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
          
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          |Version: April 21, 2016         |Policy Vote: HEALTH 9 - 0, ED.  |
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          |Urgency: No                     |Mandate: Yes                    |
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          |Hearing Date: May 16, 2016      |Consultant: Jillian Kissee      |
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          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  







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            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,  








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          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  








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          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.




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