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SB-568 • 2026

Pupil health: epinephrine delivery systems: schoolsites and childcare programs.

Pupil health: epinephrine delivery systems: schoolsites and childcare programs.

Education Healthcare Labor
Enacted

This bill passed the Legislature and reached final enactment based on the latest official action.

Sponsor
Niello
Last action
2025-10-03
Official status
Chaptered by Secretary of State. Chapter 322, Statutes of 2025.
Effective date
Not listed

Plain English Breakdown

The official source material does not provide specific details on pharmacy responsibilities, so this claim was removed.

Pupil Health: Epinephrine Delivery Systems in Schools and Childcare Programs

This law changes how schools and childcare programs handle emergency epinephrine for students with severe allergies, allowing them to use different types of delivery systems and expanding the places where these systems are stored.

What This Bill Does

  • Allows pupils who need it during school hours to carry and self-administer emergency epinephrine using new types of delivery systems, not just auto-injectors.
  • Requires local educational agencies (like schools) to provide and store emergency epinephrine delivery systems at each location, including childcare programs.
  • Expands the definition of trained personnel who can use these systems to include certain childcare program employees.

Who It Names or Affects

  • Students with severe allergies in California's public schools and childcare programs.
  • School nurses, teachers, and other staff who may need to assist students or use the new delivery systems.
  • Pharmacies that supply epinephrine to educational institutions.

Terms To Know

Emergency Epinephrine Delivery Systems
Devices used to quickly deliver a dose of epinephrine, which is a medicine that helps treat severe allergic reactions (anaphylaxis).
Local Educational Agencies
School districts, county offices of education, and charter schools.

Limits and Unknowns

  • The law requires local educational agencies to provide new types of emergency epinephrine delivery systems, which may increase their costs.
  • It is not clear how much the state will reimburse local agencies for these additional expenses.

Bill History

  1. 2025-10-03 California Legislative Information

    Chaptered by Secretary of State. Chapter 322, Statutes of 2025.

  2. 2025-10-03 California Legislative Information

    Approved by the Governor.

  3. 2025-09-23 California Legislative Information

    Enrolled and presented to the Governor at 2 p.m.

  4. 2025-09-12 California Legislative Information

    Assembly amendments concurred in. (Ayes 37. Noes 0. Page 3002.) Ordered to engrossing and enrolling.

  5. 2025-09-08 California Legislative Information

    In Senate. Concurrence in Assembly amendments pending.

  6. 2025-09-08 California Legislative Information

    Read third time. Passed. (Ayes 76. Noes 1. Page 2995.) Ordered to the Senate.

  7. 2025-09-04 California Legislative Information

    Ordered to third reading.

  8. 2025-09-04 California Legislative Information

    Read third time and amended.

  9. 2025-09-02 California Legislative Information

    Read second time. Ordered to third reading.

  10. 2025-08-29 California Legislative Information

    From committee: Do pass. (Ayes 15. Noes 0.) (August 29).

  11. 2025-08-20 California Legislative Information

    August 20 set for first hearing. Placed on APPR. suspense file.

  12. 2025-07-17 California Legislative Information

    Read second time and amended. Re-referred to Com. on APPR.

  13. 2025-07-17 California Legislative Information

    From committee: Do pass as amended and re-refer to Com. on APPR. (Ayes 8. Noes 0.) (July 16).

  14. 2025-07-17 California Legislative Information

    Assembly Rule 63 suspended. (Ayes 49. Noes 15. Page 2578.)

  15. 2025-07-07 California Legislative Information

    From committee with author's amendments. Read second time and amended. Re-referred to Com. on ED.

  16. 2025-06-05 California Legislative Information

    Referred to Com. on ED.

  17. 2025-05-29 California Legislative Information

    In Assembly. Read first time. Held at Desk.

  18. 2025-05-29 California Legislative Information

    Read third time. Passed. (Ayes 38. Noes 0. Page 1327.) Ordered to the Assembly.

  19. 2025-05-27 California Legislative Information

    Ordered to special consent calendar.

  20. 2025-05-23 California Legislative Information

    Read second time. Ordered to third reading.

  21. 2025-05-23 California Legislative Information

    From committee: Do pass. (Ayes 6. Noes 0. Page 1204.) (May 23).

  22. 2025-05-16 California Legislative Information

    Set for hearing May 23.

  23. 2025-04-28 California Legislative Information

    April 28 hearing: Placed on APPR. suspense file.

  24. 2025-04-17 California Legislative Information

    Set for hearing April 28.

  25. 2025-04-10 California Legislative Information

    Read second time and amended. Re-referred to Com. on APPR.

  26. 2025-04-09 California Legislative Information

    From committee: Do pass as amended and re-refer to Com. on APPR. with recommendation: To consent calendar. (Ayes 7. Noes 0. Page 735.) (April 9).

  27. 2025-04-04 California Legislative Information

    Set for hearing April 9.

  28. 2025-04-02 California Legislative Information

    Re-referred to Com. on ED.

  29. 2025-03-24 California Legislative Information

    From committee with author's amendments. Read second time and amended. Re-referred to Com. on RLS.

  30. 2025-03-05 California Legislative Information

    Referred to Com. on RLS.

  31. 2025-02-21 California Legislative Information

    From printer. May be acted upon on or after March 23.

  32. 2025-02-20 California Legislative Information

    Introduced. Read first time. To Com. on RLS. for assignment. To print.

Official Summary Text

SB 568, Niello.
Pupil health: epinephrine delivery systems: schoolsites and childcare programs.
(1) Existing law prohibits specified medical professionals, including nurses, not employed in that capacity by the State Department of Health Care Services, and any other person, from being employed or permitted to supervise the health and physical development of pupils unless that person holds a services credential with a specialization in health or a valid credential, as provided.
Notwithstanding that provision, existing law authorizes any pupil who is required to take, during the regular schoolday, medication prescribed for them by a physician and surgeon or ordered for them by a physician assistant, to be assisted by the school nurse or other designated school personnel, and to carry and self-administer, prescription auto-injectable epinephrine if the school district receives the appropriate written statements, as
specified.
This bill would revise and recast that latter provision by authorizing assistance with, and the carrying and self-administration of, emergency epinephrine delivery systems, instead of auto-injectors, and making its provisions also apply to county offices of education and charter schools.
Notwithstanding any other law, existing law requires school districts, county offices of education, and charter schools to provide emergency epinephrine auto-injectors, to be stored in an accessible location upon need for emergency use, 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.
This bill would revise and recast those provisions by requiring local educational
agencies, defined as a school district, county office of education, or charter school, to provide emergency epinephrine delivery systems, instead of auto-injectors, as provided, to be stored at each schoolsite, including at the location of any state or federally subsidized childcare program operated by or under contract with the local educational agency, and by expanding the definition of “volunteer” or “trained personnel” to include certain employees of childcare programs, as provided.
To the extent that this bill would impose additional duties on local educational agencies, the bill would impose a state-mandated local program.
(2) Existing law authorizes a pharmacy to furnish epinephrine auto-injectors to a school district, county office of education, or charter school for purposes of the requirements described in paragraph (1) above if specified requirements are met, including that the
auto-injectors are furnished exclusively for use at a school district site, county office of education, or charter school.
This bill would authorize a pharmacy to furnish epinephrine delivery systems, instead of auto-injectors, to those local educational agencies, subject to the same requirements, except that the delivery systems may also be furnished exclusively for use at any state or federally subsidized childcare program operated by or under contract with one of those local educational agencies.
(3) 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.

Current Bill Text

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