Organization Title


Epinephrine Auto-Injector Training and Certification

Epinephrine Auto-injector Training and Certification for Lay Rescuers

and Off-duty EMS Personnel


On October 10, 2013, SB 669 (Huff - R) Emergency medical care: epinephrine auto injectors was signed by the Governor and Chaptered by the Secretary of State. 

SB 669 authorizes an off-duty pre-hospital emergency medical care person or lay rescuer to use an epinephrine auto-injector to render emergency care to another person, as specified. The bill requires the California Emergency Medical Services Authority (EMSA) to approve authorized training providers and to establish and approve minimum standards for training and the use and administration of epinephrine auto-injectors. The bill also specifies components to be included in the minimum training and requirements. This bill contains other related provisions and other existing laws.  This bill does not apply to schools districts or county offices of education.

Read the full text of the signed bill here.


A work group of EMS stakeholders and Subject Matter Experts will assist the EMS Authority in developing the training standards and initial draft of regulations to outline the training and certification process and requirements for a layperson or off duty EMS personnel obtain an epinephrine auto-injector.

Once regulations have been drafted, the EMS Authority will follow the Administrative Procedure Act and open a rulemaking file with the Office of Administrative Law.  A public comment period will be posted to allow members of the public to provide comment and suggestions about the regulations before they are adopted.  The rulemaking process must be completed within one year.

With regulations in place, the EMS Authority will review and approve training programs that will provide training for the administration of epinephrine auto-injectors.  Certification of approved training will allow a layperson or off duty EMS personnel to obtain a prescription and administer an epinephrine auto-injector to a person experiencing anaphylaxis, with civil liability protection, when acting in good faith and not for compensation. 


Representative Constituent Group
Beth Hummel Senator Bob Huff’s Office - Author
Joel B. Douglas Conference of California BAR Association - Sponsor
Connie Green San Francisco Bay Food Allergy Network
Mark Greenwald MD, FRPCP Anaphylaxis Specialist
Kara Davis Interested Party
Jerry Lerouge EMS Safety Services
Rob Pryce EMS Safety Services
Daniela Torres California Department of Education
Ruth Haskins MD California Medical Association
Mariann Cosby Emergency Nurses Association
Cathy Owens California School Nurses Organization
Dave Magnino Emergency Medical Services Administrators Association of California
Kathy Ivy Emergency Medical Services Administrators Association of California
Jennifer Joback Food Allergy Research and Education
Marlene Lugg American Red Cross
Michael H. Land, MD American Academy of Allergy Asthma & Immunology
Justin Lemieux Emergency Medical Services Medical Directors Association of California


Date Agenda Location
October 22, 2014 Meeting Agenda
10901 Gold Center Dr., Suite 400,
Rancho Cordova, CA 95670
November 21, 2014 Meeting Agenda
10901 Gold Center Dr., Suite 400,
Rancho Cordova, CA 95670
December 19, 2014 Review of Draft Regulations
10901 Gold Center Dr., Suite 400,
Rancho Cordova, CA 95670
January 13, 2015 Review of Draft Regulations
10901 Gold Center Dr., Suite 400,
Rancho Cordova, CA 95670



October 2014
Taskforce drafts regulations to outline training standards and certification
February 2015
Rulemaking file opened with Office of Administrative law
Regulations must be approved within one year
March 2015
Draft regulations released for public comment
September 2015
Draft regulations submitted to Commission on EMS for approval
October 2015
Office of Administrative Law reviews and approves regulations
January 2016
Epinephrine Auto-injector Regulations go into effect

Contact Us

For questions regarding Epinephrine auto-injectors and SB 669, or to be added to our list to receive updates on this topic, please contact:

Corrine Fishman
Phone: (916) 431-3727

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