103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 HB4146 Introduced , by Rep. Jonathan Carroll SYNOPSIS AS INTRODUCED: 105 ILCS 5/10-22.21b from Ch. 122, par. 10-22.21b105 ILCS 5/34-18.61 Amends the School Code. Provides that a school district must allow a student to self-administer any over-the-counter lactose intolerant relief medication without requiring written permission from the student's parent or guardian or written authorization from the student's physician, physician's assistant, or advanced practice registered nurse. LRB103 34066 RJT 63883 b A BILL FOR 103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 HB4146 Introduced , by Rep. Jonathan Carroll SYNOPSIS AS INTRODUCED: 105 ILCS 5/10-22.21b from Ch. 122, par. 10-22.21b105 ILCS 5/34-18.61 105 ILCS 5/10-22.21b from Ch. 122, par. 10-22.21b 105 ILCS 5/34-18.61 Amends the School Code. Provides that a school district must allow a student to self-administer any over-the-counter lactose intolerant relief medication without requiring written permission from the student's parent or guardian or written authorization from the student's physician, physician's assistant, or advanced practice registered nurse. LRB103 34066 RJT 63883 b LRB103 34066 RJT 63883 b A BILL FOR 103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 HB4146 Introduced , by Rep. Jonathan Carroll SYNOPSIS AS INTRODUCED: 105 ILCS 5/10-22.21b from Ch. 122, par. 10-22.21b105 ILCS 5/34-18.61 105 ILCS 5/10-22.21b from Ch. 122, par. 10-22.21b 105 ILCS 5/34-18.61 105 ILCS 5/10-22.21b from Ch. 122, par. 10-22.21b 105 ILCS 5/34-18.61 Amends the School Code. Provides that a school district must allow a student to self-administer any over-the-counter lactose intolerant relief medication without requiring written permission from the student's parent or guardian or written authorization from the student's physician, physician's assistant, or advanced practice registered nurse. LRB103 34066 RJT 63883 b LRB103 34066 RJT 63883 b LRB103 34066 RJT 63883 b A BILL FOR HB4146LRB103 34066 RJT 63883 b HB4146 LRB103 34066 RJT 63883 b HB4146 LRB103 34066 RJT 63883 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 Sections 5 10-22.21b and 34-18.61 as follows: 6 (105 ILCS 5/10-22.21b) (from Ch. 122, par. 10-22.21b) 7 Sec. 10-22.21b. Administering medication. 8 (a) In this Section, "asthma action plan" has the meaning 9 given to that term under Section 22-30. 10 (b) To provide for the administration of medication to 11 students. It shall be the policy of the State of Illinois that 12 the administration of medication to students during regular 13 school hours and during school-related activities should be 14 discouraged unless absolutely necessary for the critical 15 health and well-being of the student. Under no circumstances 16 shall teachers or other non-administrative school employees, 17 except certified school nurses and non-certificated registered 18 professional nurses, be required to administer medication to 19 students. This Section shall not prohibit a school district 20 from adopting guidelines for self-administration of medication 21 by students that are consistent with this Section and this 22 Code. This Section shall not prohibit any school employee from 23 providing emergency assistance to students. 103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 HB4146 Introduced , by Rep. Jonathan Carroll SYNOPSIS AS INTRODUCED: 105 ILCS 5/10-22.21b from Ch. 122, par. 10-22.21b105 ILCS 5/34-18.61 105 ILCS 5/10-22.21b from Ch. 122, par. 10-22.21b 105 ILCS 5/34-18.61 105 ILCS 5/10-22.21b from Ch. 122, par. 10-22.21b 105 ILCS 5/34-18.61 Amends the School Code. Provides that a school district must allow a student to self-administer any over-the-counter lactose intolerant relief medication without requiring written permission from the student's parent or guardian or written authorization from the student's physician, physician's assistant, or advanced practice registered nurse. LRB103 34066 RJT 63883 b LRB103 34066 RJT 63883 b LRB103 34066 RJT 63883 b A BILL FOR 105 ILCS 5/10-22.21b from Ch. 122, par. 10-22.21b 105 ILCS 5/34-18.61 LRB103 34066 RJT 63883 b HB4146 LRB103 34066 RJT 63883 b HB4146- 2 -LRB103 34066 RJT 63883 b HB4146 - 2 - LRB103 34066 RJT 63883 b HB4146 - 2 - LRB103 34066 RJT 63883 b 1 (c) Notwithstanding any other provision of law, a school 2 district must allow any student with an asthma action plan, an 3 Individual Health Care Action Plan, an allergy emergency 4 action plan, a plan pursuant to Section 504 of the federal 5 Rehabilitation Act of 1973, or a plan pursuant to the federal 6 Individuals with Disabilities