SCHCD-IRON DEFICIENCY TRAINING

Illinois General Assembly - Full Text of HB4864

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104TH GENERAL ASSEMBLY
State of Illinois
2025 and 2026
HB4864

Introduced , by Rep. Janet Yang Rohr

SYNOPSIS AS INTRODUCED:

105 ILCS 5/10-22.39

Amends the School Code. With respect to in-service training programs,
provides that the school board of each school district operating a
secondary education program shall annually conduct in-service training on
iron deficiency and iron anemia caused by participation in athletics for
all coaches of high school interscholastic athletics in the school
district. Provides that the training shall include menstrual dysfunction,
low-energy availability, low bone-mineral density, signs and symptoms, the
impact on health and performance, and what measures can be taken to prevent
or mitigate the negative impacts of these conditions.
LRB104 17884 LNS 31320 b
STATE MANDATES ACT MAY REQUIRE REIMBURSEMENT
MAY APPLY

A BILL FOR

HB4864
LRB104 17884 LNS 31320 b
1

AN ACT concerning education.

2

Be it enacted by the People of the State of Illinois,
3
represented in the General Assembly:

4

Section 5.
The School Code is amended by changing Section
5
10-22.39 as follows:

6

(105 ILCS 5/10-22.39)
7

Sec. 10-22.39.
In-service training programs.
8

(a) To conduct in-service training programs for teachers,
9
administrators, and school support personnel.
10

(b) In addition to other topics at in-service training
11
programs listed in this Section, teachers, administrators, and
12
school support personnel who work with pupils must be trained
13
in the following topics: health conditions of students;
14
social-emotional learning; developing cultural competency;
15
identifying warning signs of mental illness and suicidal
16
behavior in youth; domestic and sexual violence and the needs
17
of expectant and parenting youth; protections and
18
accommodations for students; educator ethics; responding to
19
child sexual abuse and grooming behavior; and effective
20
instruction in violence prevention and conflict resolution.
21
In-service training programs in these topics shall be credited
22
toward hours of professional development required for license
23
renewal as outlined in subsection (e) of Section 21B-45.

HB4864
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LRB104 17884 LNS 31320 b
1

School support personnel may be exempt from in-service
2
training if the training is not relevant to the work they do.
3

Nurses and school nurses, as defined by Section 10-22.23,
4
are exempt from training required in subsection (b-5).
5

Beginning July 1, 2024, all teachers, administrators, and
6
school support personnel shall complete training as outlined
7
in Section 10-22.39 during an in-service training program
8
conducted by their school board or through other training
9
opportunities, including, but not limited to, institutes under
10
Section 3-11. Such training must be completed within 6 months
11
of employment by a school board and renewed at least once every
12
5 years, unless required more frequently by other State or
13
federal law or in accordance with this Section. If teachers,
14
administrators, or school support personnel obtain training
15
outside of an in-service training program or from a previous
16
public school district or nonpublic school employer, they may
17
present documentation showing current compliance with this
18
subsection to satisfy the requirement of receiving training
19
within 6 months of first being employed. Training may be
20
delivered through online, asynchronous means.
21

(b-5) Training regarding health conditions of students for
22
staff required by this Section shall include, but is not
23
limited to:
24

(1) (Blank).
25

(2) Anaphylactic reactions and management. Such
26

training shall be conducted by persons with expertise in

HB4864
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LRB104 17884 LNS 31320 b
1

anaphylactic reactions and management.
2

(3) The management of asthma, the prevention of asthma
3

symptoms, and emergency response in the school setting.
4

(4) The basics of seizure recognition and first aid
5

and appropriate emergency protocols. Such training must be
6

fully consistent with the best practice guidelines issued
7

by the Centers for Disease Control and Prevention.
8

(5) The basics of diabetes care, how to identify when
9

a student with diabetes needs immediate or emergency
10

medical attention, and whom to contact in the case of an
11

emergency.
12

(6) Current best practices regarding the
13

identification and treatment of attention deficit
14

hyperactivity disorder.
15

(7) Instruction on how to respond to an incident
16

involving life-threatening bleeding and, if applicable,
17

how to use a school's trauma kit. Beginning with the
18

2024-2025 school year, training on life-threatening
19

bleeding must be completed within 6 months of the employee
20

first being employed by a school board and renewed within
21

2 years. Beginning with the 2027-2028 school year, the
22

training must be completed within 6 months of the employee
23

first being employed by a school board and renewed at
24

least once every 5 years thereafter. School district
25

employees who are trained to respond to trauma pursuant to
26

this subsection (b-5) shall be immune from civil liability

HB4864
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LRB104 17884 LNS 31320 b
1

