Bill Text: IL HB4247 | 2025-2026 | 104th General Assembly | Enrolled
Bill Title: Amends the School Code. In provisions concerning the administration of asthma medication, epinephrine injectors, opioid antagonists, and oxygen, provides that "trained personnel" includes coaches and athletic trainers. Defines "coach" as a volunteer or employee of a school who is responsible for organizing and supervising students to teach or train them in the fundamental skills of an interscholastic athletic activity, and provides that "coach" refers to both a head coach and an assistant coach. Defines "athletic trainer" as a licensed athletic trainer hired by or contracted by a school district or the governing body of a charter school or nonpublic school to aid a school in the evaluation, prevention, or physical reconditioning of injuries and the management of asthma, the prevention of asthma symptoms, and emergency asthma response in a school setting. Provides that a school district, public school, charter school, or nonpublic school may maintain a supply of asthma medication in a practice field or gym. Provides that the changes made by the amendatory Act are subject to appropriation or available grant funding.
Sponsorship: Strong Partisan Bill (Democrat 12-1)
Status: (Passed) 2026-06-26 - Public Act . . . . . . . . . 104-0484 [HB4247 Detail]
Download: Illinois-2025-HB4247-Enrolled.html
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| 1 | AN ACT concerning education. | ||||||
| 2 | Be it enacted by the People of the State of Illinois, | ||||||
| 3 | represented in the General Assembly: | ||||||
| 4 | Section 5. The School Code is amended by changing Section | ||||||
| 5 | 22-30 as follows: | ||||||
| 6 | (105 ILCS 5/22-30) | ||||||
| 7 | Sec. 22-30. Self-administration and self-carry of asthma | ||||||
| 8 | medication and epinephrine injectors; administration of | ||||||
| 9 | undesignated epinephrine injectors; administration of an | ||||||
| 10 | opioid antagonist; administration of undesignated asthma | ||||||
| 11 | medication; supply of undesignated oxygen tanks; asthma | ||||||
| 12 | episode emergency response protocol. | ||||||
| 13 | (a) For the purpose of this Section only, the following | ||||||
| 14 | terms shall have the meanings set forth below: | ||||||
| 15 | "Asthma action plan" means a written plan developed with a | ||||||
| 16 | pupil's medical provider to help control the pupil's asthma. | ||||||
| 17 | The goal of an asthma action plan is to reduce or prevent | ||||||
| 18 | flare-ups and emergency department visits through day-to-day | ||||||
| 19 | management and to serve as a student-specific document to be | ||||||
| 20 | referenced in the event of an asthma episode. | ||||||
| 21 | "Asthma episode emergency response protocol" means a | ||||||
| 22 | procedure to provide assistance to a pupil experiencing | ||||||
| 23 | symptoms of wheezing, coughing, shortness of breath, chest | ||||||
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| 1 | tightness, or breathing difficulty. | ||||||
| 2 | "Epinephrine injector" includes an auto-injector approved | ||||||
| 3 | by the United States Food and Drug Administration for the | ||||||
| 4 | administration of epinephrine and a pre-filled syringe | ||||||
| 5 | approved by the United States Food and Drug Administration and | ||||||
| 6 | used for the administration of epinephrine that contains a | ||||||
| 7 | pre-measured dose of epinephrine that is equivalent to the | ||||||
| 8 | dosages used in an auto-injector. | ||||||
| 9 | "Asthma medication" means quick-relief asthma medication, | ||||||
| 10 | including albuterol or other short-acting bronchodilators, | ||||||
| 11 | that is approved by the United States Food and Drug | ||||||
| 12 | Administration for the treatment of respiratory distress. | ||||||
| 13 | "Asthma medication" includes medication delivered through a | ||||||
| 14 | device, including a metered dose inhaler with a reusable or | ||||||
| 15 | disposable spacer or a nebulizer with a mouthpiece or mask. | ||||||
| 16 | "Athletic trainer" means a licensed athletic trainer hired | ||||||
| 17 | by or contracted by a school district or the governing body of | ||||||
| 18 | a charter school or nonpublic school to aid a school in the | ||||||
| 19 | evaluation, prevention, or physical reconditioning of injuries | ||||||
| 20 | and the management of asthma, the prevention of asthma | ||||||
| 21 | symptoms, and emergency asthma response in a school setting. | ||||||
| 22 | "Coach" means a volunteer or employee of a school who is | ||||||
| 23 | responsible for organizing and supervising students to teach | ||||||
| 24 | or train them in the fundamental skills of an interscholastic | ||||||
| 25 | athletic activity. "Coach" refers to both a head coach and an | ||||||
| 26 | assistant coach. | ||||||
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| 1 | "Opioid antagonist" means a drug that binds to opioid | ||||||
| 2 | receptors and blocks or inhibits the effect of opioids acting | ||||||
| 3 | on those receptors, including, but not limited to, naloxone | ||||||
| 4 | hydrochloride or any other similarly acting drug approved by | ||||||
| 5 | the U.S. Food and Drug Administration. | ||||||
| 6 | "Respiratory distress" means the perceived or actual | ||||||
