ECSheading
From the ECS State Policy Database
Health--School Based Clinics or School Nurses


Education Commission of the States • 700 Broadway, Suite 810 • Denver, CO 80203-3442 • 303.299.3600 • fax 303.296.8332 • www.ecs.org

This database is made possible by your state's fiscal support of the Education Commission of the States (ECS). Most entries are legislative, although rules/regulations and executive orders that make substantive changes are included. Every effort is made to collect the latest available version of policies; in some instances, recent changes might not be reflected. For expediency purposes minimal attention has been paid to style (capitalization, punctuation) and format.

Please cite use of the database as: Education Commission of the States (ECS) State Policy Database, retrieved [date].

State Status/Date Level Summary
WASigned into law 04/2014P-12Delivery of Medication by School Employees
S.B. 6128
Requires school district employees who are not nurses who are asked to administer certain medications or perform certain nursing services to, at the time he or she is asked to administer the medication or perform the nursing service, file a voluntary written, ...

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IDSigned into law 03/2014P-12Life-threatening Allegies
S.B. 1327
Authorizes schools to voluntarily maintain a supply of epinephrine auto-injectors for the treatment of life-threatening allergic reactions. Provides protection from civil liability for schools and school staff when administering an epinephrine auto-injector in...

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SDSigned into law 03/2014P-12Epinephrine Auto-injectors
H.B. 1167
Allows schools to acquire and maintain a stock of epinephrine auto-injectors. Requires schools to adopt a policy for the use and storage of epinephrine auto-injectors and to notify parents of the policy. Allows school nurses or other designated personnel to ad...

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NMSigned into law 03/2014P-12Emergency Medications in Schools
S.B. 75
Allows schools to stock and provide or administer emergency medication to treat apparent respiratory distress or anaphylaxis. Allows school boards and governing bodies of charter schools to provide schools with albuterol aerosol canisters and spacers and epine...

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ALAdopted 12/2013P-12Specialized Treatment Centers in Alabama
AL ADC 290-8-8-.01, 02, 03, 04, 05, 06, 07, 08, 09, 10, 11, 12
Creates new chapter of administrative rules establishing requirements for treatment centers for K-12 students. Defines "treatment" as a planned, individualized program of educational, medical, psychological or rehabilitative procedures, experiences and activit...

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ARSigned into law 03/2013P-12School Nurses & Student Health
H.B. 1411
Directs the newly-created Public School Health Services Advisory Committee to study the needs of schools and school nurses. The report should contain guidelines, recommendations for delivery of healthcare at school.
http://www.arkleg.state.ar.us/assembly/2013/...

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CASigned into law 06/2012P-12Proposed Federal Student-to-School Nurse Ratio Improvement Acts of 2011 and 2012
A.J.R. 24
Urges the state's congressional delegation to sign on as cosponsors of, and requests that Congress and the president enact, the proposed federal Student-to-School Nurse Ratio Improvement Act of 2011 (HR 2229) or the proposed federal Student-to-School Nurse Rat...

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CTSigned into law 05/2012P-12Family Resource Centers & School-Based Health Clinics
S.B. 458
(Sec. 8) Directs the education commissioner to establish at least 10 new family resource centers and at least 20 new or expanded school-based health clinics in alliance districts (the 30 lowest-performing districts). By law, family resource centers are located...

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NEVetoed 04/2012P-12Coordinated School Health Act
L.B. 1020
Adopts the Nebraska Coordinated School Health Act. Provides for the state department to award grants to districts for the establishment of school-based health cetners. Requires districts to provide a 50% match. Grant funds may only be used for capital construc...

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GASigned into law 04/2012P-12School Nurse Programs
S.B. 183
Permits local boards' school health nurse programs to include consulation with offsite health care professionals through appropriate protocols and contracts. http://www.legis.ga.gov/Legislation/20112012/121827.pdf...

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GASigned into law 04/2012P-12Funding for School Health Nurse Programs
S.B. 403
Includes school nurses in state funding formula based on full-time equivalent student counts. Requires one nurse for every 750 full-time equivalent students at the elementary level and one nurse for every 1,500 studetns at the secondary level. Sets additional ...

