North Carolina – Stock Epinephrine Law

North Carolina has a stock epinephrine law that went into effect on November 1, 2014. 
The law requires local boards of education to provide for a supply of epinephrine auto-injectors on school property. Each school must have at least two auto-injectors stored in a secure but unlocked and easily accessible location for use by trained school personnel in an emergency. Each principal must designate one or more school personnel to be trained in the emergency use of the devices. The training must be conducted by a school nurse or a qualified representative of the local health department. The school nurse or other trained person for each school must obtain a non-patient-specific prescription for epinephrine auto-injectors from the local health department. 

It requires each principal to collaborate with other appropriate school personnel to develop an action plan for use of EpiPens in an emergency. Minimum components of the plan are specified in the new law and include calling emergency services and notifying affected students’ parents and physicians when the devices are used.

In addition, the law provides qualified immunity from civil liability for local health department health care providers, school officials, school employees, and school volunteers for acts or omissions relating to the new requirements.  

An amendment to G.S. 115C-238.29F requires the Department of Public Instruction to ensure that charter schools comply with all of the new requirements, and to direct the boards of directors of charter schools to provide the necessary supply of epinephrine auto-injectors.

However, our job is not done yet. Each law or regulation must be implemented or put into action by a board or an agency.

Allergy & Asthma Network supports stock epinephrine implementation in schools and provides education and resources to support a seamless rollout. For more information, visit:

ACE Teams:

Jackie Lalor of Carolina Day School
Asheville, NC

Jennifer Hall and Karla Hampton of Johnston County School District
Clayton, NC

Sanjay Khiani, MD, MBA, of Family Allergy, Asthma & Sinus Care
Charlotte, NC

Maeve O’Connor, MD of Allergy, Asthma & Immunology Relief of Charlotte
Charlotte, NC

Cheryl Blake, BS, MS of Trinity School of Durham
Durham, NC

Mary Benjamin, RCP, RRT, AE-C of Cape Fear Valley Medical Center
Fayetteville, NC

Karen Lowe-Bumper, RN
Greensboro, NC

Joseph Inglefield, III, MD and Sonal Lane of Hickory Allergy and Asthma Clinic
Hickory, NC

Jennifer Lindsay, RN, BSN, NCSN of Oakwood Elementary
Hickory, NC

Tonya Moss
Preschool Nurse at Catawba County Public Health
Hickory, NC

Melanie Ward
School Nurse at Mecklenburg County Health Department
Mooresville, NC

Elizabeth Cockrell
Nashville, NC

Linda Rogers
Raleigh, NC

Sample ACE Team Activities:

On February 3, 2014, Cheryl Blake, RN provided 34 teachers, aides, and administrators from Kestrel Heights Elementary School in Durham, NC with an anaphylaxis education training. She provided them with Anaphylaxis Guides, E3 bag tags and stickers, and BE SAFE brochures.

Sanjay Khiani, MD, MBA, was interviewed by NBC News regarding the need for epinephrine auto-injectors in schools.

Dr. Khiani wrote a blog article for his practice website about food allergies’ impact on bullying.

Ms. Lowe-Bumper worked with district school nurses to distribute educational materials and the E3 bag tags and stickers to all at-risk elementary, middle, and high schools students.

Ms. Lindsey completed a group training to 45 employees at Oakwood Elementary School in Hickory, NC, as well as one-on-one trainings for teachers of students with life-threatening allergies.

On August 20, 2015, Dr. O’Connor published the ACE press release, “Going to college with allergies” in the Charlotte Observer.

In October 2015, Dr. O’Connor hosted a food allergy workshop for the Charlotte community. During the workshop, Dr. O’Connor spoke about “Food Allergy 101/Nutrition and Reading Food Labels” and Dr. Gene Cash spoke about Food Allergy Bullying. Allergy & Asthma Network provided ACE materials for this event.

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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