Summary — HB 5053 (Public Health Code: epinephrine delivery systems)
Status & key dates
- Bill number: HB 5053 (tie-bar with HBs 5049, 5050, 5051, 5052, 5054). Companion: SB 2024.
- Filed: March 13, 2025. Read first time: April 7, 2025. Reported with recommendation (without amendment) and referred to second reading: November 5, 2025. Introduced (sponsor list includes Rep. Nancy DeBoer and others).
- Current status: Referred to second reading. Because the bills are tie‑barred, none take effect unless all linked bills are enacted.
Purpose / intent
- Modernize state law language and practice regarding epinephrine used in emergency care by replacing the term “epinephrine auto‑injector” with a broader defined term, “epinephrine delivery system,” and by requiring medical control authority protocols to reflect that change. The aim is to allow use of multiple types of epinephrine products (not just autoinjectors) in prehospital and related settings.
Key provisions
- Amends section 20919 of the Public Health Code (MCL 333.20919) to update medical control authority protocol requirements.
- Requires medical control authority protocols to ensure each life support agency and its EMS personnel are equipped with epinephrine or an “epinephrine delivery system.”
- Requires that EMS personnel authorized to administer epinephrine be trained to recognize anaphylaxis, to administer the epinephrine, and to properly dispose of the delivery system or vial.
- The companion bill HB 5050 (tied to HB 5053) adds a statutory definition for “epinephrine delivery system” in the Public Health Code and updates cross‑references elsewhere. The definition explicitly includes, but is not limited to, epinephrine autoinjectors, epinephrine inhalers, and epinephrine nasal spray.
- Other tied bills update language across related statutes (school code, Law Enforcement and Firefighter Access to Epinephrine Act, childcare statutes) to use the new term and to cite the added Public Health Code definition.
Who is affected
- Primary: medical control authorities, life support agencies, EMS personnel and life support vehicles (equipment/training requirements).
- Secondary: schools, childcare providers, law enforcement, and firefighters — these statutes are updated via the tied bills to permit or reference broader epinephrine delivery systems.
- State agencies (LARA, Dept. of State Police) are not expected to have fiscal impacts from these changes.
Fiscal impact
- House Fiscal Agency analysis: no fiscal impact on the state, local school districts, ISDs, public school academies, or the Departments of Licensing and Regulatory Affairs and State Police for the affected bills.
Procedural note
- The bills are tie‑barred — each bill cannot take effect unless all tied bills are enacted. HB 5053 specifically revises EMS protocol provisions in the Public Health Code; practical effect depends on enactment of the accompanying definition and cross‑statutory updates in the tied bills.
