Illinois 2025-2026 Regular Session

Illinois House Bill HB4247

Introduced
12/17/25  
Refer
1/14/26  
Refer
2/11/26  
Report Pass
2/25/26  
Engrossed
4/8/26  
Refer
4/10/26  

Caption

SCH CD-ASTHMA MEDICATION

Summary

HB4247 amends Section 22-30 of the Illinois School Code, which governs self-administration and self-carry of asthma medication and epinephrine injectors in schools. The bill expands and clarifies school authority and responsibilities related to emergency medications by expressly addressing asthma medication, epinephrine injectors, opioid antagonists such as naloxone, and undesignated oxygen tanks for certain special education settings. It defines key terms, including asthma action plans, respiratory distress, trained personnel, and standing protocols, and it broadens who may be trained to respond to emergencies to include school employees, coaches, athletic trainers, and volunteers authorized under existing school health provisions. The bill requires public, charter, and nonpublic schools to permit students to self-administer and self-carry prescribed asthma medication and epinephrine injectors when documentation requirements are met. It also authorizes schools to maintain supplies of undesignated epinephrine injectors, opioid antagonists, and asthma medication, and in special education facilities, undesignated oxygen tanks, in secure locations for emergency use. The measure sets out training requirements for school nurses and trained personnel, including annual completion, competency testing, and State Board of Education resource materials, and it requires schools to notify parents, health care providers, and the State Board after certain administrations of these medications. It also preserves liability protections for schools and medical professionals except in cases of willful and wanton conduct, and it adds reporting obligations to the State Board of Education and annual school requests for asthma action plans. The overall sentiment reflected by the bill text is strongly supportive of school-based emergency preparedness and student health access. Although no committee transcripts or recorded votes were provided, the structure of the bill suggests a consensus-oriented public safety and health measure focused on preventing delays in treatment for asthma attacks, allergic reactions, and opioid overdoses. The inclusion of training, reporting, and liability protections indicates an effort to balance expanded emergency response authority with administrative safeguards. The main points of contention likely center on implementation burdens and liability concerns. Schools must train personnel annually, maintain records, stock medications, and comply with reporting and notification requirements, which may raise operational and cost concerns, especially for nonpublic schools and smaller districts. The bill also makes the changes subject to appropriation or available grant funding, suggesting fiscal sensitivity. Another possible issue is the expansion of who may administer emergency medications and the extent of immunity from liability, though the bill limits protections to exclude willful and wanton conduct and requires parent acknowledgment for student self-carry and self-administration.

Impact

HB4247 amends the Illinois School Code, Section 22-30, to expand and refine school policies on asthma medication, epinephrine injectors, opioid antagonists, and related emergency response procedures. It affects public schools, charter schools, nonpublic schools, school nurses, trained personnel, parents and guardians, and health care professionals who provide standing protocols or prescriptions. The bill also adds reporting and training obligations for schools and the State Board of Education, and it authorizes schools to maintain emergency medication supplies and, in certain special education settings, oxygen tanks.

Sentiment

The bill appears to have a generally favorable, safety-oriented posture. Its provisions are framed around protecting students and others in school settings from asthma episodes, anaphylaxis, and opioid overdose, while giving schools clearer authority to respond quickly in emergencies. No recorded opposition, committee debate, or vote history was provided, but the inclusion of liability protections and funding language suggests the bill was designed to address likely administrative and legal concerns.

Contention

Likely areas of contention include the cost and logistics of training staff annually, maintaining medication supplies, and meeting reporting requirements. Schools and nonpublic institutions may be concerned about the operational burden of stocking and managing emergency medications, while medical and school personnel may focus on the scope of liability protection and who is authorized to administer treatment. The bill also conditions its changes on appropriation or grant funding, indicating possible concern about unfunded mandates. Another potential issue is the expansion of emergency authority to trained personnel and the use of undesignated medications for students, staff, and visitors.

Companion Bills

No companion bills found.

Similar Bills

No similar bills found.