in the use of a trauma kit unless the action constitutes
2

willful or wanton misconduct.
3

In consultation with professional organizations with
4
expertise in student health issues, including, but not limited
5
to, asthma management, anaphylactic reactions, seizure
6
recognition, and diabetes care, the State Board of Education
7
shall make available resource materials for educating school
8
personnel about student health conditions and emergency
9
response in the school setting.
10

A school board may satisfy the life-threatening bleeding
11
training under this subsection by using the training,
12
including online training, available from the American College
13
of Surgeons or any other similar organization.
14

(b-10) The training regarding social-emotional learning
15
for staff required by this Section may include, at a minimum,
16
providing education to all school personnel about the content
17
of the Illinois Social and Emotional Learning Standards, how
18
those standards apply to everyday school interactions, and
19
examples of how social emotional learning can be integrated
20
into instructional practices across all grades and subjects.
21

(b-15) The training regarding developing cultural
22
competency for staff required by this Section shall include,
23
but is not limited to, understanding and reducing implicit
24
bias, including implicit racial bias. As used in this
25
subsection, "implicit racial bias" has the meaning set forth
26
in Section 10-20.61.

HB4864
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LRB104 17884 LNS 31320 b
1

(b-20) The training regarding identifying warning signs of
2
mental illness, trauma, and suicidal behavior in youth for
3
staff required by this Section shall include, but is not
4
limited to, appropriate intervention and referral techniques,
5
including resources and guidelines as outlined in Section
6
2-3.166, and must include the definitions of trauma,
7
trauma-responsive learning environments, and whole child set
8
forth in subsection (b) of Section 3-11 of this Code.
9

Illinois Mental Health First Aid training, established
10
under the Illinois Mental Health First Aid Training Act, may
11
satisfy the requirements of this subsection.
12

If teachers, administrators, or school support personnel
13
obtain mental health first aid training outside of an
14
in-service training program, they may present a certificate of
15
successful completion of the training to the school district
16
to satisfy the requirements of this subsection. Training
17
regarding the implementation of trauma-informed practices
18
under subsection (b) of Section 3-11 satisfies the
19
requirements of this subsection.
20

(b-25) As used in this subsection:
21

"Domestic violence" means abuse by a family or household
22
member, as "abuse" and "family or household members" are
23
defined in Section 103 of the Illinois Domestic Violence Act
24
of 1986.
25

"Sexual violence" means sexual assault, abuse, or stalking
26
of an adult or minor child proscribed in the Criminal Code of

HB4864
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LRB104 17884 LNS 31320 b
1
1961 or in Sections 11-1.20, 11-1.30, 11-1.40, 11-1.50,
2
11-1.60, 12-7.3, 12-7.4, 12-7.5, 12-12, 12-13, 12-14, 12-14.1,
3
12-15, and 12-16 of the Criminal Code of 2012, including
4
sexual violence committed by perpetrators who are strangers to
5
the victim and sexual violence committed by perpetrators who
6
are known or related by blood or marriage to the victim.
7

The training regarding domestic and sexual violence and
8
the needs of expectant and parenting youth for staff required
9
by this Section must be conducted by persons with expertise in
10
domestic and sexual violence and the needs of expectant and
11
parenting youth, and shall include, but is not limited to:
12

(1) communicating with and listening to youth victims
13

of domestic or sexual violence and expectant and parenting
14

youth;
15

(2) connecting youth victims of domestic or sexual
16

violence and expectant and parenting youth to appropriate
17

in-school services and other agencies, programs, and
18

services as needed;
19

(3) implementing the school district's policies,
20

procedures, and protocols with regard to such youth,
21

including confidentiality; at a minimum, school personnel
22

must be trained to understand, provide information and
23

referrals, and address issues pertaining to youth who are
24

parents, expectant parents, or victims of domestic or
25

sexual violence; and
26

(4) procedures for responding to incidents of teen

HB4864
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LRB104 17884 LNS 31320 b
1