Education Act to self-administer 7 any medication required under those plans if the student's 8 parent or guardian provides the school district with (i) 9 written permission for the student's self-administration of 10 medication and (ii) written authorization from the student's 11 physician, physician assistant, or advanced practice 12 registered nurse for the student to self-administer the 13 medication. A parent or guardian must also provide to the 14 school district the prescription label for the medication, 15 which must contain the name of the medication, the prescribed 16 dosage, and the time or times at which or the circumstances 17 under which the medication is to be administered. Information 18 received by a school district under this subsection shall be 19 kept on file in the office of the school nurse or, in the 20 absence of a school nurse, the school's administrator. 21 Notwithstanding any other provision of law, a school 22 district must allow a student to self-administer any 23 over-the-counter lactose intolerant relief medication without 24 requiring written permission from the student's parent or 25 guardian or written authorization from the student's 26 physician, physician's assistant, or advanced practice HB4146 - 2 - LRB103 34066 RJT 63883 b HB4146- 3 -LRB103 34066 RJT 63883 b HB4146 - 3 - LRB103 34066 RJT 63883 b HB4146 - 3 - LRB103 34066 RJT 63883 b 1 registered nurse. 2 (d) Each school district must adopt an emergency action 3 plan for a student who self-administers medication under 4 subsection (c). The plan must include both of the following: 5 (1) A plan of action in the event a student is unable 6 to self-administer medication. 7 (2) The situations in which a school must call 9-1-1. 8 (e) A school district and its employees and agents shall 9 incur no liability, except for willful and wanton conduct, as 10 a result of any injury arising from the self-administration of 11 medication by a student under subsection (c). The student's 12 parent or guardian must sign a statement to this effect, which 13 must acknowledge that the parent or guardian must indemnify 14 and hold harmless the school district and its employees and 15 agents against any claims, except a claim based on willful and 16 wanton conduct, arising out of the self-administration of 17 medication by a student. 18 (Source: P.A. 103-175, eff. 6-30-23.) 19 (105 ILCS 5/34-18.61) 20 Sec. 34-18.61. Self-administration of medication. 21 (a) In this Section, "asthma action plan" has the meaning 22 given to that term under Section 22-30. 23 (b) Notwithstanding any other provision of law, the school 24 district must allow any student with an asthma action plan, an 25 Individual Health Care Action Plan, an allergy emergency HB4146 - 3 - LRB103 34066 RJT 63883 b HB4146- 4 -LRB103 34066 RJT 63883 b HB4146 - 4 - LRB103 34066 RJT 63883 b HB4146 - 4 - LRB103 34066 RJT 63883 b 1 action plan, a plan pursuant to Section 504 of the federal 2 Rehabilitation Act of 1973, or a plan pursuant to the federal 3 Individuals with Disabilities Education Act to self-administer 4 any medication required under those plans if the student's 5 parent or guardian provides the school district with (i) 6 written permission for the student's self-administration of 7 medication and (ii) written authorization from the student's 8 physician, physician assistant, or advanced practice 9 registered nurse for the student to self-administer the 10 medication. A parent or guardian must also provide to the 11 school district the prescription label for the medication, 12 which must contain the name of the medication, the prescribed 13 dosage, and the time or times at which or the circumstances 14 under which the medication is to be administered. Information 15 received by the school district under this subsection shall be 16 kept on file in the office of the school nurse or, in the 17 absence of a school nurse, the school's administrator. 18 Notwithstanding any other provision of law, the school 19 district must allow a student to self-administer any 20 over-the-counter lactose intolerant relief medication without 21 requiring written permission from the student's parent or 22 guardian or written authorization from the student's 23 physician, physician's assistant, or advanced practice 24 registered nurse. 25 (c) The school district must adopt an emergency action 26 plan for a student who self-administers medication under HB4146 - 4 - LRB103 34066 RJT 63883 b HB4146- 5 -LRB103 34066 RJT 63883 b HB4146 - 5 - LRB103 34066 RJT 63883 b HB4146 - 5 - LRB103 34066 RJT 63883 b HB4146 - 5 - LRB103 34066 RJT 63883 b