Unshackling Sunscreen: The National Movement to Protect Children in Schools

Table of Contents

1. Key Highlights:
2. Introduction:
3. The Genesis of SUNucate: Addressing a Critical Health Gap
4. Overcoming Legislative Hurdles: Dispelling Concerns and Building Consensus
5. A Broad Coalition: Industry, Advocacy, and Public Health Unite
6. Aligning with Consumer Trends: Longevity and Preventative Care
7. Beyond Legislation: The Critical Role of Education
8. Formulating for the Youngest Users: Specific Needs and Safety Standards
9. Broader Policy Implications: Federal Support and Economic Incentives
10. The Ripple Effect: Momentum and Lasting Impact
11. FAQ:

Key Highlights:

• The SUNucate initiative, championed by the American Society for Dermatologic Surgery Association (ASDSA), has driven legislative change in 30 U.S. jurisdictions, removing barriers that previously treated sunscreen as a prescription-only medication in schools.
• This widespread legislative action stems from concerns raised by dermatologic professionals regarding restrictive school medication policies that hindered children's access to crucial sun protection, leading to underutilization.
• Industry giants like Kenvue (parent company of Neutrogena) and a broad coalition of over sixty medical, patient advocacy, and public health organizations are actively supporting SUNucate, recognizing the alignment with public health goals and evolving consumer trends toward preventative health.

Introduction:

The sun, a life-giving force, also harbors significant health risks, particularly for developing skin. Childhood sun exposure is a primary determinant of future skin cancer risk, making early and consistent sun protection an imperative public health objective. Yet, for years, an unforeseen bureaucratic hurdle stood in the way of this fundamental protection within the very institutions responsible for nurturing children: schools. Across the United States, well-intentioned but overly broad "medication bans" often classified sunscreen as an over-the-counter (OTC) drug, requiring a physician’s note or complex protocols for students to bring or use it on school grounds. This regulatory maze inadvertently created a significant barrier, leading to decreased access and, consequently, underutilization of sun-protection measures among children during prolonged outdoor activities at school.

The American Society for Dermatologic Surgery Association (ASDSA), identifying this critical gap, launched the SUNucate initiative. This pioneering effort sought to dismantle these regulatory impediments, advocating for model legislation that explicitly allows students to possess and use sunscreen at school without a doctor's note. The initiative's trajectory, now spanning 30 jurisdictions and gaining robust support from diverse stakeholders, represents a significant stride in prioritizing children's long-term health. It is a testament to the power of targeted advocacy, collaborative partnerships, and a clear understanding of both public health needs and legislative mechanisms. The journey of SUNucate from a concern raised by dermatologists to a national movement underscores a growing societal recognition of proactive health measures, particularly in safeguarding the most vulnerable populations from preventable diseases like skin cancer.

The Genesis of SUNucate: Addressing a Critical Health Gap

The conceptualization of SUNucate was not an abstract policy exercise but a direct response to tangible concerns voiced by frontline medical professionals. Board-certified dermatologists, members of the ASDSA, routinely observed the paradox: while they tirelessly educated patients about the critical importance of sun protection, particularly for children, the practical application of this advice was thwarted by school policies. These policies, often designed to manage prescription medications and prevent the unauthorized distribution of drugs, inadvertently swept sunscreen, a vital preventive health tool, into the same restrictive category.

For many schools, the prevailing regulations mandated that any product resembling a medication—even an OTC item like sunscreen—required a doctor's note and often had to be administered by school nurses or designated personnel. This created an operational bottleneck, placing an undue burden on already stretched school staff and, more importantly, making it impractical for children to consistently reapply sunscreen throughout the school day, especially during outdoor recess, sports, or field trips. A child might have sunscreen at home, but its inaccessibility during critical sun exposure times rendered it useless.

The ASDSA recognized that this was not merely an inconvenience but a public health crisis in the making. With skin cancer rates on the rise, and a clear understanding that cumulative sun exposure during childhood significantly increases the risk of both melanoma and non-melanoma skin cancers later in life, addressing this policy gap became paramount. The SUNucate model legislation was crafted to specifically exempt sunscreen from these medication bans, treating it not as a drug requiring medical supervision, but as a personal care item essential for health protection, akin to a hat or sunglasses. This reframing was central to its effectiveness and subsequent legislative success.

