Sen. Jeffrey M. Schoenberg

Filed: 5/11/2004

 

 


 

 


 
09300HB4154sam001 LRB093 14689 DRJ 50815 a

1
AMENDMENT TO HOUSE BILL 4154

2     AMENDMENT NO. ______. Amend House Bill 4154 by replacing
3 everything after the enacting clause with the following:
 
4     "Section 1. Short title. This Act may be cited as the Care
5 of Students with Diabetes Act.
 
6     Section 5. Legislative findings. The General Assembly
7 finds as follows:
8         (1) Diabetes is a serious chronic disease that
9     interferes with the body's ability to produce or use
10     insulin, impairing the body's ability to metabolize food.
11     Diabetes must be managed 24 hours a day in order to (i)
12     avoid the potentially life-threatening short-term
13     consequences of blood sugar levels that are either too high
14     or too low and (ii) avoid or delay the serious long-term
15     complications of high blood sugar levels that include
16     blindness, amputation, heart disease, and kidney failure.
17         (2) In order to manage their disease, students with
18     diabetes must have access to the means to balance food,
19     medications, and physical activity levels while at school
20     and school-sponsored activities.
21         (3) A certificated school nurse is the most appropriate
22     person in the school setting to coordinate health care
23     services for a student with diabetes.
24         (4) Because of the significant number of students with

 

 

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1     Type 1 diabetes and the increasing prevalence of Type 2
2     diabetes, the effect on a student's ability to learn, and
3     the risk for serious long-term and short-term medical
4     complications, the General Assembly deems it in the public
5     interest to enact this Act.
 
6     Section 10. Definitions. In this Act:
7     "Diabetes medical management plan" means a document that
8 (i) is developed by the parent or guardian of a student with
9 diabetes, (ii) is a treatment and care plan for the student's
10 specific medical needs by the student's treating physician
11 licensed to practice medicine in all its branches, advanced
12 practice nurse who has a collaborative agreement with a
13 collaborating physician that authorizes development of a
14 diabetes medical management plan, or physician assistant who
15 has been delegated authority to develop a diabetes medical
16 management plan, (iii) sets out the services needed by the
17 student at school and school-sponsored activities, (iv) is
18 signed by the parent or guardian, and (v) is signed by the
19 physician or advanced practice nurse authorized to develop the
20 diabetes medical management plan.
21     "School" means a primary or secondary public, charter, or
22 private school located in this State.
23     "School employee" means a person who is employed by a
24 public school district or private school, a person who is
25 employed by a local health department and assigned to a school,
26 or a person who contracts with a school or school district to
27 perform services in connection with the care of students with
28 diabetes.
29     "Health care provider with expertise in diabetes" means a
30 physician, an advanced practice nurse, a registered
31 professional nurse with continuing education in
32 diabetes-related areas, a certificated school nurse, or a
33 licensed dietitian nutritionist.
 

 

 

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1     Section 15. School policies; diabetes medical management
2 plan; self-care; training.
3     (a) Each school board and each governing body of a private
4 or charter school must adopt and implement a policy that:
5         (1) Informs the parent or guardian of a student with
6     diabetes of the parent or guardian's obligation to submit a
7     diabetes medical management plan.
8         (2) Requires the parent or guardian of a student with
9     diabetes who seeks diabetes care while at school and
10     school-sponsored activities to submit a diabetes medical
11     management plan to the school prior to the beginning of
12     each school year or upon enrollment of a student with
13     diabetes or diagnosis of a student's diabetes or change in
14     the student's condition if the enrollment, diagnosis, or
15     change occurs during the school year.
16         (3) Permits a student with diabetes, upon written
17     request of the parent or guardian, in accordance with the
18     student's submitted diabetes medical management plan, to
19     test his or her blood glucose level, administer insulin,
20     treat hypoglycemia and hyperglycemia, and otherwise
21     provide diabetes self-care.
22         (4) Allows a student to possess on his or her person at
23     all times the supplies and equipment necessary to perform
24     diabetes self-care at any time, in any area of the school
25     or school grounds, including, but not limited to, the
26     classroom, in accordance with the student's diabetes
27     medical management plan.
28         (5) Informs the parent or guardian and the student with
29     diabetes of their right to request self-care.
30         (6) Requires, at least once every 2 years or upon the
31     identification of a student with diabetes, the in-service
32     training of school employees by a health care provider with
33     expertise in diabetes regarding the care of students with

 

 

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1     diabetes.
2         (7) Requires school employees who have completed the
3     in-service training regarding the care of students with
4     diabetes to assist students who are unable to provide
5     self-care.
6     (b) Each school board and each governing body of a private
7 or charter school shall develop a policy in accordance with
8 subsection (a) no later than July 1, 2005.
 
9     Section 20. Guidelines and procedures. The Department of
10 Human Services, in consultation with the State Board of
11 Education and other appropriate representatives of entities
12 including, but not limited to, the Illinois Society for
13 Advanced Practice Nursing, the Illinois State Medical Society,
14 the American Diabetes Association, and the Illinois
15 Association of School Nurses shall develop all guidelines and
16 procedures necessary for the implementation of this Act.
17 Guidelines for training may include, but need not be limited
18 to, accepted training standards, emergency procedures, and
19 identification of school personnel to be trained.
 
20     Section 25. Civil immunity. A physician, a nurse, school
21 employees, a public charter school or public school district,
22 or a governing body of a private school is not liable for civil
23 or other damages as a result of conduct other than willful or
24 wanton misconduct related to the care of a student with
25 diabetes under this Act.
 
26     Section 30. Federal law. Nothing in this Act shall limit
27 any rights available under federal law.
 
28     Section 99. Effective date. This Act takes effect upon
29 becoming law.".