dating violence that take place at the school, on school
2

grounds, at school-sponsored activities, or in vehicles
3

used for school-provided transportation as outlined in
4

Section 27-240 of this Code.
5

(b-30) The training regarding protections and
6
accommodations for students shall include, but is not limited
7
to, instruction on the federal Americans with Disabilities
8
Act, as it pertains to the school environment, and
9
homelessness. Beginning with the 2024-2025 school year,
10
training on homelessness must be completed within 6 months of
11
an employee first being employed by a school board and renewed
12
within 2 years. Beginning with the 2027-2028 school year, the
13
training must be completed within 6 months of the employee
14
first being employed by a school board and renewed at least
15
once every 5 years thereafter. Training on homelessness shall
16
include the following:
17

(1) the definition of homeless children and youths
18

under 42 U.S.C. 11434a;
19

(2) the signs of homelessness and housing insecurity;
20

(3) the rights of students experiencing homelessness
21

under State and federal law;
22

(4) the steps to take when a homeless or
23

housing-insecure student is identified; and
24

(5) the appropriate referral techniques, including the
25

name and contact number of the school or school district
26

homeless liaison.

HB4864
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LRB104 17884 LNS 31320 b
1

School boards may work with a community-based organization
2
that specializes in working with homeless children and youth
3
to develop and provide the training.
4

(b-35) The training regarding educator ethics and
5
responding to child sexual abuse and grooming behavior shall
6
include, but is not limited to, teacher-student conduct,
7
school employee-student conduct, and evidence-informed
8
training on preventing, recognizing, reporting, and responding
9
to child sexual abuse and grooming as outlined in Section
10
10-23.13.
11

(b-40) The training regarding effective instruction in
12
violence prevention and conflict resolution required by this
13
Section shall be conducted in accordance with the requirements
14
of Section 27-115 of this Code.
15

(b-45) Beginning July 1, 2024, all nonpublic elementary
16
and secondary school teachers, administrators, and school
17
support personnel shall complete the training set forth in
18
subsection (b-5). Training must be completed within 6 months
19
of first being employed by a nonpublic school and renewed at
20
least once every 5 years, unless required more frequently by
21
other State or federal law. If nonpublic teachers,
22
administrators, or school support personnel obtain training
23
from a public school district or nonpublic school employer,
24
the teacher, administrator, or school support personnel may
25
present documentation to the nonpublic school showing current
26
compliance with this subsection to satisfy the requirement of

HB4864
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LRB104 17884 LNS 31320 b
1
receiving training within 6 months of first being employed.
2

(c) (Blank).
3

(d) (Blank).
4

(e) (Blank).
5

(f) (Blank).
6

(g) (Blank).
7

(h) At least once every 2 years, a school board shall
8
conduct in-service training on homelessness for all school
9
personnel. The training shall include:
10

(1) the definition of homeless children and youth
11

under Section 11434a of Title 42 of the United States
12

Code;
13

(2) the signs of homelessness and housing insecurity;
14

(3) the rights of students experiencing homelessness
15

under State and federal law;
16

(4) the steps to take when a homeless or
17

housing-insecure student is identified; and
18

(5) the appropriate referral techniques, including the
19

name and contact number of the school or school district
20

homeless liaison.
21

A school board may work with a community-based
22
organization that specializes in working with homeless
23
children and youth to develop and provide the training.
24

(b-50) Beginning with the 2027-2028 school year, the
25
school board of each school district operating a secondary
26
education program shall annually conduct in-service training

HB4864
- 10 -
LRB104 17884 LNS 31320 b
1
on iron deficiency and iron anemia caused by participation in
2
athletics for all coaches of high school interscholastic
3
athletics in the school district. This training shall, at a
4
minimum, include menstrual dysfunction, low-energy
5
availability, low bone-mineral density, signs and symptoms,
6
the impact on health and performance, and what measures can be
7
taken to prevent or mitigate the negative impacts of these
8
conditions.

9
(Source: P.A. 103-41, eff. 8-20-24; 103-128, eff. 6-30-23;
10
103-413, eff. 1-1-24; 103-542, eff. 7-1-24 (see Section 905 of
11
P.A. 103-563 for effective date of P.A. 103-542); 103-603,
12
eff. 1-1-25; 103-605, eff. 7-1-24; 104-391, eff. 8-15-25.)

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