House
File
835
-
Enrolled
House
File
835
AN
ACT
RELATING
TO
SCHOOL
PERSONNEL
TRAINING,
INCLUDING
BY
IMPLEMENTING
PROVISIONS
RELATED
TO
EMERGENCY
CARE
PLANNING,
AUTHORIZATIONS
FOR
ASSISTING,
AND
LIMITATIONS
OF
LIABILITY
CONCERNING
STUDENTS
WITH
EPILEPSY
OR
SEIZURE
DISORDER,
AND
REQUIRING
THE
DEPARTMENT
OF
EDUCATION
TO
CONVENE
A
HEALTH
CARE-RELATED
TRAINING
FOR
SCHOOL
PERSONNEL
WORK
GROUP.
BE
IT
ENACTED
BY
THE
GENERAL
ASSEMBLY
OF
THE
STATE
OF
IOWA:
Section
1.
NEW
SECTION
.
280.13D
Seizure
action
plan
and
training
requirements.
1.
For
the
purposes
of
this
section,
unless
the
context
otherwise
requires:
a.
“Individual
health
plan”
means
the
confidential,
written,
preplanned,
and
ongoing
special
health
service
developed
for
a
student
who
requires
such
service
to
be
incorporated
with
the
student’s
educational
program.
House
File
835,
p.
2
b.
“School
nurse”
means
a
registered
nurse
holding
current
licensure
recognized
by
the
board
of
nursing
who
practices
in
the
school
setting
to
promote
and
protect
the
health
of
the
school
population
by
using
knowledge
from
the
nursing,
social,
and
public
health
sciences.
c.
“School
personnel”
means
principals,
guidance
counselors,
teachers,
and
other
relevant
employees
who
have
direct
contact
with
and
supervise
children,
including
school
bus
drivers
and
para-educators.
d.
“Seizure
action
plan”
means
a
written
set
of
instructions
designed
to
direct
caregivers
and
staff
to
intervene
in
the
event
of
a
seizure
occurrence
and
is
considered
a
plan
for
emergencies
as
a
part
of
an
individual
health
plan.
2.
a.
Starting
with
the
school
year
beginning
July
1,
2025,
the
board
of
directors
of
each
school
district
and
the
authorities
in
charge
of
each
accredited
nonpublic
school
shall
have
at
least
one
school
employee
at
each
school
who
has
met
the
training
requirements
necessary
to
administer
or
assist
with
the
self-administration
of
all
of
the
following:
(1)
A
medication
approved
by
the
United
States
food
and
drug
administration
to
treat
seizure
disorder
symptoms
or
a
medication
approved
by
the
United
States
food
and
drug
administration
as
a
seizure
rescue
medication.
(2)
A
manual
dose
of
prescribed
electrical
stimulation
using
a
vagus
nerve
stimulator
magnet
approved
by
the
United
States
food
and
drug
administration.
b.
The
presence
of
a
school
nurse
employed
full-time
by
a
school
district
or
accredited
nonpublic
school
who
assumes
responsibility
for
the
administration
of
seizure
medications
and
the
administration
oversight
of
vagus
nerve
stimulation
shall
fulfill
the
requirements
of
paragraph
“a”
.
This
section
shall
not
be
construed
to
require
school
personnel,
other
than
a
school
nurse,
to
administer
a
suppository
to
a
student.
3.
a.
On
or
before
December
31,
2026,
each
public
school
and
each
accredited
nonpublic
school
shall
provide
training
to
all
school
personnel
on
how
to
recognize
the
signs
and
symptoms
of
seizures
and
the
appropriate
steps
for
seizure
first
aid.
b.
Each
public
school
and
each
accredited
nonpublic
school
shall
require
school
personnel
responsible
for
the
supervision
House
File
835,
p.
3
or
care
of
students
to
undergo
seizure
recognition
and
first
aid
training
on
a
biennial
basis.
4.
Any
training
programs
or
guidelines
adopted
by
a
state
agency
for
the
training
of
school
personnel
in
the
health
care
needs
of
students
diagnosed
with
a
seizure
disorder
shall
be
consistent
with
training
programs
and
guidelines
developed
by
the
epilepsy
foundation
of
America
or
any
successor
organization.
5.
This
section
shall
not
be
construed
to
limit
the
authority
of
a
school
district,
an
accredited
nonpublic
school,
or
the
department
of
education
to
require
additional
seizure
disorder
training.
