H.F. _____ Section 1. Section 256E.7, subsection 2, Code 2024, is 1 amended by adding the following new paragraph: 2 NEW PARAGRAPH . 0t. Be subject to and comply with the 3 requirements of section 280.36 relating to cardiac emergency 4 response plans. 5 Sec. 2. NEW SECTION . 280.36 Cardiac emergency response 6 plans —— grant program. 7 1. As used in this section, unless the context otherwise 8 requires: 9 a. “Automated external defibrillator” means a lightweight, 10 portable device that delivers an electric shock through the 11 chest to the heart that can potentially stop an irregular 12 heartbeat and allow a normal rhythm to resume following sudden 13 cardiac arrest. 14 b. “Cardiac emergency response plan” means a written 15 document that establishes specific steps to reduce death from 16 cardiac arrest in any applicable setting. 17 c. “High-need school” means a public or accredited nonpublic 18 school where at least fifty percent of students are eligible 19 to receive free or reduced-fee meals pursuant to the federal 20 National School Lunch Act of 1966, 42 U.S.C. §1751 et seq., and 21 the federal Child Nutrition Act of 1966, 42 U.S.C. §1771 et 22 seq. or which participates in the federal community eligibility 23 provision. 24 d. “Sudden cardiac arrest” means a life-threatening medical 25 condition requiring immediate emergency treatment characterized 26 by the sudden cessation of cardiac activity causing circulatory 27 failure throughout the body, which can lead to death if not 28 treated quickly. 29 2. By July 1, 2025, the board of directors of a school 30 district and the authorities in charge of each accredited 31 nonpublic school shall develop a cardiac emergency response 32 plan that addresses the appropriate use of school personnel 33 to respond to incidents involving an individual experiencing 34 sudden cardiac arrest or a similar life-threatening emergency 35 -1- LSB 6332YC (3) 90 je/jh 1/ 5

H.F. _____ while on school grounds, including but not limited to while 1 attending or participating in an athletic practice or event. 2 The board and authorities shall work directly with local 3 emergency service providers to integrate the cardiac emergency 4 response plan into the local community’s emergency medical 5 services protocols. 6 3. Each cardiac emergency response plan shall integrate 7 evidence-based core elements, such as those recommended by 8 the guidelines of the American heart association or another 9 nationally recognized, evidence-based standard. The plan shall 10 integrate, at a minimum, the following guidelines: 11 a. Establishing a cardiac emergency response team in each 12 school district or school. 13 b. Activating the cardiac emergency response team in 14 response to sudden cardiac arrest. 15 c. Implementing automated external defibrillator placement 16 and routine maintenance within each school in accordance with 17 guidelines of the American heart association. 18 d. Disseminating the cardiac emergency response plan 19 throughout school buildings and grounds. 20 e. Maintaining ongoing training of designated staff 21 regarding use of first aid techniques, automated external 22 defibrillators, and cardiopulmonary resuscitation, in 23 accordance with guidelines of the American heart association. 24 Designated staff shall include but not be limited to coaches 25 and athletic trainers employed by the school and school nurses. 26 f. Scheduled practice in implementation of the cardiac 27 emergency response plan. 28 g. Integrating local emergency medical service providers 29 into the cardiac emergency response plan. 30 h. Ongoing and annual review and evaluation of the cardiac 31 emergency response plan. 32 4. The board of directors of a school district and the 33 authorities in charge of each accredited nonpublic school 34 may accept gifts, grants, and donations, including in-kind 35 -2- LSB 6332YC (3) 90 je/jh 2/ 5

