IllinoisHB4247104th General Assembly (2025–2026)HouseWALLET

SCH CD-ASTHMA MEDICATION

Sponsored By: Sponsor information unavailable

Became Law

Summary

Amends the School Code. In provisions concerning the administration of asthma medication, epinephrine injectors, opioid antagonists, and oxygen, provides that "trained personnel" includes athletic coaches and trainers. Allows a pupil with asthma to self-administer and self-carry the pupil's asthma medication at a school-sponsored athletic practice or game. Allows a school nurse or trained personnel to administer undesignated asthma medication to a person at a school-sponsored athletic practice or game. Requires a school district, public school, charter school, or nonpublic school to maintain a supply of asthma medication in a secure location that is accessible before, during, and after school where a person is most at risk on account of physical activity. Requires at least one member of an athletic coach's staff at a school and any athletic trainers at that school to complete the training curriculum relating to the administration of undesignated asthma medication.

elementary & secondary education: administration, licensing & charter schoolsassignments

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Bill Overview

Analyzed Economic Effects

4 provisions identified: 1 benefits, 0 costs, 3 mixed.

Schools stock emergency meds and staff can give

Schools may keep undesignated epinephrine and asthma medicine in secure, easy-to-reach spots, including classrooms, the nurse’s office, fields, gyms, and buses. Districts must also keep an opioid antagonist on hand, unless a shortage exists; in a shortage, they must make a reasonable effort to get supply. A doctor, PA, or APRN can prescribe these in the school’s name (for opioid antagonists, a delegated prescriber may be used when a prescription is required). Nurses and trained staff can give these medicines under a standing protocol when they believe someone has anaphylaxis, opioid overdose, or respiratory distress. For students with a plan, the school may provide an injector that matches the student’s prescription on file. These rules apply during school, at school events, during supervised programs, and on school transportation.

Staff training and emergency follow-up

Staff must complete approved training and show proof before giving undesignated epinephrine or an opioid antagonist, and must retrain each year. Schools must keep training records. If epinephrine or an opioid antagonist is given, the school must call 911 right away and contact the parent, guardian, or emergency contact if known. Within 24 hours, the school must notify the prescriber who issued the standing protocol or prescription, and for asthma medicine, must also notify the parent/guardian and prescriber.

Students may self-carry asthma and epinephrine at school

Students can carry and use their own asthma medicine or epinephrine at school, on the bus, and at school events. Parents must give written permission and provide the prescription label; for epinephrine, a doctor, PA, or APRN statement is required. The school keeps these on file in the nurse’s office or with an administrator. Permission lasts for the school year and must be renewed each year. Parents must also sign an acknowledgement and agree to indemnify the district, except for willful or wanton conduct.

Legal immunity and who pays for stock

When a nurse or trained staff gives emergency medicine in good faith, the district, staff, and prescribers are immune from lawsuits and discipline, except for willful or wanton conduct. This applies even without prior parent notice or a signed release. The entity that starts stocking undesignated epinephrine and training must pay for the injectors.

Sponsors & Cosponsors

Sponsors

There is no primary sponsor on record.

Cosponsors

  • Adriane Johnson

    Affiliation unavailable

  • Bill Cunningham

    Affiliation unavailable

  • Christopher Belt

    Affiliation unavailable

  • Darby A. Hills

    Affiliation unavailable

  • Debbie Meyers-Martin

    Affiliation unavailable

  • Emil Jones, III

    Affiliation unavailable

  • Janet Yang Rohr

    Affiliation unavailable

  • Kimberly Du Buclet

    Affiliation unavailable

  • Laura Fine

    Affiliation unavailable

  • Maura Hirschauer

    Affiliation unavailable

  • Nabeela Syed

    Affiliation unavailable

  • Ram Villivalam

    Affiliation unavailable

  • Rita Mayfield

    Affiliation unavailable

Roll Call Votes

All Roll Calls

Yes: 190 • No: 3

Senate vote 5/14/2026

Third Reading - Passed;

Yes: 58 • No: 0

House vote 4/8/2026

Third Reading - Short Debate - Passed

Yes: 110 • No: 0

House vote 3/25/2026

House Floor Amendment No. 4 Recommends Be Adopted Elementary & Secondary Education: Administration, Licensing & Charter Schools;

Yes: 9 • No: 0

House vote 3/19/2026

House Floor Amendment No. 3 Recommends Be Adopted Elementary & Secondary Education: Administration, Licensing & Charter Schools;

Yes: 8 • No: 0

House vote 2/25/2026

Do Pass / Short Debate Elementary & Secondary Education: Administration, Licensing & Charter Schools;

Yes: 5 • No: 3

Actions Timeline

  1. Public Act . . . . . . . . . 104-0484

    6/26/2026House
  2. Effective Date January 1, 2027

    6/26/2026House
  3. Governor Approved

    6/26/2026House
  4. Sent to the Governor

    6/12/2026House
  5. Passed Both Houses

    5/14/2026House
  6. Third Reading - Passed; 058-000-000

    5/14/2026Senate
  7. Added as Alternate Co-Sponsor Sen. Bill Cunningham

    5/12/2026Senate
  8. Added as Alternate Co-Sponsor Sen. Emil Jones, III

    5/8/2026Senate
  9. Added as Alternate Co-Sponsor Sen. Darby A. Hills

    5/7/2026Senate
  10. Added as Alternate Co-Sponsor Sen. Laura Fine

    5/7/2026Senate
  11. Added as Alternate Co-Sponsor Sen. Christopher Belt

    5/6/2026Senate
  12. Placed on Calendar Order of 3rd Reading May 5, 2026

    4/30/2026Senate
  13. Second Reading

    4/30/2026Senate
  14. Added as Alternate Co-Sponsor Sen. Mark L. Walker

    4/28/2026Senate
  15. Added as Alternate Co-Sponsor Sen. Ram Villivalam

    4/22/2026Senate
  16. Placed on Calendar Order of 2nd Reading April 28, 2026

    4/22/2026Senate
  17. Approved for Consideration Assignments

    4/22/2026Senate
  18. Referred to Assignments

    4/10/2026Senate
  19. First Reading

    4/10/2026Senate
  20. Chief Senate Sponsor Sen. Adriane Johnson

    4/10/2026Senate
  21. Placed on Calendar Order of First Reading

    4/10/2026Senate
  22. Arrive in Senate

    4/10/2026Senate
  23. Added Co-Sponsor Rep. Debbie Meyers-Martin

    4/8/2026House
  24. House Floor Amendment No. 2 Tabled

    4/8/2026House
  25. Third Reading - Short Debate - Passed 110-000-000

    4/8/2026House

Bill Text

  • Engrossed

  • Enrolled

  • House Amendment 1

  • House Amendment 2

  • House Amendment 3

  • House Amendment 4

  • Introduced

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