Pupil health: epinephrine delivery systems: public schools and programs.

Senator Niello's legislation updates California's school epinephrine policies by replacing requirements for auto-injectors with broader "epinephrine delivery systems" across public educational institutions. The measure modifies both the Business and Professions Code and Education Code to accommodate this expanded definition while maintaining existing safety protocols.

Under the revised framework, school districts, county offices of education, and charter schools must store epinephrine delivery systems at each campus for emergency use by school nurses or trained volunteer personnel. The bill preserves current requirements for physician oversight, including written orders specifying quantities needed, while adding provisions for proper storage, monitoring, and replacement of expired or used devices. Schools must maintain acquisition and disposition records for three years.

The legislation retains established training standards for volunteer personnel, requiring initial and annual refresher instruction in recognizing anaphylaxis symptoms, proper device storage and use, and emergency response procedures. Private schools may continue choosing whether to participate in the program after evaluating local emergency response capabilities. The measure includes liability protections for authorized volunteers and physicians, while allowing schools to accept donations of delivery systems and related resources from manufacturers or other sources.