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California stock epinephrine law

California issues a statewide standing order for schools and childcare.

Last checked 2026-08-14. Every row below links to its own source.

Statewide standing order

Yes[YES]

Signed by the State Public Health Officer; renews annually. Covers TK-12 LEAs, LEA-operated childcare, and private schools. Caution: the CDPH FAQ still describes auto-injectors only and appears to lag SB 568 — verify before relying on it for nasal spray.

CDPH statewide standing order

Read the source →

How to get it in California

Two documents: a prescription in your organization's name, and a standing order saying when trained staff may use it.

If you are a school
the California standing order covers you. Register with the health department instead of finding your own prescriber.
If you are a childcare program
the California standing order covers you. Register with the health department instead of finding your own prescriber.
If you are a camp, gym, restaurant or workplace
the California standing order does not cover you, so you will need your own prescriber to sign one.

The CDPH standing-order FAQ still describes auto-injectors only and appears to lag SB 568, so it may not supply nasal spray even though California law permits it.

Free medication, if you are a K-12 school

California permits nasal spray for undesignated stock use, so neffyinSchools applies here as well as EPIPEN4SCHOOLS. See both programs.

Then the devices

Buy standard auto-injectors through your usual pharmacy or medical supplier, which is what most organizations do.

The two documents you need, and who can sign them →

Every status for California

Schools — stock epinephrine

Required[REQUIRED]
Citation
Educ. Code §49414 (SB 568, Ch. 322 of 2025)
Verified
2026-08-14
Confidence
HIGH

Nasal spray allowed for stock use

Yes[YES]

'Epinephrine delivery system', effective Jan 1, 2026.

Citation
SB 568 (2025)
Verified
2026-08-28
Confidence
HIGH

Childcare

Required[REQUIRED]

Required for LEA-operated or contracted childcare including CSPP and Head Start. Non-LEA licensed childcare is separately governed by AB 2317 (Elijah's Law), which makes policy adoption voluntary until 2028.

Citation
Educ. Code §49414
Verified
2026-08-14
Confidence
MEDIUM

Other public places

Permitted[PERMITTED]
Citation
H&S Code §1797.197a (AB 1386)
Verified
2026-08-14
Confidence
MEDIUM
Source
No source on file; treat as unverified.

This page is a starting point, not legal advice.

Laws change frequently and we may not have caught the latest amendment in California. Confirm with your state department of health or education, your district's counsel, or your medical director before relying on it.

All jurisdictions →

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If something here is wrong or out of date, tell us. We'd rather hear it from you than have a school nurse act on a stale row.

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