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