Missouri § 190.246 - Epinephrine delivery systems, possession and use limitations — definitions — use of device considered first aid — violations, penalty.

§ 190.246. Epinephrine delivery systems, possession and use limitations — definitions — use of device considered first aid — violations, penalty.

1.  As used in this section, the following terms shall mean:

(1)  "Eligible person, firm, organization or other entity", an ambulance service or emergency medical response agency, an emergency medical responder, or an emergency medical technician who is employed by, or an enrolled member, person, firm, organization or entity designated by, rule of the department of health and senior services in consultation with other appropriate agencies.  All such eligible persons, firms, organizations or other entities shall be subject to the rules promulgated by the director of the department of health and senior services;

(2)  "Emergency health care provider":

(a)  A physician licensed pursuant to chapter 334 with knowledge and experience in the delivery of emergency care; or

(b)  A hospital licensed pursuant to chapter 197 that provides emergency care;

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

2.  Possession and use of epinephrine delivery systems shall be limited as follows:

(1)  No person shall use an epinephrine delivery system unless such person has successfully completed a training course in the use of epinephrine delivery systems approved by the director of the department of health and senior services.  Nothing in this section shall prohibit the use of an epinephrine delivery system:

(a)  By a health care professional licensed or certified by this state who is acting within the scope of his or her practice; or

(b)  By a person acting pursuant to a lawful prescription;

(2)  Every person, firm, organization and entity authorized to possess and use epinephrine delivery systems pursuant to this section shall use, maintain and dispose of such systems in accordance with the rules of the department; and

(3)  Every use of an epinephrine delivery system pursuant to this section shall immediately be reported to the emergency health care provider.

3.  (1)  Use of an epinephrine delivery system pursuant to this section shall be considered first aid or emergency treatment for the purpose of any law relating to liability.

(2)  Purchase, acquisition, possession or use of an epinephrine delivery system pursuant to this section shall not constitute the unlawful practice of medicine or the unlawful practice of a profession.

(3)  Any person otherwise authorized to sell or provide an epinephrine delivery system may sell or provide it to a person authorized to possess it pursuant to this section.

4.  Any person, firm, organization or entity that violates the provisions of this section is guilty of a class B misdemeanor.

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(L. 2002 S.B. 1107, A.L. 2018 H.B. 1355 merged with S.B. 870, A.L. 2026 H.B. 2372)

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

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