103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 HB3428 Introduced , by Rep. Diane Blair-Sherlock SYNOPSIS AS INTRODUCED: 105 ILCS 5/22-30 Amends the General Provisions Article of the School Code. Provides that a school district, public school, charter school, or nonpublic school shall (instead of may) maintain a supply of an opioid antagonist in any secure location where an individual may have an opioid overdose. Makes a conforming change. LRB103 29807 RJT 56214 b STATE MANDATES ACT MAY REQUIRE REIMBURSEMENT MAY APPLY A BILL FOR 103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 HB3428 Introduced , by Rep. Diane Blair-Sherlock SYNOPSIS AS INTRODUCED: 105 ILCS 5/22-30 105 ILCS 5/22-30 Amends the General Provisions Article of the School Code. Provides that a school district, public school, charter school, or nonpublic school shall (instead of may) maintain a supply of an opioid antagonist in any secure location where an individual may have an opioid overdose. Makes a conforming change. LRB103 29807 RJT 56214 b LRB103 29807 RJT 56214 b STATE MANDATES ACT MAY REQUIRE REIMBURSEMENT MAY APPLY STATE MANDATES ACT MAY REQUIRE REIMBURSEMENT MAY APPLY A BILL FOR 103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 HB3428 Introduced , by Rep. Diane Blair-Sherlock SYNOPSIS AS INTRODUCED: 105 ILCS 5/22-30 105 ILCS 5/22-30 105 ILCS 5/22-30 Amends the General Provisions Article of the School Code. Provides that a school district, public school, charter school, or nonpublic school shall (instead of may) maintain a supply of an opioid antagonist in any secure location where an individual may have an opioid overdose. Makes a conforming change. LRB103 29807 RJT 56214 b LRB103 29807 RJT 56214 b LRB103 29807 RJT 56214 b STATE MANDATES ACT MAY REQUIRE REIMBURSEMENT MAY APPLY STATE MANDATES ACT MAY REQUIRE REIMBURSEMENT MAY APPLY STATE MANDATES ACT MAY REQUIRE REIMBURSEMENT MAY APPLY A BILL FOR HB3428LRB103 29807 RJT 56214 b HB3428 LRB103 29807 RJT 56214 b HB3428 LRB103 29807 RJT 56214 b 1 AN ACT concerning education. 2 Be it enacted by the People of the State of Illinois, 3 represented in the General Assembly: 4 Section 5. The School Code is amended by changing Section 5 22-30 as follows: 6 (105 ILCS 5/22-30) 7 Sec. 22-30. Self-administration and self-carry of asthma 8 medication and epinephrine injectors; administration of 9 undesignated epinephrine injectors; administration of an 10 opioid antagonist; administration of undesignated asthma 11 medication; asthma episode emergency response protocol. 12 (a) For the purpose of this Section only, the following 13 terms shall have the meanings set forth below: 14 "Asthma action plan" means a written plan developed with a 15 pupil's medical provider to help control the pupil's asthma. 16 The goal of an asthma action plan is to reduce or prevent 17 flare-ups and emergency department visits through day-to-day 18 management and to serve as a student-specific document to be 19 referenced in the event of an asthma episode. 20 "Asthma episode emergency response protocol" means a 21 procedure to provide assistance to a pupil experiencing 22 symptoms of wheezing, coughing, shortness of breath, chest 23 tightness, or breathing difficulty. 103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 HB3428 Introduced , by Rep. Diane Blair-Sherlock SYNOPSIS AS INTRODUCED: 105 ILCS 5/22-30 105 ILCS 5/22-30 105 ILCS 5/22-30 Amends the General Provisions Article of the School Code. Provides that a school district, public school, charter school, or nonpublic school shall (instead of may) maintain a supply of an opioid antagonist in any secure location where an individual may have an opioid overdose. Makes a conforming change. LRB103 29807 RJT 56214 b LRB103 29807 RJT 56214 b LRB103 29807 RJT 56214 b STATE MANDATES ACT MAY REQUIRE REIMBURSEMENT MAY APPLY STATE MANDATES ACT MAY REQUIRE REIMBURSEMENT MAY APPLY STATE MANDATES ACT MAY REQUIRE REIMBURSEMENT MAY APPLY A BILL FOR 105 ILCS 5/22-30 LRB103 29807 RJT 56214 b STATE MANDATES ACT MAY REQUIRE REIMBURSEMENT MAY APPLY HB3428 LRB103 29807 RJT 56214 b HB3428- 2 -LRB103 29807 RJT 56214 b HB3428 - 2 - LRB103 29807 RJT 56214 b HB3428 - 2 - LRB103 29807 RJT 56214 b 1 "Epinephrine injector" includes an auto-injector approved 2 by the United States Food and Drug Administration for the 3 administration of epinephrine and a pre-filled syringe 4 approved by the United States Food and Drug Administration and 5 used for the administration of epinephrine that contains a 6 pre-measured dose of epinephrine that is equivalent to the 7 dosages used in an auto-injector. 