Schools — stock epinephrine
No law[NO LAW]Massachusetts has NO stock or undesignated school epinephrine law. Epinephrine may be given only under an individualized medication administration plan for a named student.
Massachusetts stock epinephrine law
Massachusetts does not issue a statewide standing order. You'll need a prescriber to sign one.
Last checked 2026-08-14. Every row below links to its own source.
Statewide standing order
No[NO]
No source on file; treat as unverified.
How to get it in Massachusetts
Two documents: a prescription in your organization's name, and a standing order saying when trained staff may use it.
- Everyone
- Massachusetts does not issue a statewide standing order, so a prescriber signs yours. Any physician can, and in most states a nurse practitioner or PA can too.
Then the devices
Buy standard auto-injectors through your usual pharmacy or medical supplier, which is what most organizations do.
Every status for Massachusetts
Nasal spray allowed for stock use
No[NO]An April 2025 DPH advisory confirms neffy is acceptable for PATIENT-SPECIFIC orders. There is no stock program.
Childcare
Unconfirmed[UNCONFIRMED]Other public places
No law[NO LAW]H.5443 would create authority. Passed House 154-0 in May 2026; in Senate Ways and Means.
Pending legislation
H.5443
Would create authorized-entity stocking authority for businesses, restaurants, day camps, and theme parks. Does not cover K-12 schools.
Passed House 154-0 May 2026; in Senate Ways and Means
H.590 / H.611
Would create school stock epinephrine authority — Massachusetts currently has none.
In Joint Committee on Education
Notes
Massachusetts is the notable gap: no stock or undesignated school epinephrine authority exists at all. Two bills would create it.
Something out of date?
We keep this current because it's hard to find in one place. Report an update and we'll check it.
This page is a starting point, not legal advice.
Laws change frequently and we may not have caught the latest amendment in Massachusetts. Confirm with your state department of health or education, your district's counsel, or your medical director before relying on it.
Report an update
If something here is wrong or out of date, tell us.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.
Source: allergyrescuekit.com/free-epinephrine/ma · verified 2026-08-14