BILL NUMBER: AB 2171 AMENDED BILL TEXT AMENDED IN ASSEMBLY APRIL 26, 2000 AMENDED IN ASSEMBLY APRIL 3, 2000 INTRODUCED BY Assembly Member Florez (Coauthors: Assembly Members Alquist, Bock, Cardoza, Cunneen, Firebaugh, Honda, Kuehl, Longville, Washington, Wildman, and Zettel) (Coauthor: Senator Speier) FEBRUARY 23, 2000 An act to add Article 3 (commencing with Section 49430) to Chapter 9 of Part 27 of the Education Code, relating to school nurses, and making an appropriation therefor. LEGISLATIVE COUNSEL'S DIGEST AB 2171, as amended, Florez. School nurses: tobacco settlement funds. Existing law requires counties and school districts to give initial consideration to the use of funds allocated pursuant to any appropriation from any account in the Cigarette and Tobacco Products Surtax Fund for the provision of health care to school populations for credentialed school nurses and school nurse practitioners employed by the school districts, except as stated, and to the extent that those purposes are consistent with the Tobacco Tax and Health Protection Act of 1988. Existing law provides the qualifications required for school nurses and authorizes school nurses to provide certain services if authorized by their local governing board. This bill would create the Tobacco Settlement Fund in the State Treasury into which the state share of all funds received from the tobacco litigation Master Settlement Agreement of 1998 will be deposited, commencing July 1, 2001. The bill would appropriate an unspecified sum from the fund to be allocated pursuant to a schedule to the State Department of Education for apportionment to school districts and county offices of education, the California State University, the University of California, and for the department's administrative costs. Vote: 2/3. Appropriation: yes. Fiscal committee: yes. State-mandated local program: no. THE PEOPLE OF THE STATE OF CALIFORNIA DO ENACT AS FOLLOWS: SECTION 1. The Legislature finds and declares all of the following: (a) The increasing school population and ratio of pupils to credentialed school nurses have jeopardized the ability of schools to provide safe and appropriate health services to pupils. (b) Seven percent of schools have a full-time credentialed school nurse. (c) Seventy-five percent of schools have a part-time credentialed school nurse. (d) Pupils requiring glucose monitoring are enrolled at 45 percent of schools; 23 percent of these pupils require insulin injections. (e) Increasing asthma rates among school children result in 94 percent of schools having children with asthma. (f) Untrained and unsupervised school office staff administer first aid and medication to pupils in 83 percent of schools. SEC. 2. Article 3 (commencing with Section 49430) is added totheChapter 9 of Part 27 of the Education Code, to read: Article 3. Tobacco Settlement Fund. 49430. It is the intent of the Legislature to reach the stated national goal of one credentialed school nurse to every 750 pupils in general education and one credentialed school nurse to every 200 special education pupils. 49431. The Tobacco Settlement Fund is hereby created in the State Treasury. Commencing July 1, 2001, the state share of all funds received from the tobacco litigation Master Settlement Agreement of 1998 shall be deposited in the Tobacco Settlement Fund. The sum of ____ dollars ($____) is hereby appropriated from the Tobacco Settlement Fund for allocation pursuant to the following schedule: (a) The sum of fifty-six million thirty thousand dollars ($56,030,000) to the State Department of Education for the 2001-02 fiscal year. (b) The sum of one hundred twelve millionsix hundred thousand dollars ($112,600,000)sixty thousand dollars ($112,060,000) to the State Department of Education for the 2002-03 fiscal year. (c) The sum of one hundred sixty-eight million ninety thousand dollars ($168,090,000) to the State Department of Education for the 2003-04 fiscal year. (d) The sum of two hundred twenty-four million one hundred twenty thousand dollars ($224,120,000) to the State Department of Education for the 2004-05 fiscal year. (e) The sum of two hundredeight million one hundred fifty thousand dollars ($208,150,000)eighty million one hundred fifty thousand dollars ($280,150,000) to the State Department of Education for the 2005-06 fiscal year. (f) The sum offive million four hundred thousand dollars ($5,400,000)one hundred sixty-three thousand dollars ($163,000) for each school nurse credentialing program at the California State University and University of California for the 2001-02, 2002-03, 2003-04, 2004-05, 2005-06 fiscal years, to the State Department of Education for allocation to the California State University and the University of California for purposes of funding new students in existing school nurse credentialing programs. (g) The sum of seven thousand five hundred dollars ($7,500) for the 2001-02, 2002-03, 2003-04, 2004-05, and 2005-06 fiscal years for each campus of the California State University and each community college campus that is connected to the California State University network for distance education to the State Department of Education for allocation to those campuses .(i)(h) The sum of one hundred fifty thousand dollars ($150,000) for the administrative costs of the State Department of Education. 49432. The funds allocated to the State Department of Education in subdivisions (a) to (e), inclusive, of Section 49432 shall be apportioned to school districts that maintain prekindergarten, kindergarten, or grades 1 to 12, inclusive, including, but not limited to, general education pupils, continuation and alternative education programs, court and community schools overseen by county offices of education, community day schools overseen by school districts, and pregnant minor programs. 49433. For the 2001-02 fiscal year, the State Department of Education shall apportion ten thousand dollars ($10,000) to each school district and county office of education for allocation to each school to supplement its school nursing services. For the 2002-03, 2003-04, 2004-05, and 2005-06 fiscal years, the State Department of Education shall apportion funds to school districts and county offices of education with jurisdiction over eligible schoolsites, based on pupil enrollment with a minimum allocation of ten thousand dollars ($10,000) for each schoolsite. 49434. Funds allocated to schools shall be used for the following: (a) Assuring that schools with the greatest needs receive maximum school nursing coverage on a daily basis. (b) Developing comprehensive school health services and programs provided and supervised by credentialed school nurses. (c) Funding infrastructure for university school nurse credentialing programs. (d) Assuring every classroom has access, directly or indirectly, to school nurse expertise. (e) Supplementing, not supplanting existing funding. (f) Training, monitoring, and supervising other caregivers in the school setting. (g) Providing health services required under existing law. (h) Assuring collaborative links with other pupil support personnel and community based groups. (i) Providing additional health services, including, but not limited to, all of the following: (1) Case management services. (2) Health and developmental assessments of pupils. (3) Specialized physical health care procedures. (4) Substance abuse prevention programs and health education classes. (5) Design and implementation of pupil health maintenance plans. (6) Safe school issues, such as violence prevention, crisis intervention, conflict resolution, and crisis response. (j) Developing a process to assess outcomes and quality of enhanced services provided.