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Senate
File
368
-
Introduced
SENATE
FILE
368
BY
COMMITTEE
ON
EDUCATION
(SUCCESSOR
TO
SF
111)
A
BILL
FOR
An
Act
relating
to
school
personnel
training,
including
by
1
implementing
provisions
related
to
emergency
care
planning,
2
authorizations
for
assisting,
and
limitations
of
liability
3
concerning
students
with
epilepsy
or
seizure
disorder,
and
4
requiring
the
department
of
education
to
convene
a
health
5
care-related
training
for
school
personnel
work
group.
6
BE
IT
ENACTED
BY
THE
GENERAL
ASSEMBLY
OF
THE
STATE
OF
IOWA:
7
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Section
1.
NEW
SECTION
.
280.13D
Seizure
action
plan
and
1
training
requirements.
2
1.
For
the
purposes
of
this
section,
unless
the
context
3
otherwise
requires:
4
a.
“Individual
health
plan”
means
the
confidential,
written,
5
preplanned,
and
ongoing
special
health
service
developed
for
a
6
student
who
requires
such
service
to
be
incorporated
with
the
7
student’s
educational
program.
8
b.
“School
nurse”
means
a
registered
nurse
holding
current
9
licensure
recognized
by
the
board
of
nursing
who
practices
in
10
the
school
setting
to
promote
and
protect
the
health
of
the
11
school
population
by
using
knowledge
from
the
nursing,
social,
12
and
public
health
sciences.
13
c.
“School
personnel”
means
principals,
guidance
counselors,
14
teachers,
and
other
relevant
employees
who
have
direct
contact
15
with
and
supervise
children,
including
school
bus
drivers
and
16
para-educators.
17
d.
“Seizure
action
plan”
means
a
written
set
of
instructions
18
designed
to
direct
caregivers
and
staff
to
intervene
in
the
19
event
of
a
seizure
occurrence
and
is
considered
a
plan
for
20
emergencies
as
a
part
of
an
individual
health
plan.
21
2.
a.
Starting
with
the
school
year
beginning
July
1,
22
2025,
the
board
of
directors
of
each
school
district
and
the
23
authorities
in
charge
of
each
accredited
nonpublic
school
shall
24
have
at
least
one
school
employee
at
each
school
who
has
met
25
the
training
requirements
necessary
to
administer
or
assist
26
with
the
self-administration
of
all
of
the
following:
27
(1)
A
medication
approved
by
the
United
States
food
and
28
drug
administration
to
treat
seizure
disorder
symptoms
or
29
a
medication
approved
by
the
United
States
food
and
drug
30
administration
as
a
seizure
rescue
medication.
31
(2)
A
manual
dose
of
prescribed
electrical
stimulation
32
using
a
vagus
nerve
stimulator
magnet
approved
by
the
United
33
States
food
and
drug
administration.
34
b.
The
presence
of
a
school
nurse
employed
full-time
by
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a
school
district
or
accredited
nonpublic
school
who
assumes
1
responsibility
for
the
administration
of
seizure
medications
2
and
the
administration
oversight
of
vagus
nerve
stimulation
3
shall
fulfill
the
requirements
of
paragraph
“a”
.
This
section
4
shall
not
be
construed
to
require
school
personnel,
other
than
5
a
school
nurse,
to
administer
a
suppository
to
a
student.
6
3.
a.
On
or
before
December
31,
2026,
each
public
school
7
and
each
accredited
nonpublic
school
shall
provide
training
to
8
all
school
personnel
on
how
to
recognize
the
signs
and
symptoms
9
of
seizures
and
the
appropriate
steps
for
seizure
first
aid.
10
b.
Each
public
school
and
each
accredited
nonpublic
school
11
shall
require
school
personnel
responsible
for
the
supervision
12
or
care
of
students
to
undergo
seizure
recognition
and
first
13
aid
training
on
a
biennial
basis.
14
4.
Any
training
programs
or
guidelines
adopted
by
a
state
15
agency
for
the
training
of
school
personnel
in
the
health
care
16
needs
of
students
diagnosed
with
a
seizure
disorder
shall
be
17
consistent
with
training
programs
and
guidelines
developed
18
by
the
epilepsy
foundation
of
America
or
any
successor
19
organization.
