Bill Commons

CA SB 568

enacted

Pupil health: epinephrine delivery systems: schoolsites and childcare programs.

California · 2025-2026 Regular Session · upper

Quick answers

Did CA SB 568 pass?

Yes. CA SB 568 has been enacted into law as of 2025-10-03. Latest recorded action (2025-10-03): Chaptered by Secretary of State. Chapter 322, Statutes of 2025.

What is CA SB 568 about?

(1) Existing law prohibits specified medical professionals, including nurses, not employed in that capacity by the State Department of Health Care Services, and any other person, from being employed or permitted to supervise the health and physical development of pupils unless that person holds a services credential with a specialization in health or a valid credential, as provided. Notwithstanding that provision, existing law authorizes any pupil who is required to take, during the regular schoolday, medication prescribed for them by a physician and surgeon or ordered for them by a physician assistant, to be assisted by the school nurse or other designated school personnel, and to carry and self-administer, prescription auto-injectable epinephrine if the school district receives the appropriate written statements, as specified. This bill would revise and recast that latter provision by authorizing assistance with, and the carrying and self-administration of, emergency epinephrine delivery systems, instead of auto-injectors, and making its provisions also apply to county offices of education and charter schools. Notwithstanding any other law, existing law requires school districts, county offices of education, and charter schools to provide emergency epinephrine auto-injectors, to be stored in an accessible location upon need for emergency use, to school nurses or trained volunteer personnel, and authorizes school nurses and trained personnel to use epinephrine auto-injectors to provide emergency medical aid to persons suffering, or reasonably believed to be suffering, from an anaphylactic reaction, as provided. This bill would revise and recast those provisions by requiring local educational agencies, defined as a school district, county office of education, or charter school, to provide emergency epinephrine delivery systems, instead of auto-injectors, as provided, to be stored at each schoolsite, including at the location of any state or federally subsidized childcare program operated by or under contract with the local educational agency, and by expanding the definition of "volunteer" or "trained personnel" to include certain employees of childcare programs, as provided. To the extent that this bill would impose additional duties on local educational agencies, the bill would impose a state-mandated local program. (2) Existing law authorizes a pharmacy to furnish epinephrine auto-injectors to a school district, county office of education, or charter school for purposes of the requirements described in paragraph (1) above if specified requirements are met, including that the auto-injectors are furnished exclusively for use at a school district site, county office of education, or charter school. This bill would authorize a pharmacy to furnish epinephrine delivery systems, instead of auto-injectors, to those local educational agencies, subject to the same requirements, except that the delivery systems may also be furnished exclusively for use at any state or federally subsidized childcare program operated by or under contract with one of those local educational agencies. (3) The California Constitution requires the state to reimburse local agencies and school districts for certain costs mandated by the state. Statutory provisions establish procedures for making that reimbursement. This bill would provide that, if the Commission on State Mandates determines that the bill contains costs mandated by the state, reimbursement for those costs shall be made pursuant to the statutory provisions noted above.

Who sponsors CA SB 568?

Niello is the primary sponsor of CA SB 568.

Description

(1) Existing law prohibits specified medical professionals, including nurses, not employed in that capacity by the State Department of Health Care Services, and any other person, from being employed or permitted to supervise the health and physical development of pupils unless that person holds a services credential with a specialization in health or a valid credential, as provided. Notwithstanding that provision, existing law authorizes any pupil who is required to take, during the regular schoolday, medication prescribed for them by a physician and surgeon or ordered for them by a physician assistant, to be assisted by the school nurse or other designated school personnel, and to carry and self-administer, prescription auto-injectable epinephrine if the school district receives the appropriate written statements, as specified. This bill would revise and recast that latter provision by authorizing assistance with, and the carrying and self-administration of, emergency epinephrine delivery systems, instead of auto-injectors, and making its provisions also apply to county offices of education and charter schools. Notwithstanding any other law, existing law requires school districts, county offices of education, and charter schools to provide emergency epinephrine auto-injectors, to be stored in an accessible location upon need for emergency use, to school nurses or trained volunteer personnel, and authorizes school nurses and trained personnel to use epinephrine auto-injectors to provide emergency medical aid to persons suffering, or reasonably believed to be suffering, from an anaphylactic reaction, as provided. This bill would revise and recast those provisions by requiring local educational agencies, defined as a school district, county office of education, or charter school, to provide emergency epinephrine delivery systems, instead of auto-injectors, as provided, to be stored at each schoolsite, including at the location of any state or federally subsidized childcare program operated by or under contract with the local educational agency, and by expanding the definition of "volunteer" or "trained personnel" to include certain employees of childcare programs, as provided. To the extent that this bill would impose additional duties on local educational agencies, the bill would impose a state-mandated local program. (2) Existing law authorizes a pharmacy to furnish epinephrine auto-injectors to a school district, county office of education, or charter school for purposes of the requirements described in paragraph (1) above if specified requirements are met, including that the auto-injectors are furnished exclusively for use at a school district site, county office of education, or charter school. This bill would authorize a pharmacy to furnish epinephrine delivery systems, instead of auto-injectors, to those local educational agencies, subject to the same requirements, except that the delivery systems may also be furnished exclusively for use at any state or federally subsidized childcare program operated by or under contract with one of those local educational agencies. (3) The California Constitution requires the state to reimburse local agencies and school districts for certain costs mandated by the state. Statutory provisions establish procedures for making that reimbursement. This bill would provide that, if the Commission on State Mandates determines that the bill contains costs mandated by the state, reimbursement for those costs shall be made pursuant to the statutory provisions noted above.

