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MO HB2365
MO HB2365Establishes provisions relating to allergy prevention and responses in child care facilities
summary
Introduced
01/07/2026
01/07/2026
In Committee
02/23/2026
02/23/2026
Crossed Over
Passed
Dead
Introduced Session
2026 Regular Session
Bill Summary
Establishes provisions relating to allergy prevention and responses in child care facilities
AI Summary
This bill, titled "Establishes provisions relating to allergy prevention and responses in child care facilities," aims to enhance safety measures for children with allergies. It amends existing law by updating the definition of an "epinephrine delivery system" to replace the term "auto-injector," which refers to a device that automatically injects a pre-measured dose of epinephrine, a medication used to treat severe allergic reactions known as anaphylaxis. The bill expands the definition of an "authorized entity" to include child care facilities, allowing them to stock and administer epinephrine delivery systems under a physician's prescription. This includes requirements for training staff on recognizing allergy symptoms and using the devices, storing them safely, and notifying emergency services when a system is used. The bill also introduces "Elijah's Law," which mandates that by July 1, 2028, all licensed child care providers must implement a comprehensive policy for allergy prevention and response, with a particular focus on food allergies. This policy must address various aspects of allergy management, including building-wide and individual approaches, staff roles, parent cooperation, confidentiality of medical information, and coordination with educational and health authorities. A model policy is to be developed by the department of elementary and secondary education by July 1, 2027. The bill also provides liability protections for authorized entities and individuals who administer epinephrine delivery systems in good faith, as long as their actions do not constitute reckless disregard or willful misconduct.
Committee Categories
Government Affairs, Health and Social Services
Sponsors (3)
Last Action
Placed Back on Formal Perfection Calendar (H) (on 04/29/2026)
Official Document
bill text
bill summary
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bill summary
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bill summary
| Document Type | Source Location |
|---|---|
| State Bill Page | https://house.mo.gov/Bill.aspx?bill=HB2365&year=2026&code=R |
| Fiscal Note - 5652H.03C.ORG | https://documents.house.mo.gov/billtracking/bills261/fiscal/fispdf/5652H.03C.ORG.pdf |
| Analysis - Summary: Committee | https://documents.house.mo.gov/billtracking/bills261/sumpdf/HB2365C.pdf |
| BillText | https://documents.house.mo.gov/billtracking/bills261/hlrbillspdf/5652H.03C.pdf |
| Fiscal Note - 5652H.01I.ORG | https://documents.house.mo.gov/billtracking/bills261/fiscal/fispdf/5652H.01I.ORG.pdf |
| Analysis - Summary: Introduced | https://documents.house.mo.gov/billtracking/bills261/sumpdf/HB2365I.pdf |
| BillText | https://documents.house.mo.gov/billtracking/bills261/hlrbillspdf/5652H.01I.pdf |
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