All Roll Calls
Yes: 238 • No: 0
OhioHB 462136th General Assembly (2025-2026)House
Regards student use of a nasal epinephrine delivery device
Sponsored By: Tracy M. Richardson (Republican)
Signed by Governor
EducationPrimary and Secondary EducationHealth and Human Services
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Bill Overview
Analyzed Economic Effects
7 provisions identified: 6 benefits, 1 costs, 0 mixed.
Students can carry epinephrine nasal sprays
Ohio students can carry and use epinephrine devices, including nasal sprays, at school, school activities, and on school transportation. Written prescriber approval must include the dose, approval dates, self-use training, emergency contacts, and use instructions; minors also need caregiver approval. The principal and assigned school nurse must receive the approvals, and either must receive a backup device. School staff must immediately request emergency medical services after use, and college-preparatory boarding schools must follow these student-use rules. The pharmacy board must designate FDA-approved products that deliver a premeasured epinephrine dose through any route.
Camps can stock emergency epinephrine systems
Eligible Ohio residential and child day camps can stock epinephrine systems, including covered local-government, park, and recreation camps. They can get systems directly from a prescriber, through a prescription in the camp's name, or through a prescriber's protocol. Camps can accept donated systems or money to buy them. Camps that obtain systems must consult a prescriber and adopt rules for their care and emergency use. They must report each procurement and each use from their supply to the Department of Children and Youth.
Nurses and pharmacists can supply epinephrine
Ohio clinical nurse specialists, certified nurse-midwives, and certified nurse practitioners can supply or prescribe epinephrine for covered school and camp uses. They do not need to examine the person who may receive the medicine first. These nurses also qualify as prescribers for separately covered entities without a separate prescribing certificate and can supply autoinjectors there. Written, electronic, or spoken orders in a covered school, district, or camp's name count as prescriptions, which pharmacists can fill. Nurses and pharmacists acting in good faith receive protection from civil claims, criminal prosecution, and professional discipline for the receiving entity's actions or omissions.
Police agencies gain epinephrine access eligibility
Ohio law enforcement agencies served by a peace officer now qualify for the separately covered entity epinephrine framework. Other entities served by a peace officer qualify only if they meet the state's listed legal definition. This makes them eligible for the epinephrine provisions that apply to qualified entities.
Schools and camps can receive epinephrine donations
Covered Ohio schools and camps can accept donated epinephrine systems from drug manufacturers or wholesale distributors. They can also accept money to buy systems, but the law does not require donations. Each year, the Department of Education and Workforce publishes a list of free or reduced-cost device offers. It sends the list to districts, other public schools, and chartered nonpublic schools; schools must qualify for each offer.
Schools can stock more epinephrine options
Ohio public districts can obtain and distribute emergency epinephrine systems, including nasal sprays, through a prescriber or a prescriber's protocol. Nonpublic, community, STEM, and college-preparatory boarding schools can obtain them with governing-body approval and must follow applicable district rules. Schools that stock devices must consult a prescriber and set rules for storage, replacement, disposal, staff access, training, and emergency use. Their policies must address allergy warning signs and immediate emergency medical help after use. Schools are encouraged to keep at least two devices per school and must provide at least one backup dose for each authorized student. Schools must report each procurement and use from their supply to the Department of Education and Workforce. Covered schools and camps do not need a drug-distributor license for epinephrine held under these laws; this is not a general drug-license exemption.
Families face limits on epinephrine claims
The law extends limits on civil-damages claims from epinephrine autoinjectors to other delivery systems. Covered school groups, workers, contractors, health professionals, and training providers receive protection for stocking, maintaining, accessing, using, or teaching device use. Protection also covers good-faith school decisions about student use based on whether required approvals and other student-use requirements were satisfied. It covers certain uses by students without their own prescription when the school had to permit possession and use. Stocking, maintenance, access, use, and training protections exclude willful or wanton misconduct; existing legal defenses remain available.
