NJ A4789

Named "Elijah's Law" after Elijah-Alavi Silvera, a child who died from an allergic reaction at a New York City child care center despite documented food allergies.

Requires the Department of Health and Department of Children and Families to develop an annual allergy and anaphylaxis training program covering food allergy awareness, symptom recognition, emergency response, allergen exposure prevention, and weight-based epinephrine dosing.

Authorizes licensed child care centers and registered family day care homes to obtain, maintain, and administer undesignated stock epinephrine to any child reasonably believed to be experiencing anaphylaxis, using FDA-approved devices at appropriate weight-based doses.

Mandates emergency response protocols including immediate epinephrine administration, calling 911, notifying parents/guardians, and continuous monitoring until emergency services arrive, with required documentation of all incidents.

Provides liability protection for child care providers and staff acting in good faith when administering epinephrine, except in cases of gross negligence or willful misconduct.