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No significant fiscal implication to the State.
Local Government Impact
To the extent that the Commissioner of Education and the Commissioner of
State Health Services adopt rules requiring districts to
maintain epinephrine auto-injectors, local school districts and open
enrollment charter schools would be required to stock epinephrine
auto-injectors. The bill would apply to approximately 8,814 campuses.
DSHS reports that campuses would need to maintain a supply of epinephrine auto-injectors in two strengths, 0.15mg and 0.30mg. Due to the short shelf life, unused epinephrine auto-injectors would need to be replaced annually. TEA and DSHS estimate that epinephrine auto-injectors would cost $110 to $450 per pack.
At least one employee on each campus would be required to undergo annual training related to anaphylaxis and epinephrine auto-injectors. TEA estimates the cost of such training at $20.
Assuming a cost of $20 per campus for training and $220 to $900 per campus for a pack of epinephrine auto-injectors in each strength, total cost for all 8,814 campuses could range from $2.1 million to $8.1 million annually. To the extent that schools are able to access free training, and to the extent that schools could replace expired epinephrine auto-injectors at no cost, total costs may be lower.
School districts and open-enrollment charter schools could accept gifts, donations, grants, and federal and local funds to defray some of the costs for implementing the program.