Overcoming Legislative Hurdles: Dispelling Concerns and Building Consensus

The path to legislative change, even for seemingly common-sense measures, is rarely without obstacles. Early in the SUNucate initiative's journey, some states and educational bodies raised legitimate concerns. A primary apprehension revolved around the potential burden on school personnel. Administrators and teachers, already grappling with diverse responsibilities, worried about being tasked with supervising or even applying sunscreen for a large number of students. There were also questions about liability and the practicality of managing a new influx of personal items.

The ASDSA and its coalition partners addressed these concerns proactively by refining the model bill. A key provision introduced into the legislation was the optional nature of school staff involvement. The bill explicitly states that it is optional for school districts or youth camp operators to allow teachers or other personnel to assist in the application of sunscreen, typically with parental permission. This subtle but critical amendment shifted the focus: the primary aim was to allow students to bring and apply their own sunscreen, thereby removing the regulatory barrier, rather than mandating that school staff take on a new role. This flexibility proved crucial in assuaging concerns and garnered broader support from educational stakeholders.

Furthermore, the ASDSA employed a multi-faceted legislative strategy that extended beyond the mere drafting of a model bill. This included active participation at significant events like the National Conference of State Legislatures annual meeting, using this platform to highlight the urgent need for SUNucate. Developing concise and compelling talking points for state medical boards, providing expert testimony by dermatologic surgeons who could articulate the clinical importance of the initiative, and cultivating personal relationships with elected officials were all integral components. These direct engagements allowed advocates to educate lawmakers, answer questions, and build a strong case based on public health evidence and practical considerations. The cumulative effect of these strategic efforts has been the steady accumulation of legislative victories, demonstrating that effective advocacy requires both well-crafted policy and robust outreach.

A Broad Coalition: Industry, Advocacy, and Public Health Unite

The success of the SUNucate initiative is not solely attributable to the efforts of the ASDSA; it is a powerful example of how a broad, diverse coalition can drive significant policy change. The SUNucate coalition has grown to include over sixty organizations, encompassing a wide spectrum of medical associations, patient advocacy groups, and public health communities. This collective voice amplifies the message, lending greater weight and credibility to the call for action. Organizations representing pediatricians, family physicians, cancer survivors, and public health advocates all recognize the universal benefit of easier access to sun protection for children.

Beyond these traditional advocacy groups, a notable development in recent years has been the increased involvement of industry players. Kenvue, the parent company of Neutrogena—a leading brand in sun care—has emerged as a prominent and proud member of the SUNucate coalition since 2024. Their involvement underscores a growing recognition within the private sector that corporate responsibility extends to advocating for policies that promote public health, particularly when aligned with their product categories.

Kenvue’s contribution goes beyond financial support. As their spokesperson highlighted, they actively engage in awareness campaigns, work with key elected officials, and help build momentum for legislative passage. The recent signing of a SUNucate-aligned law by New Jersey Governor Phil Murphy, which passed unanimously through the state legislature, stands as a prime example of this collaborative success. Kenvue's direct involvement in this specific legislative victory illustrates how industry partners can leverage their resources, communication channels, and policy engagement expertise to complement the advocacy efforts of medical and public health organizations. This synergy creates a powerful force for change, marrying scientific expertise with practical implementation and broad public outreach.

Aligning with Consumer Trends: Longevity and Preventative Care

The legislative victories of SUNucate are not occurring in a vacuum; they align closely with broader shifts in consumer behavior and preferences, particularly a growing emphasis on preventative health and longevity. Consumers are increasingly proactive about managing their health and investing in products and practices that contribute to long-term well-being. This trend, captured in Kenvue's "A New View of Care" report, indicates a significant increase in consumer spending on longevity-focused products, with 70% of consumers reporting such an increase.

However, a stark disconnect persists: despite this heightened awareness, only 17% of consumers consistently use sunscreen. This disparity highlights a crucial gap between intent and action, or perhaps, between awareness and consistent practice. It underscores the critical need for initiatives like SUNucate, which address systemic barriers that prevent individuals, particularly children, from adopting consistent sun protection habits. If basic access is restricted, even the most well-informed consumer cannot act on their desire for preventative care.