H.F. _____ donations, designated for the purchase of automated external 1 defibrillators that meet the standards established by the 2 federal food and drug administration and for the costs of 3 inspection and maintenance of, and staff training in the use 4 of, automated external defibrillators. 5 5. The department of education may establish procedures 6 for monitoring compliance with this section by public schools, 7 accredited nonpublic schools, and charter schools. 8 6. Subject to an appropriation by the general assembly for 9 the purpose of this subsection, the department of education 10 shall establish a cardiac emergency response plan grant program 11 to provide assistance to public, accredited nonpublic, and 12 charter schools in implementing core elements of evidence-based 13 cardiac emergency response plans in accordance with this 14 section and guidelines of the American heart association. 15 Grants shall be used for activities and equipment that promote 16 implementation of evidence-based cardiac emergency response 17 plans including but not limited to the purchase of automated 18 external defibrillators and maintenance thereof, basic first 19 aid training, and the purchase of educational materials and 20 cardiopulmonary resuscitation training for faculty and staff. 21 The department shall prioritize high-need schools when awarding 22 grants. The state board of education shall adopt rules 23 pursuant to chapter 17A to administer the program, including 24 rules providing for a grant application; selection, evaluation, 25 and award amount criteria; and applicable procedures and 26 timelines for the program, if an appropriation by the general 27 assembly for the purpose of this subsection is enacted. 28 Sec. 3. STATE MANDATE FUNDING SPECIFIED. In accordance 29 with section 25B.2, subsection 3, the state cost of requiring 30 compliance with any state mandate included in this Act shall 31 be paid by a school district from state school foundation 32 aid received by the school district under section 257.16 and 33 any additional appropriation enacted for purposes of section 34 280.36, as enacted by this Act. This specification of the 35 -3- LSB 6332YC (3) 90 je/jh 3/ 5

H.F. _____ payment of the state cost shall be deemed to meet all of the 1 state funding-related requirements of section 25B.2, subsection 2 3, and no additional state funding shall be necessary for the 3 full implementation of this Act by and enforcement of this Act 4 against all affected school districts. 5 EXPLANATION 6 The inclusion of this explanation does not constitute agreement with 7 the explanation’s substance by the members of the general assembly. 8 This bill requires school districts, accredited nonpublic 9 schools, and charter schools to develop a cardiac emergency 10 response plan, as defined in the bill, by July 1, 2025, that 11 addresses the appropriate use of school personnel to respond to 12 incidents involving an individual experiencing sudden cardiac 13 arrest or a similar life-threatening emergency while on school 14 grounds. The bill requires school districts, accredited 15 nonpublic schools, and charter schools to work directly with 16 local emergency service providers to integrate the cardiac 17 emergency response plan into the local community’s emergency 18 medical services protocols. 19 The bill requires that each cardiac emergency response plan 20 integrate evidence-based core elements and specifies guidelines 21 that must be included in the plan, including guidelines 22 for cardiac emergency response teams, automated external 23 defibrillator placement and routine maintenance within each 24 school, dissemination of the plan, maintaining ongoing training 25 of designated staff regarding specified subjects, review and 26 evaluation of the plan, and other matters. 27 The bill authorizes school districts, accredited nonpublic 28 schools, and charter schools to accept gifts, grants, and 29 donations designated for the purchase of an automated external 30 defibrillator and for the costs of inspection and maintenance 31 of, and staff training in the use of, automated external 32 defibrillators. 33 The bill authorizes the department of education to establish 34 procedures for monitoring compliance with the bill. 35 -4- LSB 6332YC (3) 90 je/jh 4/ 5

H.F. _____ Subject to an appropriation of funds, the bill requires 1 the department of education to establish a cardiac emergency 2 response plan grant program to provide assistance to public, 3 accredited nonpublic, and charter schools in implementing 4 core elements of evidence-based cardiac emergency response 5 plans. The bill specifies uses of the grants and directs the 6 department to prioritize high-need schools, as defined in the 7 bill, when awarding grants. The bill requires the state board 8 of education to adopt rules to administer the program if an 9 appropriation by the general assembly for the purpose of the 10 program is enacted. 11 The bill may include a state mandate as defined in Code 12 section 25B.3. The bill requires that the state cost of 13 any state mandate included in the bill be paid by a school 14 district from state school foundation aid received by the 15 school district under Code section 257.16 and any additional 16 appropriation enacted for the purpose of Code section 17 280.36, as enacted by the bill. The specification is deemed 18 to constitute state compliance with any state mandate 19 funding-related requirements of Code section 25B.2. The 20 inclusion of this specification is intended to reinstate the 21 requirement of political subdivisions to comply with any state 22 mandates included in the bill. 23 -5- LSB 6332YC (3) 90 je/jh 5/ 5