House committee substitute to the 1st edition makes the following changes. Modifies the emergency action plan required under GS 115C-375.2A by requiring the school to contact the student’s guardian if applicable (currently requires school to only contact the student’s parent or physician). Makes an additional conforming change to refer to the use of "epinephrine delivery systems" instead of "epinephrine auto injectors" in GS 116-239.8 (UNC laboratory schools).
Modifies the immunity for emergency treatment using epinephrine under GS 90-21.15A so that it encompasses epinephrine delivery systems (currently, limited to epinephrine auto injectors), which it defines as a disposable drug delivery system that is designed for emergency administration of epinephrine to provide rapid, convenient first aid for persons suffering a potentially fatal reaction to anaphylaxis, including nasal sprays and injectors with a spring-activated, concealed needle. Makes conforming changes throughout the statute. Makes conforming changes to act’s long and short titles.
USE OF EPINEPHRINE NASAL SPRAY. (NEW)
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| View NCGA Bill Details | 2025-2026 Session |
AN ACT TO ALLOW THE USE OF EPINEPHRINE NASAL SPRAY IN ADDITION TO AUTO-INJECTORS.Intro. by Lambeth.
Bill History:
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Thu, 13 Mar 2025 House: Filed
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Thu, 13 Mar 2025 House: Filed
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Mon, 17 Mar 2025 House: Passed 1st Reading
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Mon, 17 Mar 2025 House: Passed 1st Reading
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Tue, 25 Mar 2025 House: Reptd Fav
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Tue, 25 Mar 2025 House: Re-ref Com On Education - K-12
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Tue, 25 Mar 2025 House: Reptd Fav
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Tue, 25 Mar 2025 House: Re-ref Com On Education - K-12
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Tue, 1 Apr 2025 House: Reptd Fav Com Substitute
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Thu, 3 Apr 2025 House: Reptd Fav
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Thu, 3 Apr 2025 House: Cal Pursuant Rule 36(b)
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Thu, 3 Apr 2025 House: Placed On Cal For 04/09/2025
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Wed, 9 Apr 2025 House: Passed 2nd Reading
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Wed, 9 Apr 2025 House: Passed 3rd Reading
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Thu, 10 Apr 2025 House: Regular Message Sent To Senate
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Thu, 10 Apr 2025 Senate: Regular Message Received From House
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Thu, 10 Apr 2025 Senate: Passed 1st Reading
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Thu, 10 Apr 2025 Senate: Ref To Com On Rules and Operations of the Senate
Bill Summaries:
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Bill H 397 (2025-2026)Summary date: Apr 1 2025 - View Summary
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Bill H 397 (2025-2026)Summary date: Mar 13 2025 - View Summary
Amends GS 115C-375.2 by amending the provision governing the policies adopted by local boards of education regulating when a student with asthma or subject to anaphylactic reactions can possess and self-administer asthma medication to define asthma medication to include epinephrine delivery systems, no longer limiting it to epinephrine auto injectors. Makes conforming changes to refer to the use of "epinephrine delivery systems" instead of "epinephrine auto injectors" in GS 115C-375.2A (concerning school supply of epinephrine delivery systems), GS 115C-218.75 (concerning health and safety standards for charter schools), and GS 115C-238.66 (concerning the supply of epinephrine delivery systems in regional schools). Also amends GS 115C-375.2A to provide that "epinephrine delivery system" includes nasal sprays and injectors with a spring-activated concealed needle. Applies beginning with the 2025-26 school year.

House committee substitute to the first edition changes the long title. Previous title was AN ACT TO ALLOW THE USE OF EPINEPHRINE NASAL SPRAY IN ADDITION TO AUTO-INJECTORS IN SCHOOLS.