Legislation and Advocacy

​​The mission of PAAA includes advocacy for patients with allergic, asthmatic, and imm​​​unologic disorders in the Commonwealth of Pennsylvania. As one of the major specialties represented in the Specialty Leadership Cabinet of the Pennsylvania Medical Society (PAMED), PAAA has a strong voice in Harrisburg. Also, through the Federation of Regional, State, and Loc​​al Allergy, Asthma & Immunologic Societies (RSLAAIS), PAAA communicates issues to and from our national organizations who have representatives that monitor federal issues ​​and speak with legislators 
in Washington on behalf of allergists.

Through collaboration with other medical societies and communication between local, state, and regional allergy societies, PAAA has advocated for newborn infants with Primary Immunodeficiency, students with food allergy, and patients who require expensive specialty pharmacy drugs. Listed below are some of PAAA’s legislative and regulatory priorities. The Association is dedicated to monitoring and addressing issues that affect our specialty and our patients.


Legislative Activity

House Bill 803: Emergency School Access to Epinephrine
President Obama signed the School Access to Emergency Epinephrine Act which grants preference for grants to study asthma for states with legislation mandating stock epinephrine injectors in schools.

Update: Under PA State Law, Access to Epinephrine Now Encouraged in PA State Schools

Now known as Act 195 of 2014, House Bill 803 was signed into law on October 31, 2014. PAAA worked hand-in-hand with the Pennsylvania Medical Society (PAMED) to get this important legislation passed.

The bill permits a public or private school to authorize a trained school employee to:

  1. Provide an epinephrine auto-injector that meets the prescription on file for either the individual student or the school to a student who is authorized to self-administer an epinephrine auto-injector; and
  2. Administer an epinephrine auto-injector that meets the prescription on file for the school to a student that the employee in good faith believes to be having an anaphylactic reaction.

Physicians and CRNPs will be able to prescribe epinephrine auto-injectors directly to the school for that purpose. The bill also contains necessary safeguards to ensure patient safety.
Now, in 2016: PAAA sent a letter of support for the Airline Access to Emergency Epinephrine Act (S. 1972) which would improve access to life-saving medication for airline passengers with food and other severe allergies. This legislation would require airlines to maintain a supply of epinephrine auto-injectors on commercial aircraft and to train flight crews on proper administration in the event of an allergic emergency.​

Current Issues

 We are monitoring many bills including HB 423 Epinephrine Auto-injector Access on School Buses and HB 1351 Epinephrine Auto-injector access to entities. We have not sent a letter of support for these.​ 

      HB 423 P.N. 458 Epi-pens on School Buses – Representative Simmons
      An Act amending the act of March 10, 1949 (P.L.30, No.14), known as the Public School Code of 1949, in school health services, providing for       administration of epinephrine auto-injectors by school bus drivers.
​      Last Action: April 13, 2016 "Laid on the table" (Senate)

      HB 1351 P.N. 1848 Epinephrine Auto-injector Access to Entities – Representative Baker
      An Act providing for the use of epinephrine auto-injectors by certain entities and organizations; and conferring powers and imposing                 duties on the Department of Health.
      Last Action: Dec 17, 2015 Referred to Public Health and Welfare

 On June 17, 2016 a letter of supprt was sent to Senator Bob Casey regarding the proposed changes to USP 797 Sterile Compounding which would have adversely affected our patients ability to receive allergen immunotherapy. View the support letter (PDF) composed by PAAA President Joel Fiedler, MD and PAAA Immediate Past President Todd D. Green, MD, FAAAAI.
 We placed a Call to Action for SB 717 to preserve physician led medical teams. 

     SB 717 and HB765: Modernization of the Professional Nursing Law - Senator Vance. 
     Would allow certified registered nurse practitioners (CRNPs) to practice without a collaborating physician in Pennsylvania. 
     May 18, 2016: Passed first consideration (Senate)​

 ​We highlighted the upcoming launch of The School-based Asthma Management Program (SAMPRO TM) and will take an active role in disseminating the features of SAMPRO TM including the Asthma Tool Kit.  

PAAA has donated to the following lay organizations:

  • Allergy and Anaphylaxis Network Mothers of Asthmatics (AANMA)
  • Food Allergy Research Education (FARE)
  • Immune Deficiency Foundation (IDF)
  • Kids with Food Allergies (KFA)