| |
|
| |
| THE GENERAL ASSEMBLY OF PENNSYLVANIA |
| |
| SENATE BILL |
|
| |
| |
| INTRODUCED BY BROWNE, SCARNATI, FARNESE, SOLOBAY, RAFFERTY, TARTAGLIONE, PICCOLA, D. WHITE, LEACH, FOLMER, M. WHITE AND VULAKOVICH, OCTOBER 2, 2012 |
| |
| |
| REFERRED TO EDUCATION, OCTOBER 2, 2012 |
| |
| |
| |
| 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," in school health services, further |
6 | providing for definitions; and providing for training of |
7 | school employees in diabetes care and management and for |
8 | possession and use of diabetes medication and monitoring |
9 | equipment. |
10 | The General Assembly of the Commonwealth of Pennsylvania |
11 | hereby enacts as follows: |
12 | Section 1. Section 1401 of the act of March 10, 1949 |
13 | (P.L.30, No.14), known as the Public School Code of 1949, is |
14 | amended by adding clauses to read: |
15 | Section 1401. Definitions.--As used in this article-- |
16 | * * * |
17 | (13) "Diabetes medical management plan" means a document |
18 | describing the medical orders or diabetes regimen developed and |
19 | signed by the student's health care provider and parent or |
20 | guardian. |
21 | (14) "Service agreement" means a student's Section 504 |
|
1 | service agreement pursuant to section 504 of the Rehabilitation |
2 | Act of 1973 (Public Law 93-112, 29 U.S.C. § 794) and 22 Pa. Code |
3 | Ch. 15 (relating to protected handicapped students). |
4 | Section 2. The act is amended by adding sections to read: |
5 | Section 1414.2. Training of School Employes in Diabetes Care |
6 | and Management.--(a) Within one hundred twenty (120) days of |
7 | the effective date of this section, the Department of Health, in |
8 | coordination with the Department of Education, the American |
9 | Diabetes Association, educators and health professionals, shall |
10 | make training modules and guidelines for the instruction of |
11 | school employes in diabetes care and treatment available on its |
12 | publicly accessible Internet website. The training modules shall |
13 | include instruction in a school entity's obligations under 22 |
14 | Pa. Code § 12.41 (relating to student services) and its |
15 | responsibilities to comply with section 504 of the |
16 | Rehabilitation Act of 1973 (Public Law 93-112, 29 U.S.C. § 794) |
17 | and 22 Pa. Code Ch. 15 (relating to protected handicapped |
18 | students). At a minimum, the training modules shall include |
19 | instruction in: |
20 | (1) An overview of all types of diabetes. |
21 | (2) Means of monitoring blood glucose. |
22 | (3) The symptoms and treatment for blood glucose levels |
23 | outside of target ranges as well as hypoglycemia, hyperglycemia |
24 | and other potential emergencies. |
25 | (4) Techniques on administering glucagon and insulin. |
26 | (b) Within one hundred twenty (120) days of the effective |
27 | date of this section the chief school administrator or a |
28 | designee may identify at least one school employe, who is not |
29 | the school nurse and who does not need to be a licensed health |
30 | care provider, in each school building attended by a student |
|
1 | with diabetes. An identified employe shall complete the annual |
2 | training outlined in subsection (a) or annual training offered |
3 | by a licensed health care provider with expertise in the care of |
4 | diabetes that includes substantially the same information as |
5 | outlined in subsection (a). |
6 | (c) A school employe who is not a licensed health care |
7 | provider may be designated in a student's service agreement to |
8 | administer diabetes medication, use monitoring equipment and |
9 | provide other diabetes care. A school entity may require the |
10 | designated employe to complete the annual training required |
11 | under subsection (b) or annual training from a licensed health |
12 | care provider with the expertise in the care of diabetes, or |
13 | both, in the administration of diabetes medications or use of |
14 | monitoring equipment. Training provided to school employes shall |
15 | be coordinated by the chief school administrator or a designee. |
16 | School entities may include the training in the continuing |
17 | education plan submitted by the school entity to the Department |
18 | of Education under section 1205.1. |
19 | (d) Notwithstanding any other statute or regulation |
20 | restricting the functions that may be performed by persons other |
21 | than licensed health care providers, school employes are |
22 | authorized to perform diabetes care for students for which they |
23 | have been designated and trained under this section. School |
24 | employes shall only be authorized to administer diabetes |
25 | medications via injection or infusion following annual training |
26 | by a school nurse or other licensed health care provider with |
27 | expertise in the care of diabetes. The provision of training by |
28 | a licensed health care provider in accordance with this section |
29 | shall not be construed to violate a licensing-related statute or |
30 | regulation. |
|
1 | (e) For purposes of this section, "school entity" means a |
2 | school district, intermediate unit, area vocational-technical |
3 | school or charter school. |
4 | Section 1414.3. Diabetes Care in Schools.--(a) A parent or |
5 | guardian of a student with diabetes who desires that the student |
6 | receive diabetes-related care in a school setting shall provide |
7 | the school entity with written authorization for the care and |
8 | instructions from the student's health care provider, consistent |
9 | with the school entity's policies regarding the provision of |
10 | school health services. The required authorizations may be |
11 | submitted as part of a diabetes medical management plan. |
12 | (b) All diabetes-related care provided to students shall be |
13 | consistent with the school health program established by the |
14 | governing body of the school entity and any accommodations |
15 | outlined in a student's service agreement. |
16 | (c) A student's service agreement may require a school |
