| 1 | | - | BILLASPASSEDBYTHEHOUSE H.209 |
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| 2 | | - | 2025 Page1of11 |
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| 3 | | - | H.209 |
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| 4 | | - | IntroducedbyRepresentativeGoldmanofRockingham |
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| 5 | | - | ReferredtoCommitteeon |
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| 6 | | - | Date: |
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| 7 | | - | Subject:Health;education;intranasalepinephrine;prescribinganddispensing |
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| 8 | | - | authority;schools |
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| 9 | | - | Statementofpurposeofbillasintroduced:Thisbillproposestoallowahealth |
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| 10 | | - | careprofessionaltoprescribeandissuestandingordersfortheuseof |
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| 11 | | - | intranasalepinephrineinschools.Itproposestoallowaschooltomaintaina |
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| 12 | | - | stocksupplyofintranasalepinephrine.Thebillfurtherproposestoallowa |
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| 13 | | - | schooladministratortoauthorizeschoolnursesorotherdesignatedpersonnel |
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| 14 | | - | toadministerorhaveastudentself-administerintranasalepinephrinein |
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| 15 | | - | accordancewithastudent’splanofactionformanagingthestudent’slife- |
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| 16 | | - | threateningallergy. |
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| 17 | | - | Anactrelatingtointranasalepinephrineinschools |
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| 18 | | - | ItisherebyenactedbytheGeneralAssemblyoftheStateofVermont: |
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| 19 | | - | Sec.1.16V.S.A.§ 1388isamendedtoread: |
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| 20 | | - | §1388.STOCKSUPPLYANDEMERGENCYADMINISTRATIONOF |
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| 21 | | - | EPINEPHRINEAUTO-INJECTORS |
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| 40 | | - | 19 BILLASPASSEDBYTHEHOUSE H.209 |
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| 41 | | - | 2025 Page2of11 |
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| 42 | | - | (a)Asusedinthissection: |
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| 43 | | - | (1)“Designatedpersonnel”meansaschoolemployee,agent,or |
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| 44 | | - | volunteerwhohasbeenauthorizedbytheschooladministratortoprovideand |
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| 45 | | - | administerepinephrineauto-injectorsandintranasalepinephrineunderthis |
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| 46 | | - | sectionandwhohascompletedthetrainingrequiredbyStateBoardpolicy. |
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| 47 | | - | (2)“Epinephrineauto-injector”meansasingle-usedevicethatdeliversa |
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| 48 | | - | premeasureddoseofepinephrine. |
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| 49 | | - | (3)“Healthcareprofessional”meansaphysicianlicensedpursuantto26 |
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| 50 | | - | V.S.A.chapter23or33,anadvancedpracticeregisterednurselicensedto |
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| 51 | | - | prescribedrugsandmedicaldevicespursuantto26V.S.A.chapter28,ora |
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| 52 | | - | physicianassistantlicensedtoprescribedrugsandmedicaldevicespursuantto |
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| 53 | | - | 26V.S.A.chapter31. |
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| 54 | | - | (4)“Intranasalepinephrine”meansanasalspraydeliveringadosea |
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| 55 | | - | epinephrine. |
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| 56 | | - | (5)“School”meansapublicorapprovedindependentschooland |
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| 57 | | - | extendstoschoolgrounds,school-sponsoredactivities,school-provided |
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| 58 | | - | transportation,andschool-relatedprograms. |
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| 59 | | - | (5)(6)“Schooladministrator”meansaschool’sprincipalorheadmaster. |
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| 60 | | - | (b)(1)Ahealthcareprofessionalmayprescribeanepinephrineauto- |
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| 61 | | - | injectororintranasalepinephrine,orboth,inaschool’sname,whichmaybe |
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| 62 | | - | maintainedbytheschoolforuseasdescribedinsubsection(d)ofthissection. |
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| 83 | | - | 21 BILLASPASSEDBYTHEHOUSE H.209 |
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| 84 | | - | 2025 Page3of11 |
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| 85 | | - | Thehealthcareprofessionalshallissuetotheschoolastandingorderforthe |
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| 86 | | - | useofanepinephrineauto-injectorprescribedunderthissection,including |
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| 87 | | - | protocolsfor: |
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| 88 | | - | (A)assessingwhetheranindividualisexperiencingapotentiallylife- |
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| 89 | | - | threateningallergicreaction; |
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| 90 | | - | (B)administeringanepinephrineauto-injectorandintranasal |
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| 91 | | - | epinephrinetoanindividualexperiencingapotentiallylife-threateningallergic |
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| 92 | | - | reaction; |
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| 93 | | - | (C)caringforanindividualafteradministeringanepinephrineauto- |
