MO HB2490

Replaces the term "auto-injector" with "delivery device" throughout Missouri's epinephrine law to accommodate newer epinephrine delivery methods beyond traditional auto-injectors

Explicitly adds "child care facilities" to the list of authorized entities permitted to stock and administer epinephrine for anaphylaxis emergencies

Creates "Elijah's Law" (Section 210.225) requiring all licensed child care providers to adopt allergy prevention and response policies by July 1, 2028, with priority on potentially deadly food-borne allergies

Required child care allergy policies must address building-wide and room-level prevention approaches, staff roles in allergy management, parent/child cooperation, and confidentiality of medical information

Department of Elementary and Secondary Education must develop model allergy policies for child care facilities by July 1, 2027