Senate File 2196 H-8272 Amend Senate File 2196, as passed by the Senate, as follows: 1 1. Page 1, after line 11 by inserting: 2 < Sec. ___. NEW SECTION . 280.13D Seizure action plan and 3 training requirements. 4 1. For the purposes of this section, unless the context 5 otherwise requires: 6 a. “Individual health plan” means the confidential, written, 7 preplanned, and ongoing special health service developed for a 8 student who requires such service to be incorporated with the 9 student’s educational program. 10 b. “School nurse” means a registered nurse holding current 11 licensure recognized by the board of nursing who practices in 12 the school setting to promote and protect the health of the 13 school population by using knowledge from the nursing, social, 14 and public health sciences. 15 c. “School personnel” means principals, guidance counselors, 16 teachers, and other relevant employees who have direct contact 17 with and supervise children, including school bus drivers and 18 paraeducators. 19 d. “Seizure action plan” means a written set of instructions 20 designed to direct caregivers and staff to intervene in the 21 event of a seizure occurrence and is considered a plan for 22 emergencies as a part of an individual health plan. 23 2. a. Starting with the school year beginning July 1, 24 2024, the board of directors of each school district and the 25 authorities in charge of each accredited nonpublic school shall 26 have at least one school employee at each school who has met 27 the training requirements necessary to administer or assist 28 with the self-administration of all of the following: 29 (1) A medication approved by the United States food and 30 drug administration to treat seizure disorder symptoms or 31 a medication approved by the United States food and drug 32 administration as a seizure rescue medication. 33 (2) A manual dose of prescribed electrical stimulation 34 using a vagus nerve stimulator magnet approved by the United 35 -1- SF 2196.4005 (2) 90 pf/ko 1/ 4 #1.
States food and drug administration. 1 b. The presence of a school nurse employed full-time by 2 a school district or accredited nonpublic school who assumes 3 responsibility for the administration of seizure medications 4 and the administration oversight of vagus nerve stimulation 5 shall fulfill the requirements of paragraph “a” . This section 6 shall not be construed to require school personnel, other than 7 a school nurse, to administer a suppository to a student. 8 3. a. On or before December 31, 2025, each public school 9 and each accredited nonpublic school shall provide training to 10 all school personnel on how to recognize the signs and symptoms 11 of seizures and the appropriate steps for seizure first aid. 12 b. Each public school and each accredited nonpublic school 13 shall require school personnel responsible for the supervision 14 or care of students to undergo seizure recognition and first 15 aid training on a biennial basis. 16 4. Any training programs or guidelines adopted by a state 17 agency for the training of school personnel in the health care 18 needs of students diagnosed with a seizure disorder shall be 19 consistent with training programs and guidelines developed 20 by the epilepsy foundation of America or any successor 21 organization. 22 5. This section shall not be construed to limit the 23 authority of a school district, an accredited nonpublic school, 24 or the department of education to require additional seizure 25 disorder training. 26 6. a. Prior to school personnel administering medication 27 prescribed to treat a student’s seizure disorder symptoms, a 28 school or accredited nonpublic school shall obtain a signed and 29 dated authorization from the student’s parent or guardian that 30 authorizes a person who meets the requirements of subsection 2 31 to administer medication in accordance with the school’s policy 32 and procedures. 33 b. Authorizations required pursuant to paragraph “a” shall 34 be effective for the school year in which the authorization is 35 -2- SF 2196.4005 (2) 90 pf/ko 2/ 4
granted and must be renewed each school year. 1 7. Upon the request of a student’s parent or guardian, 2 a school district or accredited nonpublic school shall 3 collaborate with the parent or guardian and relevant licensed 4 health care professionals, including the school nurse or 5 education team, in the development of an individual health 6 plan, and a seizure action plan if appropriate, consistent 7 with rules adopted by the state board of education. The 8 individual health plan or seizure action plan shall be based 9 on the student’s needs and may include but is not limited 10 to assessment, nursing diagnosis, outcomes, planning, 11 interventions, student goals, and a plan for emergencies to 12 provide direction in managing the student’s health needs. The 13 plan shall be updated consistent with timelines for individual 14 health plans and with rules adopted by the state board of 15 education. 16 8. a. Each school district and each accredited nonpublic 17 school shall maintain all authorizations pursuant to subsection 18 6, individual health plans, and seizure action plans for 19 enrolled students on file in the office of the school nurse or 20 school administrator. 21 b. Each school district and each accredited nonpublic 22 school shall distribute information regarding a student’s 23 seizure action plan to any school personnel responsible for the 24 supervision or care of the student. 25 9. The requirements of subsections 6, 7, and 8 shall only 26 apply to a school district or accredited nonpublic school that 27 has either of the following: 28 a. An enrolled student with a known diagnosis of epilepsy or 29 seizure disorder. 30 b. An enrolled student who is known to currently be taking 31 medication prescribed by a health care provider as that term 32 is defined in section 135.61, and approved by the United 33 States food and drug administration to treat seizure disorder 34 symptoms. 35 -3- SF 2196.4005 (2) 90 pf/ko 3/ 4
10. The state board of education shall adopt rules to 1 establish a seizure education program for the purpose of 2 providing school districts and accredited nonpublic schools an 3 age-appropriate program on seizures and seizure disorders. The 4 seizure education program shall be consistent with guidelines 5 published by the epilepsy foundation of America or any 6 successor organization, and participation in the program shall 7 be optional. 8 11. A school district or accredited nonpublic school, an 9 employee of a school district or accredited nonpublic school, 10 or an agent of a school district or accredited nonpublic 11 school acting in good faith and in compliance with a student’s 12 individual health plan and seizure action plan shall not be 13 liable for any claim for injuries or damages arising from 14 actions taken to assist a student with the student’s needs 15 related to epilepsy or a seizure disorder. > 16 2. Title page, line 1, after < relating to > by inserting 17 < school and student health care-related activities including > 18 3. Title page, line 2, by striking < exemptions > and 19 inserting < exemptions, and school personnel training, emergency 20 care planning, authorizations for assisting, and limitations 21 of liability concerning students with epilepsy or a seizure 22 disorder > 23 ______________________________ SORENSEN of Adair -4- SF 2196.4005 (2) 90 pf/ko 4/ 4 #2. #3.