For manufacturers and suppliers of sun care products, these evolving legislative landscapes and consumer trends represent both a responsibility and an opportunity. Companies like Kenvue recognize that their role extends beyond product innovation and marketing; it involves actively shaping an environment where their products can be used effectively to promote health. Collaborating with organizations like the ASDSA on advocacy work such as SUNucate becomes a strategic imperative. It not only contributes to public health but also aligns the brand with the values of wellness and preventative care that resonate deeply with modern consumers. By supporting policies that make sun protection more accessible, these companies reinforce their commitment to consumer well-being and help foster lifelong sun-safe habits, starting from childhood.

Beyond Legislation: The Critical Role of Education

While removing legislative barriers is a foundational step, the SUNucate initiative understands that policy change alone is insufficient to cultivate a culture of consistent sun safety. Effective sun protection also hinges on education. The model SUNucate legislation, therefore, often includes provisions or recommendations for educational efforts targeting schoolchildren. This optional provision, adopted by some states like Indiana, emphasizes the importance of teaching children about the risks of sun exposure and the benefits of protective measures.

Education needs to be multi-faceted, reaching children, parents, and school staff. For children, the goal is to instill an understanding of why sun protection is important, how to apply sunscreen correctly, and how to incorporate other sun-safe practices like seeking shade and wearing protective clothing. For parents, it involves reinforcing these messages at home and ensuring children have access to appropriate sun protection. For school staff, it means understanding the new policies, promoting sun-safe behaviors, and, where permissible, assisting students.

Industry partners are also heavily invested in this educational component. Kenvue, for instance, has developed an in-school educational curriculum around safe-sun practices in all 50 states, working with partners like Young Minds Inspired. This curriculum provides teachers with resources to integrate sun safety lessons into their existing programs, making learning engaging and relevant. Furthermore, brands like Neutrogena leverage public events, such as Best of Washington, Kidchella, and the NCSL Legislative Summit, to directly educate the public. These events offer opportunities to distribute information, demonstrate proper sunscreen application, and engage with families and policymakers on the importance of sun protection.

These educational efforts are critical because, despite the efficacy of sunscreen in preventing skin cancer—with studies showing regular users are 50% less likely to develop melanoma and 75% less likely to develop non-melanoma skin cancer—usage remains low. The Centers for Disease Control and Prevention (CDC) reports that only 10% of students regularly or nearly regularly use sunscreen during prolonged periods of sun exposure. This stark statistic underscores the persistent knowledge-to-action gap that education aims to bridge. By integrating sun safety into the school curriculum and public awareness campaigns, the SUNucate initiative seeks to not only provide access but also empower children with the knowledge and habits necessary for lifelong skin health.

Formulating for the Youngest Users: Specific Needs and Safety Standards

When considering sun protection for children, the conversation extends beyond mere access to the nuanced considerations of product formulation. Children's skin is more delicate and often more sensitive than adult skin, necessitating specific attention to ingredients, texture, and application ease. Both Kenvue and ASDSA emphasize the paramount importance of tailoring sunscreen products to meet children’s unique needs.

Kenvue advocates for age-appropriate formulations, highlighting that "the best sunscreen is the one that you will consistently use every day." For children, this often means products that are gentle, hypoallergenic, fragrance-free, and easy to apply without causing irritation. The sensory experience is particularly important for children; a sticky, difficult-to-spread, or heavily scented product is less likely to be used consistently. Therefore, formulators focus on creating lightweight, quick-absorbing textures that appeal to both children and their parents.

Crucially, sunscreens marketed for children undergo a rigorous regimen of kid-specific assessments to ensure their safety and efficacy. This includes dermatological testing to confirm non-irritancy and suitability for sensitive skin, often under pediatric supervision. Products are evaluated for photostability (their ability to maintain effectiveness under sun exposure), water resistance (important for active play), and broad-spectrum protection against both UVA and UVB rays. Mineral-based sunscreens, containing zinc oxide and titanium dioxide, are frequently recommended for children due as they sit on the skin's surface and create a physical barrier, making them less likely to cause irritation compared to some chemical filters.

