MO HB2365

Licensed child care providers must adopt allergy prevention and response policies by July 1, 2028, prioritizing potentially deadly food-borne allergies and addressing building-wide, room-level, and individual management approaches

The Department of Elementary and Secondary Education must develop model allergy policies by July 1, 2027 in cooperation with appropriate professional associations

Updates existing law to replace "epinephrine auto-injector" with "epinephrine delivery system" throughout Section 196.990, expanding the types of devices authorized entities can stock and use for anaphylaxis emergencies

Child care facilities are explicitly added to the list of "authorized entities" permitted to acquire, stock, and administer epinephrine delivery systems under physician prescription

The new section is designated as "Elijah's Law" and requires allergy policies to address staff roles in allergy management, confidentiality of medical information, coordination with health authorities, and cooperation between parents and other children