HB 1826 Missouri House · 2026 Regular Session

Modifies provisions relating to epinephrine delivery systems

HB 1826 modifies Missouri school policies to allow students with asthma or anaphylaxis to self-administer prescribed epinephrine. The bill requires schools to authorize students to carry and use their own medication if a physician prescribes it, the student demonstrates proper use, a written treatment plan is approved, and parents sign a liability acknowledgment form (excluding negligence claims). Schools must keep emergency medication accessible and maintain required documentation on file. It also permits school nurses to maintain an emergency supply of epinephrine devices for student use during health crises.
Bill status passed 3 of 5 stages cleared
Introduction
Dec 2025
Committee Review
Apr 2026
House Passage
Mar 2026
Senate Passage
Governor
Introduced Dec 1, 2025 Last action May 7, 2026
Maddy AI version diff · 2 comparisons

What changed between versions

House Committee Substitute Perfected · 1 edit
MINOR
The bill was perfected to correct a formatting error where a bracketed deletion instruction was accidentally left in the text. The substantive policy regarding school nurses maintaining epinephrine supplies remains unchanged, as the deleted text was intended to be removed.
TECHNICAL

Removed an accidental deletion instruction regarding specific epinephrine syringe sizes, which was intended to be omitted from the final law.

Floor votes

How they voted

This bill passed the House by voice vote (no roll call recorded).
Full legislative history

Actions timeline

Total actions
29
Key actions
9
Committee
10
Apr 28, 2026
Upper · Passed
Reported Do Pass (S)
upper
Apr 22, 2026
Upper · Passed
Voted Do Pass (S)
upper
Apr 10, 2026
Upper · Passed
Public Hearing Scheduled (S) - Wednesday, April 15, 2026, 8:30 a.m., Senate Committee Room 1 - 1st Floor
upper
Mar 31, 2026
Committee
Second read and referred: Families, Seniors and Health(S)
upper
Mar 12, 2026
Lower · Passed
Third Read and Passed (H) - AYES: 140 NOES: 0 PRESENT: 0
lower
Mar 10, 2026
Lower · Passed
HCS Adopted (H)
lower
Feb 26, 2026
Lower · Passed
Reported Do Pass (H) - AYES: 12 NOES: 0 PRESENT: 0
lower
Feb 26, 2026
Lower · Passed
Voted Do Pass (H)
lower
Feb 19, 2026
Committee
Referred: Rules - Legislative(H)
lower
Feb 5, 2026
Lower · Passed
HCS Reported Do Pass (H) - AYES: 17 NOES: 0 PRESENT: 0
lower
Feb 5, 2026
Lower · Passed
HCS Voted Do Pass (H)
lower
Jan 15, 2026
Committee
Referred: Health and Mental Health(H)
lower
Dec 1, 2025
Introduced
Prefiled (H)
lower
1 primary · 6 co-sponsors

Sponsors