20
5.
This
section
shall
not
be
construed
to
limit
the
21
authority
of
a
school
district,
an
accredited
nonpublic
school,
22
or
the
department
of
education
to
require
additional
seizure
23
disorder
training.
24
6.
a.
Prior
to
school
personnel
administering
medication
25
prescribed
to
treat
a
student’s
seizure
disorder
symptoms,
a
26
school
or
accredited
nonpublic
school
shall
obtain
a
signed
and
27
dated
authorization
from
the
student’s
parent
or
guardian
that
28
authorizes
a
person
who
meets
the
requirements
of
subsection
2
29
to
administer
medication
in
accordance
with
the
school’s
policy
30
and
procedures.
31
b.
Authorizations
required
pursuant
to
paragraph
“a”
shall
32
be
effective
for
the
school
year
in
which
the
authorization
is
33
granted
and
must
be
renewed
each
school
year.
34
7.
Upon
the
request
of
a
student’s
parent
or
guardian,
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a
school
district
or
accredited
nonpublic
school
shall
1
collaborate
with
the
parent
or
guardian
and
relevant
licensed
2
health
care
professionals,
including
the
school
nurse
or
3
education
team,
in
the
development
of
an
individual
health
4
plan,
and
a
seizure
action
plan
if
appropriate,
consistent
5
with
rules
adopted
by
the
state
board
of
education.
The
6
individual
health
plan
or
seizure
action
plan
shall
be
based
7
on
the
student’s
needs
and
may
include
but
is
not
limited
8
to
assessment,
nursing
diagnosis,
outcomes,
planning,
9
interventions,
student
goals,
and
a
plan
for
emergencies
to
10
provide
direction
in
managing
the
student’s
health
needs.
The
11
plan
shall
be
updated
consistent
with
timelines
for
individual
12
health
plans
and
with
rules
adopted
by
the
state
board
of
13
education.
14
8.
a.
Each
school
district
and
each
accredited
nonpublic
15
school
shall
maintain
all
authorizations
pursuant
to
subsection
16
6,
individual
health
plans,
and
seizure
action
plans
for
17
enrolled
students
on
file
in
the
office
of
the
school
nurse
or
18
school
administrator.
19
b.
Each
school
district
and
each
accredited
nonpublic
20
school
shall
distribute
information
regarding
a
student’s
21
seizure
action
plan
to
any
school
personnel
responsible
for
the
22
supervision
or
care
of
the
student.
23
9.
The
requirements
of
subsections
6,
7,
and
8
shall
only
24
apply
to
a
school
district
or
accredited
nonpublic
school
that
25
has
either
of
the
following:
26
a.
An
enrolled
student
with
a
known
diagnosis
of
epilepsy
or
27
seizure
disorder.
28
b.
An
enrolled
student
who
is
known
to
currently
be
taking
29
medication
prescribed
by
a
health
care
provider
as
that
term
30
is
defined
in
section
10A.711,
and
approved
by
the
United
31
States
food
and
drug
administration
to
treat
seizure
disorder
32
symptoms.
33
10.
The
state
board
of
education
shall
adopt
rules
to
34
establish
a
seizure
education
program
for
the
purpose
of
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providing
school
districts
and
accredited
nonpublic
schools
an
1
age-appropriate
program
on
seizures
and
seizure
disorders.
The
2
seizure
education
program
shall
be
consistent
with
guidelines
3
published
by
the
epilepsy
foundation
of
America
or
any
4
successor
organization,
and
participation
in
the
program
shall
5
be
optional.
6
11.
A
school
district
or
accredited
nonpublic
school,
an
7
employee
of
a
school
district
or
accredited
nonpublic
school,
8
or
an
agent
of
a
school
district
or
accredited
nonpublic
school
9
acting
reasonably,
in
good
faith,
and
in
compliance
with
a
10
student’s
individual
health
plan
and
seizure
action
plan
shall
11
not
be
liable
for
any
claim
for
injuries
or
damages
arising
12
from
actions
taken
to
assist
a
student
with
the
student’s
needs
13
related
to
epilepsy
or
a
seizure
disorder.
