House File 2186HOUSE FILE BY L. MILLER Passed House, Date Passed Senate, Date Vote: Ayes Nays Vote: Ayes Nays Approved A BILL FOR 1 An Act relating to the administration of epinephrine in schools, 2 and providing effective and applicability dates. 3 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA: 4 TLSB 5534YH 82 5 ak/nh/5 PAG LIN 1 1 Section 1. NEW SECTION. 280.16A PROCEDURES FOR 1 2 ADMINISTRATION OF EPINEPHRINE. 1 3 1. The board of directors of a school district and the 1 4 authorities in charge of an accredited nonpublic school shall 1 5 develop a policy for the emergency administration of 1 6 epinephrine via an epinephrine auto injector for the treatment 1 7 of anaphylaxis or to avoid anaphylaxis. 1 8 2. The policy shall include the following criteria: 1 9 a. The student's parent or guardian shall provide the 1 10 school written authorization for the administration of 1 11 epinephrine via an epinephrine auto injector by designated 1 12 school officials. 1 13 b. The student's parent or guardian shall provide the 1 14 school a written statement from the student's physician 1 15 containing the following information: 1 16 (1) The reason why the student may need the epinephrine. 1 17 (2) The name of the medication. 1 18 (3) The prescribed dosage. 1 19 (4) The circumstances under which the epinephrine is to be 1 20 administered. 1 21 (5) Whether the student, if the student at the time the 1 22 epinephrine is needed is able, can self=administer the 1 23 epinephrine. 1 24 c. A designated location for the epinephrine auto injector 1 25 that can be accessed by both designated school officials and 1 26 the student. 1 27 d. A requirement that the student's parent or guardian and 1 28 the school meet the requirements of subsection 4. 1 29 3. a. The policy for the administration of epinephrine to 1 30 a student shall provide that the school nurse or other 1 31 designated school official and another designated school 1 32 official shall have the responsibility for the administration 1 33 of epinephrine by epinephrine auto injectors. At least one 1 34 school official who is qualified to administer epinephrine to 1 35 a student shall be present during school hours. 2 1 b. Each designated school official shall be properly 2 2 trained in the administration of an epinephrine auto injector 2 3 by a school nurse or other qualified health professional, 2 4 using standardized training approved by the department of 2 5 education in consultation with the department of public 2 6 health. 2 7 c. The parent or guardian of the student shall consent in 2 8 writing to the administration of epinephrine by the designated 2 9 school officials. 2 10 4. a. The school district or accredited nonpublic school 2 11 shall notify the parent or guardian of the student, in 2 12 writing, that the school district or accredited nonpublic 2 13 school and its employees are not liable, except for gross 2 14 negligence, as a result of any injury arising from 2 15 administration of epinephrine to the student. The parent or 2 16 guardian of the student shall sign a statement acknowledging 2 17 that the school district or nonpublic school and its employees 2 18 are not liable, except for gross negligence, as a result of 2 19 administration of epinephrine to the student. 2 20 b. A school district or accredited nonpublic school and 2 21 its employees acting reasonably and in good faith shall not be 2 22 liable for any improper use of epinephrine or for supervising, 2 23 monitoring, or interfering with a student's 2 24 self=administration of epinephrine. 2 25 c. The permission granted by a parent or guardian for 2 26 administration of epinephrine by designated school officials 2 27 is effective for the school year in which it is granted and 2 28 shall be renewed each subsequent school year upon fulfillment 2 29 of the requirements of this section. However, the parent or 2 30 guardian shall immediately notify the school of any changes in 2 31 the information provided pursuant to subsection 2, paragraph 2 32 "b". 2 33 Sec. 2. EFFECTIVE AND APPLICABILITY DATES. This Act, 2 34 being deemed of immediate importance, shall take effect upon 2 35 enactment and shall apply to school years beginning on or 3 1 after July 1, 2008. 3 2 EXPLANATION 3 3 This bill directs the boards of directors of school 3 4 districts and the authorities in charge of accredited 3 5 nonpublic schools to develop a policy for the emergency 3 6 administration of epinephrine via an epinephrine auto injector 3 7 to treat anaphylaxis or to avoid anaphylaxis in a student. 3 8 The policy must require a parent or guardian's written 3 9 authorization for the administration of epinephrine with an 3 10 epinephrine auto injector. The policy must require that the 3 11 student's physician provide information about why the student 3 12 may need the epinephrine, the name of the medication, the 3 13 dosage, the circumstances under which the epinephrine may be 3 14 administered, and whether the student, if at the time the 3 15 epinephrine is needed the student is able, can self=administer 3 16 the epinephrine. 3 17 The policy for administering epinephrine with an 3 18 epinephrine auto injector must also include designation of a 3 19 location where both designated school officials and the 3 20 student have access to the epinephrine auto injector. The 3 21 policy must also designate school officials at each school or 3 22 building where a student may need epinephrine to be authorized 3 23 to administer the epinephrine. A school nurse or other school 3 24 official and another school official are required to be 3 25 designated so that there is always at least one school 3 26 official present during school hours to administer the 3 27 epinephrine. 3 28 A designated school official must be properly trained to 3 29 use an epinephrine auto injector by the school nurse or 3 30 another health professional using training methods approved by 3 31 the department of education in cooperation with the department 3 32 of public health. 3 33 It shall also be required that the school inform the parent 3 34 or guardian that the school and its employees shall have no 3 35 liability as a result of administering the epinephrine to the 4 1 student or for supervising a student's self=administration of 4 2 the epinephrine; the parent or guardian must sign a statement 4 3 acknowledging the school's position. Permission from the 4 4 parent or guardian is good for the school year in which it is 4 5 given; it must be renewed each year. 4 6 The bill takes effect upon enactment and applies to school 4 7 years beginning on or after July 1, 2008. 4 8 LSB 5534YH 82 4 9 ak/nh/5