33 | 27 | | |
---|
34 | 28 | | ENGROSSED SENATE |
---|
35 | 29 | | BILL NO. 331 By: Hines of the Senate |
---|
36 | 30 | | |
---|
37 | 31 | | and |
---|
38 | 32 | | |
---|
39 | 33 | | Stinson of the House |
---|
40 | 34 | | |
---|
41 | 35 | | |
---|
42 | 36 | | |
---|
43 | 37 | | |
---|
44 | 38 | | An Act relating to schools; creating the Emerson Kate |
---|
45 | 39 | | Cole Act; providing short title; amending 70 O.S. |
---|
46 | 40 | | 2021, Section 1-116.3, which relates to school |
---|
47 | 41 | | medication policies; updating statutory language; |
---|
48 | 42 | | updating statutory reference; requiring a school |
---|
49 | 43 | | employee to call 911 if Epinephrine is administered |
---|
50 | 44 | | to a student; requiring notification of a parent or |
---|
51 | 45 | | legal guardian if a student experiences a possible |
---|
52 | 46 | | allergic reaction; requiring annual training for |
---|
53 | 47 | | certain teachers and school employees; providing for |
---|
54 | 48 | | content and method of training; providing for |
---|
55 | 49 | | noncodification; providing an effective date; and |
---|
56 | 50 | | declaring an emergency. |
---|
57 | 51 | | |
---|
58 | 52 | | |
---|
59 | 53 | | |
---|
60 | 54 | | |
---|
61 | 55 | | |
---|
62 | 56 | | BE IT ENACTED BY THE PEOPLE OF THE STATE OF OK LAHOMA: |
---|
63 | 57 | | SECTION 1. NEW LAW A new section of law not to be |
---|
64 | 58 | | codified in the Oklahoma Statutes reads as follows: |
---|
65 | 59 | | This act shall be known and may be cited as the “Emerson Kate |
---|
66 | 60 | | Cole Act”. |
---|
67 | 61 | | SECTION 2. AMENDATORY 7 0 O.S. 2021, Section 1 -116.3, is |
---|
68 | 62 | | amended to read as follows: |
---|
98 | 92 | | permits the self-administration of inhaled asthma medication by a |
---|
99 | 93 | | student for treatment of asthma, the self -administration of |
---|
100 | 94 | | anaphylaxis medication by a student for treatment of anaphylaxis , |
---|
101 | 95 | | and the self-administration of replacement pancreatic enzymes by a |
---|
102 | 96 | | student for treatment of cystic fibrosis. The policy shall require: |
---|
103 | 97 | | 1. The parent or legal guardian of the student to authorize in |
---|
104 | 98 | | writing the student’s self-administration of medication; |
---|
105 | 99 | | 2. The parent or legal guardian of the student to provide to |
---|
106 | 100 | | the school a written statement from the physician treating the |
---|
107 | 101 | | student that the student has asthma, anaphylaxis , or cystic fibrosis |
---|
108 | 102 | | and is capable of, and has been instructed in the proper method of, |
---|
109 | 103 | | self-administration of medication; |
---|
110 | 104 | | 3. The parent or legal guardian of the student to provide to |
---|
111 | 105 | | the school an emergency supply of the student ’s medication to be |
---|
112 | 106 | | administered pursuant to the provisions of Section 1 -116.2 of this |
---|
113 | 107 | | title; |
---|
114 | 108 | | 4. The school district to i nform the parent or legal guardian |
---|
115 | 109 | | of the student, in writing, that the school district and its |
---|
116 | 110 | | employees and agents shall incur no liability as a result of any |
---|
117 | 111 | | injury arising from the self -administration of medication by the |
---|
118 | 112 | | student; and |
---|
147 | 141 | | liability as a result of any injury arising from the self - |
---|
148 | 142 | | administration of medication by the student. |
---|
149 | 143 | | B. The school board of education of each school district that |
