SB 211 Montana Senate · 2025 Regular Session

Revise emergency use of epinephrine in school setting to include nasal spray

SB 211 revises the emergency use of epinephrine in school settings. The bill expands the definition of "medication" that students with asthma, severe allergies, or anaphylaxis can possess and self-administer to include epinephrine nasal spray. It also allows public and nonpublic schools to maintain a stock supply of epinephrine nasal spray, in addition to autoinjectable epinephrine, for emergency administration by school nurses or other authorized personnel. These changes provide schools with additional options for responding to severe allergic reactions.
Bill status signed all 5 stages cleared
Introduction
Jan 2025
Committee Review
Mar 2025
Senate Passage
Apr 2025
House Passage
Apr 2025
Signed into Law
Apr 2025
Introduced Jan 24, 2025 Signed Apr 17, 2025
Maddy AI version diff · 5 comparisons

What changed between versions

SB0211_1(12).pdf SB0211_X.pdf · 5 edits
MODERATE
This bill updates Montana's laws to explicitly include epinephrine nasal spray alongside autoinjectable forms for emergency use in schools. It clarifies that students with severe allergies can carry and self-administer their prescribed medication in various school settings, including before and after school. The bill also strengthens liability protections for schools and parents while requiring updated documentation and treatment plans.
Scope change
The bill expands the scope of allowed medications to include nasal spray and broadens the locations where students may possess and use their emergency medication to include transit and off-campus school activities.
DEFINITION

Updated the definition of 'medication' to explicitly list epinephrine nasal spray as an approved treatment for anaphylaxis.

REQUIREMENT

Added a requirement that schools must maintain a stock supply of both autoinjectable epinephrine and epinephrine nasal spray for emergency administration by staff.

Added a new requirement that students must report to school staff immediately after using epinephrine to ensure follow-up care and emergency calls are made.

Clarified that permission for self-administration is effective for one school year and must be renewed annually or if the treatment plan changes.

ELIGIBILITY

Expanded the locations where students may possess and self-administer medication to include transit to/from school, before/after school care, and school-sponsored activities.

Floor votes · Senate Feb 12, 2025 · House Mar 26, 2025

How they voted

500
Passed
Total votes 50
Feb 12, 2025
D Democratic18
18 Yea
100% Yea
R Republican32
32 Yea
100% Yea
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
37
Key actions
9
Committee
6
Apr 16, 2025
Signed into law
(S) Signed by Governor
upper
Apr 7, 2025
Lower · Passed
(H) Signed by Speaker
lower
Apr 1, 2025
Upper · Passed
(S) Signed by President
upper
Mar 26, 2025
House · Passed
House Vote: pass (85-14-1)
house
Mar 19, 2025
Lower · Passed
(H) Committee Report - (H) Human Services
lower
Mar 18, 2025
Lower · Passed
(H) Committee Executive Action - (H) Human Services
lower
Feb 13, 2025
Committee
(H) Referred to Committee - (H) Human Services
lower
Feb 12, 2025
Senate · Passed
Senate Vote: pass (50-0)
senate
Feb 6, 2025
Upper · Passed
(S) Committee Report - (S) Public Health, Welfare and Safety
upper
Feb 6, 2025
Upper · Passed
(S) Committee Executive Action - (S) Public Health, Welfare and Safety
upper
Jan 27, 2025
Committee
(S) Referred to Committee - (S) Public Health, Welfare and Safety
upper
Jan 24, 2025
Introduced
(S) Introduced
upper
1 primary · 0 co-sponsors

Sponsors

Role
Legislator
Party
State
District
P
Photo of Cora Neumann
Cora Neumann
DDemocratic
MT
30