8 "Asthma medication" means quick-relief asthma medication, 9 including albuterol or other short-acting bronchodilators, 10 that is approved by the United States Food and Drug 11 Administration for the treatment of respiratory distress. 12 "Asthma medication" includes medication delivered through a 13 device, including a metered dose inhaler with a reusable or 14 disposable spacer or a nebulizer with a mouthpiece or mask. 15 "Opioid antagonist" means a drug that binds to opioid 16 receptors and blocks or inhibits the effect of opioids acting 17 on those receptors, including, but not limited to, naloxone 18 hydrochloride or any other similarly acting drug approved by 19 the U.S. Food and Drug Administration. 20 "Respiratory distress" means the perceived or actual 21 presence of wheezing, coughing, shortness of breath, chest 22 tightness, breathing difficulty, or any other symptoms 23 consistent with asthma. Respiratory distress may be 24 categorized as "mild-to-moderate" or "severe". 25 "School nurse" means a registered nurse working in a 26 school with or without licensure endorsed in school nursing. HB3428 - 2 - LRB103 29807 RJT 56214 b HB3428- 3 -LRB103 29807 RJT 56214 b HB3428 - 3 - LRB103 29807 RJT 56214 b HB3428 - 3 - LRB103 29807 RJT 56214 b 1 "Self-administration" means a pupil's discretionary use of 2 his or her prescribed asthma medication or epinephrine 3 injector. 4 "Self-carry" means a pupil's ability to carry his or her 5 prescribed asthma medication or epinephrine injector. 6 "Standing protocol" may be issued by (i) a physician 7 licensed to practice medicine in all its branches, (ii) a 8 licensed physician assistant with prescriptive authority, or 9 (iii) a licensed advanced practice registered nurse with 10 prescriptive authority. 11 "Trained personnel" means any school employee or volunteer 12 personnel authorized in Sections 10-22.34, 10-22.34a, and 13 10-22.34b of this Code who has completed training under 14 subsection (g) of this Section to recognize and respond to 15 anaphylaxis, an opioid overdose, or respiratory distress. 16 "Undesignated asthma medication" means asthma medication 17 prescribed in the name of a school district, public school, 18 charter school, or nonpublic school. 19 "Undesignated epinephrine injector" means an epinephrine 20 injector prescribed in the name of a school district, public 21 school, charter school, or nonpublic school. 22 (b) A school, whether public, charter, or nonpublic, must 23 permit the self-administration and self-carry of asthma 24 medication by a pupil with asthma or the self-administration 25 and self-carry of an epinephrine injector by a pupil, provided 26 that: HB3428 - 3 - LRB103 29807 RJT 56214 b HB3428- 4 -LRB103 29807 RJT 56214 b HB3428 - 4 - LRB103 29807 RJT 56214 b HB3428 - 4 - LRB103 29807 RJT 56214 b 1 (1) the parents or guardians of the pupil provide to 2 the school (i) written authorization from the parents or 3 guardians for (A) the self-administration and self-carry 4 of asthma medication or (B) the self-carry of asthma 5 medication or (ii) for (A) the self-administration and 6 self-carry of an epinephrine injector or (B) the 7 self-carry of an epinephrine injector, written 8 authorization from the pupil's physician, physician 9 assistant, or advanced practice registered nurse; and 10 (2) the parents or guardians of the pupil provide to 11 the school (i) the prescription label, which must contain 12 the name of the asthma medication, the prescribed dosage, 13 and the time at which or circumstances under which the 14 asthma medication is to be administered, or (ii) for the 15 self-administration or self-carry of an epinephrine 16 injector, a written statement from the pupil's physician, 17 physician assistant, or advanced practice registered nurse 18 containing the following information: 19 (A) the name and purpose of the epinephrine 20 injector; 21 (B) the prescribed dosage; and 22 (C) the time or times at which or the special 23 circumstances under which the epinephrine injector is 24 to be administered. 25 The information provided shall be kept on file in the office of 26 the school nurse or, in the absence of a school nurse, the HB3428 - 4 - LRB103 29807 RJT 56214 b HB3428- 5 -LRB103 29807 RJT 56214 b HB3428 - 5 - LRB103 29807 RJT 56214 b HB3428 - 5 - LRB103 29807 RJT 56214 b 1 school's administrator. 