Pennsylvania 2025-2026 Regular Session

Pennsylvania House Bill HB1043

Introduced
3/25/25  

Caption

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.

Summary

HB1043 amends Pennsylvania’s Public School Code provisions on school health services to update and expand rules for asthma inhalers and epinephrine in schools. The bill replaces references to “epinephrine auto-injectors” with the broader term “epinephrine delivery systems,” defined as FDA-approved devices containing a premeasured dose of epinephrine used to treat life-threatening allergic reactions. It also updates school policies governing student possession, self-administration, storage, and notification requirements for asthma inhalers and epinephrine devices. The bill further expands school access to emergency epinephrine by allowing schools and nonpublic schools to maintain a supply of epinephrine delivery systems, designate trained staff to store and use them, and authorize those staff to administer epinephrine to students experiencing anaphylaxis, including when a student does not have a prescription on file. It also extends related protections and training requirements to school bus drivers and school crossing guards, while preserving parent or guardian opt-out rights for certain school epinephrine provisions.

Impact

HB1043 would amend multiple sections of the Public School Code of 1949, changing statutory terminology and broadening the legal framework for emergency allergy treatment in schools. It would require school entities to revise policies, train designated personnel through a Department of Health program, and ensure access to epinephrine delivery systems in schools and on school transportation routes. The bill also preserves existing civil immunity protections for those who administer epinephrine under the law and continues to require compliance with federal disability protections and Pennsylvania special education/handicap regulations.

Sentiment

The available voting history suggests strong support for the bill, with the House Health Committee reporting it out unanimously on a 26-0 vote. No committee transcript was provided, but the bill’s sponsor list and the unanimous committee action indicate broad bipartisan agreement around improving emergency allergy response in schools. The overall tone appears favorable and safety-oriented, with the measure framed as a practical update to existing school health procedures.

Contention

The main policy issues appear to be operational rather than ideological: how schools will train staff, store and manage epinephrine supplies, and implement self-carry rules for students. The bill also preserves a parental opt-out for school supply and administration provisions, which may reflect sensitivity to family preferences and local implementation concerns. Another point of attention is the shift from the narrower term “auto-injector” to “delivery system,” which broadens the statute to cover newer FDA-approved epinephrine devices and may require schools to update policies and procurement practices.

Companion Bills

No companion bills found.

Previously Filed As

PA 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.

PA HB1447

In school health services, further providing for possession and use of asthma inhalers and epinephrine auto-injectors and providing for school administration of adrenal insufficiency medication.

PA HB928

In epinephrine auto-injector entities, further providing for definitions and for epinephrine auto-injectors for authorized entities; and making an editorial change.

PA SB1067

In epinephrine auto-injector entities, further providing for definitions and for epinephrine auto-injectors for authorized entities; and making an editorial change.

PA HB1044

In epinephrine auto-injector entities, further providing for scope of chapter, for definitions and for epinephrine auto-injectors for authorized entities; and making an editorial change.

PA HB339

School districts; require all schools to have epinephrine auto-injectors in every building and cafeteria.

PA S752

Needle Free Epinephrine for Schoolchildren

PA SB278

Epinephrine Administration in Schools

PA HB346

School districts; require each school to have epinephrine auto-injectors and AEDs in every building and cafeteria.

PA SB611

Relating to a statewide standing order prescribing epinephrine auto-injectors to public and private schools.

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 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.)

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.)

MO HB1826

Modifies provisions relating to epinephrine delivery systems