| 7 | presence of wheezing, coughing, shortness of breath, chest | ||||||
| 8 | tightness, breathing difficulty, or any other symptoms | ||||||
| 9 | consistent with asthma. Respiratory distress may be | ||||||
| 10 | categorized as "mild-to-moderate" or "severe". | ||||||
| 11 | "School nurse" means a registered nurse working in a | ||||||
| 12 | school with or without licensure endorsed in school nursing. | ||||||
| 13 | "Self-administration" means a pupil's discretionary use of | ||||||
| 14 | his or her prescribed asthma medication or epinephrine | ||||||
| 15 | injector. | ||||||
| 16 | "Self-carry" means a pupil's ability to carry his or her | ||||||
| 17 | prescribed asthma medication or epinephrine injector. | ||||||
| 18 | "Standing protocol" may be issued by (i) a physician | ||||||
| 19 | licensed to practice medicine in all its branches, (ii) a | ||||||
| 20 | licensed physician assistant with prescriptive authority, or | ||||||
| 21 | (iii) a licensed advanced practice registered nurse with | ||||||
| 22 | prescriptive authority. | ||||||
| 23 | "Trained personnel" means any school employee, coach, | ||||||
| 24 | athletic trainer, or volunteer personnel authorized in | ||||||
| 25 | Sections 10-22.34, 10-22.34a, and 10-22.34b of this Code who | ||||||
| 26 | has completed training under subsection (g) of this Section to | ||||||
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| 1 | recognize and respond to anaphylaxis, an opioid overdose, or | ||||||
| 2 | respiratory distress. | ||||||
| 3 | "Undesignated asthma medication" means asthma medication | ||||||
| 4 | prescribed in the name of a school district, public school, | ||||||
| 5 | charter school, or nonpublic school. | ||||||
| 6 | "Undesignated epinephrine injector" means an epinephrine | ||||||
| 7 | injector prescribed in the name of a school district, public | ||||||
| 8 | school, charter school, or nonpublic school. | ||||||
| 9 | (b) A school, whether public, charter, or nonpublic, must | ||||||
| 10 | permit the self-administration and self-carry of asthma | ||||||
| 11 | medication by a pupil with asthma or the self-administration | ||||||
| 12 | and self-carry of an epinephrine injector by a pupil, provided | ||||||
| 13 | that: | ||||||
| 14 | (1) the parents or guardians of the pupil provide to | ||||||
| 15 | the school (i) written authorization from the parents or | ||||||
| 16 | guardians for (A) the self-administration and self-carry | ||||||
| 17 | of asthma medication or (B) the self-carry of asthma | ||||||
| 18 | medication or (ii) for (A) the self-administration and | ||||||
| 19 | self-carry of an epinephrine injector or (B) the | ||||||
| 20 | self-carry of an epinephrine injector, written | ||||||
| 21 | authorization from the pupil's physician, physician | ||||||
| 22 | assistant, or advanced practice registered nurse; and | ||||||
| 23 | (2) the parents or guardians of the pupil provide to | ||||||
| 24 | the school (i) the prescription label, which must contain | ||||||
| 25 | the name of the asthma medication, the prescribed dosage, | ||||||
| 26 | and the time at which or circumstances under which the | ||||||
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| 1 | asthma medication is to be administered, or (ii) for the | ||||||
| 2 | self-administration or self-carry of an epinephrine | ||||||
| 3 | injector, a written statement from the pupil's physician, | ||||||
| 4 | physician assistant, or advanced practice registered nurse | ||||||
| 5 | containing the following information: | ||||||
| 6 | (A) the name and purpose of the epinephrine | ||||||
| 7 | injector; | ||||||
| 8 | (B) the prescribed dosage; and | ||||||
| 9 | (C) the time or times at which or the special | ||||||
| 10 | circumstances under which the epinephrine injector is | ||||||
| 11 | to be administered. | ||||||
| 12 | The information provided shall be kept on file in the office of | ||||||
| 13 | the school nurse or, in the absence of a school nurse, the | ||||||
| 14 | school's administrator. | ||||||
| 15 | (b-5) A school district, public school, charter school, or | ||||||
| 16 | nonpublic school may authorize the provision of a | ||||||
| 17 | student-specific or undesignated epinephrine injector to a | ||||||
| 18 | student or any personnel authorized under a student's | ||||||
| 19 | Individual Health Care Action Plan, allergy emergency action | ||||||
| 20 | plan, or plan pursuant to Section 504 of the federal | ||||||
| 21 | Rehabilitation Act of 1973 to administer an epinephrine | ||||||
| 22 | injector to the student, that meets the student's prescription | ||||||
| 23 | on file. | ||||||
| 24 | (b-10) The school district, public school, charter school, | ||||||
| 25 | or nonpublic school may authorize a school nurse or trained | ||||||
| 26 | personnel to do the following: (i) provide an undesignated | ||||||
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| 1 | epinephrine injector to a student for self-administration only | ||||||
| 2 | or any personnel authorized under a student's Individual | ||||||
| 3 | Health Care Action Plan, allergy emergency action plan, plan | ||||||
| 4 | pursuant to Section 504 of the federal Rehabilitation Act of | ||||||
| 5 | 1973, or individualized education program plan to administer | ||||||
