House Journal: Page 1774: Thursday, May 1, 2003
5 representative for certificated employees or for a
6 district that is not organized for collective
7 bargaining purposes where a modified payment plan is
8 adopted by the board."
9 12. Page 19, by striking lines 8 through 32.
10 13. Page 19, by inserting before line 33 the
11 following:
12 "Sec. . Section 321.375, subsection 2,
13 unnumbered paragraph 1, Code 2003, is amended to read
14 as follows:
15 Any of the following shall constitute grounds for a
16 school bus driver's immediate suspension from duties,
17 pending a termination hearing by the board of
18 directors of a public school district or the
19 authorities in charge in a nonpublic school if the bus
20 driver is under contract, pending confirmation of the
21 grounds by the school district or accredited nonpublic
22 school if the bus driver is a part-time or substitute
23 bus driver who is not under contract, or pending
24 confirmation of the grounds by the employer of the
25 school bus driver if the employer is not a school
26 district or accredited nonpublic school by the board:
27 Sec. . Section 321.375, subsection 2, Code
28 2003, is amended by adding the following new
29 paragraph:
30 NEW PARAGRAPH. e. A change in circumstances
31 indicating that the driver is no longer physically or
32 mentally competent. For the purpose of an insulin-
33 dependent diabetic, a change in circumstances includes
34 the following:
35 (1) Results of a glycosylated hemoglobin test
36 indicating values less than 6.0 percent or greater
37 than 9.5 percent unless accompanied by the required
38 medical opinion that the event was incidental and not
39 an indication of failure to control glucose levels.
40 (2) Results of self-monitoring indicate glucose
41 levels less than one hundred milligrams per deciliter
42 or greater than three hundred milligrams per
43 deciliter, until self-monitoring indicates compliance
44 with specifications.
45 (3) Experiencing a loss of consciousness or
46 control relating to diabetes.
47 (4) Failing to maintain or falsifying the required
48 reports.
49 Sec. . Section 321.375, Code 2003, is amended
50 by adding the following new subsection:
Page 13
1 NEW SUBSECTION. 3. a. Notwithstanding any
2 provision to the contrary, an insulin-dependent
3 diabetic may qualify under subsection 1, paragraph
4 "d", for purposes of operating a school bus under this

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