injectors in accordance with the standards established by
583	582		286
584	583		the department in Section 26B-4-411.
585	584		287
586	585		(c) A qualified glucagon kit entity shall:
587	586		288
588	587		(i) designate an individual to complete an initial and annual refresher training
589	588		289
590	589		program regarding the proper storage and emergency use of a glucagon kit
591	590		290
592	591		available to a qualified adult; and
593	592		291
594	593		(ii) store a glucagon kit in accordance with the standards established by the
595	594		292
596	595		department in Section 26B-4-411.
597	596		293
598	597		[(c)] (d) A qualified stock albuterol entity shall:
599	598		294
600	599		(i) designate an individual to complete an initial and annual refresher training
601	600		295
602	601		program regarding the proper storage and emergency use of stock albuterol
603	602		296
604	603		available to a qualified adult; and
605	604		297
606	605		(ii) store stock albuterol in accordance with the standards established by the
607	606		298
608	607		department in Section 26B-4-411.
609	608		299
610	609		Section 4. Section 26B-4-410 is amended to read:
611		-	- 9 - S.B. 146 Enrolled Copy
612	610		300
613	611		26B-4-410 . Immunity from liability.
614	612		301
615	613		(1) The following, if acting in good faith, are not liable in any civil or criminal action for
616	614		302
617	615		any act taken or not taken under the authority of Sections 26B-4-406 through [26B-4-411]
618	616		303
619	617		26B-4-412 with respect to an anaphylactic reaction, diabetic emergency, or asthma
	618	+	- 9 - S.B. 146 01-21 09:10
620	619		304
621	620		emergency:
622	621		305
623	622		(a) a qualified adult;
624	623		306
625	624		(b) a physician, physician assistant, pharmacist, or any other person or entity authorized
626	625		307
627	626		to prescribe or dispense prescription drugs;
628	627		308
629	628		(c) a person who conducts training described in Section 26B-4-407[ or] , 26B-4-408, or
630	629		309
631	630		26B-4-412;
632	631		310
633	632		(d) a qualified epinephrine auto-injector entity;
634	633		311
635	634		(e) a qualified glucagon kit entity;
636	635		312
637	636		[(e)] (f) a qualified stock albuterol entity;
638	637		313
639	638		[(f)] (g) the department;
640	639		314
641	640		[(g)] (h) a local health department;
642	641		315
643	642		[(h)] (i) a local education agency; and
644	643		316
645	644		[(i)] (j) a local emergency medical services entity.
646	645		317
647	646		(2) Section 53G-9-502 does not apply to the administration of an epinephrine auto-injector,
648	647		318
649	648		glucagon kit, or stock albuterol in accordance with this part.
650	649		319
651	650		(3) This section does not eliminate, limit, or reduce any other immunity from liability or
652	651		320
653	652		defense against liability that may be available under state law.
654	653		321
655	654		Section 5. Section 26B-4-411 is amended to read:
656	655		322
657	656		26B-4-411 . Administrative rulemaking authority.
658	657		323
659	658		The department shall adopt rules in accordance with Title 63G, Chapter 3, Utah
660	659		324
661	660		Administrative Rulemaking Act, to:
662	661		325
663	662		(1) establish and approve training programs in accordance with Sections 26B-4-407[ and] ,
664	663		326
665	664		26B-4-408, and 26B-4-412;
666	665		327
667	666		(2) establish a procedure for determining who is eligible for training as a qualified adult
668	667		328
669	668		under Subsection 26B-4-407(6)(b)(v); and
670	669		329
671	670		(3) establish standards for storage of:
672	671		330
673	672		(a) emergency auto-injectors by a qualified epinephrine auto-injector entity under
674	673		331
675	674		Section 26B-4-407;
676	675		332
677	676		(b) a glucagon kit by a qualified glucagon kit entity under Section 26B-4-412; and
678	677		333
679	678		[(b)] (c) stock albuterol by a qualified stock albuterol entity under Section 26B-4-408.
680		-	- 10 - Enrolled Copy S.B. 146
681	679		334
682	680		Section 6. Section 26B-4-412 is enacted to read:
683	681		335
684	682		26B-4-412 . Training in use and storage of a glucagon kit.
685	683		336
686	684		(1)(a) Each primary and secondary school in the state, both public and private, shall
687	685		337
688	686		make initial and annual refresher training regarding the storage and emergency use of
	687	+	- 10 - 01-21 09:10 S.B. 146
689	688		338
690	689		a glucagon kit available to a teacher or school employee who volunteers to become a
691	690		339
692	691		qualified adult.
693	692		340
694	693		(b) The department shall provide the training described in Subsection (1)(a).
