2025 · Regular session · Senate bill
SB1619
SB1619 extends Texas epinephrine programs beyond auto-injectors to FDA-approved delivery systems, expressly including nasal sprays.
Official caption: Relating to the use of an epinephrine delivery system by certain entities.
Official report lists Senate author(s): Zaffirini. This does not identify sponsors or amendment drafters.
Bill explanation published · Version and amendment review scope is stated below · Individual amendment records may not be separately annotated.
Bill highlights
Selected points from the published explanation. Follow each point to its source-linked context; conditions and limits may matter.
Read the full explanation ↓What does it do?
SB1619 extends Texas epinephrine programs beyond auto-injectors to FDA-approved delivery systems, expressly including nasal sprays. The definition covers a medical delivery device approved by the U.S. Food and Drug Administration that delivers epinephrine intended to treat anaphylaxis—a severe allergic reaction. It updates laws for schools, colleges, child-care settings, specified public-facing entities, emergency responders, pharmacists and peace officers. It does not require every school or business to stock a nasal spray or authorize any unapproved product. Signed May 19, 2025, it took effect that day after the required legislative votes. Final law; Official history.
What changed along the way?
Schools and colleges: existing optional epinephrine policies now cover the broader delivery systems. Adopting a policy carries training, secure-but-accessible storage, inventory and reporting duties. Schools must have trained, authorized personnel or volunteers present throughout campus opening hours; colleges must have trained, authorized personnel or volunteers present and publish their policy in the student handbook or similar publication and on their website. Policies may cover off-campus events and travel. The act extends standing-order prescriptions and the existing good-faith liability protections to the broader systems. Schools and colleges retain the 10-business-day reporting deadline after administration. School personnel and volunteers retain protection from punishment for refusing administration or training. College rulemaking authority moves from the commissioner of state health services to the Health and Human Services Commission’s executive commissioner. This is not a new universal school stocking mandate. Final law; Earlier school policy law; Earlier college policy law.
Other settings: the same broader terminology applies to optional programs at amusement parks, child-care facilities, camps, private or independent colleges, restaurants, sports venues, youth centers and other eligible entities designated by rule. Their policies retain trained-staff coverage during opening hours, annual training, storage and prescription safeguards. Day-care centers retain annual training, the 10-business-day administration report, and notice to parents when the center obtains the medication. Police programs remain optional but require approved officer training, a maintenance policy and notice to the prescriber after use. These are extensions of existing programs and protections, not permission for untrained members of the public to administer medication under those programs. Final law; Earlier entity program; Earlier day-care law; Earlier officer training requirement.
Emergency services and pharmacists: emergency medical personnel remain subject to approved training, medical supervision, applicable rules and immediate reporting to their supervising physician. The existing requirement for rules equipping emergency medical services vehicles to treat anaphylaxis now refers to an epinephrine delivery system rather than an auto-injector or similar device. Pharmacists may administer the broader systems in an emergency under board rules and must report use to the patient’s identified primary-care physician, if any. Their liability protection retains its exception for wilful or wanton negligence. They may recover the system’s cost but may not charge for administering it. Final law; Earlier vehicle standard; Earlier pharmacist law.
The introduced, Senate committee, Senate-passed and House committee operative texts match. The sole indexed House amendment, by Cortez and Patterson, was adopted April 29 and changes “delivery device” to “delivery system,” with corresponding plural, heading and deleted-text adjustments throughout. It does not remove the FDA-approval condition or add a universal stocking requirement. The Senate concurred May 5; the final text reflects those terminology changes. Introduced; Senate committee; Senate-passed; House committee; Adopted House amendment; Final law; Version index; Amendment index.
For the full amendment record, open the official amendment index.
Official bill versions
Compare the published text versions in the official text index. A change is not attributed to a specific amendment here without a verified record.
Who could benefit—and who could bear the costs?
Participating organizations gain a broader choice of approved epinephrine delivery systems, including a non-injection option. Whether that improves a particular emergency response depends on appropriate products, training and implementation; the law itself establishes no clinical comparison, price saving or guarantee of availability. Organizations choosing a program still face purchasing, replacement, training and recordkeeping work. This act changes legal authorization, not an individual patient’s prescription or treatment instructions. Final law.
The March 17 introduced and May 1 House-passed fiscal notes anticipate no significant state or local fiscal impact and assume state costs can be absorbed using existing resources. The May 1 note is posted under both the amendments and final version entries. No note supplies a dollar estimate or multiyear table; none proves that every participating organization will have no added costs. The act makes no appropriation. Introduced fiscal note; House-passed fiscal note; Final-entry fiscal note; Final law.
Official sources
- Bill history and latest recorded action
- Bill versions, analyses and fiscal notes
- Action history and votes
- Amendment index
Catalog report retrieved 2026-10-25. Check the official record for corrections or later changes.