2 (b-5) A school district, public school, charter school, or 3 nonpublic school may authorize the provision of a 4 student-specific or undesignated epinephrine injector to a 5 student or any personnel authorized under a student's 6 Individual Health Care Action Plan, Illinois Food Allergy 7 Emergency Action Plan and Treatment Authorization Form, or 8 plan pursuant to Section 504 of the federal Rehabilitation Act 9 of 1973 to administer an epinephrine injector to the student, 10 that meets the student's prescription on file. 11 (b-10) The school district, public school, charter school, 12 or nonpublic school may authorize a school nurse or trained 13 personnel to do the following: (i) provide an undesignated 14 epinephrine injector to a student for self-administration only 15 or any personnel authorized under a student's Individual 16 Health Care Action Plan, Illinois Food Allergy Emergency 17 Action Plan and Treatment Authorization Form, plan pursuant to 18 Section 504 of the federal Rehabilitation Act of 1973, or 19 individualized education program plan to administer to the 20 student that meets the student's prescription on file; (ii) 21 administer an undesignated epinephrine injector that meets the 22 prescription on file to any student who has an Individual 23 Health Care Action Plan, Illinois Food Allergy Emergency 24 Action Plan and Treatment Authorization Form, plan pursuant to 25 Section 504 of the federal Rehabilitation Act of 1973, or 26 individualized education program plan that authorizes the use HB3428 - 5 - LRB103 29807 RJT 56214 b HB3428- 6 -LRB103 29807 RJT 56214 b HB3428 - 6 - LRB103 29807 RJT 56214 b HB3428 - 6 - LRB103 29807 RJT 56214 b 1 of an epinephrine injector; (iii) administer an undesignated 2 epinephrine injector to any person that the school nurse or 3 trained personnel in good faith believes is having an 4 anaphylactic reaction; (iv) administer an opioid antagonist to 5 any person that the school nurse or trained personnel in good 6 faith believes is having an opioid overdose; (v) provide 7 undesignated asthma medication to a student for 8 self-administration only or to any personnel authorized under 9 a student's Individual Health Care Action Plan or asthma 10 action plan, plan pursuant to Section 504 of the federal 11 Rehabilitation Act of 1973, or individualized education 12 program plan to administer to the student that meets the 13 student's prescription on file; (vi) administer undesignated 14 asthma medication that meets the prescription on file to any 15 student who has an Individual Health Care Action Plan or 16 asthma action plan, plan pursuant to Section 504 of the 17 federal Rehabilitation Act of 1973, or individualized 18 education program plan that authorizes the use of asthma 19 medication; and (vii) administer undesignated asthma 20 medication to any person that the school nurse or trained 21 personnel believes in good faith is having respiratory 22 distress. 23 (c) The school district, public school, charter school, or 24 nonpublic school must inform the parents or guardians of the 25 pupil, in writing, that the school district, public school, 26 charter school, or nonpublic school and its employees and HB3428 - 6 - LRB103 29807 RJT 56214 b HB3428- 7 -LRB103 29807 RJT 56214 b HB3428 - 7 - LRB103 29807 RJT 56214 b HB3428 - 7 - LRB103 29807 RJT 56214 b 1 agents, including a physician, physician assistant, or 2 advanced practice registered nurse providing standing protocol 3 and a prescription for school epinephrine injectors, an opioid 4 antagonist, or undesignated asthma medication, are to incur no 5 liability or professional discipline, except for willful and 6 wanton conduct, as a result of any injury arising from the 7 administration of asthma medication, an epinephrine injector, 8 or an opioid antagonist regardless of whether authorization 9 was given by the pupil's parents or guardians or by the pupil's 10 physician, physician assistant, or advanced practice 11 registered nurse. The parents or guardians of the pupil must 12 sign a statement acknowledging that the school district, 13 public school, charter school, or nonpublic school and its 14 employees and agents are to incur no liability, except for 15 willful and wanton conduct, as a result of any injury arising 16 from the administration of asthma medication, an epinephrine 17 injector, or an opioid antagonist regardless of whether 18 authorization was given by the pupil's parents or guardians or 19 by the pupil's physician, physician assistant, or advanced 20 practice registered nurse and that the parents or guardians 21 must indemnify and hold harmless the school district, public 22 school, charter school, or nonpublic school and its employees 23 and agents against any claims, except a claim based on willful 24 and wanton conduct, arising out of the administration of 25 asthma medication, an epinephrine injector, or an opioid 26 antagonist regardless of whether authorization was given by HB3428 - 7 - LRB103 29807 RJT 56214 b HB3428- 8 -LRB103 29807 RJT 56214 b HB3428 - 8 - LRB103 29807 RJT 56214 b HB3428 - 8 - LRB103 29807 RJT 56214 b 1 the pupil's parents or guardians or by the pupil's physician, 2 physician assistant, or advanced practice registered nurse. 