HB 222 Missouri House · 2025 Regular Session

Establishes provisions relating to allergy prevention and responses in child care facilities

HB 222 requires child care facilities (excluding public schools) to adopt allergy prevention and response policies by July 2027, focusing on managing severe food allergies. Facilities must stock epinephrine auto-injectors under physician prescriptions, store them accessibly, and train staff to recognize anaphylaxis and administer the device. The bill mandates staff training through approved organizations, requires coordination with health authorities, and provides liability protection for facilities and trained staff following the guidelines. It also specifies that parental consent is needed for epinephrine use in children under 18, unless immediate danger exists.
Bill status in committee 1 of 4 stages cleared
Introduction
Dec 2024
Committee Review
Floor Vote
Governor
Introduced Dec 2, 2024 Last action Apr 28, 2025
Maddy AI version diff · 1 comparison

What changed between versions

Introduced House Committee Substitute · 2 edits
MINOR
The bill was amended to combine HB 222 with HB 580 and update terminology throughout the text to refer to 'epinephrine delivery devices' instead of 'epinephrine auto-injectors.' This change broadens the language to include newer types of epinephrine delivery systems beyond traditional auto-injectors. The substantive policy requirements remain the same.
Scope change
The bill now covers both HB 222 and HB 580, expanding its legislative scope to include related provisions.
DEFINITION

Updated terminology from 'epinephrine auto-injector' to 'epinephrine delivery device' throughout the bill to accommodate newer medical technologies.

TECHNICAL

Changed bill designation from 'HB 222' to 'HCS HBs 222 & 580' to reflect the combination of two bills into one committee substitute.

Floor votes

How they voted

No floor votes recorded yet.
Full legislative history

Actions timeline

Total actions
16
Key actions
4
Committee
6
Mar 6, 2025
Lower · Passed
Reported Do Pass (H) - AYES: 8 NOES: 0 PRESENT: 0
lower
Mar 6, 2025
Lower · Passed
Voted Do Pass (H)
lower
Feb 26, 2025
Committee
Referred: Rules - Administrative(H)
lower
Feb 19, 2025
Lower · Passed
HCS Reported Do Pass (H) - AYES: 17 NOES: 0 PRESENT: 0
lower
Feb 18, 2025
Lower · Passed
HCS Voted Do Pass (H)
lower
Jan 22, 2025
Committee
Referred: Health and Mental Health(H)
lower
Dec 2, 2024
Introduced
Prefiled (H)
lower
1 primary · 5 co-sponsors

Sponsors