14
Sec.
2.
DEPARTMENT
OF
EDUCATION
——
HEALTH
CARE-RELATED
15
TRAINING
FOR
SCHOOL
PERSONNEL
WORK
GROUP.
16
1.
The
department
of
education
shall
convene
and
provide
17
administrative
support
to
a
health
care-related
training
18
for
school
personnel
work
group.
The
work
group
shall
19
review
and
develop
a
plan
to
ensure
Iowa
educators
have
the
20
health
care
training
necessary
to
perform
their
duties
and
21
responsibilities,
and
shall
consider
and
submit
recommendations
22
for
delivery
and
implementation
of
training
required
under
23
state
law
or
rule.
24
2.
The
work
group
shall
include
all
of
the
following:
25
a.
(1)
Two
members
who
are
staff
members
from
the
26
department
of
education,
one
of
whom
shall
be
an
administrative
27
consultant
in
the
bureau
of
nutrition
and
health
services.
28
A
member
appointed
under
this
subparagraph
shall
coordinate
29
the
work
group
and
act
as
chairperson
for
the
organizational
30
meeting.
31
(2)
One
member
who
is
a
staff
member
from
the
Iowa
32
department
of
health
and
human
services.
33
b.
Members
who
shall
represent
each
of
the
following:
34
(1)
One
member
from
a
statewide
organization
representing
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teachers.
1
(2)
One
member
from
a
statewide
organization
representing
2
school
board
members.
3
(3)
One
member
from
a
statewide
organization
representing
4
school
administrators.
5
(4)
One
member
from
a
statewide
organization
representing
6
authorities
in
charge
of
accredited
nonpublic
schools.
7
(5)
One
member
representing
the
area
education
agencies.
8
(6)
One
member
from
a
statewide
organization
representing
9
physicians.
10
(7)
One
member
from
a
statewide
organization
representing
11
athletic
trainers.
12
(8)
One
member
from
a
statewide
organization
representing
13
emergency
management
services.
14
(9)
One
member
from
a
statewide
organization
representing
15
health
care
organizations.
16
(10)
One
member
from
a
statewide
organization
representing
17
school
nurses.
18
3.
Any
expenses
incurred
by
a
member
of
the
work
group
19
shall
be
the
responsibility
of
the
individual
member
or
the
20
respective
entity
represented
by
the
member.
21
4.
The
director
of
the
department
of
education
or
the
22
director’s
designee
shall
compile
and
provide
to
the
work
group
23
a
list
of,
and
the
purposes
for,
the
health
care
training
24
programs
that
school
personnel
are
required
to
complete,
as
25
well
as
any
requirements
school
personnel
must
meet
following
26
such
training,
in
order
be
in
compliance
with
state
law
or
27
administrative
rule.
28
5.
The
work
group
shall
do
all
of
the
following:
29
a.
Identify
which
trainings
can
be
best
provided
over
the
30
internet,
and
how
such
training
can
be
rotated
on
a
five-year
31
basis
for
school
personnel.
32
b.
Develop
a
plan
for
a
regular
cycle
of
health
care-related
33
training
for
school
personnel
review,
with
the
goal
of
removing
34
or
modifying
training
or
training
programs
that
are
no
longer
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relevant,
and
identifying
less
costly
and
more
efficient
1
options
that
still
provide
the
appropriate
level
of
training
to
2
school
personnel.
3
c.
Standardize
the
process
of
establishing
new
training
4
requirements
in
state
law
or
rule
to
manage
stakeholder
5
expectations
relating
to
the
timeline
for
establishing
the
6
requirements.
7
d.
Create
an
ongoing
review
process
to
find
efficiencies,
8
identify
training
options
that
better
utilize
time
and
9
financial
resources,
and
offer
a
continuous
improvement
model
10
for
the
system
moving
forward.
11
e.
Study
and
make
any
recommended
changes
on
rules
adopted
12
by
the
state
board
of
education
under
281
IAC
ch.
14,
relating
13
to
individual
health
plans
prepared
for
students
with
various
14
health
conditions.
15
f.