3 (c-5) When a school nurse or trained personnel administers 4 an undesignated epinephrine injector to a person whom the 5 school nurse or trained personnel in good faith believes is 6 having an anaphylactic reaction, administers an opioid 7 antagonist to a person whom the school nurse or trained 8 personnel in good faith believes is having an opioid overdose, 9 or administers undesignated asthma medication to a person whom 10 the school nurse or trained personnel in good faith believes 11 is having respiratory distress, notwithstanding the lack of 12 notice to the parents or guardians of the pupil or the absence 13 of the parents or guardians signed statement acknowledging no 14 liability, except for willful and wanton conduct, the school 15 district, public school, charter school, or nonpublic school 16 and its employees and agents, and a physician, a physician 17 assistant, or an advanced practice registered nurse providing 18 standing protocol and a prescription for undesignated 19 epinephrine injectors, an opioid antagonist, or undesignated 20 asthma medication, are to incur no liability or professional 21 discipline, except for willful and wanton conduct, as a result 22 of any injury arising from the use of an undesignated 23 epinephrine injector, the use of an opioid antagonist, or the 24 use of undesignated asthma medication, regardless of whether 25 authorization was given by the pupil's parents or guardians or 26 by the pupil's physician, physician assistant, or advanced HB3428 - 8 - LRB103 29807 RJT 56214 b HB3428- 9 -LRB103 29807 RJT 56214 b HB3428 - 9 - LRB103 29807 RJT 56214 b HB3428 - 9 - LRB103 29807 RJT 56214 b 1 practice registered nurse. 2 (d) The permission for self-administration and self-carry 3 of asthma medication or the self-administration and self-carry 4 of an epinephrine injector is effective for the school year 5 for which it is granted and shall be renewed each subsequent 6 school year upon fulfillment of the requirements of this 7 Section. 8 (e) Provided that the requirements of this Section are 9 fulfilled, a pupil with asthma may self-administer and 10 self-carry his or her asthma medication or a pupil may 11 self-administer and self-carry an epinephrine injector (i) 12 while in school, (ii) while at a school-sponsored activity, 13 (iii) while under the supervision of school personnel, or (iv) 14 before or after normal school activities, such as while in 15 before-school or after-school care on school-operated property 16 or while being transported on a school bus. 17 (e-5) Provided that the requirements of this Section are 18 fulfilled, a school nurse or trained personnel may administer 19 an undesignated epinephrine injector to any person whom the 20 school nurse or trained personnel in good faith believes to be 21 having an anaphylactic reaction (i) while in school, (ii) 22 while at a school-sponsored activity, (iii) while under the 23 supervision of school personnel, or (iv) before or after 24 normal school activities, such as while in before-school or 25 after-school care on school-operated property or while being 26 transported on a school bus. A school nurse or trained HB3428 - 9 - LRB103 29807 RJT 56214 b HB3428- 10 -LRB103 29807 RJT 56214 b HB3428 - 10 - LRB103 29807 RJT 56214 b HB3428 - 10 - LRB103 29807 RJT 56214 b 1 personnel may carry undesignated epinephrine injectors on his 2 or her person while in school or at a school-sponsored 3 activity. 4 (e-10) Provided that the requirements of this Section are 5 fulfilled, a school nurse or trained personnel may administer 6 an opioid antagonist to any person whom the school nurse or 7 trained personnel in good faith believes to be having an 8 opioid overdose (i) while in school, (ii) while at a 9 school-sponsored activity, (iii) while under the supervision 10 of school personnel, or (iv) before or after normal school 11 activities, such as while in before-school or after-school 12 care on school-operated property. A school nurse or trained 13 personnel may carry an opioid antagonist on his or her person 14 while in school or at a school-sponsored activity. 