| 6 | to the student that meets the student's prescription on file; | ||||||
| 7 | (ii) administer an undesignated epinephrine injector that | ||||||
| 8 | meets the prescription on file to any student who has an | ||||||
| 9 | Individual Health Care Action Plan, allergy emergency action | ||||||
| 10 | plan, plan pursuant to Section 504 of the federal | ||||||
| 11 | Rehabilitation Act of 1973, or individualized education | ||||||
| 12 | program plan that authorizes the use of an epinephrine | ||||||
| 13 | injector; (iii) administer an undesignated epinephrine | ||||||
| 14 | injector to any person that the school nurse or trained | ||||||
| 15 | personnel in good faith believes is having an anaphylactic | ||||||
| 16 | reaction; (iv) administer an opioid antagonist to any person | ||||||
| 17 | that the school nurse or trained personnel in good faith | ||||||
| 18 | believes is having an opioid overdose; (v) provide | ||||||
| 19 | undesignated asthma medication to a student for | ||||||
| 20 | self-administration only or to any personnel authorized under | ||||||
| 21 | a student's Individual Health Care Action Plan or asthma | ||||||
| 22 | action plan, plan pursuant to Section 504 of the federal | ||||||
| 23 | Rehabilitation Act of 1973, or individualized education | ||||||
| 24 | program plan to administer to the student that meets the | ||||||
| 25 | student's prescription on file; (vi) administer undesignated | ||||||
| 26 | asthma medication that meets the prescription on file to any | ||||||
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| 1 | student who has an Individual Health Care Action Plan or | ||||||
| 2 | asthma action plan, plan pursuant to Section 504 of the | ||||||
| 3 | federal Rehabilitation Act of 1973, or individualized | ||||||
| 4 | education program plan that authorizes the use of asthma | ||||||
| 5 | medication; and (vii) administer undesignated asthma | ||||||
| 6 | medication to any person that the school nurse or trained | ||||||
| 7 | personnel believes in good faith is having respiratory | ||||||
| 8 | distress. | ||||||
| 9 | (c) The school district, public school, charter school, or | ||||||
| 10 | nonpublic school must inform the parents or guardians of the | ||||||
| 11 | pupil, in writing, that the school district, public school, | ||||||
| 12 | charter school, or nonpublic school and its employees and | ||||||
| 13 | agents, including a physician, physician assistant, or | ||||||
| 14 | advanced practice registered nurse providing standing protocol | ||||||
| 15 | and a prescription for school epinephrine injectors, an opioid | ||||||
| 16 | antagonist, or undesignated asthma medication, are to incur no | ||||||
| 17 | liability or professional discipline, except for willful and | ||||||
| 18 | wanton conduct, as a result of any injury arising from the | ||||||
| 19 | administration of asthma medication, an epinephrine injector, | ||||||
| 20 | or an opioid antagonist regardless of whether authorization | ||||||
| 21 | was given by the pupil's parents or guardians or by the pupil's | ||||||
| 22 | physician, physician assistant, or advanced practice | ||||||
| 23 | registered nurse. The parents or guardians of the pupil must | ||||||
| 24 | sign a statement acknowledging that the school district, | ||||||
| 25 | public school, charter school, or nonpublic school and its | ||||||
| 26 | employees and agents are to incur no liability, except for | ||||||
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| 1 | willful and wanton conduct, as a result of any injury arising | ||||||
| 2 | from the administration of asthma medication, an epinephrine | ||||||
| 3 | injector, or an opioid antagonist regardless of whether | ||||||
| 4 | authorization was given by the pupil's parents or guardians or | ||||||
| 5 | by the pupil's physician, physician assistant, or advanced | ||||||
| 6 | practice registered nurse and that the parents or guardians | ||||||
| 7 | must indemnify and hold harmless the school district, public | ||||||
| 8 | school, charter school, or nonpublic school and its employees | ||||||
| 9 | and agents against any claims, except a claim based on willful | ||||||
| 10 | and wanton conduct, arising out of the administration of | ||||||
| 11 | asthma medication, an epinephrine injector, or an opioid | ||||||
| 12 | antagonist regardless of whether authorization was given by | ||||||
| 13 | the pupil's parents or guardians or by the pupil's physician, | ||||||
| 14 | physician assistant, or advanced practice registered nurse. | ||||||
| 15 | (c-5) When a school nurse or trained personnel administers | ||||||
| 16 | an undesignated epinephrine injector to a person whom the | ||||||
| 17 | school nurse or trained personnel in good faith believes is | ||||||
| 18 | having an anaphylactic reaction, administers an opioid | ||||||
| 19 | antagonist to a person whom the school nurse or trained | ||||||
| 20 | personnel in good faith believes is having an opioid overdose, | ||||||
| 21 | or administers undesignated asthma medication to a person whom | ||||||
| 22 | the school nurse or trained personnel in good faith believes | ||||||
| 23 | is having respiratory distress, notwithstanding the lack of | ||||||
