BILL NUMBER: AB 942	AMENDED
	BILL TEXT

	AMENDED IN SENATE  JULY 7, 2003
	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
    (Coauthors:  Senators McPherson, Scott, and Vasconcellos)


                        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  
accordance with   if certain  performance standards
for training and supervision  established   are
developed by the American Diabetes Association in cooperation with
several other entities for approval and distribution  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
Prevention and Control Program shall approve for distribution
  The Legislature encourages the American Diabetes
Association to develop  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.   Upon the development of the performance
standards pursuant to this paragraph, the State Department of Health
Services' Diabetes Prevention and Control Program shall approve the
performance standards for distribution and make those standards
available upon request. 
   (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)  
   (3)  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.  
   (5)  
   (4) (A)  A school employee shall notify the credentialed
school nurse assigned to the school district if he or she administers
glucagon pursuant to this section.  
   (6)  
   (B) If a credentialed school nurse is not assigned to the school
district, the school employee shall notify the superintendent of the
school district, or his or her designee if he or she administers
glucagon pursuant to this section.
   (5)  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, 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.