15 (e-15) If the requirements of this Section are met, a 16 school nurse or trained personnel may administer undesignated 17 asthma medication to any person whom the school nurse or 18 trained personnel in good faith believes to be experiencing 19 respiratory distress (i) while in school, (ii) while at a 20 school-sponsored activity, (iii) while under the supervision 21 of school personnel, or (iv) before or after normal school 22 activities, including before-school or after-school care on 23 school-operated property. A school nurse or trained personnel 24 may carry undesignated asthma medication on his or her person 25 while in school or at a school-sponsored activity. 26 (f) The school district, public school, charter school, or HB3428 - 10 - LRB103 29807 RJT 56214 b HB3428- 11 -LRB103 29807 RJT 56214 b HB3428 - 11 - LRB103 29807 RJT 56214 b HB3428 - 11 - LRB103 29807 RJT 56214 b 1 nonpublic school may maintain a supply of undesignated 2 epinephrine injectors in any secure location that is 3 accessible before, during, and after school where an allergic 4 person is most at risk, including, but not limited to, 5 classrooms and lunchrooms. A physician, a physician assistant 6 who has prescriptive authority in accordance with Section 7.5 7 of the Physician Assistant Practice Act of 1987, or an 8 advanced practice registered nurse who has prescriptive 9 authority in accordance with Section 65-40 of the Nurse 10 Practice Act may prescribe undesignated epinephrine injectors 11 in the name of the school district, public school, charter 12 school, or nonpublic school to be maintained for use when 13 necessary. Any supply of epinephrine injectors shall be 14 maintained in accordance with the manufacturer's instructions. 15 The school district, public school, charter school, or 16 nonpublic school shall may maintain a supply of an opioid 17 antagonist in any secure location where an individual may have 18 an opioid overdose. A health care professional who has been 19 delegated prescriptive authority for opioid antagonists in 20 accordance with Section 5-23 of the Substance Use Disorder Act 21 shall may prescribe opioid antagonists in the name of the 22 school district, public school, charter school, or nonpublic 23 school, to be maintained for use when necessary. Any supply of 24 opioid antagonists shall be maintained in accordance with the 25 manufacturer's instructions. 26 The school district, public school, charter school, or HB3428 - 11 - LRB103 29807 RJT 56214 b HB3428- 12 -LRB103 29807 RJT 56214 b HB3428 - 12 - LRB103 29807 RJT 56214 b HB3428 - 12 - LRB103 29807 RJT 56214 b 1 nonpublic school may maintain a supply of asthma medication in 2 any secure location that is accessible before, during, or 3 after school where a person is most at risk, including, but not 4 limited to, a classroom or the nurse's office. A physician, a 5 physician assistant who has prescriptive authority under 6 Section 7.5 of the Physician Assistant Practice Act of 1987, 7 or an advanced practice registered nurse who has prescriptive 8 authority under Section 65-40 of the Nurse Practice Act may 9 prescribe undesignated asthma medication in the name of the 10 school district, public school, charter school, or nonpublic 11 school to be maintained for use when necessary. Any supply of 12 undesignated asthma medication must be maintained in 13 accordance with the manufacturer's instructions. 14 (f-3) Whichever entity initiates the process of obtaining 15 undesignated epinephrine injectors and providing training to 16 personnel for carrying and administering undesignated 17 epinephrine injectors shall pay for the costs of the 18 undesignated epinephrine injectors. 19 (f-5) Upon any administration of an epinephrine injector, 20 a school district, public school, charter school, or nonpublic 21 school must immediately activate the EMS system and notify the 22 student's parent, guardian, or emergency contact, if known. 23 Upon any administration of an opioid antagonist, a school 24 district, public school, charter school, or nonpublic school 25 must immediately activate the EMS system and notify the 26 student's parent, guardian, or emergency contact, if known. HB3428 - 12 - LRB103 29807 RJT 56214 b HB3428- 13 -LRB103 29807 RJT 56214 b HB3428 - 13 - LRB103 29807 RJT 56214 b HB3428 - 13 - LRB103 29807 RJT 56214 b 1 (f-10) Within 24 hours of the administration of an 2 undesignated epinephrine injector, a school district, public 3 school, charter school, or nonpublic school must notify the 4 physician, physician assistant, or advanced practice 5 registered nurse who provided the standing protocol and a 6 prescription for the undesignated epinephrine injector of its 7 use. 8 Within 24 hours after the administration of an opioid 9 antagonist, a school