Education and Health - Emergency Use Epinephrine - Alterations
SB 459 updates Maryland law to replace "auto-injectable epinephrine" with "emergency use epinephrine" and broadens the definition to include any FDA-approved drug delivery device for treating severe allergic reactions. The bill requires public and nonpublic schools to establish policies allowing school nurses and trained staff to administer emergency epinephrine to any student showing signs of a severe allergic reaction - regardless of prior allergy identification or prescription - while creating liability protection for good-faith responders. Key provisions mandate staff training on recognizing symptoms, proper administration, and follow-up procedures, plus annual parent notifications about school policies. Schools must report epinephrine use incidents to the Department of Education using a standardized form. These changes aim to streamline emergency care while aligning terminology and program names with current medical practices.
Bill status
signed
all 5 stages cleared
Introduction
Jan 2025
Committee Review
Apr 2025
Senate Passage
Apr 2025
House of Delegates Passage
Apr 2025
Signed into Law
May 2025
Introduced Jan 22, 2025
Signed May 20, 2025
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What changed between versions
First - Education and Health - Emergency Use Epinephrine - Alterations
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Third - Education and Health - Emergency Use Epinephrine - Alterations
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4 edits
MODERATE
SB 459 was amended to add committee approval and adoption status, update the bill's chapter designation, and reorganize the repeal and reenactment sections to clarify which parts of the Health Occupations Article are being repealed, reenacted without amendments, or amended. The substantive policy language regarding emergency use epinephrine in schools remains largely unchanged, with minor formatting adjustments to the explanatory notes.
Scope change
The bill's scope and applicability remain unchanged; the amendments are primarily procedural and organizational.
TECHNICAL
Added committee report status showing favorable recommendation and Senate adoption date.
Changed chapter designation from 'A BILL ENTITLED' to 'CHAPTER ______'.
Reorganized the repeal and reenactment sections to better align with the bill's structure and clarify which sections are being repealed, reenacted without amendments, or amended.
Updated explanatory notes to clarify formatting conventions for amendments.
Floor votes · Senate Feb 13, 2025 · House of Delegates Mar 24, 2025
How they voted
45–0
Passed · 1 other
Total votes 46
Feb 13, 2025
D
Democratic33
96% Yea
R
Republican13
100% Yea
Vote distribution
All Yea
All Nay
Mixed
No data
Full legislative history
Actions timeline
Total actions
19
Key actions
10
Committee
6
May 20, 2025
Signed into law
Approved by the Governor - Chapter 710
executive
Apr 7, 2025
Upper · Passed
Returned Passed
upper
Apr 7, 2025
Lower · Passed
Third Reading Passed
lower
Apr 3, 2025
Lower · Passed
Favorable Adopted Second Reading Passed
lower
Apr 3, 2025
Lower · Passed
Favorable Report by Ways and Means
lower
Mar 24, 2025
House Of Delegates · Passed
House of Delegates Vote: pass (138-0-1)
house of delegates
Feb 28, 2025
Committee
Referred Ways and Means Health and Government Operations
lower
Feb 27, 2025
Upper · Passed
Third Reading Passed
upper
Feb 25, 2025
Upper · Passed
Favorable Adopted
upper
Feb 24, 2025
Upper · Passed
Favorable Report by Finance
upper
Feb 13, 2025
Senate · Passed
Senate Vote: pass (45-0-1)
senate
Jan 22, 2025
Committee
First Reading Finance and Education, Energy, and the Environment
upper
1 primary · 0 co-sponsors
Sponsors
Role
Legislator
Party
State
District
P
Dawn Gile
DDemocratic
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