Advancing Allergy and Asthma Legislation

TAAIS Legislative Initiatives

Explore our comprehensive efforts to enhance allergy and asthma care in Texas through strategic legislation and community engagement.

Physician Commitment

Below is a listing of Texas Allergy, Asthma and Immunology Society (TAAIS) Physicians that are willing to prescribe unassigned Epinephrine and/or Bronchodilators to Texas school districts:

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Leading Change

Advocating for progressive laws to protect and support individuals with allergies and asthma.

Empowering Schools

Ensuring Texas schools are equipped with life-saving epinephrine and bronchodilators.

Legislative Overview

TAAIS's Impactful Legislative Journey

TAAIS members serve on the State Implementation Committee for SB66, SB579, SB1367, and SB1619. They are developing training materials and policies for stocking epinephrine in Texas public schools, publicly funded charter schools, private schools, public colleges and universities and daycare centers to be used in case of emergency. HB4260 was passed in the 2019 legislative session to allow for stocking of epinephrine auto-injectors in public places. In 2023 SB812 was passed requiring food allergy posters in restaurants and food allergy training for employees. HB2243 was also passed in 2019 allowing prescription asthma medications to be stocked in health clinics on public and private school campuses to be used on any student with respiratory issues.

Understanding Senate Bill 1619

What is Senate Bill 1619?

On Monday, May 19, 2025, Governor Greg Abbott signed TAAIS’s bill, SB1619 into law. This bill expands the term “epinephrine” to “FDA approved epinephrine delivery systems” which ensures that the Texas statute would permit FDA-approved epinephrine delivery systems such as Neffy and other future means of delivering epinephrine to be used in place of epinephrine injectables.

This bill is effective immediately, therefore physicians are encouraged to write unassigned nasal epinephrine prescriptions if indicated for Texas schools in an effort to treat anaphylaxis in school children.

Frequently Asked Questions:

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How can a physician prescribe unassigned epinephrine?

The physician needs to write a prescription for the school district, daycare, private or charter school or venue in the name/for field. Currently we are not sure how this would work if sent electronically. *Remember the different weight requirements when writing the scripts.

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Do early learning centers, daycares, and schools that do not have a nurse qualify for unassigned epinephrine?

No, a school or facility does not need to have a nurse on-site for epinephrine to be used as long as the qualifications written in the Bills are met including training.

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Is there legal liability protection?

Yes. Please read how this is described in each of the Bills and consult your lawyer if you have any further questions.

Understanding Senate Bill SB66

Senate Bill SB66

The Texas Legislature passed SB66 in the 2015 Legislative Session and SB579 and SB1367 during the 2017 Legislative Session. These bills allow for stocking epinephrine auto-injectors in Texas public schools and publicly funded charter schools, private schools and public colleges and universities to be used in case of emergency. Legal liability protection is provided to those involved. The description of epinephrine was changed in 2025 when the legislature passed SB1619 allowing other forms of epinephrine approved by the FDA to be used also.

TAAIS Legislative Involvement

The TAAIS Task Force has compiled this information to be distributed to any school district, individual school whether public or private, college or university that plans to implement epinephrine for emergency use in their district or school.