6.
a.
Prior
to
school
personnel
administering
medication
prescribed
to
treat
a
student’s
seizure
disorder
symptoms,
a
school
or
accredited
nonpublic
school
shall
obtain
a
signed
and
dated
authorization
from
the
student’s
parent
or
guardian
that
authorizes
a
person
who
meets
the
requirements
of
subsection
2
to
administer
medication
in
accordance
with
the
school’s
policy
and
procedures.
b.
Authorizations
required
pursuant
to
paragraph
“a”
shall
be
effective
for
the
school
year
in
which
the
authorization
is
granted
and
must
be
renewed
each
school
year.
7.
Upon
the
request
of
a
student’s
parent
or
guardian,
a
school
district
or
accredited
nonpublic
school
shall
collaborate
with
the
parent
or
guardian
and
relevant
licensed
health
care
professionals,
including
the
school
nurse
or
education
team,
in
the
development
of
an
individual
health
plan,
and
a
seizure
action
plan
if
appropriate,
consistent
with
rules
adopted
by
the
state
board
of
education.
The
individual
health
plan
or
seizure
action
plan
shall
be
based
on
the
student’s
needs
and
may
include
but
is
not
limited
to
assessment,
nursing
diagnosis,
outcomes,
planning,
interventions,
student
goals,
and
a
plan
for
emergencies
to
provide
direction
in
managing
the
student’s
health
needs.
The
plan
shall
be
updated
consistent
with
timelines
for
individual
health
plans
and
with
rules
adopted
by
the
state
board
of
education.
8.
a.
Each
school
district
and
each
accredited
nonpublic
school
shall
maintain
all
authorizations
pursuant
to
subsection
House
File
835,
p.
4
6,
individual
health
plans,
and
seizure
action
plans
for
enrolled
students
on
file
in
the
office
of
the
school
nurse
or
school
administrator.
b.
Each
school
district
and
each
accredited
nonpublic
school
shall
distribute
information
regarding
a
student’s
seizure
action
plan
to
any
school
personnel
responsible
for
the
supervision
or
care
of
the
student.
9.
The
requirements
of
subsections
6,
7,
and
8
shall
only
apply
to
a
school
district
or
accredited
nonpublic
school
that
has
either
of
the
following:
a.
An
enrolled
student
with
a
known
diagnosis
of
epilepsy
or
seizure
disorder.
b.
An
enrolled
student
who
is
known
to
currently
be
taking
medication
prescribed
by
a
health
care
provider
as
that
term
is
defined
in
section
10A.711,
and
approved
by
the
United
States
food
and
drug
administration
to
treat
seizure
disorder
symptoms.
10.
The
state
board
of
education
shall
adopt
rules
to
establish
a
seizure
education
program
for
the
purpose
of
providing
school
districts
and
accredited
nonpublic
schools
an
age-appropriate
program
on
seizures
and
seizure
disorders.
The
seizure
education
program
shall
be
consistent
with
guidelines
published
by
the
epilepsy
foundation
of
America
or
any
successor
organization,
and
participation
in
the
program
shall
be
optional.
11.
A
school
district
or
accredited
nonpublic
school,
an
employee
of
a
school
district
or
accredited
nonpublic
school,
or
an
agent
of
a
school
district
or
accredited
nonpublic
school
acting
reasonably,
in
good
faith,
and
in
compliance
with
a
student’s
individual
health
plan
and
seizure
action
plan
shall
not
be
liable
for
any
claim
for
injuries
or
damages
arising
from
actions
taken
to
assist
a
student
with
the
student’s
needs
related
to
epilepsy
or
a
seizure
disorder.
Sec.
2.
DEPARTMENT
OF
EDUCATION
——
HEALTH
CARE-RELATED
TRAINING
FOR
SCHOOL
PERSONNEL
WORK
GROUP.
1.
The
department
of
education
shall
convene
and
provide
administrative
support
to
a
health
care-related
training
for
school
personnel
work
group.
The
work
group
shall
review
and
develop
a
plan
to
ensure
Iowa
educators
have
the
House
File
835,
p.
5
health
care
training
necessary
to
perform
their
duties
and
responsibilities,
and
shall
consider
and
submit
recommendations
for
delivery
and
implementation
of
training
required
under
state
law
or
rule.
2.
The
work
group
shall
include
all
of
the
following:
a.
