BILL ANALYSIS Ó SENATE COMMITTEE ON APPROPRIATIONS Senator Ricardo Lara, Chair 2015 - 2016 Regular Session SB 1258 (Huff) - Pupil health: food allergies: local educational agency policy ----------------------------------------------------------------- | | | | | | ----------------------------------------------------------------- |--------------------------------+--------------------------------| | | | |Version: April 21, 2016 |Policy Vote: HEALTH 9 - 0, ED. | | | 9 - 0 | | | | |--------------------------------+--------------------------------| | | | |Urgency: No |Mandate: Yes | | | | |--------------------------------+--------------------------------| | | | |Hearing Date: May 16, 2016 |Consultant: Jillian Kissee | | | | ----------------------------------------------------------------- This bill meets the criteria for referral to the Suspense File. Bill Summary: This bill requires each local educational agency (LEA) to develop and have in place, beginning with the 2017-18 school year, a comprehensive policy to protect students with food allergies. Fiscal Impact: One-time reimbursable state mandate costs to create the required policies in coordination with specific individuals potentially in the low millions. Significant cost pressures to LEAs to implement the policies which could also potentially be interpreted to be a reimbursable state mandate by the Commission on State Mandates. To the extent the Commission determines the requirements of this bill to be a reimbursable state mandate, it would create pressure to increase the K-12 SB 1258 (Huff) Page 1 of ? mandate block grant. (Proposition 98) The California Department of Education (CDE) cites minimal costs to provide technical assistance. (General Fund) Background: Existing law: Requires 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) Authorizes students to carry and self-administer prescribed inhaled asthma or auto-injectable epinephrine medication while at school. (EC § 49423 and § 49423.1) 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 emergency, after receiving specified training. o Glucagon may be administered to students with diabetes suffering from severe hypoglycemia. (EC § 49414.5) o Emergency anti-seizure medication may be administered to students with epilepsy suffering from seizures. (EC § 49414.7) 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. According to the author's office, these policies will help ensure the safety for the student, provide clear direction to teachers, and ease liability for the district. This bill builds upon the author's previous legislation, SB 1266 (Chapter 321, SB 1258 (Huff) Page 2 of ? Statutes of 2014), requiring extra epinephrine injectors to be in public schools in case of emergencies. Proposed Law: This bill requires each LEA to develop and have in place, beginning with the 2017-18 school year, a comprehensive policy to protect students with food allergies. LEAs must develop the plan in coordination with certain individuals, including, a school nurse or designated health personnel, a parent of a child with a food allergy, and a director of food services. Protocols for students with food allergies must at a minimum include the following topics: School stocking of medication, including storage of medication in classrooms; School parties; Lunch time, including seating arrangements; Food served by the LEA; After school events; Field trips; Bullying; Recess; and Teacher and employee training. Staff Comments: This bill creates a reimbursable state mandate for all LEAs to develop a policy to protect students with food allergies, in coordination with certain individuals. Assuming one director of food service, one school nurse, and one teacher, together at a rate of $165 per hour including benefits, spending 10 to 20 hours developing the required policy and consulting with parents, one-time reimbursable costs would be between $1.6 million and $3.3 million for all school districts and county offices of education. Actual costs would vary by district and county. Even though some LEAs may already have policies in place, they could also submit a claim for reimbursement for any costs related to changing the policy to comply with the requirements of this bill. To the extent LEAs take advantage of model policies currently available, this could reduce the staff time needed to develop their own policies. Charter schools would also incur similar costs but are not eligible for reimbursement. The Commission on State Mandates has addressed a related SB 1258 (Huff) Page 3 of ? reimbursable mandate, called the Comprehensive School Safety Plan II. School districts and county offices of education are required to develop and update policies covering a number of topics ranging from bullying to disaster preparedness. Costs incurred by LEAs to implement this mandate have historically been between $3 million and $4 million. Though creating and updating the safety plans are reimbursable mandated activities, the Commission found that the test claim statutes did not require school sites or school districts to implement their safety plans. This bill does not appear to specifically require implementation of the policies developed by the LEA and therefore might also not be eligible for reimbursement. However, there is certainly a local cost pressure to implement the developed food allergy policies. -- END --