Montgomery, Ala. (WDNews) — Physicians across Alabama are urging lawmakers to give final approval to legislation that would allow schools to use needle-free epinephrine to treat severe allergic reactions.
According to reports, the Medical Association of the State of Alabama is backing the measure, saying it would expand the types of epinephrine delivery systems schools can use during emergencies.
Current law only allows auto-injectable epinephrine, commonly known as EpiPens. The proposed legislation would allow any Food and Drug Administration-approved delivery method, including needle-free options like nasal sprays.
Both the Alabama House and Senate have already passed versions of the bill with bipartisan support. Physicians are now calling on lawmakers to approve a final version and send it to Gov. Kay Ivey for her signature.
“This is a common-sense, life-saving proposal that will better protect Alabama’s students,” Medical Association President Dr. Mark LeQuire said. “We are grateful to the House and Senate for recognizing the importance of this issue. By expanding the law to include all FDA-approved epinephrine delivery systems, we can give schools more flexibility and ensure faster responses to allergic emergencies.”
Anaphylaxis is a severe and potentially fatal allergic reaction that can occur within minutes. Epinephrine is considered the first-line treatment, helping open airways and stabilize patients quickly.
Supporters say needle-free options could be easier to administer and reduce hesitation in high-stress situations.
Representative Margie Wilcox, sponsor of House Bill 533, said, “When seconds matter during an allergic emergency, having the best and most current tools available can save a child’s life. I’m proud to support legislation that helps protect Alabama students and gives our school nurses the flexibility they need to respond quickly and effectively.”
Senator April Weaver, sponsor of Senate Bill 351, added, “This legislation removes an unnecessary barrier. Not everyone is comfortable using a needle in a high-stress situation. Providing additional options—especially needle-free alternatives—can make all the difference when seconds count.”
If approved, schools would still be required to maintain emergency preparedness plans and stock epinephrine, but would gain flexibility in choosing how it is administered. Existing protections allowing trained school personnel to give epinephrine to any student believed to be experiencing an allergic reaction would remain in place.
The Medical Association said it is urging final passage to move the legislation to the governor’s desk.