Ensure
a
public
comment
process
for
patient
advocacy
16
groups
and
parents
to
provide
input
on
the
recommendations
of
17
the
work
group.
18
6.
If
the
work
group
recommends
elimination
or
significant
19
modification
of
certain
health
care-related
training
for
20
school
personnel,
the
department
of
education
shall
identify
21
stakeholders
who
would
potentially
be
affected
by
such
22
change,
and
shall
invite
representatives
from
organizations
23
representing
such
stakeholders
to
submit
comments
before
or
24
at
an
upcoming
work
group
meeting
before
the
work
group
makes
25
final
recommendations.
26
7.
The
department
of
education
shall
compile
the
work
27
group’s
findings
and
recommendations
and
shall
submit
the
28
compilation,
including
any
proposal
for
legislation,
in
a
29
report
to
the
general
assembly,
the
governor,
and
the
state
30
board
of
education
by
December
1,
2025.
31
EXPLANATION
32
The
inclusion
of
this
explanation
does
not
constitute
agreement
with
33
the
explanation’s
substance
by
the
members
of
the
general
assembly.
34
This
bill
relates
to
school
personnel
training,
including
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by
implementing
provisions
related
to
emergency
care
planning,
1
authorizations
for
assisting,
and
limitations
of
liability
2
concerning
students
with
epilepsy
or
seizure
disorder,
and
3
requires
the
department
of
education
to
convene
a
health
4
care-related
training
for
school
personnel
work
group.
5
The
bill
creates
definitions
for
“individual
health
plan”,
6
“school
nurse”,
“school
personnel”,
and
“seizure
action
plan”.
7
The
bill
requires
by
the
start
of
the
school
year
beginning
8
July
1,
2025,
for
the
board
of
directors
of
each
school
9
district
and
the
authorities
in
charge
of
each
accredited
10
nonpublic
school
to
have
at
least
one
school
employee
at
each
11
school
who
has
met
the
training
requirements
necessary
to
12
administer
or
assist
with
the
self-administration
of
a
seizure
13
rescue
medication
or
medication
prescribed
to
treat
seizure
14
disorder
symptoms
and
approved
by
the
United
States
food
and
15
drug
administration
and
a
manual
dose
of
prescribed
electrical
16
stimulation
using
a
vagus
nerve
stimulator
magnet
approved
by
17
the
United
States
food
and
drug
administration.
The
presence
18
of
a
school
nurse
employed
full-time
by
a
school
who
assumes
19
responsibility
for
the
administration
of
seizure
medications
20
and
the
administration
oversight
of
vagus
nerve
stimulation
21
fulfills
such
requirements.
These
requirements
do
not
require
22
school
personnel,
other
than
a
school
nurse,
to
administer
a
23
suppository
to
a
student.
24
The
bill
requires
by
December
31,
2026,
each
public
school
25
and
each
accredited
nonpublic
school
to
provide
training
to
all
26
school
personnel
on
how
to
recognize
the
signs
and
symptoms
of
27
seizures
and
the
appropriate
steps
for
seizure
first
aid.
28
The
bill
requires
each
public
school
and
each
accredited
29
nonpublic
school
to
have
school
personnel
responsible
for
the
30
supervision
or
care
of
students
to
undergo
seizure
recognition
31
and
first
aid
training
on
a
biennial
basis.
32
The
bill
requires
any
training
programs
or
guidelines
33
adopted
by
a
state
agency
for
the
training
of
school
personnel
34
in
the
health
care
needs
of
students
diagnosed
with
a
seizure
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disorder
to
be
consistent
with
training
programs
and
guidelines
1
developed
by
the
epilepsy
foundation
of
America
or
any
2
successor
organization.
3
The
bill
authorizes
schools
and
the
department
of
education
4
to
require
additional
seizure
disorder
training.