---|
150 | 144 | | elects to stock Epinephrine injectors or inhalers shall amend the |
---|
151 | 145 | | policy identified in subsection A of this section. |
---|
152 | 146 | | 1. The amended policy for Epinephrine injectors shall require: |
---|
153 | 147 | | a. the school district to inform the parent or legal |
---|
154 | 148 | | guardian of each student, in writing, that a school |
---|
155 | 149 | | nurse or school employee trained by a health care |
---|
156 | 150 | | professional or trained in correlation with the State |
---|
157 | 151 | | Department of Health ’s Diabetes Management Annual |
---|
158 | 152 | | School Training Program annual diabetes management |
---|
159 | 153 | | training may administer, with parent or legal guardian |
---|
160 | 154 | | permission but without a health care provider order, |
---|
161 | 155 | | an Epinephrine injection to a student whom the school |
---|
162 | 156 | | nurse or trained school employee in good faith |
---|
163 | 157 | | believes is having an anaphylactic reaction, |
---|
164 | 158 | | b. a waiver of liability executed by a parent or legal |
---|
165 | 159 | | guardian to be on file with the school district prior |
---|
166 | 160 | | to the administration of an Epinephrine injection |
---|
167 | 161 | | pursuant to subparagraph a of this paragraph 1 of this |
---|
168 | 162 | | subsection, and |
---|
171 | 165 | | 2 |
---|
172 | 166 | | 3 |
---|
173 | 167 | | 4 |
---|
174 | 168 | | 5 |
---|
175 | 169 | | 6 |
---|
176 | 170 | | 7 |
---|
177 | 171 | | 8 |
---|
178 | 172 | | 9 |
---|
179 | 173 | | 10 |
---|
180 | 174 | | 11 |
---|
181 | 175 | | 12 |
---|
182 | 176 | | 13 |
---|
183 | 177 | | 14 |
---|
184 | 178 | | 15 |
---|
185 | 179 | | 16 |
---|
186 | 180 | | 17 |
---|
187 | 181 | | 18 |
---|
188 | 182 | | 19 |
---|
189 | 183 | | 20 |
---|
190 | 184 | | 21 |
---|
191 | 185 | | 22 |
---|
192 | 186 | | 23 |
---|
193 | 187 | | 24 |
---|
194 | 188 | | |
---|
195 | 189 | | c. the school district to designat e the employee |
---|
196 | 190 | | responsible for obtaining the Epineph rine injectors at |
---|
197 | 191 | | each school site. |
---|
198 | 192 | | 2. The amended policy for inhalers shall require: |
---|
199 | 193 | | a. the school district to inform the parent or legal |
---|
200 | 194 | | guardian of each student, in writing, that a school |
---|
201 | 195 | | nurse or school employee trained by a health care |
---|
202 | 196 | | professional may administer an inhaler to a student |
---|
203 | 197 | | whom the school nurse or trained school employee in |
---|
204 | 198 | | good faith believes is having respiratory distress, |
---|
205 | 199 | | b. the school district to designate the employee |
---|
206 | 200 | | responsible for obtaining the inhalers and spacers or |
---|
207 | 201 | | holding chambers at each school site, and |
---|
208 | 202 | | c. the school district to notify the parent or legal |
---|
209 | 203 | | guardian of a student after administration of an |
---|
210 | 204 | | inhaler. |
---|
211 | 205 | | C. The school district and its employees and agents shall incur |
---|
212 | 206 | | no liability as a result of any injury arising pu rsuant to the |
---|
213 | 207 | | discharge or nondischarge of the powers provided for pursuant to |
---|
214 | 208 | | subparagraph a of paragraphs 1 and 2 of subsection B of this |
---|
215 | 209 | | section. |
---|
216 | 210 | | D. A licensed physician who has prescriptive authority may |
---|
217 | 211 | | write a prescription for Epinephrine injectors and inhalers and |
---|
