# North Carolina HB 397: AN ACT TO ALLOW THE USE OF EPINEPHRINE NASAL SPRAY IN ADDITION TO AUTO-INJECTORS IN SCHOOLS.

North Carolina HB 397, AN ACT TO ALLOW THE USE OF EPINEPHRINE NASAL SPRAY IN ADDITION TO AUTO-INJECTORS IN SCHOOLS., is a 2025-2026 Session House bill sponsored by Tricia Ann Cotham (Republican), Donny Lambeth (Republican); status passed house, last action 2025-04-10 (Ref To Com On Rules and Operations of the Senate) (as of 2026-11-01).

- Canonical: https://policyrisk.com/state-bill/NC-HB397-2025
- As of: 2026-11-01
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: North Carolina HB 397
- State: North Carolina
- Session: 2025-2026 Session
- Title: AN ACT TO ALLOW THE USE OF EPINEPHRINE NASAL SPRAY IN ADDITION TO AUTO-INJECTORS IN SCHOOLS.
- Status: passed house
- Chamber: House
- Introduced: 2025-03-13
- Last action: 2025-04-10, Ref To Com On Rules and Operations of the Senate
- Sponsors: Tricia Ann Cotham (Republican), Donny Lambeth (Republican)
- Cosponsors: 18
- Subjects: BOARDS, CHARTER SCHOOLS, DISEASES & HEALTH DISORDERS, EDUCATION, EDUCATION BOARDS, ELEMENTARY EDUCATION, HEALTH SERVICES, KINDERGARTEN, LOCAL GOVERNMENT, PUBLIC, PUBLIC HEALTH, PUBLIC INSTRUCTION DEPT
- Touches household money: no
- Roll calls: 1 (113 yes, 0 no in all)
- Economic provisions PRIA read: 0

## Summary

No summary available.

## Bill overview

No economic impacts identified for this bill.

## Sponsors and cosponsors

- Sponsor: Tricia Ann Cotham (Republican), House
- Sponsor: Donny Lambeth (Republican), House
- Cosponsor: Amber M. Baker (Democratic), House
- Cosponsor: Mary Belk (Democratic), House
- Cosponsor: William D. Brisson (Republican), House
- Cosponsor: Cecil Brockman (Democratic), House
- Cosponsor: Deb Butler (Democratic), House
- Cosponsor: Becky Carney (Democratic), House
- Cosponsor: Bryan Cohn (Democratic), House
- Cosponsor: Sarah Crawford (Democratic), House
- Cosponsor: Julia Greenfield (Democratic), House
- Cosponsor: Pricey Harrison (Democratic), House
- Cosponsor: Zack Hawkins (Democratic), House
- Cosponsor: Carolyn G. Logan (Democratic), House
- Cosponsor: Ben T. Moss, Jr. (Republican), House
- Cosponsor: Lindsey Prather (Democratic), House
- Cosponsor: Phil Rubin (Democratic), House
- Cosponsor: Brian Turner (Democratic), House
- Cosponsor: Bill Ward (Republican), House
- Cosponsor: Shelly Willingham (Democratic), House

## Roll call votes

| Date | Chamber | Motion | Result | Yes | No | Other |
| --- | --- | --- | --- | --- | --- | --- |
| 2025-04-09 | House | HB 397: Use of Epinephrine Nasal Spray. | pass | 113 | 0 | 6 |

## Actions (16)

- 2025-04-10: Ref To Com On Rules and Operations of the Senate (Senate)
- 2025-04-10: Passed 1st Reading (Senate)
- 2025-04-10: Regular Message Received From House (Senate)
- 2025-04-10: Regular Message Sent To Senate (House)
- 2025-04-09: Passed 3rd Reading (House)
- 2025-04-09: Passed 2nd Reading (House)
- 2025-04-03: Placed On Cal For 04/09/2025 (House)
- 2025-04-03: Cal Pursuant Rule 36(b) (House)
- 2025-04-03: Reptd Fav (House)
- 2025-04-01: Re-ref Com On Rules, Calendar, and Operations of the House (House)
- 2025-04-01: Reptd Fav Com Substitute (House)
- 2025-03-25: Re-ref Com On Education - K-12 (House)
- 2025-03-25: Reptd Fav (House)
- 2025-03-17: Ref to the Com on Health, if favorable, Education - K-12, if favorable, Rules, Calendar, and Operations of the House (House)
- 2025-03-17: Passed 1st Reading (House)
- 2025-03-13: Filed (House)

## Bill text

- Edition 1: [PDF](https://www.ncleg.gov/Sessions/2025/Bills/House/PDF/H397v1.pdf)
- Filed: [PDF](https://www.ncleg.gov/Sessions/2025/Bills/House/PDF/H397v0.pdf)
- Latest Edition: [PDF](https://www.ncleg.gov/Sessions/2025/Bills/House/PDF/H397v2.pdf)

## Related bills

- HB 96: AN ACT TO CREATE AN ALTERNATIVE REMEDY FOR THE EXPEDITED REMOVAL OF UNAUTHORIZED PERSONS FROM PRIVATE PROPERTY BY A LAW ENFORCEMENT AGENCY. (vetoed)
- HB 377: 2026 Court Changes. (vetoed)
- HB 958: AN ACT TO MAKE VARIOUS CHANGES TO ELECTION ADMINISTRATION LAWS AND CAMPAIGN FINANCE LAWS. (vetoed)
- HB 268: 2026 Budget Technical Corrections - II. (signed)
- SB 445: Regulatory Reform Act of 2026. (signed)
- HB 199: Authorize Municipal Deannexation. (passed house)

## Sources
- [Edition 1 (PDF)](https://www.ncleg.gov/Sessions/2025/Bills/House/PDF/H397v1.pdf)
- [Filed (PDF)](https://www.ncleg.gov/Sessions/2025/Bills/House/PDF/H397v0.pdf)
- [Latest Edition (PDF)](https://www.ncleg.gov/Sessions/2025/Bills/House/PDF/H397v2.pdf)

## Related
- [HB 96: AN ACT TO CREATE AN ALTERNATIVE REMEDY FOR THE EXPEDITED REMOVAL OF UNAUTHORIZE…](https://policyrisk.com/state-bill/NC-HB96-2025)
- [HB 377: 2026 Court Changes.](https://policyrisk.com/state-bill/NC-HB377-2025)
- [HB 958: AN ACT TO MAKE VARIOUS CHANGES TO ELECTION ADMINISTRATION LAWS AND CAMPAIGN FIN…](https://policyrisk.com/state-bill/NC-HB958-2025)
- [HB 268: 2026 Budget Technical Corrections - II.](https://policyrisk.com/state-bill/NC-HB268-2025)
- [SB 445: Regulatory Reform Act of 2026.](https://policyrisk.com/state-bill/NC-SB445-2025)
- [HB 199: Authorize Municipal Deannexation.](https://policyrisk.com/state-bill/NC-HB199-2025)
- [North Carolina bills](https://policyrisk.com/states/north-carolina/bills)
- [North Carolina state hub](https://policyrisk.com/states/north-carolina)
- [All state legislation](https://policyrisk.com/state-bills)

Source: PRIA, https://policyrisk.com/state-bill/NC-HB397-2025 (as of 2026-11-01).