SB 642-FN - AS AMENDED BY THE SENATE
02/06/2020 0313s
2020 SESSION
20-2821
01/10
SENATE BILL 642-FN
AN ACT relative to the administration of epinephrine.
SPONSORS: Sen. D'Allesandro, Dist 20; Sen. Sherman, Dist 24; Sen. Fuller Clark, Dist 21; Sen. Bradley, Dist 3; Sen. Gray, Dist 6; Sen. Chandley, Dist 11
COMMITTEE: Health and Human Services
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ANALYSIS
This bill clarifies the administration of epinephrine and places the law in a different RSA chapter.
This bill is a request of the department of health and human services.
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Explanation: Matter added to current law appears in bold italics.
Matter removed from current law appears [in brackets and struckthrough.]
Matter which is either (a) all new or (b) repealed and reenacted appears in regular type.
02/06/2020 0313s 20-2821
01/10
STATE OF NEW HAMPSHIRE
In the Year of Our Lord Two Thousand Twenty
AN ACT relative to the administration of epinephrine.
Be it Enacted by the Senate and House of Representatives in General Court convened:
1 New Section; Physicians and Surgeons; Administration of Epinephrine. Amend RSA 329 by inserting after section 1-e the following new section:
329:1-f Administration of Epinephrine.
I. In this section:
(a) "Administer" means the direct application of an epinephrine auto-injector to the body of an individual.
(b) "Authorized entity" means any entity or organization in which allergens capable of causing anaphylaxis may be present, including recreation camps and day care facilities. Authorized entity shall not include an elementary or secondary school or a postsecondary educational institution eligible to establish policies and guidelines for the emergency administration of epinephrine under RSA 200-N.
(c) "Epinephrine auto-injector" means a single-use device used for the automatic injection of a premeasured dose of epinephrine into the human body.
(d) "Health care practitioner" means a person who is lawfully entitled to prescribe, administer, dispense, or distribute controlled drugs.
(e) "Provide" means to furnish one or more epinephrine auto-injectors to an individual.
II. A health care practitioner may prescribe epinephrine auto-injectors in the name of an authorized entity for use in accordance with this section, and pharmacists and health care practitioners may dispense epinephrine auto-injectors pursuant to a prescription issued in the name of an authorized entity.
III. An authorized entity may acquire and maintain a supply of epinephrine auto-injectors pursuant to a prescription issued in accordance with this section. Such epinephrine auto-injectors shall be stored in a location readily accessible in an emergency and in accordance with the instructions for use, and any additional requirements that may be established by board of medicine. An authorized entity shall designate employees or agents who have completed the training required by paragraph V to be responsible for the storage, maintenance, control, and general oversight of epinephrine auto-injectors acquired by the authorized entity.
IV. An employee or agent of an authorized entity, or other individual, who has completed the training required by paragraph V may use epinephrine auto-injectors prescribed pursuant to this section to:
(a) Provide an epinephrine auto-injector to any individual who the employee agent or other individual believes in good faith is experiencing anaphylaxis, or the parent, guardian, or caregiver of such individual, for immediate administration, regardless of whether the individual has a prescription for an epinephrine auto-injector or has previously been diagnosed with an allergy.
(b) Administer an epinephrine auto-injector to any individual who the employee, agent, or other individual believes in good faith is experiencing anaphylaxis, regardless of whether the individual has a prescription for an epinephrine auto-injector or has previously been diagnosed with an allergy.
V.(a) An employee, agent, or other individual described in paragraph IV shall complete an anaphylaxis training program at least every 2 years, following completion of the initial anaphylaxis training program. Such training shall be conducted by a nationally-recognized organization experienced in training unlicensed persons in emergency health care treatment or an entity or individual approved by the board of medicine. Training may be conducted online or in person and, at a minimum, shall cover:
(1) How to recognize signs and symptoms of severe allergic reactions, including anaphylaxis;
(2) Standards and procedures for the storage and administration of an epinephrine auto-injector; and
(3) Emergency follow-up procedures.
(b) The entity or individual that conducts the training shall issue a certificate, on a form developed or approved by the board of medicine to each person who successfully completes the anaphylaxis training program.
VI. No authorized entity that possesses and makes available epinephrine auto-injectors and its employees, agents, and other individuals, or health care practitioner that prescribes or dispenses epinephrine auto-injectors to an authorized entity, or pharmacist or health care practitioner that dispenses epinephrine auto-injectors to an authorized entity, or individual or entity that conducts the training described in paragraph V, shall be liable for any injuries or related damages that result from any act or omission pursuant to this section, unless such injury or damage is the result of willful or wanton misconduct. The administration of an epinephrine auto-injector in accordance with this section shall not be considered to be the practice of medicine or any other profession that otherwise requires licensure. This section shall not be construed to eliminate, limit, or reduce any other immunity or defense that may be available under state law. An entity located in this state shall not be liable for any injuries or related damages that result from the provision or administration of an epinephrine auto-injector outside of this state if the entity would not have been liable for such injuries or related damages had the provision or administration occurred within this state, or is not liable for such injuries or related damages under the law of the state in which such provision or administration occurred.
2 Repeal. RSA 126-A:70 and 71, relative to administration of epinephrine, are repealed.
3 Effective Date. This act shall take effect 60 days after its passage.
20-2821
Amended 3/9/20
SB 642-FN- FISCAL NOTE
AS AMENDED BY THE SENATE (AMENDMENT # 2020-0313s)
AN ACT Relative to the administration of epinephrine.
FISCAL IMPACT:
The Legislative Budget Assistant has determined that this legislation, as amended, has a total fiscal impact of less than $10,000 in each of the fiscal years 2020 through 2023.
AGENCIES CONTACTED:
Department of Health and Human Services and Office of Professional Licensure and Certification
| Date | Body | Type |
|---|---|---|
| Jan. 21, 2020 | Senate | Hearing |
| Feb. 6, 2020 | Senate | Floor Vote |
| Feb. 6, 2020 | Senate | Floor Vote |
| March 17, 2020 | House | Hearing |
| March 19, 2020 | House | Exec Session |
: Died on Table
June 30, 2020: Vacated and Laid on Table MA VV 06/30/2020 HJ 10 P. 3
March 19, 2020: ==CANCELLED== Executive Session: 03/19/2020 10:00 am LOB 205
March 18, 2020: ==CANCELLED== Subcommittee Work Session: 03/18/2020 11:00 am LOB 205
March 17, 2020: ==CANCELLED== Public Hearing: 03/17/2020 11:00 am LOB 205
Feb. 20, 2020: Introduced 02/20/2020 and referred to Health, Human Services and Elderly Affairs HJ 5 P. 56
Feb. 6, 2020: Ought to Pass with Amendment 2020-0313s, MA, VV; OT3rdg; 02/06/2020; SJ 3
Feb. 6, 2020: Committee Amendment # 2020-0313s, AA, VV; 02/06/2020; SJ 3
Feb. 6, 2020: Committee Report: Ought to Pass with Amendment # 2020-0313s, 02/06/2020; SC 5
Feb. 6, 2020: Committee Report: Ought to Pass with Amendment # 2020-0313s, 02/06/2020; SC 5
Jan. 21, 2020: Hearing: 01/21/2020, Room 101, LOB, 02:00 pm; SC 3
Jan. 8, 2020: Introduced 01/08/2020 and Referred to Health and Human Services; SJ 2
Jan. 8, 2020: To Be Introduced 01/08/2020 and Referred to Health and Human Services; SJ 2