(1)
Two
members
who
are
staff
members
from
the
department
of
education,
one
of
whom
shall
be
an
administrative
consultant
in
the
bureau
of
nutrition
and
health
services.
A
member
appointed
under
this
subparagraph
shall
coordinate
the
work
group
and
act
as
chairperson
for
the
organizational
meeting.
(2)
One
member
who
is
a
staff
member
from
the
Iowa
department
of
health
and
human
services.
b.
Members
who
shall
represent
each
of
the
following:
(1)
One
member
from
a
statewide
organization
representing
teachers.
(2)
One
member
from
a
statewide
organization
representing
school
board
members.
(3)
One
member
from
a
statewide
organization
representing
school
administrators.
(4)
One
member
from
a
statewide
organization
representing
authorities
in
charge
of
accredited
nonpublic
schools.
(5)
One
member
representing
the
area
education
agencies.
(6)
One
member
from
a
statewide
organization
representing
physicians.
(7)
One
member
from
a
statewide
organization
representing
athletic
trainers.
(8)
One
member
from
a
statewide
organization
representing
emergency
management
services.
(9)
One
member
from
a
statewide
organization
representing
health
care
organizations.
(10)
One
member
from
a
statewide
organization
representing
school
nurses.
3.
Any
expenses
incurred
by
a
member
of
the
work
group
shall
be
the
responsibility
of
the
individual
member
or
the
respective
entity
represented
by
the
member.
4.
The
director
of
the
department
of
education
or
the
director’s
designee
shall
compile
and
provide
to
the
work
group
a
list
of,
and
the
purposes
for,
the
health
care
training
House
File
835,
p.
6
programs
that
school
personnel
are
required
to
complete,
as
well
as
any
requirements
school
personnel
must
meet
following
such
training,
in
order
be
in
compliance
with
state
law
or
administrative
rule.
5.
The
work
group
shall
do
all
of
the
following:
a.
Identify
which
trainings
can
be
best
provided
over
the
internet,
and
how
such
training
can
be
rotated
on
a
five-year
basis
for
school
personnel.
b.
Develop
a
plan
for
a
regular
cycle
of
health
care-related
training
for
school
personnel
review,
with
the
goal
of
removing
or
modifying
training
or
training
programs
that
are
no
longer
relevant,
and
identifying
less
costly
and
more
efficient
options
that
still
provide
the
appropriate
level
of
training
to
school
personnel.
c.
Standardize
the
process
of
establishing
new
training
requirements
in
state
law
or
rule
to
manage
stakeholder
expectations
relating
to
the
timeline
for
establishing
the
requirements.
d.
Create
an
ongoing
review
process
to
find
efficiencies,
identify
training
options
that
better
utilize
time
and
financial
resources,
and
offer
a
continuous
improvement
model
for
the
system
moving
forward.
e.
Study
and
make
any
recommended
changes
on
rules
adopted
by
the
state
board
of
education
under
281
IAC
ch.
14,
relating
to
individual
health
plans
prepared
for
students
with
various
health
conditions.
f.
Ensure
a
public
comment
process
for
patient
advocacy
groups
and
parents
to
provide
input
on
the
recommendations
of
the
work
group.
6.
If
the
work
group
recommends
elimination
or
significant
modification
of
certain
health
care-related
training
for
school
personnel,
the
department
of
education
shall
identify
stakeholders
who
would
potentially
be
affected
by
such
change,
and
shall
invite
representatives
from
organizations
representing
such
stakeholders
to
submit
comments
before
or
at
an
upcoming
work
group
meeting
before
the
work
group
makes
final
recommendations.
7.
The
department
of
education
shall
compile
the
work
group’s
findings
and
recommendations
and
shall
submit
the
House
File
835,
p.
7
compilation,
including
any
proposal
for
legislation,
in
a
report
to
the
general
assembly,
the
governor,
and
the
state
board
of
education
by
December
1,
2025.
______________________________
PAT
GRASSLEY
Speaker
of
the
House
______________________________
AMY
SINCLAIR
President
of
the
Senate
I
hereby
certify
that
this
bill
originated
in
the
House
and
is
known
as
House
File
835,
Ninety-first
General
Assembly.
______________________________
MEGHAN
NELSON
Chief
Clerk
of
the
House
Approved
_______________,
2025
______________________________
KIM
REYNOLDS
Governor