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CASigned into law 07/2011P-12School-Based Health Centers
A.J.R. 10
From bill summary: Memorializes the legislature's support for the school-based health center program authorized by the federal Patient Protection and Affordable Care Act, an appropriation by Congress to fund this program, policies that include school-based hea...

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NCVeto overridden: legislature has overridden governor's veto 06/2011P-12School Nurses
H.B. 200 - School Nurses
Directs the fiscal research division, in consultation with the department of public instruction and the department of health and human services, to review all state- and federally-funded public school nurse positions to determine the most effective and cost-ef...

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OHSigned into law 03/2011P-12School Nurses
H.B. 30 - School Nurses
Repeals provision directing the superintendent of public instruction, when adopting expenditure and reporting standards, to include standards that encourage districts to give preference to employing licensed school nurses with funds received for the school nur...

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MEIssued 10/2010P-12School-Based H1N1 Vaccination Clinics
E.O. 05 FY 11/12
Directs the director of the Maine Emergency Management Agency to coordinate with the department of health and human services, Maine Center for Disease Control and Prevention, the department of education, and the Department of Public Safety, Bureau of Emergency...

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DCAdopted 07/2010P-12Health and Wellness
LB 18-564 - Health and Wellness
Requires public schools and charter schools to provide health education to students in grades K-8. Requires schools to collaborate with parents, students, food service providers, and community organizations to adopt local wellness policies and update them at l...

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MOSigned into law 06/2010P-12Health
H.B. 1543--Multiple Provisions
This bill: (1) exempts unqualified school district employees refusing to administer medication or medical services from disciplinary action for the refusal; (2) exempts qualified school district employee from any civil liability for administering medication or...

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NESigned into law 04/2010P-12School-Based Health Centers
L.B. 1106
From the fiscal note: Allows school-based health centers to be Medicaid providers. School-based health services may include medical health, behavioral and mental health, preventative health and oral health. A service provided through a school-based center woul...

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WISigned into law 03/2010P-12
Postsec.
School Nurses, Medication Administration
S.B. 414
Relates to school nurses and the administration of drugs to pupils; requires nurses to meet the qualifications for school nurses; includes administration of a nonprescription drug product; relates to such drugs that are supplied by the pupil's parent or guardi...

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OHSigned into law 07/2009P-12School Nurse and Wellness Coordinator Licenses
H.B. 1 - Section 3319.221
Directs the state board to establish by rule the requirements for earning a school nurse license and a school nurse wellness coordinator license. Requires, at a minimum, that all school nurse license applicants be licensed as registered nurses. Specifies that ...

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OHSigned into law 07/2009P-12School Health Services Advisory Council
H.B. 1 - Section 3319.70 and 3319.71
Establishes the school health services advisory council. Establishes membership. Provides the duties of the council are to make recommendations on:
(1) The content of the course of instruction required to obtain a school nurse license and school nurse wellnes...

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ORSigned into law 06/2009P-12School Nurses
H.B. 2693
Establishes standards for number of licensed nurses or school nurses required for number of students based on health needs of students; appropriates moneys from General Fund to Department of Education for purposes of improving provision of licensed nurses and ...

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WISigned into law 06/2009P-12Funding Adjustments for School Safety Plans, School Nurses, Transportation, and Energy Efficiency
A.B. 75
Adds 121.91 (4) (L). Defines "local law enforcement agency". Provides additional funding if a local board and local law enforcement agency (1) jointly develop a school safety plan that specifies the purposes
of the additional revenue, (2) the school safety pla...

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CASigned into law 09/2008P-12Student health
S.B. 564
Specifies that a school health center may conduct routine physical health, mental health, or oral health assessments, and provide for any services not offered onsite or through a referral process. Requires the State Department of Public Health to establish a g...

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KYSigned into law 04/2008P-12Health Services in a Family Resource or Youth Services Center
H.B. 640
As funding becomes available, authorizes a supplemental grant program to fund the employment of a licensed physician or nurse to provide health services, including supplemental classroom instructional services related to health, in a family resource or youth s...

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NESigned into law 04/2008P-12Funding for School-Based Health Clinics
L.B. 469
Allows funding from the Health Care Cash Fund to be used for school-based health clinics (formerly prohibited).
http://uniweb.legislature.ne.gov/FloorDocs/Current/PDF/Slip/LB469.pdf...

