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                                                      PRINTER'S NO. 2386

THE GENERAL ASSEMBLY OF PENNSYLVANIA


HOUSE BILL

No. 1789 Session of 2007


        INTRODUCED BY SCAVELLO, SIPTROTH, BELFANTI, BISHOP, CARROLL,
           CREIGHTON, CURRY, DALEY, DALLY, DeLUCA, GEIST, GEORGE,
           GILLESPIE, GOODMAN, HARHAI, HENNESSEY, HESS, HORNAMAN, KOTIK,
           KULA, LEACH, McGEEHAN, MELIO, MILLARD, MURT, O'NEILL, PEIFER,
           PETRONE, PICKETT, REICHLEY, SOLOBAY, J. TAYLOR, THOMAS,
           J. WHITE, WOJNAROSKI AND YOUNGBLOOD, AUGUST 1, 2007

        REFERRED TO COMMITTEE ON EDUCATION, AUGUST 1, 2007

                                     AN ACT

     1  Amending the act of March 10, 1949 (P.L.30, No.14), entitled "An
     2     act relating to the public school system, including certain
     3     provisions applicable as well to private and parochial
     4     schools; amending, revising, consolidating and changing the
     5     laws relating thereto," further providing for CPR and
     6     automated external defibrillator instruction; providing for
     7     procedures regarding response to cardiac arrest, for
     8     donations for use related to CPR instruction, for donations
     9     to school entities for use in CPR instruction, for a
    10     cardiovascular screening pilot program and for availability
    11     of automated external defibrillator.

    12     The General Assembly finds and declares as follows:
    13         (1)  Each year at least 250,000 Americans die of sudden
    14     cardiac arrest before they reach a hospital. Sudden cardiac
    15     arrest strikes people of all ages and degrees of fitness, and
    16     usually strikes without warning.
    17         (2)  Many lives can be saved if bystanders quickly
    18     telephone 911 and begin cardiopulmonary resuscitation (CPR),
    19     or if a trained responder provides defibrillation within
    20     minutes.