Introduced
2025-02-20
Latest action
2025-10-03 — Chaptered by Secretary of State. Chapter 322, Statutes of 2025.
Bill type
bill
Last updated

Subjects

Sponsors

  • Nielloauthor

Committees

Not provided by source.

Action timeline

  1. 2025-02-20

    Introduced. Read first time. To Com. on RLS. for assignment. To print.

    introduction,reading-1,referral-committee

  2. 2025-02-21

    From printer. May be acted upon on or after March 23.

  3. 2025-03-05

    Referred to Com. on RLS.

    referral-committee

  4. 2025-03-24

    From committee with author's amendments. Read second time and amended. Re-referred to Com. on RLS.

    amendment-passage,committee-passage,reading-1,reading-2,referral-committee

  5. 2025-04-02

    Re-referred to Com. on ED.

    referral-committee

  6. 2025-04-04

    Set for hearing April 9.

  7. 2025-04-09

    From committee: Do pass as amended and re-refer to Com. on APPR. with recommendation: To consent calendar. (Ayes 7. Noes 0. Page 735.) (April 9).

    amendment-passage,committee-passage,committee-passage-favorable,referral-committee

  8. 2025-04-10

    Read second time and amended. Re-referred to Com. on APPR.

    amendment-passage,reading-1,reading-2,referral-committee

  9. 2025-04-17

    Set for hearing April 28.

  10. 2025-04-28

    April 28 hearing: Placed on APPR. suspense file.

  11. 2025-05-16

    Set for hearing May 23.

  12. 2025-05-23

    Read second time. Ordered to third reading.

    reading-1,reading-2,reading-3

  13. 2025-05-23

    From committee: Do pass. (Ayes 6. Noes 0. Page 1204.) (May 23).

    committee-passage,committee-passage-favorable

  14. 2025-05-27

    Ordered to special consent calendar.

  15. 2025-05-29

    Read third time. Passed. (Ayes 38. Noes 0. Page 1327.) Ordered to the Assembly.

    passage,reading-1,reading-3

  16. 2025-05-29

    In Assembly. Read first time. Held at Desk.

    reading-1

  17. 2025-06-05

    Referred to Com. on ED.

    referral-committee

  18. 2025-07-07

    From committee with author's amendments. Read second time and amended. Re-referred to Com. on ED.

    amendment-passage,committee-passage,reading-1,reading-2,referral-committee

  19. 2025-07-17

    Assembly Rule 63 suspended. (Ayes 49. Noes 15. Page 2578.)

  20. 2025-07-17

    From committee: Do pass as amended and re-refer to Com. on APPR. (Ayes 8. Noes 0.) (July 16).

    amendment-passage,committee-passage,committee-passage-favorable,referral-committee

  21. 2025-07-17

    Read second time and amended. Re-referred to Com. on APPR.

    amendment-passage,reading-1,reading-2,referral-committee

  22. 2025-08-20

    August 20 set for first hearing. Placed on APPR. suspense file.