218 | 212 | | spacers or holding chambers to the school district in the name of |
---|
221 | 215 | | 2 |
---|
222 | 216 | | 3 |
---|
223 | 217 | | 4 |
---|
224 | 218 | | 5 |
---|
225 | 219 | | 6 |
---|
226 | 220 | | 7 |
---|
227 | 221 | | 8 |
---|
228 | 222 | | 9 |
---|
229 | 223 | | 10 |
---|
230 | 224 | | 11 |
---|
231 | 225 | | 12 |
---|
232 | 226 | | 13 |
---|
233 | 227 | | 14 |
---|
234 | 228 | | 15 |
---|
235 | 229 | | 16 |
---|
236 | 230 | | 17 |
---|
237 | 231 | | 18 |
---|
238 | 232 | | 19 |
---|
239 | 233 | | 20 |
---|
240 | 234 | | 21 |
---|
241 | 235 | | 22 |
---|
242 | 236 | | 23 |
---|
243 | 237 | | 24 |
---|
244 | 238 | | |
---|
245 | 239 | | the district as a body corporate specified in Section 5 -105 of this |
---|
246 | 240 | | title which shall be maintained at each school site. Such physician |
---|
247 | 241 | | shall incur no liability as a result of any injury arising from the |
---|
248 | 242 | | use of the Epinephrine injectors or the inhalers and spacers or |
---|
249 | 243 | | holding chambers. |
---|
250 | 244 | | E. The school district may maintain at each school a minimum of |
---|
251 | 245 | | two Epinephrine injectors and two inhalers with spacers or holding |
---|
252 | 246 | | chambers in a secure location. Provided, however, that nothing in |
---|
253 | 247 | | this section shall be construed as creating or imposing a duty on a |
---|
254 | 248 | | school district to maintain Epinephrine injectors or inhalers with |
---|
255 | 249 | | spacers or holding chambers at a school site or sites. |
---|
256 | 250 | | F. In the event a student is believed to be having an |
---|
257 | 251 | | anaphylactic reaction or respiratory distress, a school employee |
---|
258 | 252 | | shall contact 911 as soon as possible. If Epinephrine is |
---|
259 | 253 | | administered to a student, a school employee shall contact 911 as |
---|
260 | 254 | | soon as possible. Th e school district shall notify the parent or |
---|
261 | 255 | | legal guardian of any student who experiences a possible allergic |
---|
262 | 256 | | reaction as soon as possible. |
---|
263 | 257 | | G. The State Board of Education, in consultation with the State |
---|
264 | 258 | | Board of Health, shall develop model policies whic h school districts |
---|
265 | 259 | | may use in compliance with this section. The model policies shall |
---|
266 | 260 | | include, at a minimum, required annual training for teachers and |
---|
267 | 261 | | school employees who are directly responsible for stu dents on the |
---|
268 | 262 | | topics of food allergies, recognizing a naphylaxis, and instruction |
---|
271 | 265 | | 2 |
---|
272 | 266 | | 3 |
---|
273 | 267 | | 4 |
---|
274 | 268 | | 5 |
---|
275 | 269 | | 6 |
---|
276 | 270 | | 7 |
---|
277 | 271 | | 8 |
---|
278 | 272 | | 9 |
---|
279 | 273 | | 10 |
---|
280 | 274 | | 11 |
---|
281 | 275 | | 12 |
---|
282 | 276 | | 13 |
---|
283 | 277 | | 14 |
---|
284 | 278 | | 15 |
---|
285 | 279 | | 16 |
---|
286 | 280 | | 17 |
---|
287 | 281 | | 18 |
---|
288 | 282 | | 19 |
---|
289 | 283 | | 20 |
---|
290 | 284 | | 21 |
---|
291 | 285 | | 22 |
---|
292 | 286 | | 23 |
---|
293 | 287 | | 24 |
---|
294 | 288 | | |
---|
295 | 289 | | on how to administer Epinephrine. The training shall be completed |
---|
296 | 290 | | before the school year begins or upon hiring the teacher or school |
---|
297 | 291 | | employee. Documentation certifying completion of the required |
---|
298 | 292 | | training shall be retained in t he personnel file for the teacher or |
---|