The ASDSA reinforces the efficacy of sunscreen as a preventive measure against skin cancer, underscoring that these specialized formulations are not just about comfort but about robust protection. By ensuring that sunscreens are both accessible and appropriately formulated for children, the SUNucate initiative and its partners are addressing a holistic approach to sun safety. This ensures that when children do have access to sunscreen, they are using products that are not only effective but also safe and pleasant enough to encourage consistent application.

Broader Policy Implications: Federal Support and Economic Incentives

The impact of the SUNucate initiative extends beyond state-level legislation to influence broader federal policy discussions related to sun care. The coalition has actively supported federal efforts aimed at streamlining the regulatory landscape for sunscreen. This includes advocating for initiatives like the SAFE Sunscreen Standards Act and the Over-the-Counter Monograph Drug User Fee Amendments. These acts are designed to modernize the FDA approval process for new sunscreen ingredients, which has historically been slow and cumbersome in the U.S. compared to other regions.

A more efficient approval pathway for innovative sunscreen ingredients would allow for the development of even more advanced, effective, and consumer-friendly formulations. This would directly benefit children by expanding the range of high-quality sun protection products available to them, potentially addressing issues like improved texture, enhanced photostability, and broader spectrum protection. The current regulatory environment has limited the availability of certain ingredients that are widely used and deemed safe in other developed countries, hindering innovation in the U.S. market. By supporting federal reform, SUNucate's coalition aims to ensure that American consumers, especially children, have access to the best available sun protection technologies.

In addition to regulatory reform, the model SUNucate bill was recently updated to include an optional sales tax exemption for sunscreen products. This provision introduces an economic incentive, recognizing sunscreen as a health necessity rather than a luxury item. Sales taxes can add a significant cost burden, particularly for families on tight budgets who need to purchase sunscreen regularly. By removing sales tax, sunscreen becomes more affordable and accessible, further encouraging consistent use. This reflects a broader public health policy principle where essential health-promoting products are made more affordable to encourage widespread adoption. This multi-pronged approach—addressing state-level access, federal regulatory efficiency, and economic affordability—demonstrates the comprehensive vision of the SUNucate initiative in creating an environment conducive to optimal sun protection.

The Ripple Effect: Momentum and Lasting Impact

The accumulation of legislative successes, now reaching 30 jurisdictions, creates a powerful ripple effect. Each state that adopts SUNucate-aligned legislation not only protects its own children but also builds momentum for others to follow. As Kenvue's spokesperson noted, "Each success, like New Jersey’s passage earlier this year, builds momentum and helps encourage other states to follow—progress that will promote lifelong sun-safe habits for our children and have a lasting impact on public health." This demonstrates the interconnectedness of state-level policy adoption; as more states enact these laws, it provides a stronger precedent and clearer pathway for others, reducing perceived risks and demonstrating feasibility.

The progress is not just about legislative count; it's about the tangible impact on public health. By removing barriers to sunscreen access, these laws empower children to protect themselves during their formative years when sun exposure can be most damaging. Establishing sun-safe habits early in life is a cornerstone of preventing skin cancer later on. A child who learns to consistently apply sunscreen at school is more likely to carry that habit into adolescence and adulthood. This long-term view is critical for public health, as the benefits of these early interventions will compound over decades, potentially leading to a significant reduction in skin cancer incidence rates.

The journey of SUNucate also serves as a model for effective advocacy. It highlights the importance of identifying a clear problem, developing a practical solution, building a diverse coalition, and engaging strategically with policymakers. From the initial concerns raised by dermatologic professionals to the sophisticated legislative strategies employed, the initiative demonstrates how sustained effort and collaboration can translate medical evidence into meaningful policy change that profoundly benefits public health. The ultimate success of SUNucate will be measured not just in the number of laws passed, but in the healthier skin and brighter futures of countless children across the nation.

FAQ:

Q1: What is the SUNucate initiative and why was it created?