  23. 2025-08-29

    From committee: Do pass. (Ayes 15. Noes 0.) (August 29).

    committee-passage,committee-passage-favorable

  24. 2025-09-02

    Read second time. Ordered to third reading.

    reading-1,reading-2,reading-3

  25. 2025-09-04

    Ordered to third reading.

    reading-1,reading-3

  26. 2025-09-04

    Read third time and amended.

    amendment-passage,reading-1,reading-3

  27. 2025-09-08

    Read third time. Passed. (Ayes 76. Noes 1. Page 2995.) Ordered to the Senate.

    passage,reading-1,reading-3

  28. 2025-09-08

    In Senate. Concurrence in Assembly amendments pending.

  29. 2025-09-12

    Assembly amendments concurred in. (Ayes 37. Noes 0. Page 3002.) Ordered to engrossing and enrolling.

    amendment-passage,committee-passage,committee-passage-favorable

  30. 2025-09-23

    Enrolled and presented to the Governor at 2 p.m.

    executive-receipt

  31. 2025-10-03

    Approved by the Governor.

    executive-signature

  32. 2025-10-03

    Chaptered by Secretary of State. Chapter 322, Statutes of 2025.

    became-law

Versions

  • 02/20/25 - Introduced — 2025-02-20Compare
  • 03/24/25 - Amended Senate — 2025-03-24Compare
  • 04/10/25 - Amended Senate — 2025-04-10Compare
  • 07/07/25 - Amended Assembly — 2025-07-07Compare
  • 07/17/25 - Amended Assembly — 2025-07-17Compare
  • 09/04/25 - Amended Assembly — 2025-09-04Compare
  • 09/18/25 - Enrolled — 2025-09-18Compare
  • 10/03/25 - Chaptered — 2025-10-03Compare
  • SB568Compare
  • (document, no version)Compare

Documents

Votes

  • Do pass as amended, but first amend, and re-refer to the Committee on [Appropriations] with the recommendation: To Consent Calendar

    2025-04-09 · pass · 7-0

    Member-level votes (7)
    • Choi: yes
    • Cortese: yes
    • Gonzalez: yes
    • Ochoa Bogh: yes
    • Pérez: yes
    • Laird: yes
    • Cabaldon: yes
  • Placed on suspense file

    2025-04-28 · pass · 7-0

    Member-level votes (7)
    • Seyarto: yes
    • Grayson: yes
    • Caballero: yes
    • Cabaldon: yes
    • Wahab: yes
    • Richardson: yes
    • Dahle: yes
  • Do pass

    2025-05-23 · pass · 6-0

    Member-level votes (7)
    • Caballero: yes
    • Seyarto: yes
    • Wahab: yes
    • Cabaldon: yes
    • Richardson: yes
    • Grayson: yes
    • Dahle: other
  • Special Consent

    2025-05-29 · pass · 38-0

    Member-level votes (40)
    • Smallwood-Cuevas: yes
    • Grayson: yes
    • Grove: yes
    • Dahle: yes
    • Rubio: yes
    • Jones: yes
    • Umberg: yes
    • Weber Pierson: yes
    • Wiener: yes
    • Stern: yes
    • Padilla: yes
    • Arreguín: yes
    • Caballero: yes
    • Pérez: yes
    • McNerney: yes
    • Gonzalez: yes
    • Durazo: yes
    • Cortese: yes
    • Archuleta: yes
    • Blakespear: yes
    • Laird: yes
    • Strickland: yes
    • Choi: yes
    • Valladares: yes
    • McGuire: yes
    • Niello: yes
    • Allen: yes
    • Richardson: yes
    • Hurtado: yes
    • Cervantes: yes
    • Seyarto: yes
    • Menjivar: yes
    • Wahab: yes
    • Becker: yes
    • Alvarado-Gil: yes
    • Ochoa Bogh: yes
    • Ashby: yes
    • Cabaldon: yes
    • Limón: other
    • Reyes: other
  • Do pass as amended and be re-referred to the Committee on [Appropriations]

    2025-07-16 · pass · 8-0

    Member-level votes (9)
    • Muratsuchi: yes
    • Lowenthal: yes
    • Patel: yes
    • Hoover: yes
    • Addis: yes
    • Alvarez: yes
    • Castillo: yes
    • Garcia: yes
    • Bonta: other
  • Do pass.