| 24 | notice to the parents or guardians of the pupil or the absence | ||||||
| 25 | of the parents or guardians signed statement acknowledging no | ||||||
| 26 | liability, except for willful and wanton conduct, the school | ||||||
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| 1 | district, public school, charter school, or nonpublic school | ||||||
| 2 | and its employees and agents, and a physician, a physician | ||||||
| 3 | assistant, or an advanced practice registered nurse providing | ||||||
| 4 | standing protocol and a prescription for undesignated | ||||||
| 5 | epinephrine injectors, an opioid antagonist, or undesignated | ||||||
| 6 | asthma medication, are to incur no liability or professional | ||||||
| 7 | discipline, except for willful and wanton conduct, as a result | ||||||
| 8 | of any injury arising from the use of an undesignated | ||||||
| 9 | epinephrine injector, the use of an opioid antagonist, or the | ||||||
| 10 | use of undesignated asthma medication, regardless of whether | ||||||
| 11 | authorization was given by the pupil's parents or guardians or | ||||||
| 12 | by the pupil's physician, physician assistant, or advanced | ||||||
| 13 | practice registered nurse. | ||||||
| 14 | (d) The permission for self-administration and self-carry | ||||||
| 15 | of asthma medication or the self-administration and self-carry | ||||||
| 16 | of an epinephrine injector is effective for the school year | ||||||
| 17 | for which it is granted and shall be renewed each subsequent | ||||||
| 18 | school year upon fulfillment of the requirements of this | ||||||
| 19 | Section. | ||||||
| 20 | (e) Provided that the requirements of this Section are | ||||||
| 21 | fulfilled, a pupil with asthma may self-administer and | ||||||
| 22 | self-carry his or her asthma medication or a pupil may | ||||||
| 23 | self-administer and self-carry an epinephrine injector (i) | ||||||
| 24 | while in school, (ii) while at a school-sponsored activity, | ||||||
| 25 | (iii) while under the supervision of school personnel, or (iv) | ||||||
| 26 | before or after normal school activities, such as while in | ||||||
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| 1 | before-school or after-school care on school-operated property | ||||||
| 2 | or while being transported on a school bus. | ||||||
| 3 | (e-5) Provided that the requirements of this Section are | ||||||
| 4 | fulfilled, a school nurse or trained personnel may administer | ||||||
| 5 | an undesignated epinephrine injector to any person whom the | ||||||
| 6 | school nurse or trained personnel in good faith believes to be | ||||||
| 7 | having an anaphylactic reaction (i) while in school, (ii) | ||||||
| 8 | while at a school-sponsored activity, (iii) while under the | ||||||
| 9 | supervision of school personnel, or (iv) before or after | ||||||
| 10 | normal school activities, such as while in before-school or | ||||||
| 11 | after-school care on school-operated property or while being | ||||||
| 12 | transported on a school bus. A school nurse or trained | ||||||
| 13 | personnel may carry undesignated epinephrine injectors on his | ||||||
| 14 | or her person while in school or at a school-sponsored | ||||||
| 15 | activity. | ||||||
| 16 | (e-10) Provided that the requirements of this Section are | ||||||
| 17 | fulfilled, a school nurse or trained personnel may administer | ||||||
| 18 | an opioid antagonist to any person whom the school nurse or | ||||||
| 19 | trained personnel in good faith believes to be having an | ||||||
| 20 | opioid overdose (i) while in school, (ii) while at a | ||||||
| 21 | school-sponsored activity, (iii) while under the supervision | ||||||
| 22 | of school personnel, or (iv) before or after normal school | ||||||
| 23 | activities, such as while in before-school or after-school | ||||||
| 24 | care on school-operated property. A school nurse or trained | ||||||
| 25 | personnel may carry an opioid antagonist on his or her person | ||||||
| 26 | while in school or at a school-sponsored activity. | ||||||
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| 1 | (e-15) If the requirements of this Section are met, a | ||||||
| 2 | school nurse or trained personnel may administer undesignated | ||||||
| 3 | asthma medication to any person whom the school nurse or | ||||||
| 4 | trained personnel in good faith believes to be experiencing | ||||||
| 5 | respiratory distress (i) while in school, (ii) while at a | ||||||
| 6 | school-sponsored activity, (iii) while under the supervision | ||||||
| 7 | of school personnel, or (iv) before or after normal school | ||||||
| 8 | activities, including before-school or after-school care on | ||||||
| 9 | school-operated property. A school nurse or trained personnel | ||||||
| 10 | may carry undesignated asthma medication on his or her person | ||||||
| 11 | while in school or at a school-sponsored activity. | ||||||
| 12 | (f) The school district, public school, charter school, or | ||||||
| 13 | nonpublic school may maintain a supply of undesignated | ||||||
| 14 | epinephrine injectors in any secure location that is | ||||||
| 15 | accessible before, during, and after school where an allergic | ||||||
| 16 | person is most at risk, including, but not limited to, | ||||||