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| 94 | | - | injectortohimorherorintranasalepinephrine,includingcontacting |
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| 95 | | - | emergencyservicespersonnelanddocumentingtheincident;and |
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| 96 | | - | (D)disposingofusedorexpiredepinephrineauto-injectorsand |
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| 97 | | - | intranasalepinephrine. |
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| 98 | | - | (2)Apharmacistlicensedpursuantto26V.S.A.chapter36orahealth |
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| 99 | | - | careprofessionalmaydispenseprescribedepinephrineauto-injectors |
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| 100 | | - | prescribedorintranasalepinephrine,orboth,toaschool. |
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| 101 | | - | (c)Aschoolmaymaintainastocksupplyofepinephrineauto-injectorsor |
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| 102 | | - | intranasalepinephrine,orboth.Aschoolmayenterintoarrangementswith |
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| 103 | | - | epinephrineauto-injectormanufacturersorsuppliersofepinephrineauto- |
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| 104 | | - | injectorsorintranasalepinephrine,orboth,toacquireepinephrineauto- |
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| 105 | | - | injectorstheseproductsforfreeoratreducedorfairmarketprices. |
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| 126 | | - | 21 BILLASPASSEDBYTHEHOUSE H.209 |
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| 127 | | - | 2025 Page4of11 |
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| 128 | | - | (d)Theschooladministratormayauthorizeaschoolnurseordesignated |
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| 129 | | - | personnel,orboth,to: |
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| 130 | | - | (1)provideanepinephrineauto-injectororintranasalepinephrinetoa |
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| 131 | | - | studentforself-administrationaccordingtoaplanofactionformanagingthe |
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| 132 | | - | student’slife-threateningallergymaintainedinthestudent’sschoolhealth |
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| 133 | | - | recordspursuanttosection1387ofthistitle; |
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| 134 | | - | (2)administeraprescribedepinephrineauto-injectororintranasal |
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| 135 | | - | epinephrinetoastudentaccordingtoaplanofactionmaintainedinthe |
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| 136 | | - | student’sschoolhealthrecords;and |
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| 137 | | - | (3)administeranepinephrineauto-injectororintranasalepinephrine,in |
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| 138 | | - | accordancewiththeprotocolissuedundersubsection(b)ofthissection,toa |
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| 139 | | - | studentorotherindividualataschoolifthenurseordesignatedpersonnel |
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| 140 | | - | believeingoodfaiththatthestudentorindividualisexperiencinganaphylaxis, |
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| 141 | | - | regardlessofwhetherthestudentorindividualhasaprescriptionforan |
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| 142 | | - | epinephrineauto-injectororintranasalepinephrine. |
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| 143 | | - | (e)Designatedpersonnel,aschool,andahealthcareprofessional |
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| 144 | | - | prescribinganepinephrineauto-injectororintranasalepinephrine,orboth,toa |
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| 145 | | - | schoolshallbeimmunefromanycivilorcriminalliabilityarisingfromthe |
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| 146 | | - | administrationorself-administrationofanepinephrineauto-injectoror |
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| 147 | | - | intranasalepinephrineunderthissection,unlesstheperson’sconduct |
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| 148 | | - | constitutedintentionalmisconduct.Providingoradministeringanepinephrine |
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| 169 | | - | 21 BILLASPASSEDBYTHEHOUSE H.209 |
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| 170 | | - | 2025 Page5of11 |
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| 171 | | - | auto-injectororintranasalepinephrineunderthissectiondoesnotconstitute |
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| 172 | | - | thepracticeofmedicine. |
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| 173 | | - | (f)OnorbeforeJanuary1,2014,theTheStateBoard,inconsultationwith |
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| 174 | | - | theDepartmentofHealth,shalladoptpoliciesformanagingstudentswithlife- |
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| 175 | | - | threateningallergiesandotherindividualswithlife-threateningallergieswho |
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| 176 | | - | maybepresentataschool.Thepoliciesshall: |
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| 177 | | - | (1)establishprotocolstopreventexposuretoallergensinschools; |
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| 178 | | - | (2)establishproceduresforrespondingtolife-threateningallergic |
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| 179 | | - | reactionsinschools,includingpostemergencyprocedures; |
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| 180 | | - | (3)implementaprocessforschoolsandtheparentsorguardiansof |
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| 181 | | - | studentswithalife-threateningallergytojointlydevelopawritten |
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| 182 | | - | individualizedallergymanagementplanofactionthat: |
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| 183 | | - | (A)incorporatesinstructionsfromastudent’sphysicianregarding |
