An Act
ENROLLED SENATE
BILL NO. 147 By: Hicks of the Senate
and
Dempsey and Fugate of the
House
An Act relating to the Diabetes Management in Schools
Act; amending 70 O.S. 2021, Section 1210.196.3, which
relates to diabetes medical management plans ;
directing plans to indicate whether written consent
has been given for administration of glucagon in
certain circumstances; allowing a school distri ct
board of education to stock gluca gon to treat a
student with diabetes under ce rtain circumstances;
requiring the board to adopt certain policy;
providing contents of policy; establishing length of
effectiveness for certain written consent an d waiver
of liability; allowing certain licensed phys ician to
write a prescription for glucagon to a school
district; providing certain construction; requiring
certain notification upon certain event; providing
for codification; providing an effective date; and
declaring an emergency.
SUBJECT: Glucagon
BE IT ENACTED BY THE PEOPLE OF THE STATE OF OKLAHOMA:
SECTION 1. AMENDATORY 70 O.S. 2021, Section 1210.196.3,
is amended to read as follows:
Section 1210.196.3. A. A diabetes medical management plan
shall be developed for each student wit h diabetes who will seek care
ENR. S. B. NO. 147 Page 2
for diabetes while at sch ool or while participating in a school
activity. The plan shall be develop ed by the personal health care
team of each student. The personal health care team shall consist
of the principal or designee of the principal, the school nurse, if
a school nurse is assigned to the school, the parent or legal
guardian of the student, and to th e extent practicable, the
physician responsible for the diab etes treatment of the s tudent.
B. The diabetes medical mana gement plan shall indicate whether
the parent or legal guardian of the student with diabetes has given
written consent for a school nurse, a school employee trained by a
health care professional, or a volunteer diabetes care assistant, as
defined by Section 1210.196.2 of this title, to provide diabetes
care in accordance with Section 1210.196.5 of this title including
but not limited to the admini stration of glucagon to a stu dent
experiencing a hypoglycemic emergency .
SECTION 2. NEW LAW A new section of law to be cod ified
in the Oklahoma Statutes as Section 1210.196.9 of Title 70, unless
there is created a duplication in numb ering, reads as follows:
A. A school district board of education may elect to stock
glucagon to treat a student with diabetes who experiences a
hypoglycemic emergency or if the student’s prescribed glucagon is
not available on site or has expired . A board of education that
elects to stock glucagon shall adopt a policy that requir es:
1. The school district to inform , in writing, the parent or
legal guardian of each student who has a diabetes medical management
plan pursuant to Section 121 0.196.3 of Title 70 of the Oklahoma
Statutes that a school nurse, a school employee trained by a health
care professional, or a volunteer diabetes care assistant, as
defined by Section 1210.196.2 of Title 70 of the Oklahoma Statutes,
may administer, with p arent or legal guardian written consent but
without a health care provider order, glucagon to a student with
diabetes whom the school nurse, trained employee, or volunteer
diabetes care assistant in good faith believes is having a
hypoglycemic emergency or if the student’s prescribed glucagon is
not available on site or has expired ;
ENR. S. B. NO. 147 Page 3
2. A waiver of liability executed by a parent or legal guardian
be on file with the school district prior to administr ation of
glucagon; and
3. The school district to designate the employee responsible
for obtaining the glucagon at each school site.
B. Written consent and a waiver of liability executed pursuant
to subsection A of this section shall be effective for the school
year for which it is granted and shall be renewed each subsequent
school year.
C. A licensed physician who has prescriptive authority may
write a prescription for glucagon to a school district in the name
of the district as a body corporate specifi ed in Section 5-105 of
Title 70 of the Oklahoma Statutes, which shall be maintained at each
school site in accordance with the manufacturer ’s instructions.
Provided, however, that nothing in this section shall be constr ued
as creating or imposing a duty o n a school district to maintain
glucagon at a school site or sites.
D. In the event a student i s believed to be having a
hypoglycemic emergency, a school employee shall contact 911 and
shall contact the student’s parent or legal guardian as soon as
possible.
SECTION 3. This act shall become effective July 1, 2023.
SECTION 4. It being immediately necessary for the preservation
of the public peace, h ealth, or safety, an emergency is hereby
declared to exist, by reason whereo f this act shall take effect and
be in full force from and after its passage and approval.
ENR. S. B. NO. 147 Page 4
Passed the Senate the 23rd day of March, 2023.
Presiding Officer of the Senate
Passed the House of Representatives the 25th day of April, 2023.
Presiding Officer of the House
of Representatives
OFFICE OF THE GOVERNOR
Received by the Office of the Governor this _______ _____________
day of _________________ __, 20_______, at _______ o'clock _______ M.
By: _________________________ ________
Approved by the Governor of the State of Oklahoma this _____ ____
day of _________________ __, 20_______, at _______ o'clock _______ M.
_________________________________
Governor of the State of Oklahoma
OFFICE OF THE SECRETARY OF STATE
Received by the Office of the Secretary of State this _______ ___
day of __________________, 20 _______, at _______ o'clock _______ M.
By: _______________________________ __