BILL ANALYSIS                                                                                                                                                                                                    Ó



          SENATE COMMITTEE ON EDUCATION
                              Senator Carol Liu, Chair
                                2015 - 2016  Regular 

          Bill No:             SB 1258            
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          |Author:    |Huff                                                 |
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          |Version:   |March 29, 2016                          Hearing      |
          |           |Date:      April 13, 2016                            |
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          |Urgency:   |No                     |Fiscal:      |Yes             |
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          |Consultant:|Lynn Lorber                                          |
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          Subject:  Pupil health:  food allergies:  local educational  
          agency policy


            SUMMARY
          
          This bill requires each school district, county office of  
          education, and charter school to develop a comprehensive policy  
          to protect students with food allergies.

            BACKGROUND
          
          Existing law:

          1)   Requires local educational agencies (LEAs) to provide  
               emergency epinephrine auto-injectors to school nurses or  
               trained personnel who have volunteered, and authorizes  
               school nurses or trained personnel to use the epinephrine  
               auto-injectors to provide emergency medical aid to a person  
               suffering from an anaphylactic reaction.  (Education Code §  
               49414)

          2)   Authorizes students to carry and self-administer prescribed  
               inhaled asthma or auto-injectable epinephrine medication  
               while at school.  
          (EC § 49423 and § 49423.1)

          3)   Authorizes, in the absence of a credentialed school nurse  
               or other licensed nurse onsite at the school, non-medical  
               school personnel to administer medication to a pupil in an  







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               emergency, after receiving specified training:

               a)        Glucagon may be administered to students with  
                    diabetes suffering 
               from severe hypoglycemia.  (EC § 49414.5)

               b)        Emergency anti-seizure medication may be  
                    administered to students with epilepsy suffering from  
                    seizures.  (EC § 49414.7)

            ANALYSIS
          
          This bill requires each school district, county office of  
          education, and charter school to develop a comprehensive policy  
          to protect students with food allergies.  Specifically, this  
          bill:

          1)   Requires each school district, county office of education,  
               and charter school to develop a comprehensive policy to  
               protect students with food allergies. 

          2)   Requires the policy to include, at a minimum, protocols for  
               students with food allergies that pertain to all of the  
               following:

                    a)             School stocking of medication,  
                    including storage of medication in classrooms.

                    b)             School parties.

                    c)             Lunch time, including seating  
                    arrangements.

                    d)             Food served by the local educational  
                    agency.

                    e)             After school events.

                    f)             Field trips.

                    g)             Bullying.

                    h)             Recess.









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                    i)             Teacher and employee training.

          3)   Requires a local educational agency (LEA) to create the  
               policy in coordination with, at a minimum, all of the  
               following individuals:

                    a)             A LEA or schoolsite nurse, or if there  
                    is no LEA or schoolsite nurse, the LEA or schoolsite's  
                    designated health personnel.

                    b)             A parent of a student with a food  
                    allergy.

                    c)             An ad hoc parent.

                    d)             A director of food services.

          STAFF COMMENTS
          
          1)   Need for the bill.  According to the author, "The  
               prevalence of life threatening allergies today is growing  
               and at an alarming rate.  The Centers for Disease Control  
               reports an increase of 50 percent from 1997-2011.  In 2014,  
               recognizing the importance of this new and emerging life  
               threatening health issue, the Legislature acted in a  
               bi-partisan manner passing SB 1266 requiring extra  
               epinephrine injectors be on hand in public schools in case  
               of emergencies.  After my work on SB 1266, it became  
               apparent that schools are lacking in policies and direction  
               on how to accommodate children with this condition.   
               Whether it be lunch hour seating, field trips, school  
               parties, storage of medication, or bullying, there seems to  
               be no comprehensive approach.  Many schools have no  
               policies at all leaving parents and teachers in a  
               predicament on how to ensure children are safe during  
               school hours.  The lack of consistency on this issue also  
               leaves schools open for liability concerns."

          2)   Existing policies.  According to the California School  
               Boards Association (CSBA), approximately 1/3 of school  
               districts currently have a food allergy policy in place.   
               It is unclear how many county offices of education and  
               charter schools have adopted a food allergy policy.  The  
               CSBA provides a sample policy related to food allergies; it  








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               does not appear that the sample policy includes every  
               component that is required by this bill, such the stocking  
               or storage of medication, or information specifically  
               addressing recess, field trips or after school events.  

          3)   Are schools required to accommodate students with food  
               allergies?  Federal law requires schools to provide  
               substitutions or modifications in the National School Lunch  
               Program and School Breakfast Program for students whose  
               disabilities restrict their diets (e.g. the food allergy or  
               food intolerance substantially limits one or more major  
               life activities).  Schools are authorized to provide  
               special meals and/or accommodations for students who do not  
               have a disability that requires a restricted diet but who  
               do have a food intolerance or other medication condition.

          The CDE has issued guidelines for accommodating students, with  
               and without disabilities, with special dietary needs:   
                http://www.cde.ca.gov/ls/nu/sn/mbcnp102015.asp  

          4)   Technical amendments.  This bill applies to each school  
               district, county office of education, and charter school.   
               Staff recommends an amendment to define "local educational  
               agency" as a school district, county office of education,  
               and charter school, and consistently use the term "local  
               educational agency" throughout the bill. 

          This bill requires each school district, county office of  
               education, and charter school to develop a policy but does  
               not specify a date by which the policies are to be in  
               place.  Staff recommends an amendment to specify that local  
               educational agencies are to have a food allergy policy  
               developed and in place beginning with the 2017-18 school  
               year.

          5)   Heard in the Senate Health Committee.  This bill was heard  
               in the Senate Health Committee on April 6, where it was  
               passed on consent, with a vote of 9-0.  

          6)   Prior legislation.  AB 2287 (Pan, 2014) authorized, but did  
               not require, a school district or county superintendent of  
               schools to include information on the availability of  
               gluten-free meals in the free or reduced price meal  
               application packet or notification of eligibility for the  








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               free and reduced price meal program.  AB 2287 was held in  
               the Senate Rules Committee because of its permissive  
               nature, and was eventually referred to this Committee, two  
               days before the last hearing of the 2013-14 Legislative  
               Session.  Therefore, AB 2287 was never heard by this  
               Committee.





            SUPPORT
          
          California State PTA
          Food Allergy Research & Education
          Murrieta Valley Unified School District, Student Support  
          Services

            OPPOSITION
           
           None received.

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