COMMITTEE ON HEALTH
HOUSE OF REPRESENTATIVES AMENDMENTS TO H.B. 2361
(Reference to printed bill)
Strike everything after the enacting clause and insert:
"Section 1. Title 36, chapter 7.1, article 1, Arizona Revised Statutes, is amended by adding section 36-883.06, to read:
36-883.06. Diabetes management; child care facilities; policies and procedures; civil immunity; definition
A. The department may adopt policies and procedures that include diabetes medical management plans for children who have been diagnosed with diabetes by a health professional to manage diabetes for those children on the premises of child care facilities as authorized by a child's primary health professional. If the department adopts policies and procedures pursuant to this subsection, the policies and procedures shall authorize child care facilities to adopt policies and procedures to manage diabetes for children who attend a child care facility and to designate two or more employees of each child care facility to serve as voluntary diabetes care assistants.
B. The parent or guardian of a child who has been diagnosed with diabetes and who attends a child care facility shall have final approval of the child's voluntary diabetes care assistants. Voluntary diabetes care assistants may administer insulin to a child or may administer glucagon to a child in an emergency situation, or both, if all of the following apply:
1. The voluntary diabetes care assistant has provided to the child care facility a written statement signed by a health professional that the voluntary diabetes care assistant has received training in the administration of insulin and glucagon pursuant to subsection C of this section.
2. A health professional is not immediately available to attend to the child at the time of the emergency.
3. If the voluntary diabetes care assistant is authorized to administer glucagon, the child's parent or guardian has provided the child care facility with an unexpired glucagon kit for the calendar year that is prescribed for that child by a health professional.
4. If the voluntary diabetes care assistant is authorized to administer insulin, the child's parent or guardian has provided the child care facility with insulin and all equipment and supplies that are necessary for insulin administration.
C. The training provided by a health professional to voluntary diabetes care assistants shall include all of the following:
1. An overview of all types of diabetes.
2. The symptoms and treatment of hyperglycemia and hypoglycemia.
3. Techniques for determining the proper dose of insulin in a specific situation based on instructions provided by the child's primary health professional.
4. Techniques for recognizing the symptoms that require the administration of glucagon.
5. Techniques on administering glucagon.
D. A child care facility may not subject an employee to any penalty or disciplinary action for the employee's refusal to serve as a voluntary diabetes care assistant pursuant to this section.
E. If a child care facility follows the policies and procedures adopted by the department pursuant to subsection A of this section, the employees and the owner of the child care facility are immune from civil liability with respect to the actions taken to adopt policies and procedures pursuant to this section and all decisions made and actions taken that are based on good faith compliance with policies and procedures adopted pursuant to this section. A child care facility and health professionals who provide training for voluntary diabetes care assistants pursuant to subsection C of this section are immune from civil liability for the consequences of the good faith adoption and implementation of policies and procedures pursuant to this section.
F. For the purposes of this section, "health professional" means a person who is licensed pursuant to title 32, chapter 13, 14, 17, or 25 or a nurse practitioner who is licensed pursuant to title 32, chapter 15."
Amend title to conform