299 | 293 | | school employee. The training may be provided online or in person |
---|
300 | 294 | | by the school nurse or a recognized food allergy and anaphylaxis |
---|
301 | 295 | | training program. |
---|
302 | 296 | | H. The State Board of Education, in consultation with the State |
---|
303 | 297 | | Board of Health, shall promulgate rules to implement this section. |
---|
304 | 298 | | I. As used in this section: |
---|
305 | 299 | | 1. “Medication” means a metered dose inhaler or a dry powder |
---|
306 | 300 | | inhaler to alleviate asthmatic symptoms, prescribed by a physician |
---|
307 | 301 | | and having an individual label, an anaphylaxis medication used to |
---|
308 | 302 | | treat anaphylaxis including but not limited to Epinephrine injectors |
---|
309 | 303 | | prescribed by a physician and having an individual label, or |
---|
310 | 304 | | replacement pancreatic enzymes prescribed b y a physician and having |
---|
311 | 305 | | an individual label; and |
---|
312 | 306 | | 2. “Self-administration” means a student’s use of medication |
---|
313 | 307 | | pursuant to prescription or written direction from a physician .; |
---|
314 | 308 | | 3. “Respiratory distress ” means the perceived or actual |
---|
315 | 309 | | presence of coughing, wheezing , or shortness of breath; and |
---|
316 | 310 | | 4. “Inhaler” means a device that delivers a bronchodilator to |
---|
317 | 311 | | alleviate symptoms of respiratory distress that is manufactured in |
---|
318 | 312 | | the form of a metered -dose inhaler or dry-powder inhaler and that |
---|
321 | 315 | | 2 |
---|
322 | 316 | | 3 |
---|
323 | 317 | | 4 |
---|
324 | 318 | | 5 |
---|
325 | 319 | | 6 |
---|
326 | 320 | | 7 |
---|
327 | 321 | | 8 |
---|
328 | 322 | | 9 |
---|
329 | 323 | | 10 |
---|
330 | 324 | | 11 |
---|
331 | 325 | | 12 |
---|
332 | 326 | | 13 |
---|
333 | 327 | | 14 |
---|
334 | 328 | | 15 |
---|
335 | 329 | | 16 |
---|
336 | 330 | | 17 |
---|
337 | 331 | | 18 |
---|
338 | 332 | | 19 |
---|
339 | 333 | | 20 |
---|
340 | 334 | | 21 |
---|
341 | 335 | | 22 |
---|
342 | 336 | | 23 |
---|
343 | 337 | | 24 |
---|
344 | 338 | | |
---|
345 | 339 | | may include a spacer o r holding chamber that attaches to the inhaler |
---|
346 | 340 | | to improve the delivery of the bronchodilator. |
---|
347 | 341 | | J. The permission for self -administration of asthma, |
---|
348 | 342 | | anaphylaxis, or replacement pancreatic enzyme medication is |
---|
349 | 343 | | effective for the school year for which it is granted and shall be |
---|
350 | 344 | | renewed each subsequent school ye ar upon fulfillment of the |
---|
351 | 345 | | requirements of this section. |
---|
352 | 346 | | K. A student who is permitted to self -administer asthma, |
---|
353 | 347 | | anaphylaxis, or replacement pancreatic enzyme medication pursuant to |
---|
354 | 348 | | this section shall b e permitted to possess and use a prescribed |
---|
355 | 349 | | inhaler, anaphylaxis medication including but not limited to an |
---|
356 | 350 | | Epinephrine injector, or replacement pancreatic enzyme medication at |
---|
357 | 351 | | all times. |
---|
358 | 352 | | SECTION 3. This act shall become effective July 1, 2025. |
---|
359 | 353 | | SECTION 4. It being immediate ly necessary for the preservation |
---|
360 | 354 | | of the public peace, health, or safety, an emergency is hereby |
---|
361 | 355 | | declared to exist, by reason whereof this act shall take effect and |
---|
362 | 356 | | be in full force from and after its pas sage and approval. |
---|
363 | 357 | | |
---|