     1         (3)  Most cardiac arrest is caused by ventricular
     2     fibrillation, an abnormal heart rhythm that prevents the
     3     heart from pumping blood, which can be treated by
     4     defibrillation.
     5         (4)  For this reason, the near availability of an
     6     automated external defibrillator is critical to protecting
     7     lives in locations where emergency personnel may not arrive
     8     in time.
     9     The General Assembly of the Commonwealth of Pennsylvania
    10  hereby enacts as follows:
    11     Section 1.  Section 1205.4 of the act of March 10, 1949
    12  (P.L.30, No.14), known as the Public School Code of 1949, added
    13  November 22, 2000 (P.L.672, No.91), is amended to read:
    14     Section 1205.4.  CPR and Use of Automated External
    15  Defibrillator Instruction.--(a)  School entities shall [be
    16  required to offer a cardiopulmonary resuscitation training (CPR)
    17  class] make available to district employes and volunteers
    18  instruction in the principles and techniques of cardiopulmonary
    19  resuscitation (CPR) and the use of an automated external
    20  defibrillator (AED), as defined in section 1423, on school
    21  premises at least once every three years. The course shall be
    22  offered as an option to all employes and volunteers of the
    23  school entity.
    24     (b)  Completion of training, including testing of skills and
    25  knowledge, shall be documented by the signature and title of a
    26  representative of the training entity and shall include the date
    27  training was completed. Documentation shall be retained in the
    28  facility in that employe's or volunteer's file. Training shall
    29  be conducted by:
    30     (1)  the American Red Cross;
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     1     (2)  the American Heart Association;
     2     (3)  an individual certified to conduct CPR training by the
     3  American Red Cross, American Heart Association or other
     4  certifying agency approved by the Department of Health; or
     5     (4)  other certifying agency approved by the Department of
     6  Health.
     7     (c)  School [districts] entities may include this training in
     8  the continuing education plan submitted by the district to the
     9  Department of Education under section 1205.1.
    10     (c.1)  Each school nurse, assistant school nurse, athletic
    11  coach or sponsor, physical education instructor, marching band
    12  director, athletic trainer, cheerleading coach, and any other
    13  school employe specified by the secretary and each student who
    14  serves as an athletic trainer must participate in the
    15  instruction in the use of an automated external defibrillator. A
    16  person described in this subsection must receive and maintain
    17  certification in the use of an automated external defibrillator
    18  from the American Heart Association, the American Red Cross or a
    19  similar nationally recognized association.
    20     (c.2)  A nonpublic or private school that receives an
    21  automated external defibrillator from the department or receives
    22  funding from a certifying agency to purchase or lease an
    23  automated external defibrillator under section 1205.5 shall
    24  adopt a policy under which the school makes available to school
    25  employes and volunteers instruction in the principles and
    26  techniques of cardiopulmonary resuscitation and the use of an
    27  automated external defibrillator. The policy must comply with
    28  the requirements prescribed by this section and rules adopted by
    29  the department.
    30     (d)  For purposes of this section, a school entity shall be
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     1  defined as a local school district, intermediate unit, [or] area
     2  vocational-technical school or charter school.
     3     Section 2.  The act is amended by adding sections to read:
     4     Section 1205.5.  Procedures Regarding Response to Cardiac
     5  Arrest.--(a)  Each school entity, nonpublic and private school
     6  shall develop safety procedures to follow in responding to a
     7  medical emergency involving cardiac arrest, including the
     8  appropriate response time in administering cardiopulmonary
     9  resuscitation, using an automated external defibrillator, or
    10  calling a local emergency medical services provider.
    11     (b)  A nonpublic or private school that receives an automated
    12  external defibrillator from the Department of Education or
    13  receives funding from the department to purchase or lease an
    14  automated external defibrillator shall comply with this section.
    15     Section 1205.6.  Donations for Use Related to CPR and
    16  Automated External Defibrillator Instruction.--(a)  The
    17  department may accept donations, including donations of
    18  equipment, for use in providing CPR and AED instruction to
    19  students, school employes and volunteers. The Department of
    20  Education:
    21     (1)  shall distribute the donations to school entities for
    22  the purpose of CPR and AED instruction under sections 1205.4 and
    23  1205.7; and
    24     (2)  may use a portion of the donations to the extent
    25  necessary to pay administrative expenses related to the
    26  donations.
    27     (b)  A school entity may accept from the department donations
    28  the department receives under subsection (a) for use in
    29  providing instruction to students in the principles and
    30  techniques of CPR. A school entity may accept other donations,
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     1  including donations of equipment, for use in providing the
     2  instruction.
     3     (c)  To the extent that resources are available to a school
     4  entity under this section, the school entity shall provide
     5  instruction to students in the principles and techniques of CPR.
     6     (d)  A school entity may use resources other than those made
     7  available under this section to provide instruction to students
     8  in the principles and techniques of CPR.
     9     (e)  The department may adopt rules as necessary to implement
    10  this section.
    11     Section 1205.7.  CPR Instruction: Donations to School
    12  Entities for Use in CPR Instruction.--(a)  To the extent that
    13  resources are available to a school entity under section 1205.6,
    14  a school entity shall provide instruction to students in the
    15  principles and techniques of CPR.
    16     (b)  A school entity that provides instruction to students in
    17  the principles and techniques of CPR may accept from the
    18  Department of Education donations the department receives under
    19  section 1205.6 for use in providing instruction to students in
    20  the principles and techniques of CPR. A school entity may accept
    21  other donations, including donations of equipment, for use in
    22  providing the instruction.
    23     (c)  A school entity may use resources other than those made
    24  available under section 1205.6 to provide instruction to
    25  students in the principles and techniques of CPR.
    26     Section 1402.1.  Cardiovascular Screening Pilot Program.--(a)
    27  There is hereby established a pilot program under which sixth