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NJSigned into law 01/2008P-12School Nurses
S.B. 2905
Clarifies that in nonpublic schools the school nurse would be required to recruit and train volunteer designees to administer epinephrine to students when the nurse is not physically present.
http://www.njleg.state.nj.us/2006/Bills/PL07/229_.PDF...

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ILSigned into law 08/2007P-12School Health Center Act
S.B. 715
Creates the School Health Center Act. Requires the Department of Human Services to initiate 20 new school health centers over a five-year period beginning July 1, 2007, and to build capacity with existing school health centers. Provides that all students in th...

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ORSigned into law 06/2007P-12Task Force on School Nurses
H.B. 2773
Creates a Task Force on School Nurses to study the availability of nursing services in schools and the feasibility of expanding existing services and to recommend a plan to establish school nurses as a mandated service in all schools.
http://www.leg.state.or.u...

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NVSigned into law 05/2007P-12
Postsec.
Community College
Physical Examinations
A.B. 354
Requires a physical examination before the completion of the first year of enrollment in elementary school. Requires examinations of height and weight of a representative sample of pupils. Authorizes the board of trustees of a school district to adopt a policy...

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HISigned into law 05/2007P-12School Health Aides
S.B. 98
Repeals the transfer from the department of health to the department of education those public health nurses who supervise the school health aides. Transfers administration of the K-12 school health services program and the teenage health program from the depa...

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INSigned into law 05/2007P-12
H.B. 1116
Requires an individual to have training in cardiopulmonary resuscitation, removing obstructions to a person's airway and the Heimlich maneuver before obtaining an initial license as a teacher.

Creates a new chapter on care of students with diabetes. Requires...

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IASigned into law 04/2007P-12Guidance and Counseling Programs
S.F. 277 (Section 4)
Beginning July 1, 2007, requires every school district to have a qualified guidance counselor licensed by the board of educational examiners and a school nurse. Directs each district to work toward the goal of having one qualified guidance counselor for every ...

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IASigned into law 04/2007P-12Waivers from Certain Staffing Requirements
S.F. 277 (Section 5 and 8)
Section 5: Strikes and rewrites section 256.11A. Authorizes the board of directors of a school district to file a request by August 1, 2007 for a waiver from the following requirements for the 2007-2008 school year:
a. Apply for a one-year extension of a waiv...

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NMVetoed 04/2007P-12HPV Vaccine in School-Based Clinics
S.B. 1174
Relates to health care; provides for the Human Papillomavirus vaccine in school-based clinics.
http://legis.state.nm.us/Sessions/07%20Regular/final/SB1174.pdf...

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MSSigned into law 03/2007P-12School Nurse Program
H.B. 1132
Establishes and provides funding for a school nurse program under department of education, run by the office of healthy schools. Specifies nurses responsibilities and duties of the office of healthy schools. Establishes a special fund known as the school nurse...

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CASigned into law 09/2006P-12School Health Centers
A.B. 2560
Requires the Department of Health Services to establish a Public School Health Center Support Program to perform a specified functions relating to the establishment, retention or expansion of school health centers in the state, in collaboration with the State ...

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MOSigned into law 07/2006P-12Prefilled Epinephrine Syringes
H.B. 1245
Authorizes school nurses to keep on hand and adminster prefilled syringes of epinephrine in specified dosage strengths. Provides that when the nurse believes that a student is having an acute anaphylactic episode, the nurse may, based on training, administer t...

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COSigned into law 05/2006P-12School-based Health Clinics
H.B. 1396
Creates a grant program in the prevention services division of the department of public health and environment for the purpose of providing grants to school-based health centers; directs the division to develop criteria for the grants in consultation with scho...

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NYSigned into law 08/2005P-12Using school space to improve student access to health
S.B. 5352
Provides for the utilization of school space to improve student access to health, dental and mental health clinic services through interagency collaboration. http://assembly.state.ny.us/leg/?bn=s5352...

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SCSigned into law 06/2005P-12Physical Education, School Health Services, and Nutritional Standards
H.B. 3499
Adds Chapter 10, entitled Physical Education, School Health Services, and Nutritional Standards. Applies to elementary schools. Sets the amount of physical education instruction that each student in kindergarten through fifth grade must receive each week on a ...

