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        PRIOR PRINTER'S NO. 279                       PRINTER'S NO. 2210

THE GENERAL ASSEMBLY OF PENNSYLVANIA


HOUSE BILL

No. 256 Session of 2005


        INTRODUCED BY CRAHALLA, ALLEN, BAKER, BASTIAN, BEBKO-JONES,
           BELFANTI, BIRMELIN, BLACKWELL, BUNT, CALTAGIRONE, CAPPELLI,
           CAUSER, CAWLEY, CORNELL, CRUZ, EACHUS, J. EVANS, FRANKEL,
           FREEMAN, GEORGE, GINGRICH, HARHAI, HARPER, HARRIS, HENNESSEY,
           HERMAN, KILLION, LEACH, LEDERER, MARKOSEK, NICKOL, PETRARCA,
           PETRONE, PISTELLA, REICHLEY, ROEBUCK, ROHRER, SAINATO,
           SATHER, SOLOBAY, R. STEVENSON, E. Z. TAYLOR, THOMAS, TIGUE,
           WALKO, WATSON, YOUNGBLOOD, MAHER, BOYD, GOODMAN, CURRY,
           JAMES, BROWNE AND O'NEILL, FEBRUARY 8, 2005

        AS REPORTED FROM COMMITTEE ON EDUCATION, HOUSE OF
           REPRESENTATIVES, AS AMENDED, JUNE 14, 2005

                                     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 definitions and
     6     for health services.

     7     The General Assembly of the Commonwealth of Pennsylvania
     8  hereby enacts as follows:
     9     Section 1.  Section 1401 of the act of March 10, 1949
    10  (P.L.30, No.14), known as the Public School Code of 1949, is
    11  amended by adding a definition to read:
    12     Section 1401.  Definitions.--As used in this article--
    13     (13)  "Screening for diabetes" means a noninvasive             <--
    14  examination that assesses a child's potential to develop
    15  diabetes by examining risk factors that include obesity or any
    16  other factors consistent with increased risk.

     1     * * *                                                          <--
     2     (13)  "TYPE 2 DIABETES RISK ASSESSMENT" MEANS A NONINVASIVE
     3  ASSESSMENT THAT INCLUDES, BUT IS NOT LIMITED TO: (I) DETERMINING
     4  WHETHER A CHILD IS OVERWEIGHT OR AT RISK OF BEING OVERWEIGHT, AS
     5  DETERMINED BY STANDARDS DEVELOPED BY THE CENTERS FOR DISEASE
     6  CONTROL AND PREVENTION; AND (II) ASSESSING WHETHER THE CHILD HAS
     7  ANY OF THE FOLLOWING RISK FACTORS: (A) SIGNS OF INSULIN
     8  RESISTANCE OR CONDITIONS ASSOCIATED WITH INSULIN RESISTANCE,
     9  INCLUDING ACANTHOSIS NIGRICANS, HYPERTENSION, DYSLIPIDEMIA, OR
    10  POLYCYSTIC OVARIAN SYNDROME; (B)  FAMILY HISTORY OF TYPE 2
    11  DIABETES MELLITUS; OR (C) BELONGING TO A RACE OR ETHNICITY WITH
    12  KNOWN PREDISPOSITION FOR DEVELOPING TYPE 2 DIABETES.
    13     Section 2.  Section 1402(a) of the act, amended August 9,      <--
    14  1963 (P.L.642, No.340), is amended to read:
    15     Section 1402.  Health Services.--(a)  Each child of school
    16  age shall be given by methods established by the Advisory Health
    17  Board, (1) a vision test by a school nurse, medical technician
    18  or teacher, (2) a hearing test by a school nurse or medical
    19  technician, (3) a measurement of height and weight by a school
    20  nurse or teacher, (4) tests for tuberculosis under medical
    21  supervision, (5) screening for diabetes by a school nurse,
    22  medical technician or teacher, and [(5)] (6) such other tests as
    23  the Advisory Health Board may deem advisable to protect the
    24  health of the child. Vision tests shall be given at least
    25  annually and other tests at intervals established by the
    26  Advisory Health Board.
    27     SECTION 2.  SECTION 1402 OF THE ACT IS AMENDED BY ADDING A     <--
    28  SUBSECTION TO READ:
    29     SECTION 1402.  HEALTH SERVICES.--* * *
    30     (E.1)  A TYPE 2 DIABETES RISK ASSESSMENT SHALL BE COMPLETED
    20050H0256B2210                  - 2 -     

     1  AS A REQUIRED PART OF EACH MEDICAL EXAMINATION CONDUCTED
     2  PURSUANT TO SUBSECTION (E). A PUPIL SHALL BE CONSIDERED AT RISK
     3  OF DEVELOPING TYPE 2 DIABETES IF THE PUPIL IS DETERMINED TO BE
     4  OVERWEIGHT OR AT RISK OF BEING OVERWEIGHT AND HAS AT LEAST ONE
     5  OF THE OTHER RISK FACTORS OF THE RISK ASSESSMENT. RESULTS OF THE
     6  TYPE 2 DIABETES RISK ASSESSMENT SHALL BE DOCUMENTED ON THE
     7  CHILD'S MEDICAL REPORT OF EXAMINATION AND BECOME PART OF THE
     8  CHILD'S SCHOOL HEALTH RECORD.
     9     * * *
    10     Section 3.  This act shall take effect in 60 days.














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