district, public school, charter school, 10 or nonpublic school must notify the health care professional 11 who provided the prescription for the opioid antagonist of its 12 use. 13 Within 24 hours after the administration of undesignated 14 asthma medication, a school district, public school, charter 15 school, or nonpublic school must notify the student's parent 16 or guardian or emergency contact, if known, and the physician, 17 physician assistant, or advanced practice registered nurse who 18 provided the standing protocol and a prescription for the 19 undesignated asthma medication of its use. The district or 20 school must follow up with the school nurse, if available, and 21 may, with the consent of the child's parent or guardian, 22 notify the child's health care provider of record, as 23 determined under this Section, of its use. 24 (g) Prior to the administration of an undesignated 25 epinephrine injector, trained personnel must submit to the 26 school's administration proof of completion of a training HB3428 - 13 - LRB103 29807 RJT 56214 b HB3428- 14 -LRB103 29807 RJT 56214 b HB3428 - 14 - LRB103 29807 RJT 56214 b HB3428 - 14 - LRB103 29807 RJT 56214 b 1 curriculum to recognize and respond to anaphylaxis that meets 2 the requirements of subsection (h) of this Section. Training 3 must be completed annually. The school district, public 4 school, charter school, or nonpublic school must maintain 5 records related to the training curriculum and trained 6 personnel. 7 Prior to the administration of an opioid antagonist, 8 trained personnel must submit to the school's administration 9 proof of completion of a training curriculum to recognize and 10 respond to an opioid overdose, which curriculum must meet the 11 requirements of subsection (h-5) of this Section. Training 12 must be completed annually. Trained personnel must also submit 13 to the school's administration proof of cardiopulmonary 14 resuscitation and automated external defibrillator 15 certification. The school district, public school, charter 16 school, or nonpublic school must maintain records relating to 17 the training curriculum and the trained personnel. 18 Prior to the administration of undesignated asthma 19 medication, trained personnel must submit to the school's 20 administration proof of completion of a training curriculum to 21 recognize and respond to respiratory distress, which must meet 22 the requirements of subsection (h-10) of this Section. 23 Training must be completed annually, and the school district, 24 public school, charter school, or nonpublic school must 25 maintain records relating to the training curriculum and the 26 trained personnel. HB3428 - 14 - LRB103 29807 RJT 56214 b HB3428- 15 -LRB103 29807 RJT 56214 b HB3428 - 15 - LRB103 29807 RJT 56214 b HB3428 - 15 - LRB103 29807 RJT 56214 b 1 (h) A training curriculum to recognize and respond to 2 anaphylaxis, including the administration of an undesignated 3 epinephrine injector, may be conducted online or in person. 4 Training shall include, but is not limited to: 5 (1) how to recognize signs and symptoms of an allergic 6 reaction, including anaphylaxis; 7 (2) how to administer an epinephrine injector; and 8 (3) a test demonstrating competency of the knowledge 9 required to recognize anaphylaxis and administer an 10 epinephrine injector. 11 Training may also include, but is not limited to: 12 (A) a review of high-risk areas within a school and 13 its related facilities; 14 (B) steps to take to prevent exposure to allergens; 15 (C) emergency follow-up procedures, including the 16 importance of calling 9-1-1 or, if 9-1-1 is not available, 17 other local emergency medical services; 18 (D) how to respond to a student with a known allergy, 19 as well as a student with a previously unknown allergy; 20 (E) other criteria as determined in rules adopted 21 pursuant to this Section; and 22 (F) any policy developed by the State Board of 23 Education under Section 2-3.190. 24 In consultation with statewide professional organizations 25 representing physicians licensed to practice medicine in all 26 of its branches, registered nurses, and school nurses, the HB3428 - 15 - LRB103 29807 RJT 56214 b HB3428- 16 -LRB103 29807 RJT 56214 b HB3428 - 16 - LRB103 29807 RJT 56214 b HB3428 - 16 - LRB103 29807 RJT 56214 b 1 State Board of Education shall make available resource 2 materials consistent with criteria in this subsection (h) for 3 educating trained personnel to recognize and respond to 4 anaphylaxis. The State Board may take into consideration the 5 curriculum on this subject developed by other states, as well 6 as any other curricular materials suggested by medical experts 7 and other groups that work on life-threatening allergy issues. 