Massachusetts – Stock Epinephrine Law

Massachusetts has a regulation in place for using epinephrine in emergency situations.

Regulations 105 CMR 210.000: The Administration of Prescription Medications in Public and Private Schools

Congratulations!  Your state has passed stock-epinephrine laws or regulations that permit an emergency supply of epinephrine auto-injectors to be used in a school. However, our job is not done yet. Each law or regulation must be implemented or put into action by a board or an agency.

The agency or board will then issue administrative rules, guidelines or best practices explaining in detail how it intends to put the law into effect and what a mother, father, caregiver, physician, pharmacist or school nurse must do to comply with the law.  The Network is an active resource in these states assisting administrators in a seamless rollout of the stock-epinephrine laws.

ACE Teams:

Shanyn Toulouse, MEd, BSN, RN
Haverhill, MA

Pat Cooney, RN
School Nurse at Brooks Elementary School
Medford, MA

Karen Roberto, RN
School Nurse at Columbus Elementary School
Medford, MA

John Lee, MD, Allergist at Boston Children’s Hospital and co-founder of
Needham, MA

Karen Regan, Supervisor of School Nurses for New Bedford Public Schools
New Bedford, MA

Michael Pistiner, MD, MMSc, Allergist at Harvard Vanguard Medical Associates, author of  Everyday Cool with Food Allergies, co-author of Living Confidently With Food Allergy and co-founder of
Newton, MA

Simona MacLure
Nurse Leader at Winchendon Public Schools
Winchendon, MA

Sample ACE Team Activities:

In May 2014, John Lee, MD presented, “Food Allergy Myths and Misperceptions for Parents” and “Food Allergy Myths and Perceptions for Teens” at the 2014 FARE conference in Chicago, IL. Dr. Lee assessed parents and caregivers knowledge on common myths and misperceptions, as well as their attitudes about food allergies. Dr. Lee reviewed these myths and attitudes and led a discussion on what parents think their children’s knowledge and attitudes are on the same topics.  In the second session, Dr. Lee discussed common myths and misperceptions about food allergies, anaphylaxis and epinephrine. This session was interactive, with teens sharing what they know. Dr. Lee also led a discussion about anxiety and peer pressure issues surrounding food allergies.

 Michael Pistiner, MD, MMSC was interviewed for the ACE Spotlight article titled, “Many Schools Face Challenges Implementing Stock Epinephrine” published in the Spring 2015 edition of Allergy & Asthma Today magazine.

Dr. Pistiner is featured in the article, “Why I Vaccinated My Egg-Allergic Child with Flu Vaccine”, published on February 18, 2014 by Kids With Food Allergies.

Dr. Pistiner
 is also the co-author of Living Confidently With Food Allergy: A Guide for Parents and Families.

On March 20-21, 2015, Shanyn Toulouse, MEd, BSN, RN provided an anaphylaxis presentation to child care providers at the Your’s for Children, Inc. Family Child Care Conference held in Westford, MA.

On March 27, 2015, Ms. Toulouse presented, “Allergies, Asthma, and Seizures….Oh, My! Preventing and Responding to Childhood Medical Emergencies” to child care providers during the MassAEYC Spring Conference, held in Marlborough, MA.

Questions about state legislation, ACE activities or getting involved?


About Anaphylaxis Community Experts (ACEs):
Anaphylaxis Community Experts is a national, award-winning education, advocacy and outreach partnership program developed and hosted by The Network and the American College of Allergy, Asthma & Immunology, sponsored by Mylan Specialty L.P.

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