ARIZONA HOUSE OF REPRESENTATIVES

Fifty-sixth Legislature

Second Regular Session

House: ED DP 10-0-0-0 | 3rd Read 57-0-0-0-3

Senate: ED DP 7-0-0-0 | 3rd Read 27-1-2-0


HB 2174: school personnel; emergency glucagon administration

Sponsor: Representative Pingerelli, LD 28

Transmitted to the Governor

Overview

Allows a school district or charter school to obtain a standing order for glucagon and store glucagon doses at school sites for emergency administration to a student.

History

A school district governing board (governing board) or charter school governing body (governing body) may adopt policies for diabetic students to manage their diabetes in the classroom, on school grounds and at school-sponsored activities. These policies must: 1) require the student's guardian to annually submit a diabetes medical management plan that is signed by a licensed health professional to the school; 2) require the student to practice proper safety precautions when handling and disposing medications and equipment; 3) include procedures enabling the school district or charter school to withdraw the student's authorization to monitor blood glucose and self-administer diabetes medication if the student does not practice proper safety precautions; and 4) require any medication administration services specified in the diabetes medical management plan to be provided.

Furthermore, a governing board or governing body may adopt policies to designate two or more school employees as voluntary diabetes care assistants (diabetes assistants), subject to final approval by the student's guardian. Diabetes assistants are allowed to administer or assist in the self-administration of insulin or administer glucagon in an emergency situation if: 1) a school nurse or other licensed health professional is not immediately available at the time of emergency; 2) the student's guardian has provided the school with a prescribed, unexpired glucagon kit for the school year or insulin and all necessary equipment and supplies; and 3) the diabetes assistant has received proper training that includes techniques for determining the proper dose of insulin based on physician orders, recognizing symptoms that require the administration of glucagon and administering glucagon. Statute details the entities and individuals who are immune from civil liability for the good faith implementation of these policies (A.R.S. § 15-344.01).

Provisions

☐ Prop 105 (45 votes)	     ☐ Prop 108 (40 votes)      ☐ Emergency (40 votes)	☐ Fiscal NoteGlucagon Standing Order

1.   Authorizes a governing board or a governing body to annually request a standing order for glucagon from specified medical professionals. (Sec. 1)

2.   Permits a governing board or governing body, if it obtains a standing order for glucagon, to stock one or more doses of glucagon at school sites for emergency administration to a student by specified individuals. (Sec. 1)

3.   Authorizes a school district or charter school to accept monetary donations, apply for grants or participate in third-party programs to purchase or obtain glucagon at no cost or at a fair market or reduced price. (Sec. 1)

Training Requirements and Civil Liability

4.   Requires a school district or charter school employee or contractor, if a school implements a diabetes medical management plan, to provide to the school a written statement signed by a specified licensed health professional attesting that the employee or contractor has received proper training in administering glucagon. (Sec. 1)

5.   Stipulates the training requirements for administering glucagon must be renewed at regular intervals prescribed by the governing board or governing body. (Sec. 1)

6.   Includes the specified individuals authorized to administer glucagon to a student during an emergency in the definition of employee or contractor. (Sec. 1)

7.   Extends immunity from civil liability to outlined medical professionals or individuals for the good faith implementation of governing board and governing body policies. (Sec. 1)

Unprofessional Conduct Exclusions

8.   Excludes, from the definition of unprofessional conduct for a licensed doctor of medicine or osteopathy, the act of writing or dispensing glucagon prescriptions to be stocked at a school district or charter school for emergency use, if the doctor has not first conducted an examination or established a doctor-patient relationship. (Sec. 2, 3)

9.   Excludes, from the definition of unprofessional conduct for a licensed pharmacist or pharmacy intern, the act of writing or dispensing a glucagon prescription order to be stocked at a school district or charter school for emergency use, if the pharmacist or pharmacy intern knowingly dispenses a prescription order issued in the business of dispensing drugs pursuant to diagnosis by mail or internet. (Sec. 4)

Miscellaneous

10.  Makes technical changes. (Sec. 1, 4)

11.  Makes conforming changes. (Sec. 1, 2, 3, 4)

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15.                    HB 2174

16.  Initials CH           Page 0 Transmitted

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