The bill mandates the establishment of an anaphylactic response policy by the Alabama Department of Human Resources, which all licensed day care centers must adopt and implement by January 1, 2028. This policy will include guidelines for preventing and responding to anaphylaxis in children, developed in consultation with the Alabama Department of Public Health and the Alabama State Board of Pharmacy, and based on recommendations from the American Academy of Pediatrics. Additionally, day care centers are required to notify parents or guardians of this policy upon enrollment of a child and annually thereafter. The policy will also necessitate the creation of individual emergency plans for children with allergies, training for employees, and strategies to minimize exposure to allergens.

Furthermore, the bill stipulates that all employees of licensed day care centers must complete an anaphylaxis training program by August 1, 2027, and subsequently every two years. Day care centers that choose to stock nonpatient-specific epinephrine delivery systems must comply with existing regulations and are granted liability protections under certain conditions. The act is set to take effect on October 1, 2026. The new legal language includes the insertion of Section 38-7-22 into the Code of Alabama, while no specific deletions from current law are noted in the text provided.