| 17 | classrooms and lunchrooms. A physician, a physician assistant | ||||||
| 18 | who has prescriptive authority in accordance with Section 7.5 | ||||||
| 19 | of the Physician Assistant Practice Act of 1987, or an | ||||||
| 20 | advanced practice registered nurse who has prescriptive | ||||||
| 21 | authority in accordance with Section 65-40 of the Nurse | ||||||
| 22 | Practice Act may prescribe undesignated epinephrine injectors | ||||||
| 23 | in the name of the school district, public school, charter | ||||||
| 24 | school, or nonpublic school to be maintained for use when | ||||||
| 25 | necessary. Any supply of epinephrine injectors shall be | ||||||
| 26 | maintained in accordance with the manufacturer's instructions. | ||||||
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| 1 | The school district, public school, charter school, or | ||||||
| 2 | nonpublic school shall maintain a supply of an opioid | ||||||
| 3 | antagonist in any secure location where an individual may have | ||||||
| 4 | an opioid overdose, unless there is a shortage of opioid | ||||||
| 5 | antagonists, in which case the school district, public school, | ||||||
| 6 | charter school, or nonpublic school shall make a reasonable | ||||||
| 7 | effort to maintain a supply of an opioid antagonist. Unless | ||||||
| 8 | the school district, public school, charter school, or | ||||||
| 9 | nonpublic school is able to obtain opioid antagonists without | ||||||
| 10 | a prescription, a health care professional who has been | ||||||
| 11 | delegated prescriptive authority for opioid antagonists in | ||||||
| 12 | accordance with Section 5-23 of the Substance Use Disorder Act | ||||||
| 13 | shall prescribe opioid antagonists in the name of the school | ||||||
| 14 | district, public school, charter school, or nonpublic school, | ||||||
| 15 | to be maintained for use when necessary. Any supply of opioid | ||||||
| 16 | antagonists shall be maintained in accordance with the | ||||||
| 17 | manufacturer's instructions. | ||||||
| 18 | The school district, public school, charter school, or | ||||||
| 19 | nonpublic school may maintain a supply of asthma medication in | ||||||
| 20 | any secure location that is accessible before, during, or | ||||||
| 21 | after school where a person is most at risk, including, but not | ||||||
| 22 | limited to, a classroom, or the nurse's office, or a practice | ||||||
| 23 | field or gym. A physician, a physician assistant who has | ||||||
| 24 | prescriptive authority under Section 7.5 of the Physician | ||||||
| 25 | Assistant Practice Act of 1987, or an advanced practice | ||||||
| 26 | registered nurse who has prescriptive authority under Section | ||||||
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| 1 | 65-40 of the Nurse Practice Act may prescribe undesignated | ||||||
| 2 | asthma medication in the name of the school district, public | ||||||
| 3 | school, charter school, or nonpublic school to be maintained | ||||||
| 4 | for use when necessary. Any supply of undesignated asthma | ||||||
| 5 | medication must be maintained in accordance with the | ||||||
| 6 | manufacturer's instructions. | ||||||
| 7 | A school district that provides special educational | ||||||
| 8 | facilities for children with disabilities under Section | ||||||
| 9 | 14-4.01 of this Code may maintain a supply of undesignated | ||||||
| 10 | oxygen tanks in any secure location that is accessible before, | ||||||
| 11 | during, and after school where a person with developmental | ||||||
| 12 | disabilities is most at risk, including, but not limited to, | ||||||
| 13 | classrooms and lunchrooms. A physician, a physician assistant | ||||||
| 14 | who has prescriptive authority in accordance with Section 7.5 | ||||||
| 15 | of the Physician Assistant Practice Act of 1987, or an | ||||||
| 16 | advanced practice registered nurse who has prescriptive | ||||||
| 17 | authority in accordance with Section 65-40 of the Nurse | ||||||
| 18 | Practice Act may prescribe undesignated oxygen tanks in the | ||||||
| 19 | name of the school district that provides special educational | ||||||
| 20 | facilities for children with disabilities under Section | ||||||
| 21 | 14-4.01 of this Code to be maintained for use when necessary. | ||||||
| 22 | Any supply of oxygen tanks shall be maintained in accordance | ||||||
| 23 | with the manufacturer's instructions and with the local fire | ||||||
| 24 | department's rules. | ||||||
| 25 | (f-3) Whichever entity initiates the process of obtaining | ||||||
| 26 | undesignated epinephrine injectors and providing training to | ||||||
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| 1 | personnel for carrying and administering undesignated | ||||||
| 2 | epinephrine injectors shall pay for the costs of the | ||||||
| 3 | undesignated epinephrine injectors. | ||||||
| 4 | (f-5) Upon any administration of an epinephrine injector, | ||||||
| 5 | a school district, public school, charter school, or nonpublic | ||||||
| 6 | school must immediately activate the EMS system and notify the | ||||||
| 7 | student's parent, guardian, or emergency contact, if known. | ||||||
| 8 | Upon any administration of an opioid antagonist, a school | ||||||
| 9 | district, public school, charter school, or nonpublic school | ||||||