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| 184 | | - | thestudent’slife-threateningallergyandprescribedtreatment; |
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| 185 | | - | (B)includestherequirementsofsection1387ofthistitle,ifastudent |
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| 186 | | - | isauthorizedtopossessandself-administeremergencymedicationatschool; |
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| 187 | | - | (C)becomespartofthestudent’shealthrecordsmaintainedbythe |
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| 188 | | - | school;and |
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| 189 | | - | (D)isupdatedeachschoolyear; |
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| 190 | | - | (4)requireeducationandtrainingforschoolnursesanddesignated |
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| 191 | | - | personnel,includingtrainingrelatedtostoringandadministeringan |
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| 212 | | - | 21 BILLASPASSEDBYTHEHOUSE H.209 |
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| 213 | | - | 2025 Page6of11 |
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| 214 | | - | epinephrineauto-injectororintranasalepinephrineandrecognizingand |
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| 215 | | - | respondingtoalife-threateningallergicreaction;and |
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| 216 | | - | (5)requireeachschooltomakepubliclyavailableprotocolsand |
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| 217 | | - | proceduresdevelopedinaccordancewiththepoliciesadoptedbytheState |
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| 218 | | - | Boardunderthissection. |
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| 219 | | - | Sec.2.EFFECTIVEDATE |
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| 220 | | - | ThisactshalltakeeffectonJuly1,2025. |
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| 221 | | - | Sec.1.16V.S.A.§ 1388isamendedtoread: |
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| 222 | | - | §1388.STOCKSUPPLYANDEMERGENCYADMINISTRATIONOF |
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| 223 | | - | EPINEPHRINEAUTO-INJECTORS |
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| 224 | | - | (a)Asusedinthissection: |
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| 225 | | - | (1)“Designatedpersonnel”meansaschoolemployee,agent,or |
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| 226 | | - | volunteer,orpracticalnurselicensedpursuantto26V.S.A.chapter28who |
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| 227 | | - | hasbeenauthorizedbytheschooladministratornursetoprovideand |
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| 228 | | - | administerepinephrineauto-injectorsandintranasalepinephrineunderthis |
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| 229 | | - | sectionandwhohascompletedthetrainingrequiredbyStateBoardpolicy. |
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| 230 | | - | (2)“Epinephrineauto-injector”meansasingle-usedevicethatdelivers |
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| 231 | | - | apremeasureddoseofepinephrine. |
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| 232 | | - | (3)“Healthcareprofessional”meansaphysicianlicensedpursuantto |
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| 233 | | - | 26V.S.A.chapter23or33,anadvancedpracticeregisterednurselicensedto |
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| 234 | | - | prescribedrugsandmedicaldevicespursuantto26V.S.A.chapter28,ora |
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| 241 | | - | 7 BILLASPASSEDBYTHEHOUSE H.209 |
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| 242 | | - | 2025 Page7of11 |
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| 243 | | - | physicianassistantlicensedtoprescribedrugsandmedicaldevicespursuantto |
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| 244 | | - | 26V.S.A.chapter31. |
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| 245 | | - | (4)“Intranasalepinephrine”meansanasalspraydeliveringadoseof |
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| 246 | | - | epinephrine. |
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| 247 | | - | (5)“School”meansapublicorapprovedindependentschooland |
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| 248 | | - | extendstoschoolgrounds,school-sponsoredactivities,school-provided |
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| 249 | | - | transportation,andschool-relatedprograms. |
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| 250 | | - | (5)(6)“Schooladministrator”meansaschool’sprincipalor |
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| 251 | | - | headmaster. |
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| 252 | | - | (7)“Schoolnurse”meansaschoolnurseendorsedbytheAgencyof |
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| 253 | | - | EducationpursuanttotheLicensingofEducatorsandthePreparationof |
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| 254 | | - | EducationalProfessionalsrule(CVR22-000-010). |
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| 255 | | - | (b)(1)Ahealthcareprofessionalmayprescribeanepinephrineauto- |
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| 256 | | - | injectororintranasalepinephrine,orboth,inaschool’sname,whichmaybe |
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| 257 | | - | maintainedbytheschoolforuseasdescribedinsubsection(d)ofthissection. |
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| 258 | | - | Thehealthcareprofessional,inconsultationwiththeschoolnurse,shallissue |
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| 259 | | - | totheschoolastandingorderfortheuseofanepinephrineauto-injector |
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| 260 | | - | prescribedunderthissection,includingprotocolsfor: |
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| 261 | | - | (A)assessingwhetheranindividualisexperiencingapotentiallylife- |
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| 262 | | - | threateningallergicreaction; BILLASPASSEDBYTHEHOUSE H.209 |
