1 | 1 | | 81R3633 ALB-F |
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2 | 2 | | By: Lucio III H.B. No. 4633 |
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3 | 3 | | |
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4 | 4 | | |
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5 | 5 | | A BILL TO BE ENTITLED |
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6 | 6 | | AN ACT |
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7 | 7 | | relating to the care of elementary and secondary school students |
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8 | 8 | | with food or other life-threatening allergies. |
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9 | 9 | | BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
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10 | 10 | | SECTION 1. Subtitle H, Title 2, Health and Safety Code, is |
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11 | 11 | | amended by adding Chapter 172 to read as follows: |
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12 | 12 | | CHAPTER 172. CARE OF STUDENTS WITH FOOD OR OTHER LIFE-THREATENING |
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13 | 13 | | ALLERGIES |
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14 | 14 | | Sec. 172.001. DEFINITIONS. In this chapter: |
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15 | 15 | | (1) "Allergy" means a dangerous or life-threatening |
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16 | 16 | | reaction of the human body to an allergen introduced by inhalation, |
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17 | 17 | | ingestion, injection, or skin contact. |
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18 | 18 | | (2) "School" means a public elementary or secondary |
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19 | 19 | | school. The term includes an open-enrollment charter school |
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20 | 20 | | established under Subchapter D, Chapter 12, Education Code. |
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21 | 21 | | (3) "School employee" means a person employed by: |
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22 | 22 | | (A) a school; |
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23 | 23 | | (B) a local health department that assists a |
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24 | 24 | | school under this chapter; or |
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25 | 25 | | (C) any other entity that assists a school under |
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26 | 26 | | this chapter, including an entity that provides transportation for |
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27 | 27 | | students. |
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28 | 28 | | Sec. 172.002. ALLERGY AND ANAPHYLAXIS MANAGEMENT IN |
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29 | 29 | | SCHOOLS. (a) Each school district or charter school in this state |
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30 | 30 | | shall develop an allergy and anaphylaxis management plan that |
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31 | 31 | | includes the following: |
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32 | 32 | | (1) a communication plan regarding dissemination of |
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33 | 33 | | information regarding a student's allergy when a student with a |
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34 | 34 | | life-threatening allergy is admitted to a school; |
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35 | 35 | | (2) strategies for reducing a student's exposure to |
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36 | 36 | | anaphylactic causative agents, including food and other |
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37 | 37 | | life-threatening allergens; |
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38 | 38 | | (3) a procedure for the development of an |
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39 | 39 | | individualized health care plan as required by Section 172.003 for |
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40 | 40 | | each student with a life-threatening allergy; |
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41 | 41 | | (4) a training course for each school employee that |
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42 | 42 | | includes annual training regarding recognizing the signs and |
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43 | 43 | | symptoms of allergic reaction, administering life-saving |
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44 | 44 | | medication with a cartridge injector, and emergency procedures |
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45 | 45 | | after injecting medication; and |
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46 | 46 | | (5) a procedure and treatment plan for responding to |
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47 | 47 | | anaphylaxis that includes the responsibilities of a school nurse |
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48 | 48 | | and the responsibilities of school employees who serve as first |
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49 | 49 | | responders in an anaphylactic emergency, recognizing that |
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50 | 50 | | anaphylaxis may occur in a student who has never experienced an |
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51 | 51 | | allergic reaction. |
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52 | 52 | | (b) In developing the plan under Subsection (a), a school |
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53 | 53 | | district or charter school shall consult The Texas Guide to School |
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54 | 54 | | Health Programs published by the Department of State Health |
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55 | 55 | | Services and may reference best practice guidelines from the |
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56 | 56 | | following organizations: |
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57 | 57 | | (1) the American Medical Association; |
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58 | 58 | | (2) the American Academy of Allergy, Asthma, and |
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59 | 59 | | Immunology; |
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60 | 60 | | (3) the American Academy of Pediatrics; |
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61 | 61 | | (4) the National Association of School Nurses; and |
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62 | 62 | | (5) the Food Allergy and Anaphylaxis Network. |
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63 | 63 | | Sec. 172.003. INDIVIDUALIZED HEALTH CARE PLAN. (a) An |
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64 | 64 | | individualized health care plan is a coordinated plan of care |
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65 | 65 | | designed to meet the unique health care needs of a student with an |
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66 | 66 | | allergy in the school setting. |
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67 | 67 | | (b) An individualized health care plan must be developed for |
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68 | 68 | | each student with an allergy who may seek care for the allergy while |
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69 | 69 | | at school or while participating in a school activity. The school |
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70 | 70 | | principal and the school nurse, if a school nurse is assigned to the |
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71 | 71 | | school, shall develop a student's individualized health care plan |
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72 | 72 | | in collaboration with the student's parent or guardian and, to the |
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73 | 73 | | extent practicable, the physician responsible for the treatment of |
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74 | 74 | | the student's allergy. |
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75 | 75 | | (c) The school must develop an individualized health care |
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76 | 76 | | plan for each student with an allergy: |
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77 | 77 | | (1) before the first day of the school year for a |
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78 | 78 | | student enrolled at the school on the first day of the school year; |
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79 | 79 | | (2) on enrollment of the student, if the student |
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80 | 80 | | enrolls in the school after the first day of the school year; or |
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81 | 81 | | (3) as soon as practicable after a student is |
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82 | 82 | | diagnosed with an allergy if the allergy is diagnosed after the |
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83 | 83 | | student is enrolled in the school. |
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84 | 84 | | Sec. 172.004. INDEPENDENT MONITORING AND TREATMENT. In |
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85 | 85 | | accordance with the student's individualized health care plan, a |
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86 | 86 | | school shall permit the student to attend to the management and care |
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87 | 87 | | of the student's allergy, which may include: |
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88 | 88 | | (1) possessing and self-administering anaphylaxis |
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89 | 89 | | medicine under Section 38.015, Education Code; |
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90 | 90 | | (2) possessing on the student's person at any time any |
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91 | 91 | | supplies or equipment necessary to care for the student's allergy; |
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92 | 92 | | and |
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93 | 93 | | (3) otherwise attending to the management and care of |
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94 | 94 | | the student's allergy in the classroom, in any area of the school or |
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95 | 95 | | school grounds, or at any school-related activity. |
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96 | 96 | | Sec. 172.005. IMMUNITY FROM DISCIPLINARY ACTION OR |
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97 | 97 | | LIABILITY. A school employee may not be subject to any disciplinary |
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98 | 98 | | proceeding, as defined by Section 22.0512(b), Education Code, |
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99 | 99 | | resulting from an action taken in compliance with this chapter. The |
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100 | 100 | | requirements of this chapter are considered to involve the |
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101 | 101 | | employee's judgment and discretion and are not considered |
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102 | 102 | | ministerial acts for purposes of immunity from liability under |
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103 | 103 | | Section 22.0511, Education Code. Nothing in this chapter shall be |
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104 | 104 | | considered to limit the immunity from liability afforded under |
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105 | 105 | | Section 22.0511, Education Code. |
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106 | 106 | | SECTION 2. Chapter 172, Health and Safety Code, as added by |
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107 | 107 | | this Act, applies beginning with the 2009-2010 school year. |
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108 | 108 | | SECTION 3. This Act takes effect immediately if it receives |
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109 | 109 | | a vote of two-thirds of all the members elected to each house, as |
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110 | 110 | | provided by Section 39, Article III, Texas Constitution. If this |
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111 | 111 | | Act does not receive the vote necessary for immediate effect, this |
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112 | 112 | | Act takes effect September 1, 2009. |
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