| 10 | must immediately activate the EMS system and notify the | ||||||
| 11 | student's parent, guardian, or emergency contact, if known. | ||||||
| 12 | (f-10) Within 24 hours of the administration of an | ||||||
| 13 | undesignated epinephrine injector, a school district, public | ||||||
| 14 | school, charter school, or nonpublic school must notify the | ||||||
| 15 | physician, physician assistant, or advanced practice | ||||||
| 16 | registered nurse who provided the standing protocol and a | ||||||
| 17 | prescription for the undesignated epinephrine injector of its | ||||||
| 18 | use. | ||||||
| 19 | Within 24 hours after the administration of an opioid | ||||||
| 20 | antagonist, a school district, public school, charter school, | ||||||
| 21 | or nonpublic school must notify the health care professional | ||||||
| 22 | who provided the prescription for the opioid antagonist of its | ||||||
| 23 | use. | ||||||
| 24 | Within 24 hours after the administration of undesignated | ||||||
| 25 | asthma medication, a school district, public school, charter | ||||||
| 26 | school, or nonpublic school must notify the student's parent | ||||||
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| 1 | or guardian or emergency contact, if known, and the physician, | ||||||
| 2 | physician assistant, or advanced practice registered nurse who | ||||||
| 3 | provided the standing protocol and a prescription for the | ||||||
| 4 | undesignated asthma medication of its use. The district or | ||||||
| 5 | school must follow up with the school nurse, if available, and | ||||||
| 6 | may, with the consent of the child's parent or guardian, | ||||||
| 7 | notify the child's health care provider of record, as | ||||||
| 8 | determined under this Section, of its use. | ||||||
| 9 | (g) Prior to the administration of an undesignated | ||||||
| 10 | epinephrine injector, trained personnel must submit to the | ||||||
| 11 | school's administration proof of completion of a training | ||||||
| 12 | curriculum to recognize and respond to anaphylaxis that meets | ||||||
| 13 | the requirements of subsection (h) of this Section. Training | ||||||
| 14 | must be completed annually. The school district, public | ||||||
| 15 | school, charter school, or nonpublic school must maintain | ||||||
| 16 | records related to the training curriculum and trained | ||||||
| 17 | personnel. | ||||||
| 18 | Prior to the administration of an opioid antagonist, | ||||||
| 19 | trained personnel must submit to the school's administration | ||||||
| 20 | proof of completion of a training curriculum to recognize and | ||||||
| 21 | respond to an opioid overdose, which curriculum must meet the | ||||||
| 22 | requirements of subsection (h-5) of this Section. The school | ||||||
| 23 | district, public school, charter school, or nonpublic school | ||||||
| 24 | must maintain records relating to the training curriculum and | ||||||
| 25 | the trained personnel. | ||||||
| 26 | Prior to the administration of undesignated asthma | ||||||
| |||||||
| |||||||
| 1 | medication, trained personnel must submit to the school's | ||||||
| 2 | administration proof of completion of a training curriculum to | ||||||
| 3 | recognize and respond to respiratory distress, which must meet | ||||||
| 4 | the requirements of subsection (h-10) of this Section. | ||||||
| 5 | Training must be completed annually, and the school district, | ||||||
| 6 | public school, charter school, or nonpublic school must | ||||||
| 7 | maintain records relating to the training curriculum and the | ||||||
| 8 | trained personnel. | ||||||
| 9 | (h) A training curriculum to recognize and respond to | ||||||
| 10 | anaphylaxis, including the administration of an undesignated | ||||||
| 11 | epinephrine injector, may be conducted online or in person. | ||||||
| 12 | Training shall include, but is not limited to: | ||||||
| 13 | (1) how to recognize signs and symptoms of an allergic | ||||||
| 14 | reaction, including anaphylaxis; | ||||||
| 15 | (2) how to administer an epinephrine injector; and | ||||||
| 16 | (3) a test demonstrating competency of the knowledge | ||||||
| 17 | required to recognize anaphylaxis and administer an | ||||||
| 18 | epinephrine injector. | ||||||
| 19 | Training may also include, but is not limited to: | ||||||
| 20 | (A) a review of high-risk areas within a school and | ||||||
| 21 | its related facilities; | ||||||
| 22 | (B) steps to take to prevent exposure to allergens; | ||||||
| 23 | (C) emergency follow-up procedures, including the | ||||||
| 24 | importance of calling 9-1-1 or, if 9-1-1 is not available, | ||||||
| 25 | other local emergency medical services; | ||||||
| 26 | (D) how to respond to a student with a known allergy, | ||||||
| |||||||
| |||||||
| 1 | as well as a student with a previously unknown allergy; | ||||||
| 2 | (E) other criteria as determined in rules adopted | ||||||
| 3 | pursuant to this Section; and | ||||||
| 4 | (F) any policy developed by the State Board of | ||||||
| 5 | Education under Section 2-3.190. | ||||||
| 6 | In consultation with statewide professional organizations | ||||||
| 7 | representing physicians licensed to practice medicine in all | ||||||
| 8 | of its branches, registered nurses, and school nurses, the | ||||||
