SB 1440 Arizona Senate · 57th Legislature - First Regular Session

epinephrine delivery systems

This bill allows trained school staff to administer epinephrine auto-injectors to students or adults showing signs of a severe allergic reaction during school hours or school events. Schools must stock at least two juvenile and two adult doses of epinephrine auto-injectors, obtain medical standing orders from qualified providers, and establish clear emergency protocols. It provides legal immunity for school personnel acting in good faith under these provisions, except in cases of gross negligence. The law applies to all Arizona public and charter schools.

Issues: ✓ Education ✓ Healthcare

Bill status signed all 5 stages cleared

Introduction

Feb 2025

Committee Review

Feb 2025

Senate Passage

Apr 2025

House Passage

Apr 2025

Signed into Law

May 2025

Introduced Feb 4, 2025 Signed May 2, 2025

Maddy AI version diff · 3 comparisons

What changed between versions

Introduced Version → House Engrossed Version · 4 edits · Apr 29, 2025

MODERATE

This bill expands the ability of school employees, including physician assistants and nurse practitioners, to administer emergency epinephrine auto-injectors to students and adults. It also clarifies that schools can accept donations or grants to purchase these devices and adds new grounds for revoking a doctor's medical license, such as engaging in disruptive or abusive behavior.

Scope change

The bill broadens the scope of who is authorized to administer emergency medication in schools and adds new categories of conduct that can lead to the loss of a medical license.

ELIGIBILITY

Expanded the list of school employees authorized to administer epinephrine to include nurse practitioners and physician assistants.

FISCAL

Clarified that school districts and charter schools may accept monetary donations or apply for grants to purchase epinephrine auto-injectors.

ENFORCEMENT

Added new grounds for medical license revocation, including engaging in disruptive or abusive behavior in a professional setting.

Added 'unfitness to practice medicine' as a specific ground for medical license revocation.

Senate Engrossed Version → Chaptered Version · 10 edits

MAJOR

This bill updates Arizona's emergency medication laws to modernize terminology and expand protections for schools and medical professionals. The main changes include replacing the term 'auto-injectors' with 'delivery systems' to cover a broader range of medical devices, adding new statutory sections for glucagon administration in schools, and clarifying immunity provisions for good-faith emergency responses.

Scope change

The bill expands applicability by adding glucagon to school emergency protocols alongside epinephrine and clarifies that epinephrine delivery systems include various devices beyond traditional auto-injectors.

DEFINITION

Replaced 'epinephrine auto-injectors' with 'epinephrine auto-injectors delivery systems' throughout the bill to encompass newer medical device technologies and ensure future-proofing of the law.

REQUIREMENT

Added new requirements for schools to implement annual training on recognizing anaphylactic shock symptoms and procedures for administering epinephrine delivery systems.

Added provisions requiring schools to report epinephrine delivery system usage to the department of health services.

Added new section 32-1706(F) allowing licensed pharmacists to use epinephrine delivery systems to counteract anaphylactic reactions.

Added new section 32-1401(32) exempting prescriptions for epinephrine delivery systems stocked by schools from the standard doctor-patient examination requirement.

Added new section 32-1854(42) regarding chelation therapy requirements for osteopathic physicians.

Added new section 15-344.01 for glucagon administration in schools, expanding emergency medication protocols beyond just epinephrine.

Modified immunity provisions to include 'wanton or wilful neglect' alongside 'gross negligence' and 'intentional wrongdoing' as exceptions to civil liability protection.

Added new requirements for school districts to provide total compensation statements to employees broken down by benefit category.

Added new requirements for school districts to adopt policies allowing parent visits and classroom observations unless they threaten health and safety.

Floor votes · Senate Feb 27, 2025 · House Apr 14, 2025

How they voted

29–0

Passed · 1 other

Total votes 30

Feb 27, 2025

D Democratic13

12 Yea 1

92% Yea

R Republican17

17 Yea

100% Yea

Vote distribution

All Yea All Nay Mixed No data

Full legislative history

Actions timeline

Total actions

Key actions

Committee

Amendments

May 2, 2025

Signed into law

Signed by Governor

executive

Apr 29, 2025

Upper · Passed

PASSED

upper

Apr 14, 2025

Lower · Passed

PASSED

lower

Apr 3, 2025

Lower · Passed

DPA

lower

Apr 3, 2025

Lower · Passed

PASSED

lower

Mar 19, 2025

Lower · Passed

DPA

lower

Mar 11, 2025

Lower · Passed

DPA

lower

Feb 27, 2025

Upper · Passed

PASSED

upper

Feb 12, 2025

Upper · Passed

upper

1 primary · 6 co-sponsors