BILL NUMBER: AB 942	AMENDED
	BILL TEXT

	AMENDED IN ASSEMBLY  APRIL 24, 2003
	AMENDED IN ASSEMBLY  APRIL 10, 2003
	AMENDED IN ASSEMBLY  MARCH 26, 2003

INTRODUCED BY   Assembly Members Leno and Firebaugh

                        FEBRUARY 20, 2003

   An act to add Section 49414.5 to the Education Code, relating to
pupil health.


	LEGISLATIVE COUNSEL'S DIGEST


   AB 942, as amended, Leno.  Emergency medical services:  diabetes.
   Existing law provides that each pupil who is required to take,
during the regular schoolday, medication prescribed for him or her by
a physician, may be assisted by the school nurse or other designated
school personnel if the school district receives a written statement
from the physician detailing the method, amount, and time schedules
by which the medication is to be taken and a written statement from
the parent or guardian of the pupil indicating the desire that the
school district assist the pupil in the matters set forth in the
physician's statement.
   This bill would  , in the absence of a credentialed school
nurse or other licensed nurse,  authorize each school district
to provide voluntary emergency medical training to school personnel,
as defined, to administer emergency medical assistance to pupils with
diabetes suffering from severe hypoglycemia  in the absence
of a credentialed school nurse or other licensed nurse,  in
accordance with  performance  standards for training and
supervision established by the State Department of Health Services'
Diabetes Control Program.  The bill would permit certain pupils with
specified authorization to test their blood glucose level and provide
diabetes self-care in any area of the school or school grounds,
during any school-related activity, and, upon the request of the
pupil's parent or guardian, in a private location.
   Vote:  majority.  Appropriation:  no.  Fiscal committee:  yes.
State-mandated local program:  no.


THE PEOPLE OF THE STATE OF CALIFORNIA DO ENACT AS FOLLOWS:


  SECTION 1.  Section 49414.5 is added to the Education Code, to
read:
   49414.5.  (a) In the absence of a credentialed school nurse or
other licensed nurse onsite  at  the school, each school
district may provide school personnel with voluntary emergency
medical training to provide emergency medical assistance to pupils
with diabetes suffering from severe hypoglycemia  , and volunteer
personnel shall provide this emergency care,  in accordance
with standards established pursuant to subdivision (b) and the 
performance  instructions set forth by the licensed health care
provider of the pupil.  
   (b) (1) The State Department of Health Services' Diabetes Control
Program, working in cooperation with the Board of Registered Nursing,
the State Department of Education, the American Diabetes
Association, the California School Nurses Organization, the
California Medical Association, and the American Academy of
Pediatrics, shall establish standards of training and supervision for
school personnel in providing emergency medical assistance to pupils
with diabetes suffering from severe hypoglycemia.  
   (b) (1) The State Department of Health Services' Diabetes
Prevention and Control Program shall approve for distribution
performance standards for the training and supervision of school
personnel in providing emergency medical assistance to pupils with
diabetes suffering from severe hypoglycemia. The performance
standards shall be developed by the American Diabetes Association
working in cooperation with the Department of Education, the
California School Nurses Organization, the California Medical
Association, and the American Academy of Pediatrics. 
   (2) Training established pursuant to this subdivision shall
include all of the following:
   (A) Recognition and treatment of hypoglycemia.
   (B) Administration of glucagon.
   (C) Basic emergency followup procedures, including, but not
limited to, calling the emergency 911 phone number and contacting, if
possible, the pupil's parent or guardian and licensed health care
provider.
   (3)  Upon the final approval of the performance standards, the
Department of Health Services' Diabetes Prevention and Control
Program shall make the performance standards available for
distribution upon request.
   (4)  Training by a physician, credentialed school nurse,
registered nurse, or certificated public health nurse according to
the standards established pursuant to this section shall be deemed
adequate training for the purposes of this section.  
   (4)  
   (5)  A school employee shall notify the credentialed school
nurse assigned to the school district  whenever 
 if  he or she administers glucagon pursuant to this
section.  
   (5)  
   (6)  All materials necessary to administer the glucagon shall
be provided by the parent or guardian of the pupil.
   (c) In the case of a pupil who is able to self-test and monitor
his or her blood glucose  level ,   level, 
upon written request of the parent or guardian, and with
authorization of the licensed health care provider of the pupil, a
pupil with diabetes shall be permitted to test his or her blood
glucose level and to otherwise provide diabetes self-care in the
classroom, in any area of the school or school grounds, during any
school-related activity, and, upon specific request by a parent or
guardian, in a private location.
   (d) For the purposes of this section, the following terms have the
following meanings:
   (1) "School personnel" means any one or more employees of a school
district who volunteer to be trained to administer emergency medical
assistance to a pupil with diabetes.
   (2) "Emergency medical assistance" means the administration of
glucagon to a pupil who is suffering from severe hypoglycemia.