695	694		341
696	695		(2) A person who provides training under Subsection (1) or (5) shall include in the training:
697	696		342
698	697		(a) techniques for recognizing symptoms of a hypoglycemic emergency;
699	698		343
700	699		(b) standards and procedures for the storage and emergency use of a glucagon kit;
701	700		344
702	701		(c) emergency follow-up procedures, and contacting, if possible, the student's parent; and
703	702		345
704	703		(d) written materials covering the information required under this Subsection (2).
705	704		346
706	705		(3) A qualified adult shall retain for reference the written materials prepared in accordance
707	706		347
708	707		with Subsection (2)(d).
709	708		348
710	709		(4) A public or private school shall permit a student to possess and self-administer diabetes
711	710		349
712	711		medication in accordance with Section 53G-9-506.
713	712		350
714	713		(5) The department:
715	714		351
716	715		(a) shall approve educational programs conducted by other persons to train:
717	716		352
718	717		(i) people under Subsection (5)(b), regarding the proper use and storage of a
719	718		353
720	719		glucagon kit; and
721	720		354
722	721		(ii) a qualified glucagon kit entity regarding the proper storage and emergency use of
723	722		355
724	723		a glucagon kit; and
725	724		356
726	725		(b) may conduct educational programs to train people regarding the use of and storage of
727	726		357
728	727		a glucagon kit.
729	728		358
730	729		Section 7. Section 58-17b-1002 is amended to read:
731	730		359
732	731		58-17b-1002 . Definitions.
733	732		360
734	733		As used in this part:
735	734		361
736	735		(1) "Epinephrine auto-injector" means the same as that term is defined in Section 26B-4-401.
737	736		362
738	737		(2) "Glucagon kit" means the same as that term is defined in Section 26B-4-401.
739	738		363
740	739		[(2)] (3) "Local health department" means the same as that term is defined in Section
741	740		364
742	741		26A-1-102.
743	742		365
744	743		[(3)] (4) "Physician" means the same as that term is defined in Section 58-67-102.
745	744		366
746	745		[(4)] (5) "Qualified adult" means the same as that term is defined in Section 26B-4-401.
747	746		367
748	747		[(5)] (6) "Qualified epinephrine auto-injector entity" means the same as that term is defined
749		-	- 11 - S.B. 146 Enrolled Copy
750	748		368
751	749		in Section 26B-4-401.
752	750		369
753	751		[(6)] (7) "Qualified stock albuterol entity" means the same as that term is defined in Section
754	752		370
755	753		26B-4-401.
756	754		371
757	755		[(7)] (8) "Stock albuterol" means the same as that term is defined in Section 26B-4-401.
	756	+	- 11 - S.B. 146 01-21 09:10
758	757		372
759	758		Section 8. Section 58-17b-1003 is amended to read:
760	759		373
761	760		58-17b-1003 . Voluntary participation.
762	761		374
763	762		This part does not create a duty or standard of care for a person to prescribe or dispense
764	763		375
765	764		an epinephrine auto-injector, glucagon kit, or stock albuterol.
766	765		376
767	766		Section 9. Section 58-17b-1004 is amended to read:
768	767		377
769	768		58-17b-1004 . Authorization to dispense an epinephrine auto-injector, glucagon
770	769		378
771	770		kit, and stock albuterol pursuant to a standing order.
772	771		379
773	772		(1) Notwithstanding any other provision of this chapter, a pharmacist or pharmacy intern
774	773		380
775	774		may dispense an epinephrine auto-injector:
776	775		381
777	776		(a)(i) to a qualified adult for use in accordance with Title 26B, Chapter 4, Part 4,
778	777		382
779	778		School Health; or
780	779		383
781	780		(ii) to a qualified epinephrine auto-injector entity for use in accordance with Title
782	781		384
783	782		26B, Chapter 4, Part 4, School Health;
784	783		385
785	784		(b) pursuant to a standing prescription drug order made in accordance with Section
786	785		386
787	786		58-17b-1005;
788	787		387
789	788		(c) without any other prescription drug order from a person licensed to prescribe an
790	789		388
791	790		epinephrine auto-injector; and
792	791		389
793	792		(d) in accordance with the dispensing guidelines in Section 58-17b-1006.
794	793		390
795	794		(2) Notwithstanding any other provision of this chapter, a pharmacist or pharmacy intern
796	795		391
797	796		may dispense a glucagon kit:
798	797		392
799	798		(a)(i) to a qualified adult for use in accordance with Title 26B, Chapter 4, Part 4,
800	799		393
801	800		School Health; or
802	801		394
803	802		(ii) to a qualified glucagon kit entity for use in accordance with Title 26B, Chapter 4,
804	803		395
805	804		Part 4, School Health;
806	805		396
807	806		(b) pursuant to a standing prescription drug order made in accordance with Section
808	807		397
809	808		58-17b-1005;
810	809		398
811	810		(c) without any other prescription drug order from a person licensed to prescribe a
812	811		399
813	812		glucagon kit; and
814	813		400
815	814		(d) in accordance with the dispensing guidelines in Section 58-17b-1006.
