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HD 2199

An Act enabling trained school personnel to administer life saving epinephrine treatment

194th Legislature (2025-2026) Introduced by Bruce Ayers

Massachusetts bill authorizes trained school staff beyond nurses to administer epinephrine auto-injectors for student anaphylaxis emergencies, improving response times to life-threatening allergic reactions.

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Bill Summary · HD 2199

Legislative bill overview

HD 2199 authorizes trained school personnel (beyond just nurses) to administer epinephrine auto-injectors (EpiPens) to students experiencing anaphylaxis or severe allergic reactions. The bill streamlines access to this critical emergency medication by allowing designated, trained staff to act quickly when school nurses are unavailable, particularly important given that anaphylactic reactions require rapid treatment to prevent death.

Why is this important

Anaphylaxis can be fatal within minutes if untreated, and many schools lack full-time nurses on-site. Enabling multiple trained personnel to administer epinephrine reduces response time and can be lifesaving for students with severe allergies to foods, insect stings, medications, or other triggers. This addresses a genuine gap between emergency medical need and current school staffing limitations.

Potential points of contention

  • Liability and training standards: Schools and personnel may face legal concerns about administering medication; the bill's protections and required training protocols require clear definition
  • Over-administration risks: Without strict protocols, epinephrine could be administered inappropriately (it has side effects), raising questions about decision-making authority and oversight
  • Implementation costs: School districts must invest in training, maintaining updated auto-injectors, and potentially hiring additional staff capable of administering emergency medications

Compiled from official sources — confirm details with the bill’s official record.

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