| 9 | State Board of Education shall make available resource | ||||||
| 10 | materials consistent with criteria in this subsection (h) for | ||||||
| 11 | educating trained personnel to recognize and respond to | ||||||
| 12 | anaphylaxis. The State Board may take into consideration the | ||||||
| 13 | curriculum on this subject developed by other states, as well | ||||||
| 14 | as any other curricular materials suggested by medical experts | ||||||
| 15 | and other groups that work on life-threatening allergy issues. | ||||||
| 16 | The State Board is not required to create new resource | ||||||
| 17 | materials. The State Board shall make these resource materials | ||||||
| 18 | available on its Internet website. | ||||||
| 19 | (h-5) A training curriculum to recognize and respond to an | ||||||
| 20 | opioid overdose, including the administration of an opioid | ||||||
| 21 | antagonist, may be conducted online or in person. The training | ||||||
| 22 | must comply with any training requirements under Section 5-23 | ||||||
| 23 | of the Substance Use Disorder Act and the corresponding rules. | ||||||
| 24 | It must include, but is not limited to: | ||||||
| 25 | (1) how to recognize symptoms of an opioid overdose; | ||||||
| 26 | (2) information on drug overdose prevention and | ||||||
| |||||||
| |||||||
| 1 | recognition; | ||||||
| 2 | (3) how to perform rescue breathing and resuscitation; | ||||||
| 3 | (4) how to respond to an emergency involving an opioid | ||||||
| 4 | overdose; | ||||||
| 5 | (5) opioid antagonist dosage and administration; | ||||||
| 6 | (6) the importance of calling 9-1-1 or, if 9-1-1 is | ||||||
| 7 | not available, other local emergency medical services; | ||||||
| 8 | (7) care for the overdose victim after administration | ||||||
| 9 | of the overdose antagonist; | ||||||
| 10 | (8) a test demonstrating competency of the knowledge | ||||||
| 11 | required to recognize an opioid overdose and administer a | ||||||
| 12 | dose of an opioid antagonist; and | ||||||
| 13 | (9) other criteria as determined in rules adopted | ||||||
| 14 | pursuant to this Section. | ||||||
| 15 | (h-10) A training curriculum to recognize and respond to | ||||||
| 16 | respiratory distress, including the administration of | ||||||
| 17 | undesignated asthma medication, may be conducted online or in | ||||||
| 18 | person. The training must include, but is not limited to: | ||||||
| 19 | (1) how to recognize symptoms of respiratory distress | ||||||
| 20 | and how to distinguish respiratory distress from | ||||||
| 21 | anaphylaxis; | ||||||
| 22 | (2) how to respond to an emergency involving | ||||||
| 23 | respiratory distress; | ||||||
| 24 | (3) asthma medication dosage and administration; | ||||||
| 25 | (4) the importance of calling 9-1-1 or, if 9-1-1 is | ||||||
| 26 | not available, other local emergency medical services; | ||||||
| |||||||
| |||||||
| 1 | (5) a test demonstrating competency of the knowledge | ||||||
| 2 | required to recognize respiratory distress and administer | ||||||
| 3 | asthma medication; and | ||||||
| 4 | (6) other criteria as determined in rules adopted | ||||||
| 5 | under this Section. | ||||||
| 6 | (i) Within 3 days after the administration of an | ||||||
| 7 | undesignated epinephrine injector by a school nurse, trained | ||||||
| 8 | personnel, or a student at a school or school-sponsored | ||||||
| 9 | activity, the school must report to the State Board of | ||||||
| 10 | Education in a form and manner prescribed by the State Board | ||||||
| 11 | the following information: | ||||||
| 12 | (1) age and type of person receiving epinephrine | ||||||
| 13 | (student, staff, visitor); | ||||||
| 14 | (2) any previously known diagnosis of a severe | ||||||
| 15 | allergy; | ||||||
| 16 | (3) trigger that precipitated allergic episode; | ||||||
| 17 | (4) location where symptoms developed; | ||||||
| 18 | (5) number of doses administered; | ||||||
| 19 | (6) type of person administering epinephrine (school | ||||||
| 20 | nurse, trained personnel, student); and | ||||||
| 21 | (7) any other information required by the State Board. | ||||||
| 22 | If a school district, public school, charter school, or | ||||||
| 23 | nonpublic school maintains or has an independent contractor | ||||||
| 24 | providing transportation to students who maintains a supply of | ||||||
| 25 | undesignated epinephrine injectors, then the school district, | ||||||
| 26 | public school, charter school, or nonpublic school must report | ||||||
| |||||||
| |||||||
| 1 | that information to the State Board of Education upon adoption | ||||||
| 2 | or change of the policy of the school district, public school, | ||||||
| 3 | charter school, nonpublic school, or independent contractor, | ||||||
| 4 | in a manner as prescribed by the State Board. The report must | ||||||
| 5 | include the number of undesignated epinephrine injectors in | ||||||
| 6 | supply. | ||||||
| 7 | (i-5) Within 3 days after the administration of an opioid | ||||||
| 8 | antagonist by a school nurse or trained personnel, the school | ||||||
| 9 | must report to the State Board of Education, in a form and | ||||||
| 10 | manner prescribed by the State Board, the following | ||||||
| 11 | information: | ||||||