A1: The SUNucate initiative is a legislative and advocacy effort spearheaded by the American Society for Dermatologic Surgery Association (ASDSA). It was created in response to restrictive school medication policies that treated sunscreen as an over-the-counter drug, often requiring a physician's note for students to bring or use it in schools. This created significant barriers to sun protection for children. SUNucate aims to remove these regulatory hurdles, allowing students to possess and apply sunscreen at school without a doctor's note.

Q2: How many U.S. states and jurisdictions have adopted SUNucate legislation?

A2: As of the latest reports, the SUNucate initiative has gained traction in 30 U.S. jurisdictions, including 29 states and Washington, D.C., which have either passed or are actively considering legislation to allow students easier access to sunscreen in schools.

Q3: What specific problems did the original school medication policies create regarding sunscreen?

A3: The original policies created several problems. By classifying sunscreen as a medication, they:

• Required a physician's note for use, creating an unnecessary barrier for parents and doctors.
• Often mandated that only school nurses or designated personnel administer sunscreen, which was impractical for frequent reapplication.
• Limited students' ability to self-apply sunscreen during outdoor activities like recess or sports.
• Ultimately led to decreased access and underutilization of critical sun protection measures, increasing children's risk of sun damage and future skin cancer.

Q4: Does SUNucate legislation require school staff to apply sunscreen to students?

A4: No. The SUNucate model bill specifically addresses this concern by making it optional for school districts or youth camp operators to choose to allow teachers or other personnel to assist in sunscreen application, typically with parental permission. The primary goal is to remove the barrier for students to bring and apply their own sunscreen, not to mandate new duties for school staff.

Q5: What role do industry partners, such as Kenvue (Neutrogena's parent company), play in the SUNucate initiative?

A5: Industry partners like Kenvue play a significant role by joining the SUNucate coalition and actively supporting advocacy efforts. This includes helping to drive awareness of the need for the legislation, engaging with key elected officials, and building momentum for unanimous passage in legislatures. Their involvement aligns with consumer trends towards preventative health and demonstrates corporate responsibility in promoting public health.

Q6: How does SUNucate align with broader consumer health trends?

A6: SUNucate aligns with the growing consumer trend towards preventative care and longevity-focused products. While many consumers are increasing spending on health and wellness, there's still a gap in consistent sunscreen use. By making sunscreen more accessible, SUNucate helps bridge this gap, allowing individuals, especially children, to adopt consistent sun-safe habits that contribute to long-term health and skin cancer prevention.

Q7: Are there any federal efforts related to sunscreen that SUNucate supports?

A7: Yes, the SUNucate coalition has also supported federal efforts such as the SAFE Sunscreen Standards Act and the Over-the-Counter Monograph Drug User Fee Amendments. These initiatives aim to streamline and modernize the FDA approval process for new sunscreen ingredients, which could lead to more innovative and effective sun protection products being available in the U.S. market.

Q8: What considerations are made for children's sunscreen formulations?

A8: Sunscreen formulations for children emphasize age-appropriateness, gentleness, and ease of use. Products often undergo strict kid-specific assessments to ensure they are safe and effective for sensitive skin, are typically hypoallergenic and fragrance-free, and provide broad-spectrum protection. Mineral sunscreens (zinc oxide, titanium dioxide) are often preferred for children due to their physical barrier action.

Q9: Beyond legislation, what educational efforts are part of the SUNucate model?

A9: Education is a key component. The SUNucate model legislation often includes provisions for educational efforts for schoolchildren about sun safety. Industry partners like Kenvue have developed in-school educational curricula around safe-sun practices and utilize their brands (e.g., Neutrogena) to educate the public at various events. These efforts aim to increase awareness and encourage consistent sun-safe habits from an early age.

Q10: How effective is sunscreen in preventing skin cancer, and what are current usage rates among students?

A10: Sunscreen is highly effective in preventing skin cancer. Studies show regular sunscreen users are 50% less likely to develop melanoma and 75% less likely to develop non-melanoma skin cancer. However, despite its efficacy, the Centers for Disease Control and Prevention (CDC) reports that only 10% of students use sunscreen regularly or nearly regularly during prolonged periods of sun exposure, highlighting a critical need for both access and education.