Citations Affected: IC 20-34.
Synopsis: Care and management of student diabetes at school.
Requires the department of education and the state department of
health to develop and implement a pilot student diabetes management
program before July 1, 2007, and a statewide program before July 1,
2009. Establishes a training program for school employees who are not
health care professionals to assist students with diabetes in managing
and treating the diabetes. Sets forth requirements for individualized
health plans for students who will be managing and treating diabetes
while at school or school activities.
Effective: July 1, 2006.
January 10, 2006, read first time and referred to Committee on Health and Provider
January 26, 2006, amended, reported favorably _ Do Pass.
January 31, 2006, read second time, amended, ordered engrossed.
A BILL FOR AN ACT to amend the Indiana Code concerning
Sec. 4. As used in this chapter, "individualized health plan" means a coordinated plan of care designed to meet the unique health care needs of a student with diabetes in a school setting.
Sec. 5. As used in this chapter, "school employee" means an individual employed by:
(1) a public school or an accredited nonpublic school;
(2) a local health department working with a school under this chapter; or
(3) another entity with which a school has contracted to perform the duties required under this chapter.
Sec. 6. As used in this chapter, "student" refers to a student with diabetes.
Sec. 7. (a) A diabetes management and treatment plan must be prepared and implemented for a student with diabetes while the student is at school or participating in a school activity. The plan must be developed by:
(1) the student's parent or guardian; and
(2) the licensed physician responsible for the student's diabetes treatment or another diabetes health care provider ordered in writing by the physician.
(b) A diabetes management and treatment plan must:
(1) identify the health care services the student may need at school;
(2) evaluate the student's:
(A) ability to manage; and
(B) level of understanding of;
the student's diabetes;
(3) specify the care that may be performed by the student with an agreed upon level of supervision; and
(4) be signed by the student's parent or guardian and the licensed physician responsible for the student's diabetes treatment or another diabetes health care provider ordered in writing by the physician.
(c) The parent or guardian of a student with diabetes who will be attending school or participating in a school activity shall submit a copy of the student's diabetes management and treatment plan to the school. The plan must be submitted to and be reviewed by the school:
(1) before or at the beginning of a school year;
(2) at the time the student enrolls, if the student is enrolled in school after the beginning of the school year; or
recording the results of the administration.
(6) Recognizing complications that require emergency medical assistance.
(7) Understanding recommended schedules and food intake for meals and snacks for a student, the effect of physical activity on blood glucose levels, and the proper action to be taken if a student's schedule referred to in this subdivision is disrupted.
(b) If a school nurse is assigned to a school, the school nurse shall coordinate the training of school employees acting as unlicensed assistive personnel, using the training program developed under subsection (a).
(c) Training for unlicensed assistive personnel must be provided by a health care professional with expertise in the care of students with diabetes or by a school nurse. The training must be provided before the beginning of the school year or as soon as practicable following:
(1) the enrollment; or
(2) the diagnosis;
of a student with diabetes at a school that previously had no students with diabetes.
(d) The school nurse or principal shall maintain a copy of the training program and the records of training completed by the school employees.
Sec. 11. (a) If a school nurse is assigned to a school and the nurse is available, the nurse shall perform the tasks necessary to assist a student in carrying out the student's individualized health plan.
(b) If a school nurse is not assigned to a school or is not available, unlicensed assistive personnel shall perform the tasks necessary to assist a student in carrying out the student's individualized health plan, in compliance with the training guidelines provided under section 10 of this chapter. Unlicensed assistive personnel must have access to a health care professional with expertise in the care of students with diabetes or a school nurse must have access to the licensed physician responsible for the student's diabetes treatment if unlicensed assistive personnel act under this subsection.
(c) Unlicensed assistive personnel may act under this section only if the parent or guardian of the student signs an agreement that:
(1) authorizes unlicensed assistive personnel to assist the student; and