17 | entity to provide the driver of a school bus or school vehicle |
18 | who provides transportation to a student with diabetes with an |
19 | information sheet that: |
20 | (1) Identifies the student with diabetes. |
21 | (2) Identifies potential emergencies that may occur as a |
22 | result of the student's diabetes and the appropriate responses |
23 | to such emergencies. |
24 | (3) Provides the telephone number of a contact person in |
25 | case of an emergency involving the student with diabetes. |
26 | (d) For purposes of this section: |
27 | "School bus" means a school bus as defined in 75 Pa.C.S. § |
28 | 102 (relating to definitions). |
29 | "School entity" means a school district, intermediate unit, |
30 | area vocational-technical school or charter school. |
|
1 | "School vehicle" means a school vehicle as defined in 75 |
2 | Pa.C.S. § 102. |
3 | Section 1414.4. Possession and Use of Diabetes Medication |
4 | and Monitoring Equipment.--(a) A school entity shall require |
5 | the parent or guardian of a student with diabetes who desires |
6 | that the student possess and self-administer diabetes medication |
7 | and monitoring equipment in a school setting to provide the |
8 | following: |
9 | (1) A written statement from the student's health care |
10 | provider that provides the name of the drug, the dose, the times |
11 | when the medication is to be taken or the monitoring equipment |
12 | to be used, the specified time period for which the medication |
13 | or monitoring equipment is authorized to be used and the |
14 | diagnosis or reason the medicine or monitoring equipment is |
15 | needed. The student's health care provider shall indicate the |
16 | potential of any serious reaction to the medication that may |
17 | occur, as well as any necessary emergency response. The |
18 | student's health care provider shall state whether the student |
19 | is competent to self-administer the medication or monitoring |
20 | equipment and whether the student is able to practice proper |
21 | safety precautions for the handling and disposal of the |
22 | medication and monitoring equipment. |
23 | (2) A written request from the parent or guardian that the |
24 | school entity comply with the direction of the student's health |
25 | care provider. The parent's request shall include a statement |
26 | relieving the school entity or any school employe of any |
27 | responsibility for the prescribed medication or monitoring |
28 | equipment and acknowledging that the school entity bears no |
29 | responsibility for ensuring that the medication is taken or the |
30 | monitoring equipment used. |
|
1 | (3) A demonstration of competency by the student satisfying |
2 | the school nurse that the student is capable of self- |
3 | administration of the medication or monitoring equipment. |
4 | (4) A written acknowledgment by the student that the student |
5 | has received instruction from the student's health care provider |
6 | on proper safety precautions for the handling and disposal of |
7 | the medications and monitoring equipment. The written |
8 | acknowledgment shall also contain a provision stating that the |
9 | student will not allow other students to have access to the |
10 | medication and monitoring equipment and that the student |
11 | understands appropriate safeguards. |
12 | (b) A school entity may revoke or restrict a student's |
13 | privileges to possess or self-administer diabetes medication or |
14 | monitoring equipment due to noncompliance with school rules or |
15 | provisions of a student's service agreement or due to |
16 | demonstrated unwillingness or inability of the student to |
17 | safeguard the medication or monitoring equipment from access by |
18 | other students. |
19 | (c) A school entity that restricts a student from possessing |
20 | or self-administering diabetes medication or monitoring |
21 | equipment pursuant to subsection (b) shall ensure that the |
22 | diabetes medication or monitoring equipment are appropriately |
23 | stored in a readily accessible place in the school building |
24 | attended by the student. The school entity shall notify |
25 | appropriate school employes regarding the location of the |
26 | diabetes medication or monitoring equipment and means to access |
27 | them. |
28 | (d) For purposes of this section, "school entity" means a |
29 | school district, intermediate unit, area vocational-technical |
30 | school or charter school. |
|
1 | Section 1414.5. Liability.--Nothing in sections 1414.2, |
2 | 1414.3 or 1414.4 shall be construed to create, establish or |
3 | expand any civil liability on the part of any school entity or |
4 | school employe. |
5 | Section 1414.6. Diabetes Care in Nonpublic Schools.--(a) A |
6 | nonpublic school may comply with the training of school employes |
7 | and provision of diabetes-related care to a student with |
8 | diabetes required under sections 1414.2, 1414.3 and 1414.4. A |
9 | written education plan that outlines the aids and related |
10 | services required to meet the academic needs of the student with |
11 | diabetes may take the place of a service agreement for a student |
12 | with diabetes attending a nonpublic school unless a service |
13 | agreement is otherwise required under law or regulation. |
14 | (b) Nothing in section 1414.2, 1414.3, 1414.4, 1414.5 or |
15 | this section shall be construed to do any of the following: |
16 | (1) Create, establish or expand any obligations on the part |
17 | of any nonpublic school to comply with section 504 of the |
18 | Rehabilitation Act of 1973 (Public Law 93-112, 29 U.S.C. § 794). |
19 | (2) Create, establish, result in or expand any contractual |
20 | obligations on the part of any nonpublic school. |
21 | (c) No nonpublic school employe or nonpublic school shall be |
22 | liable for civil damages as a result of the activities |
23 | authorized by sections 1414.2, 1414.3 and 1414.4, except that an |
24 | employe may be liable for willful misconduct. |
25 | Section 3. This act shall take effect in 60 days. |
|