Use of Epinephrine Auto-injectors by Authorized Entities

C.R.S. tit. 25, art. 47
in effect

C.R.S. § 25-47-101 Definitions

25-47-101. Definitions. As used in this article 47: (1) "Administer" means to directly apply an epinephrine auto-injector to the body of an individual. (2) "Authorized entity" means an entity or organization, other than a school described in section 22-1-119.5, C.R.S., or a hospital licensed or certified pursuant to section 25-1.5-103 (1)(a)(I)(A) or (1)(a)(II), at which allergens capable of causing anaphylaxis may be present. The term includes but is not limited to recreation camps, colleges and universities, day care facilities, youth sports leagues, amusement parks, restaurants, places of employment, ski areas, and sports arenas. (3) "Emergency public access station" or "EPAS" means a locked, secure container used to store epinephrine auto-injectors for use under the general oversight of a medical professional, which allows a lay rescuer to consult with a medical professional in real time by audio, televideo, or other similar means of electronic communication. Upon authorization of the consulting medical professional, an EPAS may be unlocked to make an epinephrine auto-injector available. (4) "Epinephrine auto-injector" means a single-use device used for the automatic injection of a premeasured dose of epinephrine into the human body. (5) "Health-care practitioner" means a person authorized by law to prescribe any drug or device, acting within the scope of his or her authority. (6) "Medical professional" means a physician or other person authorized by applicable law to prescribe drugs in this state or another state. (7) "Pharmacist" has the meaning set forth in section 12-280-103 (35). (8) "Provide" means to supply one or more epinephrine auto-injectors to an individual.

C.R.S. § 25-47-102 Stock supply of epinephrine auto-injectors - emergency administration

25-47-102. Stock supply of epinephrine auto-injectors - emergency administration. (1) Notwithstanding any provision of law to the contrary: (a) Prescribing to an authorized entity permitted. A health-care practitioner may direct the distribution of epinephrine auto-injectors from an in-state prescription drug outlet to an authorized entity for use in accordance with this article, and health-care practitioners may distribute epinephrine auto-injectors to an authorized entity; and (b) Authorized entities permitted to maintain supply. An authorized entity may acquire and stock a supply of epinephrine auto-injectors pursuant to a prescription issued in accordance with this section. (2) Epinephrine auto-injectors must be stored: (a) In a location that will be readily accessible in an emergency; (b) According to the applicable instructions for use; and (c) In compliance with any additional requirements that may be established by the department of public health and environment. (3) An authorized entity shall designate employees or agents who have completed the training required by section 25-47-104 to be responsible for the storage, maintenance, control, and general oversight of epinephrine auto-injectors acquired by the authorized entity.

C.R.S. § 25-47-103 Use of epinephrine auto-injectors

25-47-103. Use of epinephrine auto-injectors. (1) An employee or agent of an authorized entity or other individual who has completed the training required by section 25-47-104 may use epinephrine auto-injectors prescribed pursuant to section 25-47-102 to provide or administer an epinephrine auto-injector to any individual whom the employee, agent, or other individual believes in good faith is experiencing anaphylaxis, regardless of whether the individual has a prescription for an epinephrine auto-injector or has previously been diagnosed with an allergy, or to provide an epinephrine auto-injector to a family member, friend, colleague, caregiver, or person with a similar relationship with the individual. (2) The administration of an epinephrine auto-injector in accordance with this section is neither the practice of medicine nor of any other profession that requires licensure.

C.R.S. § 25-47-104 Training

25-47-104. Training. (1) An employee, agent, or other individual must complete an anaphylaxis training program before using an epinephrine auto-injector. The training must be conducted by a nationally recognized organization experienced in training laypersons in emergency health treatment or by an individual or entity approved by the department of public health and environment. The department of public health and environment may approve specific entities or individuals to conduct training or may approve specific classes by individuals or entities. The training may be conducted online or in-person and, at a minimum, must cover: (a) How to recognize the signs and symptoms of severe allergic reactions, including anaphylaxis; (b) The standards and procedures for the storage and administration of an epinephrine auto-injector; and (c) Emergency follow-up procedures. (2) The individual or entity that conducts the anaphylaxis training program shall issue a certificate, on a form developed or approved by the department of public health and environment, to each person who successfully completes the anaphylaxis training program.

C.R.S. § 25-47-105 Reporting

25-47-105. Reporting. An authorized entity that possesses and makes available epinephrine auto-injectors shall submit to the department of public health and environment, on a form developed by the department of public health and environment, a report of each incident on the authorized entity's premises that involves the administration of an epinephrine auto-injector pursuant to section 25-47-103. The department of public health and environment shall annually publish a report that summarizes and analyzes all reports submitted to it under this section.

C.R.S. § 25-47-106 Emergency public access stations - life-saving allergy medication

25-47-106. Emergency public access stations - life-saving allergy medication. (1) Notwithstanding any law to the contrary: (a) A medical professional may prescribe a stock supply of epinephrine auto-injectors to any authorized entity for storage in an EPAS and may place a stock supply of epinephrine auto-injectors in an EPAS maintained by an authorized entity; (b) A medical professional may consult the user of an EPAS and make the epinephrine auto-injectors stored in the EPAS available to the user; and (c) Any person may use an EPAS to administer or provide an epinephrine auto-injector to an individual believed in good faith to be experiencing anaphylaxis or to provide an epinephrine auto-injector to a family member, friend, colleague, caregiver, or person with a similar relationship with the individual. (2) The use of an EPAS in accordance with this article is neither the practice of medicine nor of any other profession that requires licensure.

C.R.S. § 25-47-107 Good samaritan protections - liability

25-47-107. Good samaritan protections - liability. (1) The following individuals and entities are immune from criminal liability and from suit in any civil action brought by any person for injuries or related damages that result from an act or omission taken pursuant to this article: (a) An authorized entity that possesses and makes available epinephrine auto-injectors or an EPAS and the entity's employees, agents, and other individuals; (b) An authorized entity that does not possess or make available epinephrine auto-injectors or an EPAS and the entity's employees, agents, and other individuals; (c) An individual or entity that conducts an anaphylaxis training program; (d) An individual who prescribes or dispenses an epinephrine auto-injector; (e) An individual who administers or provides an epinephrine auto-injector; (f) A medical professional who consults the user of an EPAS and makes the epinephrine auto-injectors stored in the EPAS available to the user; or (g) An individual who uses an EPAS. (2) Immunity under subsection (1) of this section does not apply to acts or omissions that are grossly negligent or willful and wanton. (3) This section does not eliminate, limit, or reduce any other immunity or defense that may be available under state law, including the protections set forth in section 13-21-108, C.R.S. Providing or administering an epinephrine auto-injector by an entity or individual is deemed emergency care or emergency assistance for purposes of section 13-21-108, C.R.S. (4) An authorized entity located in this state that provides or administers an epinephrine auto-injector outside of this state is not liable for any resulting injuries or related damages if the authorized entity: (a) Would not be liable for the injuries or related damages if the epinephrine auto-injector had been provided or administered in this state; or (b) Is not liable for injuries or related damages under the law of the state where the authorized entity provided or administered the epinephrine auto-injector.

C.R.S. § 25-47-108 Health-care professionals - hospitals - obligations under state and federal law

25-47-108. Health-care professionals - hospitals - obligations under state and federal law. Nothing in this article limits the obligations of a health-care professional or hospital under state or federal law in prescribing, storing, or administering drugs or devices.
Source: Open US Law by Vaquill AI (CC BY 4.0)URL: https://leg.colorado.gov/sites/default/files/images/olls/crs2024-title-25.docxFetched: 10/6/2026

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