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| 263 | | - | 2025 Page8of11 |
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| 264 | | - | (B)administeringanepinephrineauto-injectorandintranasal |
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| 265 | | - | epinephrinetoanindividualexperiencingapotentiallylife-threatening |
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| 266 | | - | allergicreaction; |
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| 267 | | - | (C)caringforanindividualafteradministeringanepinephrineauto- |
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| 268 | | - | injectortohimorherorintranasalepinephrine,includingcontacting |
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| 269 | | - | emergencyservicespersonnelanddocumentingtheincident;and |
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| 270 | | - | (D)disposingofusedorexpiredepinephrineauto-injectorsand |
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| 271 | | - | intranasalepinephrine. |
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| 272 | | - | (2)Apharmacistlicensedpursuantto26V.S.A.chapter36orahealth |
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| 273 | | - | careprofessionalmaydispenseprescribedepinephrineauto-injectors |
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| 274 | | - | prescribedorintranasalepinephrine,orboth,toaschool. |
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| 275 | | - | (c)Aschoolmaymaintainastocksupplyofepinephrineauto-injectorsor |
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| 276 | | - | intranasalepinephrine,orboth.Aschoolmayenterintoarrangementswith |
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| 277 | | - | epinephrineauto-injectormanufacturersorsuppliersofepinephrineauto- |
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| 278 | | - | injectorsorintranasalepinephrine,orboth,toacquireepinephrineauto- |
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| 279 | | - | injectorstheseproductsforfreeoratreducedorfairmarketprices. |
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| 280 | | - | (d)Theschooladministratormayauthorizeaschoolnurseor,whointurn |
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| 281 | | - | mayauthorizedesignatedpersonnel,orboth,to: |
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| 282 | | - | (1)provideanepinephrineauto-injectororintranasalepinephrinetoa |
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| 283 | | - | studentforself-administrationaccordingtoaplanofactionformanagingthe BILLASPASSEDBYTHEHOUSE H.209 |
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| 284 | | - | 2025 Page9of11 |
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| 285 | | - | student’slife-threateningallergymaintainedinthestudent’sschoolhealth |
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| 286 | | - | recordspursuanttosection1387ofthistitle; |
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| 287 | | - | (2)administeraprescribedepinephrineauto-injectororintranasal |
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| 288 | | - | epinephrinetoastudentaccordingtoaplanofactionmaintainedinthe |
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| 289 | | - | student’sschoolhealthrecords;and |
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| 290 | | - | (3)administeranepinephrineauto-injectororintranasalepinephrine, |
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| 291 | | - | inaccordancewiththeprotocolissuedundersubsection(b)ofthissection,toa |
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| 292 | | - | studentorotherindividualataschoolifthenurseordesignatedpersonnel |
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| 293 | | - | believeingoodfaiththatthestudentorindividualisexperiencinganaphylaxis, |
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| 294 | | - | regardlessofwhetherthestudentorindividualhasaprescriptionforan |
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| 295 | | - | epinephrineauto-injectororintranasalepinephrine. |
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| 296 | | - | (e)Designatedpersonnel,aschool,andahealthcareprofessional |
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| 297 | | - | prescribinganepinephrineauto-injectororintranasalepinephrine,orboth,to |
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| 298 | | - | aschoolshallbeimmunefromanycivilorcriminalliabilityarisingfromthe |
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| 299 | | - | administrationorself-administrationofanepinephrineauto-injectoror |
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| 300 | | - | intranasalepinephrineunderthissection,unlesstheperson’sconduct |
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| 301 | | - | constitutedintentionalmisconduct.Providingoradministeringanepinephrine |
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| 302 | | - | auto-injectororintranasalepinephrineunderthissectiondoesnotconstitute |
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| 303 | | - | thepracticeofmedicine. |
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| 304 | | - | (f)OnorbeforeJanuary1,2014,theTheStateBoard,inconsultationwith |
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| 305 | | - | theDepartmentofHealth,shalladoptpoliciesformanagingstudentswithlife- BILLASPASSEDBYTHEHOUSE H.209 |
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| 306 | | - | 2025 Page10of11 |
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| 307 | | - | threateningallergiesandotherindividualswithlife-threateningallergieswho |
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| 308 | | - | maybepresentataschool.Thepoliciesshall: |
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| 309 | | - | (1)establishprotocolstopreventexposuretoallergensinschools; |
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| 310 | | - | (2)establishproceduresforrespondingtolife-threateningallergic |
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| 311 | | - | reactionsinschools,includingpostemergencyprocedures; |
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| 312 | | - | (3)implementaprocessforschoolsschoolnursesandtheparentsor |
