Pupil health: epinephrine delivery systems: schoolsites and childcare programs.

Senator Niello's legislation modernizes California's approach to emergency epinephrine access in educational settings by replacing auto-injector requirements with broader "epinephrine delivery system" provisions across school districts, county offices of education, charter schools, and affiliated childcare programs.

The measure requires local educational agencies to maintain emergency epinephrine delivery systems at each school site and associated childcare facility. It expands the pool of authorized personnel who may administer epinephrine to include trained childcare staff, while maintaining existing provisions for school nurses and qualified volunteers. The bill establishes detailed protocols for training, storage, and restocking of devices within two weeks of use and before expiration dates.

Under the legislation, pharmacies may furnish epinephrine delivery systems to educational agencies with a physician's written order specifying quantities. Agencies must maintain three-year records of acquisition and disposal while monitoring supplies. The bill preserves private schools' option to voluntarily implement these measures without state funding and includes state-mandated cost reimbursement provisions for affected local agencies.

Students prescribed epinephrine may continue receiving assistance from school staff or self-administer with appropriate medical documentation and parental consent. The Superintendent must review training standards every five years in consultation with medical experts, ensuring protocols align with federal guidelines for food allergy management in schools.