8 The State Board is not required to create new resource 9 materials. The State Board shall make these resource materials 10 available on its Internet website. 11 (h-5) A training curriculum to recognize and respond to an 12 opioid overdose, including the administration of an opioid 13 antagonist, may be conducted online or in person. The training 14 must comply with any training requirements under Section 5-23 15 of the Substance Use Disorder Act and the corresponding rules. 16 It must include, but is not limited to: 17 (1) how to recognize symptoms of an opioid overdose; 18 (2) information on drug overdose prevention and 19 recognition; 20 (3) how to perform rescue breathing and resuscitation; 21 (4) how to respond to an emergency involving an opioid 22 overdose; 23 (5) opioid antagonist dosage and administration; 24 (6) the importance of calling 9-1-1 or, if 9-1-1 is 25 not available, other local emergency medical services; 26 (7) care for the overdose victim after administration HB3428 - 16 - LRB103 29807 RJT 56214 b HB3428- 17 -LRB103 29807 RJT 56214 b HB3428 - 17 - LRB103 29807 RJT 56214 b HB3428 - 17 - LRB103 29807 RJT 56214 b 1 of the overdose antagonist; 2 (8) a test demonstrating competency of the knowledge 3 required to recognize an opioid overdose and administer a 4 dose of an opioid antagonist; and 5 (9) other criteria as determined in rules adopted 6 pursuant to this Section. 7 (h-10) A training curriculum to recognize and respond to 8 respiratory distress, including the administration of 9 undesignated asthma medication, may be conducted online or in 10 person. The training must include, but is not limited to: 11 (1) how to recognize symptoms of respiratory distress 12 and how to distinguish respiratory distress from 13 anaphylaxis; 14 (2) how to respond to an emergency involving 15 respiratory distress; 16 (3) asthma medication dosage and administration; 17 (4) the importance of calling 9-1-1 or, if 9-1-1 is 18 not available, other local emergency medical services; 19 (5) a test demonstrating competency of the knowledge 20 required to recognize respiratory distress and administer 21 asthma medication; and 22 (6) other criteria as determined in rules adopted 23 under this Section. 24 (i) Within 3 days after the administration of an 25 undesignated epinephrine injector by a school nurse, trained 26 personnel, or a student at a school or school-sponsored HB3428 - 17 - LRB103 29807 RJT 56214 b HB3428- 18 -LRB103 29807 RJT 56214 b HB3428 - 18 - LRB103 29807 RJT 56214 b HB3428 - 18 - LRB103 29807 RJT 56214 b 1 activity, the school must report to the State Board of 2 Education in a form and manner prescribed by the State Board 3 the following information: 4 (1) age and type of person receiving epinephrine 5 (student, staff, visitor); 6 (2) any previously known diagnosis of a severe 7 allergy; 8 (3) trigger that precipitated allergic episode; 9 (4) location where symptoms developed; 10 (5) number of doses administered; 11 (6) type of person administering epinephrine (school 12 nurse, trained personnel, student); and 13 (7) any other information required by the State Board. 14 If a school district, public school, charter school, or 15 nonpublic school maintains or has an independent contractor 16 providing transportation to students who maintains a supply of 17 undesignated epinephrine injectors, then the school district, 18 public school, charter school, or nonpublic school must report 19 that information to the State Board of Education upon adoption 20 or change of the policy of the school district, public school, 21 charter school, nonpublic school, or independent contractor, 22 in a manner as prescribed by the State Board. The report must 23 include the number of undesignated epinephrine injectors in 24 supply. 25 (i-5) Within 3 days after the administration of an opioid 26 antagonist by a school nurse or trained personnel, the school HB3428 - 18 - LRB103 29807 RJT 56214 b HB3428- 19 -LRB103 29807 RJT 56214 b HB3428 - 19 - LRB103 29807 RJT 56214 b HB3428 - 19 - LRB103 29807 RJT 56214 b 1 must report to the State Board of Education, in a form and 2 manner prescribed by the State Board, the following 3 information: 4 (1) the age and type of person receiving the opioid 5 antagonist (student, staff, or visitor); 6 (2) the location where symptoms developed; 7 (3) the type of person administering the opioid 8 antagonist (school nurse or trained personnel); and 9 (4) any other information required by the State Board. 