    28  grade students at participating school entities are administered
    29  a cardiovascular screening, including an electrocardiogram and
    30  an echocardiogram.
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     1     (b)  The Secretary of Education shall select school entities
     2  to participate in the pilot program. In selecting school
     3  entities, the secretary shall ensure that the cardiovascular
     4  screening is administered to an ethnically diverse range of
     5  students.
     6     (c)  The Department of Education may accept grants and
     7  donations for use in administering the pilot program.
     8     (d)  Participating school entities shall:
     9     (1)  provide the results of a student's cardiovascular
    10  screening to the student's parent or guardian; and
    11     (2)  provide a summary of the results of the cardiovascular
    12  screenings to the department in a manner that does not identify
    13  specific students. Not later than January 1, 2009, the
    14  department shall prepare and deliver to the General Assembly a
    15  report summarizing the results of the cardiovascular screenings.
    16  This subsection expires June 1, 2009.
    17     (e)  The department may adopt rules necessary to administer
    18  this section.
    19     Section 3.  Section 1423 of the act, added May 17, 2001
    20  (P.L.4, No.4), is amended to read:
    21     Section 1423.  [Automatic] Automated External
    22  Defibrillators.--(a)  For the fiscal year 2001-2002, the
    23  department shall establish a one-time automatic external
    24  defibrillator program to assist school entities in acquiring
    25  automatic external defibrillators.
    26     (b)  The department, in consultation with the Department of
    27  General Services, shall issue an invitation to bid for the cost
    28  of automatic external defibrillators. The department shall
    29  accept the bid of the lowest responsible bidder and permit any
    30  school entity to purchase the devices at the contract bid price.
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     1     (c)  To be eligible to obtain or purchase automatic external
     2  defibrillators under the program a school entity must:
     3     (1)  Assure that two (2) or more persons assigned to the
     4  location where the automatic external defibrillator will be
     5  primarily housed are trained as required in subsection (d).
     6     (2)  Ensure that the device will be secured in a safe and
     7  readily accessible location and agree to properly maintain and
     8  test the device according to the manufacturer's operational
     9  guidelines.
    10     (3)  Submit a valid prescription for the device from a
    11  licensed medical practitioner in this Commonwealth.
    12     (4)  Agree to provide the training required by subsection
    13  (d).
    14     (d)  School personnel who are expected to use the [automatic]
    15  automated external defibrillator shall complete training in
    16  cardiopulmonary resuscitation and in the use of an [automatic]
    17  automated external defibrillator provided by the American Heart
    18  Association, the American Red Cross or through an equivalent
    19  course of instruction approved by the Department of Health.
    20     (e)  A school entity may include the training required by
    21  subsection (d) in its continuing professional education plan
    22  submitted to the department under section 1205.1.
    23     (f)  The provisions of 42 Pa.C.S. § 8331.2 (relating to good
    24  Samaritan civil immunity for use of automated external
    25  defibrillator) shall apply to school employes who render care
    26  with an [automatic] automated external defibrillator.
    27     (g)  From funds appropriated for this purpose, the
    28  department, upon request, shall provide: up to two (2)
    29  [automatic] automated external defibrillators to each school
    30  district; one (1) [automatic] automated external defibrillator
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     1  to each intermediate unit; and one (1) [automatic] automated
     2  external defibrillator to each area vocational-technical school.
     3     (h)  No school entity shall be required to participate in the
     4  automatic external defibrillator program.
     5     (i)  No later than June 30, 2002, the secretary shall submit
     6  a report to the General Assembly describing the effectiveness of
     7  this section in outfitting the Commonwealth's school entities
     8  with [automatic] automated external defibrillators.
     9     (j)  The department may adopt guidelines as necessary to
    10  administer this section.
    11     (k)  As used in this section--
    12     "[Automatic] Automated external defibrillator" means a
    13  portable device that uses electric shock to restore a stable
    14  heart rhythm to an individual in cardiac arrest.
    15     "Department" means the Department of Education of the
    16  Commonwealth.
    17     "School entity" means an area vocational-technical school, a
    18  charter school, an intermediate unit, a nonpublic school or a
    19  school district.
    20     "Secretary" means the Secretary of Education of the
    21  Commonwealth.
    22     Section 4.  The act is amended by adding a section to read:
    23     Section 1423.1.  Availability of Automated External
    24  Defibrillators.--(a)  Every school entity, nonpublic and private
    25  school shall have at least one automated external defibrillator
    26  on the school's premises or campus at all times. The board of
    27  school directors shall adopt a policy regarding the placement
    28  and use of AEDs and the number of personnel who must receive
    29  training as required by section 1205.4.
    30     (b)  Whenever school entities' facilities are used for
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     1  school-sponsored or school-approved interscholastic athletics,
     2  and whenever such events or athletics are held at any location,
     3  the school entity whose facilities are being used shall, in
     4  cooperation with the Pennsylvania Interscholastic Athletic
     5  Agency (PIAA), make available an automated external
     6  defibrillator and at least one school employe who is trained
     7  pursuant to section 1205.4 at each interscholastic athletic
     8  contest or competition. The presence of emergency services
     9  personnel shall fulfill the requirement.
    10     (c)  This section does not:
    11     (1)  waive any liability or immunity of a school entity or
    12  its officers or employes; or
    13     (2)  create any liability for or a cause of action against a
    14  school entity or its officers or employes.
    15     (d)  Every school entity, nonpublic and private school shall
    16  ensure that every AED on the school's premises or campus is
    17  properly tested and maintained in accordance with the
    18  manufacturer's operational guidelines.
    19     (e)  This section applies to a nonpublic or private school
    20  that receives an automated external defibrillator from the
    21  department or receives funding from the department to purchase
    22  or lease an automated external defibrillator under section
    23  1205.6.
    24     Section 5.  This act shall take effect in 60 days or
    25  immediately, whichever is later.




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