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CASigned into law 09/2004P-12Health Services Authorization Affidavit
A.B. 2855 (multiple provisions)
Section 12: Existing law deems a pupil to have complied with the residency requirements for school attendance in a school district if the pupil meets specified requirements, including, among others, that the pupil lives in the home of a caregiving adult that i...

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NYSigned into law 09/2004P-12School Health Services
A.B. 11317
Relates to the provision of school health services; requires school health services shall be provided by each school district for all students in public schools; amends provisions relating to employment of health personnel in school, requirements of health cer...

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ALIssued 08/2004P-12
Postsec.
Community College
Governor's Commission on Education Spending
Executive Order No. 02-2003
The governor issued Executive Order No. 02-2003 on January 30, 2003, creating the Governor's Commission of Education Spending. The Commission was to engage in a thorough examination of how education dollars have been spent in Alabama during the past ten years....

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ALRule Adoption 07/2004P-12Delegation by School Nurses
AAC 610-X-6-.06
Establishes rules reducing the minimum training hours for unlicensed school personnel from 24 to 12 in order for the school nurse to delegate assistance with medications. http://www.alabamaadministrativecode.state.al.us/UpdatedMonthly/VolXXIIN8/p315.htm#T2...

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CTSigned into law 06/2004P-12School Nurses and Medication in Schools
H.B. 5429
Requires each local regional board of education that allows a school or other licensed nurse to administer medicine or that allows a student to self-administer medicine shall adopt written policies and procedures that shall be approved by the school medical ad...

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ARSigned into law 02/2004P-12School Nurses
H.B. 1141
Relates to school nurses; provides for an appropriate school nurse- to-student ratio to effectively meet the health care needs of school children; provides for funding to school districts based on a certain formula. http://www.arkleg.state.ar.us/ftproot/bills/...

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ARSigned into law 01/2004P-12School Nurse
H.B. 1070
Requires one full time or the proportionate share of one full time school nurse in each school district. http://www.arkleg.state.ar.us/ftproot/bills/2003s2/public/HB1070.pdf...

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DERule Adoption 10/2003P-12Certification School Nurse
14 DAC 1580
Amends regulation 380 and moves it to regulation 1580, Certification School Nurse. Complies with changes in statute regarding licensure and certification of educators. Regulation was renumbered to reflect its movement to the Professional Standards Board portio...

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CASigned into law 10/2003P-12Emergency Medical Services: Diabetes
A.B. 942
Authorizes a school district, in the absence of a credentialed school nurse or other licensed nurse, to provide voluntary emergency medical training to school personnel to administer emergency medical assistance to pupils with diabetes suffering from severe hy...

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NMSigned into law 04/2003P-12Emergency Pilot Program to Assist Public School
H.B. 528
Authorizes implementation of a pilot program to train and certify school medication aides to assist public school students with medication; amends the Nursing Practice Act....

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KYSigned into law 03/2003P-12Primary Care Centers In Schools
H.B. 328
Authorizes a not-for-profit primary care center which is a participant in the State Patient Access and Care System of the Department for Medicaid Services, to enter into a written agreement with a board of education to provide a school-based health care progra...

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MDSigned into law 05/2002P-12Special Needs Children and the State School-Based Health Center Policy Advisory Council
H.B. 1386
Renames State Coordinating Countil for Residential Placement of Handicapped Children as State Coordinating Council for Children. Adds Maryland School-Based Health Care Center Policy Advisory Council; State Council on Child Abuse and Neglect; and State Commiss...

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MDSigned into law 05/2002P-12School-Based Health Center Policy Advisory Council
H.B. 1163
Codifies the School-Based Health Center Policy Advisory Council; provides for membership, chairman, purpose, duties; provides for creation within the Office for Children, Youth, and Families. http://mlis.state.md.us/2002rs/bills/hb/hb1163t.rtf...

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HISigned into law 05/2001P-12Full Time Nurses In Schools
H.B. 284
Appropriates funds to the Department of Health for full time registered nurses for the State's public schools and for a grant to the Organ Donor Center....

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TNSigned into law 02/2000P-12Coordinated Health Program
H.B. 674
Provides for coordinated school health program; requires program to include, but not be limited to, school nurses, health education, school nutrition services, a health school environment, and school counseling, psychological and social services....

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