H.R. 4564 modifies the children's asthma treatment grant program administered under the Public Health Service Act to allow states to receive grant preferences by expanding who can administer epinephrine at schools. The bill permits schools to designate trained individuals who are not school employees—such as coaches, volunteers, or other community members—as "trained personnel" eligible to give epinephrine to students experiencing severe allergic reactions, provided they meet specified training requirements and the state's attorney general certifies the change in policy. The bill also broadens the definition of epinephrine delivery systems beyond just auto-injectable devices, potentially allowing other approved forms of epinephrine administration. The legislation was introduced in July 2025 with bipartisan support and has no specified federal funding or implementation timeline mentioned in the text provided.
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