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| 313 | | - | guardiansofstudentswithalife-threateningallergytojointlydevelopa |
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| 314 | | - | writtenindividualizedallergymanagementplanofactionthat: |
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| 315 | | - | (A)incorporatesinstructionsfromastudent’sphysicianhealthcare |
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| 316 | | - | professionalregardingthestudent’slife-threateningallergyandprescribed |
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| 317 | | - | treatment; |
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| 318 | | - | (B)includestherequirementsofsection1387ofthistitle,ifastudent |
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| 319 | | - | isauthorizedtopossessandself-administeremergencymedicationatschool; |
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| 320 | | - | (C)becomespartofthestudent’shealthrecordsmaintainedbythe |
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| 321 | | - | school;and |
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| 322 | | - | (D)isupdatedeachschoolyear; |
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| 323 | | - | (4)requireeducationandtrainingforschoolnursesanddesignated |
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| 324 | | - | personnel,includingtrainingrelatedtostoringandadministeringan |
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| 325 | | - | epinephrineauto-injectororintranasalepinephrineandrecognizingand |
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| 326 | | - | respondingtoalife-threateningallergicreaction;and BILLASPASSEDBYTHEHOUSE H.209 |
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| 327 | | - | 2025 Page11of11 |
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| 328 | | - | (5)requireeachschooltomakepubliclyavailableprotocolsand |
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| 329 | | - | proceduresdevelopedinaccordancewiththepoliciesadoptedbytheState |
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| 330 | | - | Boardunderthissection. |
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| 331 | | - | Sec.2.EFFECTIVEDATE |
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| 332 | | - | ThisactshalltakeeffectonJuly1,2025. |
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| 1 | + | BILL AS INTRODUCED H.209 |
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| 2 | + | 2025 Page 1 of 6 |
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| 3 | + | |
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| 4 | + | |
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| 5 | + | VT LEG #380582 v.1 |
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| 6 | + | H.209 1 |
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| 7 | + | Introduced by Representative Goldman of Rockingham 2 |
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| 8 | + | Referred to Committee on 3 |
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| 9 | + | Date: 4 |
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| 10 | + | Subject: Health; education; intranasal epinephrine; prescribing and dispensing 5 |
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| 11 | + | authority; schools 6 |
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| 12 | + | Statement of purpose of bill as introduced: This bill proposes to allow a health 7 |
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| 13 | + | care professional to prescribe and issue standing orders for the use of intranasal 8 |
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| 14 | + | epinephrine in schools. It proposes to allow a school to maintain a stock 9 |
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| 15 | + | supply of intranasal epinephrine. The bill further proposes to allow a school 10 |
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| 16 | + | administrator to authorize school nurses or other designated personnel to 11 |
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| 17 | + | administer or have a student self-administer intranasal epinephrine in 12 |
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| 18 | + | accordance with a student’s plan of action for managing the student’s life-13 |
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| 19 | + | threatening allergy. 14 |
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| 20 | + | An act relating to intranasal epinephrine in schools 15 |
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| 21 | + | It is hereby enacted by the General Assembly of the State of Vermont: 16 |
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| 22 | + | Sec. 1. 16 V.S.A. § 1388 is amended to read: 17 |
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| 23 | + | § 1388. STOCK SUPPLY AND EMERGENCY ADMINISTRATION OF 18 |
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| 24 | + | EPINEPHRINE AUTO-INJECTORS 19 |
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| 25 | + | (a) As used in this section: 20 BILL AS INTRODUCED H.209 |
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| 26 | + | 2025 Page 2 of 6 |
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| 27 | + | |
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| 28 | + | |
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| 29 | + | VT LEG #380582 v.1 |
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| 30 | + | (1) “Designated personnel” means a school employee, agent, or 1 |
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| 31 | + | volunteer who has been authorized by the school administrator to provide and 2 |
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| 32 | + | administer epinephrine auto-injectors and intranasal epinephrine under this 3 |
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| 33 | + | section and who has completed the training required by State Board policy. 4 |
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| 34 | + | (2) “Epinephrine auto-injector” means a single-use device that delivers a 5 |
