85R6071 MK-D
  By: Taylor of Collin S.B. No. 1101
  relating to the prescription of epinephrine auto-injectors to and
  administration of epinephrine auto-injectors in day-care centers;
  limiting liability.
         SECTION 1.  Subchapter C, Chapter 42, Human Resources Code,
  is amended by adding Section 42.066 to read as follows:
         Sec. 42.066.  EPINEPHRINE AUTO-INJECTORS.  (a)  In this
               (1)  "Anaphylaxis" means a sudden, severe, and
  potentially life-threatening allergic reaction that occurs when a
  person is exposed to an allergen.
               (2)  "Epinephrine auto-injector" means a disposable
  medical drug delivery device that contains a premeasured single
  dose of epinephrine that is intended to be used to treat
               (3)  "Physician" means a person who holds a license to
  practice medicine in this state.
         (b)  A physician, or a person who has been delegated
  prescriptive authority under Chapter 157, Occupations Code, may
  prescribe epinephrine auto-injectors in the name of a day-care
         (c)  A physician or other person who prescribes epinephrine
  auto-injectors under Subsection (b) shall provide the day-care
  center with a standing order for the administration of an
  epinephrine auto-injector to a person reasonably believed to be
  experiencing anaphylaxis.
         (d)  A standing order under Subsection (c) is not required to
  be patient-specific.  An epinephrine auto-injector may be
  administered under this section to a person without a previously
  established physician-patient relationship.
         (e)  Notwithstanding any other law, supervision or
  delegation by a physician is considered adequate if the physician:
               (1)  periodically reviews the order; and
               (2)  is available through direct telecommunication as
  needed for consultation, assistance, and direction.
         (f)  An order issued under this section must contain:
               (1)  the name and signature of the prescribing
  physician or other person;
               (2)  the name of the day-care center to which the order
  is issued;
               (3)  the quantity of epinephrine auto-injectors to be
  obtained and maintained under the order; and
               (4)  the date the order was issued.
         (g)  A pharmacist may dispense an epinephrine auto-injector
  to a day-care center without requiring the name of or any other
  identifying information relating to the user.
         (h)  Each day-care center is responsible for training
  personnel in the administration of an epinephrine auto-injector.  
  The training must:
               (1)  include information on:
                     (A)  recognizing the signs and symptoms of
                     (B)  administering an epinephrine auto-injector;
                     (C)  implementing emergency procedures, if
  necessary, after administering an epinephrine auto-injector; and
                     (D)  properly disposing of used or expired
  epinephrine auto-injectors; and
               (2)  be provided in a formal training session or
  through online education and be completed annually.
         (i)  Each day-care center shall maintain records on the
  training required under this section.
         (j)  A person who in good faith takes, or fails to take,
  action relating to the prescription of an epinephrine auto-injector
  to a day-care center or the administration of an epinephrine
  auto-injector in a day-care center is immune from civil or criminal
  liability or disciplinary action resulting from that action or
  failure to act, including:
               (1)  issuing an order for epinephrine auto-injectors;
               (2)  supervising or delegating the administration of an
  epinephrine auto-injector;
               (3)  possessing, maintaining, storing, or disposing of
  an epinephrine auto-injector;
               (4)  prescribing an epinephrine auto-injector;
               (5)  dispensing an epinephrine auto-injector;
               (6)  administering, or assisting in administering, an
  epinephrine auto-injector;
               (7)  providing, or assisting in providing, training,
  consultation, or advice in the development, adoption, or
  implementation of policies, guidelines, rules, or plans; or
               (8)  undertaking any other act permitted or required
  under this section.
         (k)  The immunities and protections provided by this section
  are in addition to other immunities or limitations of liability
  provided by law.
         (l)  Notwithstanding any other law, this section does not
  create a civil, criminal, or administrative cause of action or
  liability or create a standard of care, obligation, or duty that
  provides a basis for a cause of action for an act or omission under
  this section.
         (m)  An act or omission described by this section does not
  create a cause of action.
         SECTION 2.  This Act takes effect immediately if it receives
  a vote of two-thirds of all the members elected to each house, as
  provided by Section 39, Article III, Texas Constitution.  If this
  Act does not receive the vote necessary for immediate effect, this
  Act takes effect September 1, 2017.