    2025-08-29 · pass · 15-0

    Member-level votes (15)
    • Ta: yes
    • Elhawary: yes
    • Pellerin: yes
    • Fong: yes
    • Pacheco: yes
    • Tangipa: yes
    • Calderon: yes
    • Arambula: yes
    • Dixon: yes
    • Mark González: yes
    • Sanchez: yes
    • Wicks: yes
    • Caloza: yes
    • Ahrens: yes
    • Solache: yes
  • SB 568 Niello Senate Third Reading By Wallis

    2025-09-08 · pass · 76-1

    Member-level votes (80)
    • Ahrens: yes
    • Johnson: yes
    • Dixon: yes
    • Mark González: yes
    • Quirk-Silva: yes
    • Gipson: yes
    • Rogers: yes
    • Addis: yes
    • Ward: yes
    • Haney: yes
    • Hart: yes
    • Fong: yes
    • Calderon: yes
    • Elhawary: yes
    • Wilson: yes
    • Carrillo: yes
    • Bains: yes
    • Ransom: yes
    • Soria: yes
    • Michelle Rodriguez: yes
    • Berman: yes
    • Valencia: yes
    • Wicks: yes
    • Celeste Rodriguez: yes
    • Arambula: yes
    • Connolly: yes
    • Schultz: yes
    • Bauer-Kahan: yes
    • Bennett: yes
    • Papan: yes
    • Schiavo: yes
    • Aguiar-Curry: yes
    • Jeff Gonzalez: yes
    • Pacheco: yes
    • Boerner: yes
    • Alvarez: yes
    • Castillo: yes
    • Alanis: yes
    • Wallis: yes
    • Patterson: yes
    • Stefani: yes
    • Ta: yes
    • Caloza: yes
    • Hoover: yes
    • Sharp-Collins: yes
    • Ortega: yes
    • Solache: yes
    • Lowenthal: yes
    • Blanca Rubio: yes
    • Jackson: yes
    • Bryan: yes
    • Gallagher: yes
    • Petrie-Norris: yes
    • Harabedian: yes
    • Gabriel: yes
    • Ellis: yes
    • Macedo: yes
    • Davies: yes
    • McKinnor: yes
    • Zbur: yes
    • DeMaio: yes
    • Pellerin: yes
    • Muratsuchi: yes
    • Hadwick: yes
    • Krell: yes
    • Irwin: yes
    • Tangipa: yes
    • Lackey: yes
    • Ramos: yes
    • Patel: yes
    • Kalra: yes
    • Sanchez: yes
    • Rivas: yes
    • Chen: yes
    • Flora: yes
    • Garcia: yes
    • Ávila Farías: no
    • Lee: other
    • Nguyen: other
    • Bonta: other
  • Unfinished Business SB568 Niello Concurrence

    2025-09-12 · pass · 37-0

    Member-level votes (40)
    • McGuire: yes
    • Becker: yes
    • Cabaldon: yes
    • Caballero: yes
    • Weber Pierson: yes
    • McNerney: yes
    • Grayson: yes
    • Umberg: yes
    • Dahle: yes
    • Niello: yes
    • Pérez: yes
    • Jones: yes
    • Padilla: yes
    • Ochoa Bogh: yes
    • Cervantes: yes
    • Menjivar: yes
    • Wiener: yes
    • Wahab: yes
    • Laird: yes
    • Alvarado-Gil: yes
    • Stern: yes
    • Rubio: yes
    • Richardson: yes
    • Hurtado: yes
    • Reyes: yes
    • Blakespear: yes
    • Arreguín: yes
    • Strickland: yes
    • Seyarto: yes
    • Ashby: yes
    • Allen: yes
    • Smallwood-Cuevas: yes
    • Durazo: yes
    • Archuleta: yes
    • Grove: yes
    • Limón: yes
    • Cortese: yes
    • Choi: other
    • Valladares: other
    • Gonzalez: other

Related bills

No related bills recorded for this bill.

Official source

Attribution

Data from openstates_bulk_csv, retrieved 2026-07-24T01:34:27.960412Z

Inspect retained evidence for changes recorded after evidence tracking began:

Use this data

Every field on this page is available from the free public API — no key or licence required. Fetch this bill as JSON: GET /api/v1/bills?jurisdiction=CA&identifier=SB 568. See the API docs or the MCP server for AI assistants.

Known limitations

  • Sponsor party and chamber affiliation are not yet captured by this API.
  • Committee referrals are not yet captured.
  • Some documents have no extracted text yet, so version comparison may be limited.

See the methodology page for data sources and limitations.