Senate File 364 - Introduced SENATE FILE BY BEALL Passed Senate, Date Passed House, Date Vote: Ayes Nays Vote: Ayes Nays Approved A BILL FOR 1 An Act relating to school nurse employment and the provision of 2 health services by school districts and providing an effective 3 date. 4 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA: 5 TLSB 2631SS 82 6 kh/es/88 PAG LIN 1 1 Section 1. NEW SECTION. 279.65 SCHOOL NURSES == HEALTH 1 2 SERVICES. 1 3 1. The board of directors of a school district shall 1 4 employ a minimum of one school nurse per school district to 1 5 provide health services. If the total school district 1 6 enrollment is more than seven hundred fifty students, the 1 7 school district shall employ a prorated number of registered 1 8 nurses, as determined by the state board of education by rule. 1 9 2. For purposes of this section: 1 10 a. "Health services" includes but is not limited to the 1 11 following four areas: 1 12 (1) Prevention, which includes the following: 1 13 (a) Creating a safe and healthful school environment 1 14 through a continuous health program for all students. 1 15 (b) Employing principles of learning and best teaching 1 16 practices in delivery of health education. 1 17 (c) Acting as a resource for students, families, staff, 1 18 and the community relating to health services, health 1 19 education, and healthy environments. 1 20 (2) Assessment, which includes the following: 1 21 (a) Implementing and monitoring the continuous health 1 22 program services in accordance with statute, administrative 1 23 rules, and standards of practice. 1 24 (b) Using the nursing process to collect, interpret, and 1 25 record information about the health, development, and 1 26 educational status of students to determine a nursing 1 27 diagnosis and develop health care plans. 1 28 (3) Intervention, which includes the following: 1 29 (a) Implementing and monitoring a system for the provision 1 30 of health services and emergency care. 1 31 (b) Providing individual and group counseling to students 1 32 and staff in health=related matters. 1 33 (c) Communicating with parents and guardians and 1 34 collaborating with others to facilitate the continuity of 1 35 services and care. 2 1 (4) Referral, which includes the following: 2 2 (a) Utilizing appropriate health care personnel and health 2 3 care resources to meet individual student needs. 2 4 (b) Evaluating student and family responses to nursing 2 5 actions and referrals. 2 6 (c) Coordinating health services with families, other 2 7 school programs, in=school professionals, and school=based and 2 8 community=based resources. 2 9 b. "School nurse" means a registered nurse, as defined in 2 10 section 152.1, who may or may not hold a statement of 2 11 professional recognition issued by the board of educational 2 12 examiners. 2 13 Sec. 2. EFFECTIVE DATE. This Act takes effect July 1, 2 14 2011. 2 15 Sec. 3. STATE MANDATE FUNDING SPECIFIED. In accordance 2 16 with section 25B.2, subsection 3, the state cost of requiring 2 17 compliance with any state mandate included in this Act shall 2 18 be paid by a school district from state school foundation aid 2 19 received by the school district under section 257.16. This 2 20 specification of the payment of the state cost shall be deemed 2 21 to meet all the state funding=related requirements of section 2 22 25B.2, subsection 3, and no additional state funding shall be 2 23 necessary for the full implementation of this Act by and 2 24 enforcement of this Act against all affected school districts. 2 25 EXPLANATION 2 26 This bill requires the board of directors of a school 2 27 district to employ a minimum of one school nurse per school 2 28 district to provide health services. If the total school 2 29 district enrollment is more than 750 students, the school 2 30 district must employ a prorated number of registered nurses, 2 31 as determined by the state board of education by rule. 2 32 The bill defines health services to include a continuous 2 33 health program for all students that creates a safe and 2 34 healthful school environment; employment of principles of 2 35 learning and best teaching practices in delivery of health 3 1 education; acting as a resource for health services, health 3 2 education and healthy environments; implementing and 3 3 monitoring the continuous health program services in 3 4 accordance with statute, administrative rules, and standards 3 5 of practice; using the nursing process to collect, interpret, 3 6 and record information about the health, development, and 3 7 educational status of students to determine a nursing 3 8 diagnosis and develop health care plans; implementing and 3 9 monitoring a system for the provision of health services and 3 10 emergency care; providing individual and group counseling to 3 11 students and staff in health=related matters; communicating 3 12 with parents and guardians and collaborating with others to 3 13 facilitate the continuity of services and care; utilizing 3 14 appropriate health care personnel and health care resources to 3 15 meet individual student needs; evaluating student and family 3 16 responses to nursing actions and referrals; and coordinating 3 17 health services with families, other school programs, 3 18 in=school professionals, and school=based and community=based 3 19 resources. 3 20 The bill defines school nurse to mean a registered nurse, 3 21 who may or may not hold a statement of professional 3 22 recognition issued by the board of educational examiners. 3 23 The bill takes effect July 1, 2011. 3 24 The bill may include a state mandate as defined in Code 3 25 section 25B.3. The bill requires that the state cost of any 3 26 state mandate included in the bill be paid by a school 3 27 district from state school foundation aid received by the 3 28 school district under Code section 257.16. The specification 3 29 is deemed to constitute state compliance with any state 3 30 mandate funding=related requirements of Code section 25B.2. 3 31 The inclusion of this specification is intended to reinstate 3 32 the requirement of political subdivisions to comply with any 3 33 state mandates included in the bill. 3 34 LSB 2631SS 82 3 35 kh:rj/es/88