24 LC 33 9620S The House Committee on Health offers the following substitute to HB 874: A BILL TO BE ENTITLED AN ACT To amend Part 3 of Article 16 of Chapter 2 of Title 20 of the Official Code of Georgia1 Annotated, relating to health, so as to require automated external defibrillators in all schools;2 to provide for definitions; to provide for the establishment of emergency action plans to3 address a person in cardiac arrest; to provide for internal response teams; to provide for4 practice drills; to provide for related matters; to repeal conflicting laws; and for other5 purposes.6 BE IT ENACTED BY THE GENERAL ASSEMBLY OF GEORGIA:7 SECTION 1.8 Part 3 of Article 16 of Chapter 2 of Title 20 of the Official Code of Georgia Annotated,9 relating to health, is amended by revising Code Section 20-2-775, relating to automated10 external defibrillators required in high schools, requirements, and funding, as follows:11 "20-2-775.12 (a) As used in this Code section, the term:13 (1) 'Automated 'automated external defibrillator' means a defibrillator which:14 (1)(A) Is capable of cardiac rhythm analysis;15 H. B. 874 (SUB) - 1 - 24 LC 33 9620S (2)(B) Will charge and be capable of being activated to deliver a countershock after16 electrically detecting the presence of certain cardiac dysrhythmias; and17 (3)(C) Is capable of continuously recording cardiac dysrhythmia at the scene with a18 mechanism for transfer and storage or for printing for review subsequent to use.19 (2) 'Emergency action plan' means the plan established pursuant to paragraph (5) of20 subsection (c) of this Code section to provide for an emergency response to a person in21 cardiac arrest.22 (3) 'Internal response team' means the team of school personnel established pursuant to23 paragraph (7) of subsection (c) of this Code section responsible for oversight of an24 emergency response to a person in cardiac arrest and implementation of the emergency25 action plan.26 (4) 'School' means a public school in this state which provides K-12 education.27 (b) No later than July 1, 2008 2025, each public high school in this state which has an28 interscholastic athletics program shall have at least one functional automated external29 defibrillator on site at such school at all times and easily accessible during all school hours30 and during any school related function, including athletic practices, athletic competitions,31 and other occasions where students and others will be present, for use during emergencies.32 (c) Each high school possessing and maintaining an automated external defibrillator shall:33 (1) Ensure that each member of the internal response team and any other expected users34 of the automated external defibrillator receive American Heart Association or American35 Red Cross training in cardiopulmonary resuscitation and automated external defibrillator36 use or complete an equivalent nationally recognized course;37 (2) Notify the appropriate emergency medical services system of the existence and38 location of the each automated external defibrillator prior to said automated external39 defibrillator being placed in use;40 (3) Ensure that the automated external defibrillator is maintained and tested according41 to the manufacturer's operational guidelines;42 H. B. 874 (SUB) - 2 - 24 LC 33 9620S (4) Ensure that there is involvement of a licensed physician or other person authorized43 by the Georgia Composite Medical Board in the site's automated external defibrillator44 program to ensure compliance with requirements for training, notification, and45 maintenance; and46 (5) Establish a written emergency action plan that adheres to nationally recognized47 standards and that establishes specific steps to take during a cardiac emergency in a48 school setting. Such plan shall be designed to provide for an effective system for49 communication between members of the internal response team and other school50 officials, ensuring Ensure that the internal response team or other designated personnel51 activate the emergency medical services system as soon as reasonably possible after any52 person renders emergency care or treatment to a person in cardiac arrest by using an53 automated external defibrillator and reports report any clinical use of the automated54 external defibrillator to the licensed physician or other person authorized by the Georgia55 Composite Medical Board who is supervising the program., and ensuring that emergency56 medical services personnel are led directly to the exact location of the person in cardiac57 arrest;58 (6) Beginning in the 2025-2026 school year and each school year thereafter, conduct a59 minimum of two emergency action plan practice drills per school year, with at least one60 per semester. One such practice drill may be a tabletop drill to walk through a61 hypothetical scenario and the courses of action a school will need to take before, during,62 and after a cardiac emergency. The emergency action plan practice drills shall include63 various locations on school grounds and responses to different hypothetical situations;64 (7) Establish a designated internal response team composed of:65 (A) At least five school staff members;66 (B) One or more designated team leads trained in cardiopulmonary resuscitation and67 automated external defibrillator use and responsible for oversight of an emergency68 response;69 H. B. 874 (SUB) - 3 - 24 LC 33 9620S (C) One or more designated cardiopulmonary resuscitation leads trained in70 cardiopulmonary resuscitation and automated external defibrillator use;71 (D) One or more designated automated external defibrillator leads, responsible for72 knowing the location of automated external defibrillators, retrieving automated external73 defibrillators, and maintenance of automated external defibrillators; and74 (E) One or more designated communication leads responsible for activating the75 emergency medical services system, facilitating directions to the person in cardiac76 arrest for emergency medical services personnel upon arrival at the school, and77 coordinating communications with the designated team lead or leads; and78 (8) Apprise all school personnel of the location of automated external defibrillators and79 the members of the internal response team.80 (d) Subject to appropriations by the General Assembly, the Department of Education shall81 provide funds to local school systems to assist in the purchase of automated external82 defibrillators pursuant to this Code section.83 (e) The department and local school systems shall use diligent efforts to identify private84 sources of funding or donation of funding and equipment to meet the requirements of this85 Code section."86 SECTION 2.87 All laws and parts of laws in conflict with this Act are repealed.88 H. 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