North Carolina 2025-2026 Regular Session

North Carolina House Bill H397

Introduced
3/13/25  
Refer
3/17/25  
Report Pass
3/25/25  
Refer
3/25/25  
Report Pass
4/1/25  
Refer
4/1/25  
Report Pass
4/3/25  
Engrossed
4/10/25  

Caption

Use of Epinephrine Nasal Spray

Impact

The passage of HB 397 will amend existing North Carolina laws concerning how schools prepare to handle allergic reactions, especially in children. Schools will be required to maintain a supply of emergency epinephrine delivery systems and ensure all personnel involved receive training on recognizing anaphylaxis and managing the associated risks. This proactive measure is set to enhance student safety and well-being, particularly for those at risk of severe allergic reactions.

Summary

House Bill 397, also known as the Use of Epinephrine Nasal Spray Act, seeks to improve the availability of emergency treatments for anaphylaxis in educational settings by authorizing schools to stock epinephrine nasal sprays in addition to traditional auto-injectors. This bill establishes a framework for local boards of education to adopt protective policies, enabling students with asthma or those susceptible to anaphylactic reactions to carry and self-administer necessary medications. The legislation emphasizes the importance of having trained personnel in schools to manage potential emergencies effectively.

Sentiment

The sentiment surrounding HB 397 appears generally supportive, as it addresses a critical health issue that impacts many students. Educational professionals, healthcare advocates, and parents have largely lauded the efforts to enhance safety protocols within school settings. However, some discussions highlighted concerns around the adequacy of training for non-medical staff and the potential for liability issues related to administering the medication in emergencies.

Contention

Notable points of contention include the adequacy of the prescribed training and the responsibility it places on non-medical personnel in schools. While supporters argue that the bill's provisions will lead to better outcomes for students experiencing anaphylaxis, critics are wary about whether schools are equipped to handle emergencies effectively and if the implementation will be a burden on already stretched resources. The debate continues to revolve around balancing safety with practicality in ensuring school environments remain secure for vulnerable students.

Companion Bills

No companion bills found.

Previously Filed As

NC S752

Needle Free Epinephrine for Schoolchildren

NC SB8

Permit a school district to administer epinephrine using a nasal spray.

NC SB211

Revise emergency use of epinephrine in school setting to include nasal spray

NC S600

Improve Health and Human Services

NC S07807

Defines epinephrine device as a single-use device or nasal spray device used for the automatic injection or administration of a premeasured dose of epinephrine into the human body for the purpose of emergency treatment of a person appearing to experience anaphylactic symptoms.

NC A05392

Defines epinephrine device as a single-use device or nasal spray device used for the automatic injection or administration of a premeasured dose of epinephrine into the human body for the purpose of emergency treatment of a person appearing to experience anaphylactic symptoms.

NC H7617

Provides that where the administration, use, or maintenance of epinephrine within schools and on buses is authorized, this use includes epinephrine delivery devices approved by the United States Food & Drug Administration and epinephrine nasal sprays.

NC HB3454

EPINEPHRINE DELIVERY DEVICE

NC HB2117

In school health services, further providing for definitions, for possession and use of asthma inhalers and epinephrine auto-injectors, for school access to emergency epinephrine and for administration of epinephrine auto-injectors by school bus drivers and school crossing guards.

NC HB1043

In school health services, further providing for definitions, for possession and use of asthma inhalers and epinephrine auto-injectors, for school access to emergency epinephrine and for administration of epinephrine auto-injectors by school bus drivers and school crossing guards.

Similar Bills

TX SB1619

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

TX HB2283

Relating to the use of an epinephrine delivery device 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.

CA AB228

Pupil health: epinephrine delivery systems.

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.)

MO HB1826

Modifies provisions relating to epinephrine delivery systems