Sponsors & Cosponsors
Sponsor
Tracy M. Richardson
Republican • House
Cosponsors
Adam C. Bird
Republican • House
Adam Mathews
Republican • House
Al Landis
Republican • Senate
Andrea White
Republican • House
Andrew O. Brenner
Republican • Senate
Angela N. King
Republican • House
Anita Somani
Democratic • House
Ashley Bryant Bailey
Democratic • House
Bernard Willis
Republican • House
Beth Lear
Republican • House
Beth Liston
Democratic • Senate
Bill Reineke
Republican • Senate
Brian M. Chavez
Republican • Senate
C. Allison Russo
Democratic • House
Casey Weinstein
Democratic • Senate
Catherine D. Ingram
Democratic • Senate
Chris Glassburn
Democratic • House
Christine Cockley
Democratic • House
Cindy Abrams
Republican • House
Crystal Lett
Democratic • House
Derrick Hall
Democratic • House
Desiree Tims
Democratic • House
Erika White
Democratic • House
Gayle Manning
Republican • House
Haraz N. Ghanbari
Republican • House
Hearcel F. Craig
Democratic • Senate
Ismail Mohamed
Democratic • House
Jack K. Daniels
Republican • House
Jane M. Timken
Republican • Senate
Jason Stephens
Republican • House
Jean Schmidt
Republican • House
Jennifer Gross
Republican • House
Jerry C. Cirino
Republican • Senate
Jodi Salvo
Republican • House
Josh Williams
Republican • House
Karen Brownlee
Democratic • House
Kellie Deeter
Republican • House
Kent Smith
Democratic • Senate
Kristina D. Roegner
Republican • Senate
Kyle Koehler
Republican • Senate
Mark Romanchuk
Republican • Senate
Mark Sigrist
Democratic • House
Melanie Miller
Republican • House
Meredith R. Lawson-Rowe
Democratic • House
Michael D. Dovilla
Republican • House
Michele Grim
Democratic • House
Mike Odioso
Republican • House
Monica Robb Blasdel
Republican • House
Nathan H. Manning
Republican • Senate
Nickie J. Antonio
Democratic • Senate
Paula Hicks-Hudson
Democratic • Senate
Phil Plummer
Republican • House
Phillip M. Robinson, Jr.
Democratic • House
Rachel B. Baker
Democratic • House
Scott Oelslager
Republican • House
Sean P. Brennan
Democratic • House
Shane Wilkin
Republican • Senate
Sharon A. Ray
Republican • House
Stephen A. Huffman
Republican • Senate
Terrence Upchurch
Democratic • House
Terry Johnson
Republican • Senate
Theresa Gavarone
Republican • Senate
Thomas F. Patton
Republican • Senate
Thomas Hall
Republican • House
Tim Barhorst
Republican • House
Tristan Rader
Democratic • House
Ty D. Mathews
Republican • House
Veronica R. Sims
Democratic • House
William P. DeMora
Democratic • Senate
Willis E. Blackshear, Jr.
Democratic • Senate
Roll Call Votes
House vote • 5/13/2026
Concurred in Senate amendments
Yes: 91 • No: 0
Senate vote • 4/15/2026
Passed
Yes: 33 • No: 0
Senate vote • 3/25/2026
Education: Reported
Yes: 7 • No: 0
House vote • 11/12/2025
Passed
Yes: 94 • No: 0
House vote • 11/5/2025
Health: Reported
Yes: 13 • No: 0
Actions Timeline
Signed by Governor
5/27/2026GovernorSent to Governor
5/21/2026GovernorConcurred in Senate amendments
5/13/2026HousePassed
4/15/2026SenateReported
3/25/2026SenateRefer to Committee
11/19/2025SenateIntroduced
11/18/2025SenatePassed
11/12/2025HouseReported
11/5/2025HouseRefer to Committee
10/1/2025HouseIntroduced
9/23/2025House
Bill Text
As Enrolled
5/27/2026
As Introduced
As Passed by the House
As Passed by the Senate
As Reported by the House Health Committee
As Reported by the Senate Education Committee
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