A new bill filed by State Rep. Donny Lambeth in the North Carolina House seeks to improve emergency treatment options for students with asthma or anaphylactic conditions in schools, according to the North Carolina State House.
The bill, filed as HB 397 on March 13 during the 2025 regular session, was formally listed with the short title: ‘Use of Epinephrine Nasal Spray.’
The following is our breakdown, based on the actual bill text, and may include interpretation to clarify its provisions.
In essence, this bill allows the use of epinephrine nasal sprays in addition to auto-injectors in schools for emergency treatment of anaphylactic reactions. It mandates local education boards to adopt policies enabling students with asthma or anaphylactic conditions to possess and self-administer medications, including nasal sprays. Schools must maintain a supply of emergency epinephrine delivery systems, stored securely but accessible for trained personnel. The bill requires training for school staff on recognizing anaphylaxis symptoms and the use of these delivery systems. It expands the health and safety requirements to charter and regional schools, ensuring their compliance. This act is set to be effective upon becoming law and will apply from the 2025-26 school year.
Of the two sponsors of this bill, Lambeth proposed the most bills (23) during the 2025 regular session.
Bills in North Carolina follow a multi-step process before becoming law. A lawmaker starts by filing a bill, which is assigned to a committee for review. The bill must be read three times in each chamber. If one chamber changes the bill after the other passes it, both must agree on the final version. Once both chambers approve the same bill, it goes to the governor, who has 10 days (or 30 if the legislature is not in session) to sign, veto, or let it become law without a signature.
You can read more about the bills and other measures here.
Lambeth graduated from High Point University in 1972 with a BA.
Lambeth, a Republican, was elected to the North Carolina State House in 2013 to represent the state’s 75th House district, replacing previous state representative Bill McGee.
| Authors | Bill Number | Date Filed | Title |
|---|---|---|---|
| Donny Lambeth and Tricia Ann Cotham | HB 397 | 03/13/2025 | Use of Epinephrine Nasal Spray. |
| Donny Lambeth, Carla D. Cunningham, Donna McDowell White, and Larry W. Potts | HB 396 | 03/13/2025 | Nursing Fellows & Curric. Support Funds/WSSU. |
| Donny Lambeth, Dean Arp, John R. Bell, IV, and Larry C. Strickland | HB 389 | 03/12/2025 | Child Care Workforce Pilot Program. |
| Donny Lambeth, Carla D. Cunningham, Donnie Loftis, and Larry W. Potts | HB 328 | 03/06/2025 | Ban Delta-8 & Delta-9 on School Grounds. |
| Donny Lambeth, Carla D. Cunningham, Donnie Loftis, and Larry W. Potts | HB 329 | 03/06/2025 | Tobacco and Hemp on Nonpublic School Grounds. |
| Donny Lambeth, Becky Carney, Donna McDowell White, and Mary Belk | HB 297 | 03/05/2025 | Breast Cancer Prevention Imaging Parity. |
| Donny Lambeth, Dean Arp, Erin Paré, and Heather H. Rhyne | HB 309 | 03/05/2025 | Various Local Provisions VI. |
| Donny Lambeth, Donnie Loftis, and Kyle Hall | HB 274 | 03/04/2025 | Foster Care Services/Funds. |
| Donny Lambeth, Donna McDowell White, Larry W. Potts, and Timothy Reeder, MD | HB 242 | 02/26/2025 | Add Psychiatric Hospitals to Medicaid HASP. |
| Donny Lambeth, Erin Paré, Mike Schietzelt, and Tricia Ann Cotham | HB 192 | 02/25/2025 | Salary Adjustments and Budget Offsets. |
| Donny Lambeth, Cody Huneycutt, Larry W. Potts, and Timothy Reeder, MD | HB 152 | 02/18/2025 | Access to Transcranial Magnetic Stimulation. |
| Donny Lambeth, Harry Warren, John M. Blust, and Paul Scott | HB 142 | 02/17/2025 | Implement Zero-Based Budgeting. |
| Donny Lambeth, Erin Paré, Kyle Hall, and Larry W. Potts | HB 124 | 02/13/2025 | Adopt Official State Cookie. |
| Donny Lambeth, Donna McDowell White, Erin Paré, and Kyle Hall | HB 125 | 02/13/2025 | Continuing Budget Operations. |
| Donny Lambeth, Donna McDowell White, and Larry W. Potts | HB 113 | 02/12/2025 | Create Committee on Medicaid Sustainability. |
| Donny Lambeth, Dean Arp, Kyle Hall, and Larry C. Strickland | HB 74 | 02/10/2025 | House Budget Technical Corrections. |
| Donny Lambeth and Jeff Zenger | HB 82 | 02/10/2025 | Study Commission for LEA Size. |
| Donny Lambeth, Grant L. Campbell, MD, Larry W. Potts, and Timothy Reeder, MD | HB 67 | 02/05/2025 | Healthcare Workforce Reforms. |
| Donny Lambeth, Allen Chesser, Erin Paré, and Kyle Hall | HB 46 | 02/04/2025 | Make Healthcare Affordable. |
| Donny Lambeth, Grant L. Campbell, MD, Kelly E. Hastings, and Timothy Reeder, MD | HB 49 | 02/04/2025 | Filial Debt Fairness Act. |
| Donny Lambeth, Brian Biggs, Larry W. Potts, and Tricia Ann Cotham | HB 60 | 02/04/2025 | Modernize Medicaid Dental Rates. |
| Donny Lambeth, Jeff Zenger, Kyle Hall, and Larry W. Potts | HB 30 | 02/03/2025 | SchCalFlex/WS-F,Stokes,Davdsn/Aug11 & Assmnts. |
| Donny Lambeth, Jeff Zenger, Kyle Hall, and Tricia Ann Cotham | HB 34 | 02/03/2025 | Establish Larceny of Mail Offense. |
