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AB-228 • 2026

Pupil health: epinephrine delivery systems.

Pupil health: epinephrine delivery systems.

Education Healthcare Parental Rights
Passed Legislature

This bill passed both chambers and reached final enrollment, even if later executive action is not shown here.

Sponsor
Sanchez
Last action
2026-02-02
Official status
From committee: Filed with the Chief Clerk pursuant to Joint Rule 56.
Effective date
Not listed

Plain English Breakdown

The bill summary and digest do not provide specific details on how schools will be reimbursed or what types of epinephrine delivery systems are available.

Student Health: Epinephrine Delivery Systems

AB-228 changes school policies to require providing FDA-approved epinephrine delivery systems instead of just auto-injectors, allowing trained personnel or nurses and students with prescriptions to use them for emergency medical aid during anaphylactic reactions.

What This Bill Does

  • Replaces references to epinephrine auto-injectors in existing laws with references to FDA-approved epinephrine delivery systems.
  • Requires school districts, county offices of education, and charter schools to provide at least one type of FDA-approved epinephrine delivery system.
  • Stores these systems in easily accessible locations for emergency use.
  • Allows trained personnel or nurses to use these systems during anaphylactic reactions.

Who It Names or Affects

  • School districts, county offices of education, and charter schools
  • Students who need epinephrine for anaphylactic reactions

Terms To Know

Anaphylactic reaction
A severe allergic reaction that can be life-threatening.
Epinephrine delivery systems
Devices approved by the FDA to deliver epinephrine, which is used in emergency situations for anaphylaxis.

Limits and Unknowns

  • The bill does not specify how schools will be reimbursed if it imposes additional costs.
  • It's unclear what types of epinephrine delivery systems will be available and approved by the FDA.

Bill History

  1. 2026-02-02 California Legislative Information

    From committee: Filed with the Chief Clerk pursuant to Joint Rule 56.

  2. 2026-01-31 California Legislative Information

    Died pursuant to Art. IV, Sec. 10(c) of the Constitution.

  3. 2025-05-23 California Legislative Information

    In committee: Hearing postponed by committee.

  4. 2025-04-09 California Legislative Information

    In committee: Set, first hearing. Referred to APPR. suspense file.

  5. 2025-03-13 California Legislative Information

    From committee: Do pass and re-refer to Com. on APPR. (Ayes 8. Noes 0.) (March 12). Re-referred to Com. on APPR.

  6. 2025-02-03 California Legislative Information

    Referred to Com. on ED.

  7. 2025-01-14 California Legislative Information

    From printer. May be heard in committee February 13.

  8. 2025-01-13 California Legislative Information

    Read first time. To print.

Official Summary Text

AB 228, as introduced, Sanchez.
Pupil health: epinephrine delivery systems.
Existing law requires school districts, county offices of education, and charter schools to provide emergency epinephrine auto-injectors to school nurses or trained volunteer personnel, and authorizes school nurses and trained personnel to use epinephrine auto-injectors to provide emergency medical aid to persons suffering, or reasonably believed to be suffering, from an anaphylactic reaction, as provided. Existing law requires school districts, county offices of education, and charter schools to, among other things, store those emergency epinephrine auto-injectors in an accessible location upon need for emergency use and include that location in specified annual notices.
Existing law authorizes a pupil to carry and self-administer prescription auto-injectable epinephrine if the school district receives specified written statements from a
physician and surgeon or a physician assistant, and from the parent, foster parent, or guardian of the pupil, as specified.
This bill would replace all references to epinephrine auto-injectors or auto-injectable epinephrine in the above-described provisions with references instead to epinephrine delivery systems, as defined, and would require school districts, county offices of education, and charter schools to instead provide at least one type of United States Food and Drug Administration-approved epinephrine delivery system, as specified. To the extent the bill would impose additional duties on local educational agencies, the bill would impose a state-mandated local program.
The California Constitution requires the state to reimburse local agencies and school districts for certain costs mandated by the state. Statutory provisions establish procedures for making that reimbursement.
This bill would provide that, if the Commission on State Mandates determines that the bill contains costs mandated by the state, reimbursement for those costs shall be made pursuant to the statutory provisions noted above.
This bill would declare that it is to take effect immediately as an urgency statute.

Current Bill Text

Read the full stored bill text
Download Bill PDF