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Epinephrine

NY State Senate Bill - S7807 was signed into law by Governor Hochul and is effective immediately. The legislation expands the definition of epinephrine devices to include all types of delivery devices (e.g., nasal sprays) and updates related laws and regulations to be reflective of such. With this amendment, unlicensed school personnel are now permitted to be trained to administer epinephrine via any delivery device, including nasal epinephrine.

Commissioner’s regulations are in the process of being updated to reflect this change. Once these regulations are updated, NYSED and/or NYSCSH
will update all resources accordingly including the "Allergy and Anaphylaxis Training for School Personnel", found on
our NYSCSH e-Learning and Learning Management System (LMS) page.

Pursuant to Education Law §921-a, both public and non-public schools may choose to provide and maintain epinephrine on-site and permit volunteer school personnel to be trained to administer epinephrine on-site to a student or staff member in an instructional facility per
Commissioner's regulation §136.6 who appears to be in anaphylaxis, regardless of history of severe allergic reaction.

The amendment requires schools that choose to carry stock epinephrine on site and trained unlicensed personnel to provide all teachers with
written informational material created and approved by the Commissioner of Health on using epinephrine devices.

The NYSDOH materials are not available yet. In the interim, schools are encouraged to use each epinephrine manufacturer's website to access the required information on the use and type of stock epinephrine devices they have on site. 

NYSED Guidelines and Resources 

Guidelines for Managing Allergies and Anaphylaxis in Schools (NYSED 4/2024)
This guidance provides school districts with the information to establish an anaphylaxis policy, setting forth guidelines and procedures to be followed for both the prevention of anaphylaxis and to be used during a medical emergency resulting from anaphylaxis. 

Options Chart for Administration of Epinephrine in Schools (NYSCSH 12/2024)
This chart was updated to include the requirements in the NYSED guidance document shown above. Prior to administering epinephrine in the school setting, district boards of education and school governing bodies must develop and approve policies consistent with the laws and regulations of New York State. Please see the note in red on the top of the page.

FAQs - Epinephrine
FAQs are created utilizing information from NYSED guidelines. For detailed information, please review guidelines thoroughly.

Allergy and Anaphylaxis Training for School Personnel (e-Learning Page)
Schools choosing to train unlicensed personnel to administer emergency epinephrine to any student or staff member on-site must use the NYSDOH/NYSED approved training. The approved training and resources are located on the e-Learning page under Website Courses.

See NYSCSH Sample Resources to Assist with Implementation

Manufacturer Resources

Epinephrine Auto-Injectors Products, Training and Administration Options For School Personnel
Food Allergy Research & Education (FARE) offers product information about currently available epinephrine auto-injectors.

EpiPen4Schools® Program
Viatris offers four free EpiPen® (epinephrine injection, USP) or EpiPen Jr® (epinephrine injection, USP) Auto-Injectors upon qualification, which includes having a valid prescription, to public and private kindergarten, elementary, middle, and high schools in the US. Schools may receive the authorized generic versions of EpiPen and EpiPen Jr.   

neffyinschools
ARS Pharma is offering all public and private K‑12 schools in the U.S. to receive two cartons (four single use doses) of neffy for free to use in emergency situations, in accordance with all applicable laws.

 Please Note: The New York State Education Department (NYSED) and NYS Center for School Health (NYSCSH) do not endorse individual vendors, products, or services. Links to vendors, products, or services by trade name, trademark, or manufacturer are provided for educational purposes only.

Epinephrine Auto-Injectors Disposal

Epinephrine Auto-Injector Disposal
The FDA does not consider the epinephrine salts in epinephrine auto-injectors hazardous waste. Therefore, they should be disposed of in the same manner as other sharps.

See Also:

 

Page Updated 1/28/26