SECOND REGULAR SESSION
[TRULY AGREED TO AND FINALLY PASSED]
HOUSE BILL NO. 1245
93RD GENERAL ASSEMBLY
To amend chapter 167, RSMo, by adding thereto one new section relating to school nurses.
Be it enacted by the General Assembly of the state of Missouri, as follows:
Section A. Chapter 167, RSMo, is amended by adding thereto one new section, to be
known as section 167.630, to read as follows:
167.630. 1. Each school board may authorize a school nurse licensed under chapter
335, RSMo, who is employed by the school district and for whom the board is responsible
for to maintain an adequate supply of prefilled auto syringes of epinephrine with fifteen
hundredths milligram or three-tenths milligram delivery at the school. The nurse shall
recommend to the school board the number of prefilled epinephrine auto syringes that the
school should maintain.
2. To obtain prefilled epinephrine auto syringes for a school district, a prescription
written by a licensed physician, a physician's assistant, or nurse practitioner is required.
For such prescriptions, the school district shall be designated as the patient, the nurse's
name shall be required, and the prescription shall be filled at a licensed pharmacy.
3. A school nurse shall have the discretion to use an epinephrine auto syringe on
any student the school nurse believes is having a life threatening anaphylactic reaction
based on the nurse's training in recognizing an acute episode of an anaphylactic reaction.