5
The
bill
requires,
prior
to
school
personnel
administering
6
medication
prescribed
to
treat
a
student’s
seizure
disorder
7
symptoms,
a
school,
or
accredited
nonpublic
school
to
obtain
8
signed
and
dated
authorization
from
the
student’s
parent
or
9
guardian
that
authorizes
a
person
trained
to
administer
or
10
assist
with
the
self-administration
of
a
medication
approved
by
11
the
United
States
food
and
drug
administration
to
treat
seizure
12
disorder
symptoms
and
a
manual
dose
of
prescribed
electrical
13
stimulation
using
a
vagus
nerve
stimulator
magnet
approved
by
14
the
United
States
food
and
drug
administration
in
accordance
15
with
the
school’s
policy
and
procedures.
Such
authorizations
16
are
effective
for
the
school
year
in
which
the
authorization
is
17
granted
and
must
be
renewed
each
school
year.
18
The
bill
requires,
upon
the
request
of
a
student’s
parent
or
19
guardian,
a
school
to
collaborate
with
the
parent
or
guardian
20
and
relevant
licensed
health
care
professionals,
including
21
the
school
nurse
or
education
team,
in
the
development
of
22
an
individual
health
plan,
and
a
seizure
action
plan
if
23
appropriate,
consistent
with
rules
adopted
by
the
state
24
board
of
education.
The
individual
health
plan
or
seizure
25
action
plan
must
be
based
on
the
student’s
needs
and
may
26
include
but
is
not
limited
to
assessment,
nursing
diagnosis,
27
outcomes,
planning,
interventions,
student
goals,
and
a
plan
28
for
emergencies
to
provide
direction
in
managing
the
student’s
29
health
needs.
The
plan
must
be
updated
consistent
with
30
timelines
for
individual
health
plans
and
with
rules
adopted
by
31
the
state
board
of
education.
32
The
bill
requires
each
school
to
maintain
all
authorizations
33
to
allow
seizure
assistance,
individual
health
plans,
and
34
seizure
action
plans
for
enrolled
students
on
file
in
the
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office
of
the
school
nurse
or
school
administrator.
1
The
bill
requires
each
school
to
distribute
information
2
regarding
a
student’s
seizure
action
plan
to
any
school
3
personnel
responsible
for
the
supervision
or
care
of
the
4
student.
5
The
bill
limits
the
requirements
relating
to
authorizations,
6
individual
health
plans,
and
seizure
action
plans
for
students
7
to
schools
that
either
have
an
enrolled
student
with
a
known
8
diagnosis
of
epilepsy
or
seizure
disorder
or
an
enrolled
9
student
who
is
known
to
currently
be
taking
medication
10
prescribed
by
a
health
care
provider
and
approved
by
the
United
11
States
food
and
drug
administration
to
treat
seizure
disorder
12
symptoms.
13
The
bill
directs
the
state
board
of
education
to
adopt
rules
14
to
establish
a
seizure
education
program
for
the
purpose
of
15
providing
school
districts
and
accredited
nonpublic
schools
an
16
age-appropriate
program
on
seizures
and
seizure
disorders.
The
17
seizure
education
program
shall
be
consistent
with
guidelines
18
published
by
the
epilepsy
foundation
of
America
or
any
19
successor
organization,
and
participation
in
the
program
shall
20
be
optional.
21
The
bill
makes
a
school,
a
school
employee,
or
an
agent
of
22
a
school
acting
reasonably,
in
good
faith,
and
in
compliance
23
with
a
student’s
individual
health
plan
and
seizure
action
24
plan
immune
from
liability
for
any
claim
for
injuries
or
25
damages
arising
from
actions
taken
to
assist
a
student
with
the
26
student’s
needs
related
to
epilepsy
or
a
seizure
disorder.
27
The
bill
requires
the
department
of
education
to
convene
28
and
provide
administrative
support
to
a
health
care-related
29
training
for
school
personnel
group.
The
bill
requires
30
the
group
to
review
and
develop
a
plan
to
ensure
that
Iowa
31
educators
have
the
health
care
training
necessary
to
perform
32
their
duties
and
to
submit
recommendations
for
delivery
33
and
implementation
of
training
required
under
state
law
34
or
rule.
The
bill
specifies
the
members
the
group
shall
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include.
The
bill
requires
the
group
to
submit
its
findings
1
and
recommendations
in
a
report
to
the
general
assembly,
the
2
governor,
and
the
state
board
of
education
by
December
1,
2025.
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