The bill, HB 63, amends existing laws to enhance the management of anaphylaxis in schools, camps, and day care facilities by allowing the possession and administration of both epinephrine auto-injectors and epinephrine nasal spray. Current law only permits the use of auto-injectors. Key insertions include the requirement for written approval from a child's physician and parent or guardian for the use of either form of epinephrine, as well as the necessity for children to demonstrate the knowledge and skills to safely use the medication. The bill also outlines the responsibilities of staff regarding the administration of epinephrine, mandates the availability of at least one epinephrine auto-injector or nasal spray for children with severe allergies, and provides legal immunity for staff who follow established guidelines.

Additionally, the bill requires the New Hampshire Department of Education to develop guidelines for managing students with life-threatening allergies, including training for unlicensed personnel and creating individualized health care plans. School districts must implement these guidelines by September 1, 2017, and can authorize school nurses to maintain a supply of epinephrine for emergencies. The bill also extends legal immunity to school districts and employees regarding the administration of epinephrine, unless willful misconduct is proven, and introduces definitions related to the administration of epinephrine, including a new definition for "nasal spray." Overall, the bill aims to improve allergy management in educational settings while ensuring the safety and preparedness of staff and students.

Statutes affected:
Introduced: 170-E:59, 200-N:1, 200-N:2, 200-N:5, 200-N:7, 329:1-h
As Amended by the House: 170-E:59, 200-N:1, 200-N:2, 200-N:5, 200-N:7, 329:1-h, 318:42