| 12 | (1) the age and type of person receiving the opioid | ||||||
| 13 | antagonist (student, staff, or visitor); | ||||||
| 14 | (2) the location where symptoms developed; | ||||||
| 15 | (3) the type of person administering the opioid | ||||||
| 16 | antagonist (school nurse or trained personnel); and | ||||||
| 17 | (4) any other information required by the State Board. | ||||||
| 18 | (i-10) Within 3 days after the administration of | ||||||
| 19 | undesignated asthma medication by a school nurse, trained | ||||||
| 20 | personnel, or a student at a school or school-sponsored | ||||||
| 21 | activity, the school must report to the State Board of | ||||||
| 22 | Education, on a form and in a manner prescribed by the State | ||||||
| 23 | Board of Education, the following information: | ||||||
| 24 | (1) the age and type of person receiving the asthma | ||||||
| 25 | medication (student, staff, or visitor); | ||||||
| 26 | (2) any previously known diagnosis of asthma for the | ||||||
| |||||||
| |||||||
| 1 | person; | ||||||
| 2 | (3) the trigger that precipitated respiratory | ||||||
| 3 | distress, if identifiable; | ||||||
| 4 | (4) the location of where the symptoms developed; | ||||||
| 5 | (5) the number of doses administered; | ||||||
| 6 | (6) the type of person administering the asthma | ||||||
| 7 | medication (school nurse, trained personnel, or student); | ||||||
| 8 | (7) the outcome of the asthma medication | ||||||
| 9 | administration; and | ||||||
| 10 | (8) any other information required by the State Board. | ||||||
| 11 | (j) By October 1, 2015 and every year thereafter, the | ||||||
| 12 | State Board of Education shall submit a report to the General | ||||||
| 13 | Assembly identifying the frequency and circumstances of | ||||||
| 14 | undesignated epinephrine and undesignated asthma medication | ||||||
| 15 | administration during the preceding academic year. Beginning | ||||||
| 16 | with the 2017 report, the report shall also contain | ||||||
| 17 | information on which school districts, public schools, charter | ||||||
| 18 | schools, and nonpublic schools maintain or have independent | ||||||
| 19 | contractors providing transportation to students who maintain | ||||||
| 20 | a supply of undesignated epinephrine injectors. This report | ||||||
| 21 | shall be published on the State Board's Internet website on | ||||||
| 22 | the date the report is delivered to the General Assembly. | ||||||
| 23 | (j-5) Annually, each school district, public school, | ||||||
| 24 | charter school, or nonpublic school shall request an asthma | ||||||
| 25 | action plan from the parents or guardians of a pupil with | ||||||
| 26 | asthma. If provided, the asthma action plan must be kept on | ||||||
| |||||||
| |||||||
| 1 | file in the office of the school nurse or, in the absence of a | ||||||
| 2 | school nurse, the school administrator. Copies of the asthma | ||||||
| 3 | action plan may be distributed to appropriate school staff who | ||||||
| 4 | interact with the pupil on a regular basis, and, if | ||||||
| 5 | applicable, may be attached to the pupil's federal Section 504 | ||||||
| 6 | plan or individualized education program plan. | ||||||
| 7 | (j-10) To assist schools with emergency response | ||||||
| 8 | procedures for asthma, the State Board of Education, in | ||||||
| 9 | consultation with statewide professional organizations with | ||||||
| 10 | expertise in asthma management and a statewide organization | ||||||
| 11 | representing school administrators, shall develop a model | ||||||
| 12 | asthma episode emergency response protocol before September 1, | ||||||
| 13 | 2016. Each school district, charter school, and nonpublic | ||||||
| 14 | school shall adopt an asthma episode emergency response | ||||||
| 15 | protocol before January 1, 2017 that includes all of the | ||||||
| 16 | components of the State Board's model protocol. | ||||||
| 17 | (j-15) (Blank). | ||||||
| 18 | (j-20) On or before October 1, 2016 and every year | ||||||
| 19 | thereafter, the State Board of Education shall submit a report | ||||||
| 20 | to the General Assembly and the Department of Public Health | ||||||
| 21 | identifying the frequency and circumstances of opioid | ||||||
| 22 | antagonist administration during the preceding academic year. | ||||||
| 23 | This report shall be published on the State Board's Internet | ||||||
| 24 | website on the date the report is delivered to the General | ||||||
| 25 | Assembly. | ||||||
| 26 | (k) The State Board of Education may adopt rules necessary | ||||||
| |||||||
| |||||||
| 1 | to implement this Section. | ||||||
| 2 | (l) Nothing in this Section shall limit the amount of | ||||||
| 3 | epinephrine injectors that any type of school or student may | ||||||
| 4 | carry or maintain a supply of. | ||||||
| 5 | (m) The changes made to this Section by this amendatory | ||||||
| 6 | Act of the 104th General Assembly are subject to appropriation | ||||||
| 7 | or available grant funding. | ||||||
| 8 | (Source: P.A. 102-413, eff. 8-20-21; 102-813, eff. 5-13-22; | ||||||
| 9 | 103-175, eff. 6-30-23; 103-196, eff. 1-1-24; 103-348, eff. | ||||||
| 10 | 1-1-24; 103-542, eff. 7-1-24 (see Section 905 of P.A. 103-563 | ||||||
| 11 | for effective date of P.A. 103-542); 103-605, eff. 7-1-24.) | ||||||