816	815		401
817	816		[(2)] (3) Notwithstanding any other provision of this chapter, a pharmacist or pharmacy
818		-	- 12 - Enrolled Copy S.B. 146
819	817		402
820	818		intern may dispense stock albuterol:
821	819		403
822	820		(a)(i) to a qualified adult for use in accordance with Title 26B, Chapter 4, Part 4,
823	821		404
824	822		School Health; or
825	823		405
826	824		(ii) to a qualified stock albuterol entity for use in accordance with Title 26B, Chapter
	825	+	- 12 - 01-21 09:10 S.B. 146
827	826		406
828	827		4, Part 4, School Health;
829	828		407
830	829		(b) pursuant to a standing prescription drug order made in accordance with Section
831	830		408
832	831		58-17b-1005;
833	832		409
834	833		(c) without any other prescription drug order from a person licensed to prescribe stock
835	834		410
836	835		albuterol; and
837	836		411
838	837		(d) in accordance with the dispensing guidelines in Section 58-17b-1006.
839	838		412
840	839		Section 10. Section 58-17b-1005 is amended to read:
841	840		413
842	841		58-17b-1005 . Standing prescription drug orders for epinephrine auto-injectors,
843	842		414
844	843		glucagon kits, and stock albuterol.
845	844		415
846	845		(1) As used in this section:
847	846		416
848	847		(a) "Epinephrine protocol" means a protocol that:
849	848		417
850	849		(i) requires a physician to specify the persons, by professional license number,
851	850		418
852	851		authorized to dispense the epinephrine auto-injector;
853	852		419
854	853		(ii) requires a physician to review at least annually the dispensing practices of the
855	854		420
856	855		persons authorized by the physician to dispense the epinephrine auto-injector;
857	856		421
858	857		(iii) requires those authorized by a physician to dispense the epinephrine auto-injector
859	858		422
860	859		to make and retain a record of each dispensing, including:
861	860		423
862	861		(A) the name of the qualified adult or qualified epinephrine auto-injector entity to
863	862		424
864	863		whom the epinephrine auto-injector is dispensed;
865	864		425
866	865		(B) a description of the epinephrine auto-injector dispensed; and
867	866		426
868	867		(C) other relevant information; and
869	868		427
870	869		(iv) is approved by the division through rule made in accordance with Title 63G,
871	870		428
872	871		Chapter 3, Utah Administrative Rulemaking Act, in collaboration with the
873	872		429
874	873		Medical Licensing Board created in Section 58-67-201 and the board.
875	874		430
876	875		(b) "Glucagon kit protocol" means a protocol that:
877	876		431
878	877		(i) requires a physician to specify the persons, by professional license number,
879	878		432
880	879		authorized to dispense the glucagon kit;
881	880		433
882	881		(ii) requires a physician to review at least annually the dispensing practices of the
883	882		434
884	883		persons authorized by the physician to dispense the glucagon kit;
885	884		435
886	885		(iii) requires those authorized by the physician to dispense the glucagon kit to make
887		-	- 13 - S.B. 146 Enrolled Copy
888	886		436
889	887		and retain a record of each dispensing, including:
890	888		437
891	889		(A) the name of the qualified adult or qualified glucagon kit entity to whom the
892	890		438
893	891		glucagon kit is dispensed;
894	892		439
895	893		(B) a description of the glucagon kit dispensed; and
	894	+	- 13 - S.B. 146 01-21 09:10
896	895		440
897	896		(C) other relevant information; and
898	897		441
899	898		(iv) is approved by the division through rule made in accordance with Title 63G,
900	899		442
901	900		Chapter 3, Utah Administrative Rulemaking Act, in collaboration with the
902	901		443
903	902		Medical Licensing Board created in Section 58-67-201 and the board.
904	903		444
905	904		[(b)] (c) "Stock albuterol protocol" means a protocol that:
906	905		445
907	906		(i) requires a physician to specify the persons, by professional license number,
908	907		446
909	908		authorized to dispense the stock albuterol;
910	909		447
911	910		(ii) requires a physician to review at least annually the dispensing practices of the
912	911		448
913	912		persons authorized by the physician to dispense the stock albuterol;
914	913		449
915	914		(iii) requires those authorized by the physician to dispense the stock albuterol to
916	915		450
917	916		make and retain a record of each dispensing, including:
918	917		451
919	918		(A) the name of the qualified adult or qualified stock albuterol entity to whom the
920	919		452
921	920		stock albuterol is dispensed;
922	921		453
923	922		(B) a description of the stock albuterol dispensed; and
924	923		454
925	924		(C) other relevant information; and
926	925		455
927	926		(iv) is approved by the division through rule made in accordance with Title 63G,
928	927		456
929	928		Chapter 3, Utah Administrative Rulemaking Act, in collaboration with the
930	929		457
931	930		Medical Licensing Board created in Section 58-67-201 and the board.