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| 35 | + | premeasured dose of epinephrine. 6 |
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| 36 | + | (3) “Health care professional” means a physician licensed pursuant to 26 7 |
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| 37 | + | V.S.A. chapter 23 or 33, an advanced practice registered nurse licensed to 8 |
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| 38 | + | prescribe drugs and medical devices pursuant to 26 V.S.A. chapter 28, or a 9 |
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| 39 | + | physician assistant licensed to prescribe drugs and medical devices pursuant to 10 |
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| 40 | + | 26 V.S.A. chapter 31. 11 |
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| 41 | + | (4) “Intranasal epinephrine” means a nasal spray delivering a dose a 12 |
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| 42 | + | epinephrine. 13 |
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| 43 | + | (5) “School” means a public or approved independent school and 14 |
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| 44 | + | extends to school grounds, school-sponsored activities, school-provided 15 |
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| 45 | + | transportation, and school-related programs. 16 |
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| 46 | + | (5)(6) “School administrator” means a school’s principal or headmaster. 17 |
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| 47 | + | (b)(1) A health care professional may prescribe an epinephrine auto-18 |
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| 48 | + | injector or intranasal epinephrine, or both, in a school’s name, which may be 19 |
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| 49 | + | maintained by the school for use as described in subsection (d) of this section. 20 |
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| 50 | + | The health care professional shall issue to the school a standing order for the 21 BILL AS INTRODUCED H.209 |
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| 51 | + | 2025 Page 3 of 6 |
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| 52 | + | |
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| 53 | + | |
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| 54 | + | VT LEG #380582 v.1 |
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| 55 | + | use of an epinephrine auto-injector prescribed under this section, including 1 |
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| 56 | + | protocols for: 2 |
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| 57 | + | (A) assessing whether an individual is experiencing a potentially life-3 |
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| 58 | + | threatening allergic reaction; 4 |
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| 59 | + | (B) administering an epinephrine auto-injector and intranasal 5 |
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| 60 | + | epinephrine to an individual experiencing a potentially life-threatening allergic 6 |
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| 61 | + | reaction; 7 |
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| 62 | + | (C) caring for an individual after administering an epinephrine auto-8 |
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| 63 | + | injector to him or her or intranasal epinephrine, including contacting 9 |
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| 64 | + | emergency services personnel and documenting the incident; and 10 |
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| 65 | + | (D) disposing of used or expired epinephrine auto-injectors and 11 |
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| 66 | + | intranasal epinephrine. 12 |
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| 67 | + | (2) A pharmacist licensed pursuant to 26 V.S.A. chapter 36 or a health 13 |
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| 68 | + | care professional may dispense prescribed epinephrine auto-injectors 14 |
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| 69 | + | prescribed or intranasal epinephrine, or both, to a school. 15 |
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| 70 | + | (c) A school may maintain a stock supply of epinephrine auto-injectors or 16 |
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| 71 | + | intranasal epinephrine, or both. A school may enter into arrangements with 17 |
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| 72 | + | epinephrine auto-injector manufacturers or suppliers of epinephrine auto-18 |
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| 73 | + | injectors or intranasal epinephrine, or both, to acquire epinephrine auto-19 |
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| 74 | + | injectors these products for free or at reduced or fair market prices. 20 BILL AS INTRODUCED H.209 |
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| 75 | + | 2025 Page 4 of 6 |
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| 76 | + | |
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| 77 | + | |
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| 78 | + | VT LEG #380582 v.1 |
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| 79 | + | (d) The school administrator may authorize a school nurse or designated 1 |
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| 80 | + | personnel, or both, to: 2 |
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| 81 | + | (1) provide an epinephrine auto-injector or intranasal epinephrine to a 3 |
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| 82 | + | student for self-administration according to a plan of action for managing the 4 |
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| 83 | + | student’s life-threatening allergy maintained in the student’s school health 5 |
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| 84 | + | records pursuant to section 1387 of this title; 6 |
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| 85 | + | (2) administer a prescribed epinephrine auto-injector or intranasal 7 |
