This bill mandates that all public and nonpublic schools in New Jersey must have at least one portable anti-choking device available in key locations such as the cafeteria and the school nurse's office. These devices must be placed in unlocked and easily accessible areas during school hours and at school-sponsored events, with appropriate signage indicating their location. A portable anti-choking device is defined as a medical device that uses manually created suction to clear airway blockages and must be registered as a Class II acute upper airway obstruction device with the FDA.

Additionally, the bill requires each school board to develop policies for the use of these devices, which includes mandatory training for school nurses and employees in airway management and the operation of the devices. The Commissioner of Education is tasked with providing annual training opportunities for school staff, and the Department of Education will reimburse schools for the costs associated with implementing these requirements. The bill is set to take effect 180 days after enactment, with provisions for anticipatory administrative actions to ensure timely implementation.