932	931		458
933	932		(2) Under Section 58-17b-1004, the Department of Health and Human Services shall have a
934	933		459
935	934		physician acting in the physician's capacity as an employee of the Department of Health
936	935		460
937	936		and Human Services issue a standing prescription drug order authorizing the dispensing
938	937		461
939	938		of:
940	939		462
941	940		(a) an epinephrine auto-injector in accordance with an epinephrine protocol;
942	941		463
943	942		(b) a glucagon kit in accordance with a glucagon kit protocol; and
944	943		464
945	944		[(b)] (c) stock albuterol in accordance with a stock albuterol protocol.
946	945		465
947	946		(3) Under Section 58-17b-1004, a medical director of a local health department may issue a
948	947		466
949	948		standing prescription drug order authorizing the dispensing of:
950	949		467
951	950		(a) an epinephrine auto-injector in accordance with an epinephrine protocol;
952	951		468
953	952		(b) a glucagon kit in accordance with a glucagon kit protocol; or
954	953		469
955	954		[(b)] (c) stock albuterol in accordance with a stock albuterol protocol.
956		-	- 14 - Enrolled Copy S.B. 146
957	955		470
958	956		Section 11. Section 58-17b-1006 is amended to read:
959	957		471
960	958		58-17b-1006 . Guidelines for dispensing an epinephrine auto-injector, glucagon
961	959		472
962	960		kit, and stock albuterol.
963	961		473
964	962		(1) A pharmacist or pharmacy intern who dispenses an epinephrine auto-injector under this
	963	+	- 14 - 01-21 09:10 S.B. 146
965	964		474
966	965		part shall, at a minimum, provide patient counseling to the qualified adult or qualified
967	966		475
968	967		epinephrine auto-injector entity to whom the epinephrine auto-injector is dispensed
969	968		476
970	969		regarding:
971	970		477
972	971		(a) the appropriate administration and storage of the epinephrine auto-injector;
973	972		478
974	973		(b) potential side effects and risks of the epinephrine auto-injector; and
975	974		479
976	975		(c) when to seek emergency medical attention.
977	976		480
978	977		(2) A pharmacist or pharmacy intern who dispenses a glucagon kit under this part shall, at
979	978		481
980	979		minimum, provide patient counseling to the qualified adult or qualified glucagon kit
981	980		482
982	981		entity to whom the glucagon kit is dispensed regarding:
983	982		483
984	983		(a) the appropriate administration and storage of the glucagon kit;
985	984		484
986	985		(b) potential side effects and risks of the glucagon kit; and
987	986		485
988	987		(c) when to seek emergency medical attention.
989	988		486
990	989		[(2)] (3) A pharmacist or pharmacy intern who dispenses stock albuterol under this part
991	990		487
992	991		shall, at a minimum, provide patient counseling to the qualified adult or qualified stock
993	992		488
994	993		albuterol entity to whom the stock albuterol is dispensed regarding:
995	994		489
996	995		(a) the appropriate administration and storage of the stock albuterol;
997	996		490
998	997		(b) potential side effects and risks of the stock albuterol; and
999	998		491
1000	999		(c) when to seek emergency medical attention.
1001	1000		492
1002	1001		Section 12. Section 58-17b-1007 is amended to read:
1003	1002		493
1004	1003		58-17b-1007 . Limited civil liability.
1005	1004		494
1006		-	[(1)] A physician who issues a standing prescription drug order in accordance with
	1005	+	[(1)] A physician who issues a standing prescription drug order in accordance with Subsection [
1007	1006		495
1008		-	~~Subsection [~~58-17b-1005(1)] 58-17b-1005(2) is not liable, under this part, for any civil
	1007	+	58-17b-1005(1)] 58-17b-1005(2) is not liable, under this part, for any civil damages for acts
1009	1008		496
1010		-	~~damages for acts~~ or omissions resulting from the dispensing of[ an] :
	1009	+	or omissions resulting from the dispensing of[ an] :
1011	1010		497
1012	1011		(1) an epinephrine auto-injector[ under this part.] ;
1013	1012		498
1014	1013		(2) a glucagon kit; or
1015	1014		499
1016	1015		[(2)] (3) [A physician who issues a standing prescription drug order in accordance with
1017	1016		500
1018	1017		Subsection 58-17b-1005(2) is not liable for any civil damages for acts or omissions
1019	1018		501
1020	1019		resulting from the dispensing of ]stock albuterol[ under this part].
1021	1020		502
1022	1021		Section 13. Effective Date.
1023	1022		503
1024	1023		This bill takes effect on July 1, 2025.
1025	1024		- 15 -