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| 86 | + | epinephrine to a student according to a plan of action maintained in the 8 |
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| 87 | + | student’s school health records; and 9 |
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| 88 | + | (3) administer an epinephrine auto-injector or intranasal epinephrine, in 10 |
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| 89 | + | accordance with the protocol issued under subsection (b) of this section, to a 11 |
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| 90 | + | student or other individual at a school if the nurse or designated personnel 12 |
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| 91 | + | believe in good faith that the student or individual is experiencing anaphylaxis, 13 |
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| 92 | + | regardless of whether the student or individual has a prescription for an 14 |
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| 93 | + | epinephrine auto-injector or intranasal epinephrine. 15 |
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| 94 | + | (e) Designated personnel, a school, and a health care professional 16 |
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| 95 | + | prescribing an epinephrine auto-injector or intranasal epinephrine, or both, to a 17 |
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| 96 | + | school shall be immune from any civil or criminal liability arising from the 18 |
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| 97 | + | administration or self-administration of an epinephrine auto-injector or 19 |
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| 98 | + | intranasal epinephrine under this section, unless the person’s conduct 20 |
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| 99 | + | constituted intentional misconduct. Providing or administering an epinephrine 21 BILL AS INTRODUCED H.209 |
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| 100 | + | 2025 Page 5 of 6 |
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| 101 | + | |
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| 102 | + | |
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| 103 | + | VT LEG #380582 v.1 |
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| 104 | + | auto-injector or intranasal epinephrine under this section does not constitute 1 |
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| 105 | + | the practice of medicine. 2 |
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| 106 | + | (f) On or before January 1, 2014, the The State Board, in consultation with 3 |
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| 107 | + | the Department of Health, shall adopt policies for managing students with life-4 |
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| 108 | + | threatening allergies and other individuals with life-threatening allergies who 5 |
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| 109 | + | may be present at a school. The policies shall: 6 |
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| 110 | + | (1) establish protocols to prevent exposure to allergens in schools; 7 |
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| 111 | + | (2) establish procedures for responding to life-threatening allergic 8 |
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| 112 | + | reactions in schools, including postemergency procedures; 9 |
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| 113 | + | (3) implement a process for schools and the parents or guardians of 10 |
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| 114 | + | students with a life-threatening allergy to jointly develop a written 11 |
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| 115 | + | individualized allergy management plan of action that: 12 |
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| 116 | + | (A) incorporates instructions from a student’s physician regarding the 13 |
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| 117 | + | student’s life-threatening allergy and prescribed treatment; 14 |
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| 118 | + | (B) includes the requirements of section 1387 of this title, if a student 15 |
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| 119 | + | is authorized to possess and self-administer emergency medication at school; 16 |
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| 120 | + | (C) becomes part of the student’s health records maintained by the 17 |
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| 121 | + | school; and 18 |
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| 122 | + | (D) is updated each school year; 19 |
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| 123 | + | (4) require education and training for school nurses and designated 20 |
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| 124 | + | personnel, including training related to storing and administering an 21 BILL AS INTRODUCED H.209 |
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| 125 | + | 2025 Page 6 of 6 |
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| 126 | + | |
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| 127 | + | |
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| 128 | + | VT LEG #380582 v.1 |
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| 129 | + | epinephrine auto-injector or intranasal epinephrine and recognizing and 1 |
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| 130 | + | responding to a life-threatening allergic reaction; and 2 |
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| 131 | + | (5) require each school to make publicly available protocols and 3 |
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| 132 | + | procedures developed in accordance with the policies adopted by the State 4 |
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| 133 | + | Board under this section. 5 |
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| 134 | + | Sec. 2. EFFECTIVE DATE 6 |
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| 135 | + | This act shall take effect on July 1, 2025. 7 |
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