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MontanaSB 21169th Legislature, Regular Session (2025)Senate

Revise emergency use of epinephrine in school setting to include nasal spray

Sponsored By: Cora Neumann (Democrat)

Signed by Governor

Health Care ServicesEducation - K-12

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Bill Overview

Analyzed Economic Effects

2 provisions identified: 2 benefits, 0 costs, 0 mixed.

Schools can stock nasal epinephrine

Schools may keep epinephrine nasal spray and autoinjectors for emergencies. A nurse or trained staff can give it to any student or visitor showing signs of a severe allergic reaction during school, activities, or transit. The school must have a prescription that names the school and is filled by a licensed pharmacy. Staff must be trained to spot anaphylaxis and to give the medicine, and it must be stored secure but easy to reach. After use, staff must call 9-1-1 and provide follow-up care. Schools must tell parents they stock epinephrine, share the protocol on request, and notify parents when stock is used. Staff acting in good faith are protected from liability, except for gross negligence or intentional harm.

Students can carry nasal epinephrine

The law lets students with asthma, severe allergies, or past anaphylaxis carry and use epinephrine nasal spray at school. A parent or guardian must give written permission, and a licensed clinician must give a written order with the name, purpose, dose, and when to use it. The student must show they can use it and have a written treatment plan on file. Permission lasts one school year and must be renewed each year or when the medicine, dose, or conditions change. If parents supply the medicine, a backup must be kept at school in a set place the student can reach. After use at school, the student must report to the nurse or another adult for follow-up care, including a 9-1-1 call.

Sponsors & Cosponsors

Sponsor

  • Cora Neumann

    Democrat • Senate

Cosponsors

  • Eric Matthews

    Democrat • House

  • Jane Weber

    Democrat • House

Roll Call Votes

All Roll Calls

Yes: 266 • No: 33

House vote • 3/26/2025

Do Concur

Yes: 85 • No: 14

House vote • 3/25/2025

Do Concur

Yes: 82 • No: 18

Senate vote • 2/12/2025

Do Pass

Yes: 50 • No: 0

Senate vote • 2/11/2025

Do Pass

Yes: 49 • No: 1

Actions Timeline

  1. Chapter Number Assigned

    4/17/2025Senate

  2. Signed by Governor

    4/16/2025Senate

  3. Transmitted to Governor

    4/8/2025Senate

  4. Signed by Speaker

    4/7/2025House

  5. Signed by President

    4/1/2025Senate

  6. Returned from Enrolling

    3/28/2025Senate

  7. Sent to Enrolling

    3/26/2025Senate

  8. 3rd Reading

    3/26/2025House

  9. 2nd Reading

    3/25/2025House

  10. Committee Report

    3/19/2025House

  11. Committee Executive Action

    3/18/2025House

  12. Hearing

    3/5/2025House

  13. 1st Reading

    2/13/2025House

  14. Referred to Committee

    2/13/2025House

  15. Transmitted to House

    2/13/2025Senate

  16. 3rd Reading

    2/12/2025Senate

  17. 2nd Reading

    2/11/2025Senate

  18. Committee Report

    2/6/2025Senate

  19. Committee Executive Action

    2/5/2025Senate

  20. Hearing

    1/30/2025Senate

  21. Referred to Committee

    1/27/2025Senate

  22. 1st Reading

    1/27/2025Senate

  23. Introduced

    1/24/2025Senate

Bill Text

  • Enrolled

    4/15/2025

    PDF

  • As Amended (Version 2)

    3/27/2025

    PDF

  • Introduced

    1/24/2025

    PDF

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