Missouri 2026 Regular Session

Missouri House Bill HB2365

Introduced
1/7/26  
Refer
1/22/26  
Report Pass
2/12/26  
Refer
2/18/26  

Caption

Establishes provisions relating to allergy prevention and responses in child care facilities

Impact

The bill has significant implications for state laws governing child care providers. It repeals an existing statute and enacts new sections that require child care facilities to be prepared for allergy-related incidents, which includes staff training in allergy recognition and response. Additionally, all child care centers must maintain an appropriate supply of epinephrine auto-injectors and follow guidelines set by the Department of Health and Senior Services. This change reflects a proactive approach to safeguarding children's health in environments where food allergies could lead to critical situations.

Summary

House Bill 2365 establishes provisions relating to allergy prevention and response in child care facilities within Missouri. The bill mandates that all licensed child care providers develop and implement policies that prioritize allergy prevention and management, particularly concerning food allergies, which can pose serious health risks to children. The legislation aims to create a standardized approach to dealing with allergies in child care settings, ensuring that facilities are equipped to handle severe allergic reactions, including anaphylaxis, through the use of epinephrine auto-injectors.

Sentiment

Overall, the sentiment surrounding HB 2365 appears positive from child advocacy groups and health organizations. Proponents view the bill as a necessary step toward improving children's health and safety in child care facilities. However, some critics express concerns about the implementation of training and resource allocation, fearing that smaller child care facilities may struggle to meet these new standards. These discussions highlight a commitment to child safety set against the backdrop of practical challenges involved in the bill's implementation.

Contention

Notable points of contention in the discussions around HB 2365 include the financial impact on smaller child care providers, who may find the requirements burdensome without additional support or resources. Opponents also question the potential liability implications for staff administering epinephrine to children without parental consent. The bill aims to provide some immunity from liability to those acting in good faith during emergencies, but concerns remain regarding the adequacy of this legal protection. The resolution of these issues will be crucial as the state moves forward with enforcing the new regulations.

Companion Bills

No companion bills found.

Previously Filed As

MO HB222

Establishes provisions relating to allergy prevention and responses in child care facilities

MO HB97

Establishes provisions relating to allergy prevention and responses in child care facilities

MO HB580

Establishes provisions relating to allergy prevention and responses in child care facilities

MO SB783

Requires child care facilities to adopt allergy policies

MO SB548

Modifies provisions relating to health care

MO SB317

Modifies provisions relating to health care

MO SB94

Modifies provisions relating to health care

MO SB7

Modifies provisions relating to health care

MO HB165

Modifies provisions relating to epinephrine products

MO HB553

Modifies provisions relating to epinephrine products

Similar Bills

TX HB2283

Relating to the use of an epinephrine delivery device by certain entities.

TX SB1619

Relating to the use of an epinephrine delivery system by certain entities.

CA SB568

Pupil health: epinephrine delivery systems: schoolsites and childcare programs.

TX HB2801

Relating to the definition of an epinephrine delivery device and the use of those devices in public and private schools.

IA HF2055

A bill for an act relating to epinephrine delivery systems in schools, food establishments, carnivals, recreational camps, youth sports facilities, and sports arenas.(See HF 2203.)

IA HF2203

A bill for an act relating to epinephrine delivery systems in schools, food establishments, carnivals, recreational camps, youth sports facilities, and sports arenas.(Formerly HF 2055.)

CA AB228

Pupil health: epinephrine delivery systems.

MO HB1826

Modifies provisions relating to epinephrine delivery systems