10 (i-10) Within 3 days after the administration of 11 undesignated asthma medication by a school nurse, trained 12 personnel, or a student at a school or school-sponsored 13 activity, the school must report to the State Board of 14 Education, on a form and in a manner prescribed by the State 15 Board of Education, the following information: 16 (1) the age and type of person receiving the asthma 17 medication (student, staff, or visitor); 18 (2) any previously known diagnosis of asthma for the 19 person; 20 (3) the trigger that precipitated respiratory 21 distress, if identifiable; 22 (4) the location of where the symptoms developed; 23 (5) the number of doses administered; 24 (6) the type of person administering the asthma 25 medication (school nurse, trained personnel, or student); 26 (7) the outcome of the asthma medication HB3428 - 19 - LRB103 29807 RJT 56214 b HB3428- 20 -LRB103 29807 RJT 56214 b HB3428 - 20 - LRB103 29807 RJT 56214 b HB3428 - 20 - LRB103 29807 RJT 56214 b 1 administration; and 2 (8) any other information required by the State Board. 3 (j) By October 1, 2015 and every year thereafter, the 4 State Board of Education shall submit a report to the General 5 Assembly identifying the frequency and circumstances of 6 undesignated epinephrine and undesignated asthma medication 7 administration during the preceding academic year. Beginning 8 with the 2017 report, the report shall also contain 9 information on which school districts, public schools, charter 10 schools, and nonpublic schools maintain or have independent 11 contractors providing transportation to students who maintain 12 a supply of undesignated epinephrine injectors. This report 13 shall be published on the State Board's Internet website on 14 the date the report is delivered to the General Assembly. 15 (j-5) Annually, each school district, public school, 16 charter school, or nonpublic school shall request an asthma 17 action plan from the parents or guardians of a pupil with 18 asthma. If provided, the asthma action plan must be kept on 19 file in the office of the school nurse or, in the absence of a 20 school nurse, the school administrator. Copies of the asthma 21 action plan may be distributed to appropriate school staff who 22 interact with the pupil on a regular basis, and, if 23 applicable, may be attached to the pupil's federal Section 504 24 plan or individualized education program plan. 25 (j-10) To assist schools with emergency response 26 procedures for asthma, the State Board of Education, in HB3428 - 20 - LRB103 29807 RJT 56214 b HB3428- 21 -LRB103 29807 RJT 56214 b HB3428 - 21 - LRB103 29807 RJT 56214 b HB3428 - 21 - LRB103 29807 RJT 56214 b 1 consultation with statewide professional organizations with 2 expertise in asthma management and a statewide organization 3 representing school administrators, shall develop a model 4 asthma episode emergency response protocol before September 1, 5 2016. Each school district, charter school, and nonpublic 6 school shall adopt an asthma episode emergency response 7 protocol before January 1, 2017 that includes all of the 8 components of the State Board's model protocol. 9 (j-15) Every 2 years, school personnel who work with 10 pupils shall complete an in-person or online training program 11 on the management of asthma, the prevention of asthma 12 symptoms, and emergency response in the school setting. In 13 consultation with statewide professional organizations with 14 expertise in asthma management, the State Board of Education 15 shall make available resource materials for educating school 16 personnel about asthma and emergency response in the school 17 setting. 18 (j-20) On or before October 1, 2016 and every year 19 thereafter, the State Board of Education shall submit a report 20 to the General Assembly and the Department of Public Health 21 identifying the frequency and circumstances of opioid 22 antagonist administration during the preceding academic year. 23 This report shall be published on the State Board's Internet 24 website on the date the report is delivered to the General 25 Assembly. 26 (k) The State Board of Education may adopt rules necessary HB3428 - 21 - LRB103 29807 RJT 56214 b HB3428- 22 -LRB103 29807 RJT 56214 b HB3428 - 22 - LRB103 29807 RJT 56214 b HB3428 - 22 - LRB103 29807 RJT 56214 b 1 to implement this Section. 2 (l) Nothing in this Section shall limit the amount of 3 epinephrine injectors that any type of school or student may 4 carry or maintain a supply of. 5 (Source: P.A. 101-81, eff. 7-12-19; 102-413, eff. 8-20-21; 6 102-813, eff. 5-13-22.) HB3428 - 22 - LRB103 29807 RJT 56214 b