Missouri § 167.627 - Possession and self-administration of medication in school — requirements.

§ 167.627. Possession and self-administration of medication in school — requirements.

1.  For purposes of this section, the following terms shall mean:

(1)  "Epinephrine delivery system", a single-use device or system used for the delivery of a premeasured dose of epinephrine into the human body;

(2)  "Medication", any medicine prescribed or ordered by a physician for the treatment of asthma or anaphylaxis, including without limitation inhaled bronchodilators and epinephrine delivery systems;

(3)  "Self-administration", a pupil's discretionary use of medication prescribed by a physician or under a written treatment plan from a physician.

2.  Each board of education and its employees and agents in this state shall grant any pupil in the school authorization for the possession and self-administration of medication to treat such pupil's chronic health condition, including but not limited to asthma or anaphylaxis if:

(1)  A licensed physician prescribed or ordered such medication for use by the pupil and instructed such pupil in the correct and responsible use of such medication;

(2)  The pupil has demonstrated to the pupil's licensed physician or the licensed physician's designee, and the school nurse, if available, the skill level necessary to use the medication and any device or system necessary to administer such medication prescribed or ordered;

(3)  The pupil's physician has approved and signed a written treatment plan for managing the pupil's chronic health condition, including asthma or anaphylaxis episodes and for medication for use by the pupil.  Such plan shall include a statement that the pupil is capable of self-administering the medication under the treatment plan;

(4)  The pupil's parent or guardian has completed and submitted to the school any written documentation required by the school, including the treatment plan required under subdivision (3) of this subsection and the liability statement required under subdivision (5) of this subsection; and

(5)  The pupil's parent or guardian has signed a statement acknowledging that the school district and its employees or agents shall incur no liability as a result of any injury arising from the self-administration of medication by the pupil or the administration of such medication by school staff.  Such statement shall not be construed to release the school district and its employees or agents from liability for negligence.

3.  An authorization granted under subsection 2 of this section shall:

(1)  Permit such pupil to possess and self-administer such pupil's medication while in school, at a school-sponsored activity, and in transit to or from school or school-sponsored activity; and

(2)  Be effective only for the same school and school year for which it is granted.  Such authorization shall be renewed by the pupil's parent or guardian each subsequent school year in accordance with this section.

4.  Any current duplicate prescription medication, if provided by a pupil's parent or guardian or by the school, shall be kept at a pupil's school in a location at which the pupil or school staff has immediate access in the event of an asthma or anaphylaxis emergency.

5.  The information described in subdivisions (3) and (4) of subsection 2 of this section shall be kept on file at the pupil's school in a location easily accessible in the event of an emergency.

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(L. 1996 H.B. 1301 & 1298 § 10, A.L. 2006 H.B. 1732, A.L. 2010 H.B. 1543, A.L. 2026 H.B. 2372)

---- end of effective  28 Aug 2026 ----

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