Bill Text: NY S04988 | 2013-2014 | General Assembly | Amended


Bill Title: Permits nebulizers in schools and on athletic courts and fields to be administered by students with patient specific orders; requires every nebulizer permitted must be maintained in working order by the school district, BOCES or non-public school.

Spectrum: Bipartisan Bill

Status: (Introduced - Dead) 2014-06-20 - COMMITTED TO RULES [S04988 Detail]

Download: New_York-2013-S04988-Amended.html
                           S T A T E   O F   N E W   Y O R K
       ________________________________________________________________________
                                        4988--B
           Cal. No. 398
                              2013-2014 Regular Sessions
                                   I N  S E N A T E
                                      May 2, 2013
                                      ___________
       Introduced by Sens. BOYLE, AVELLA -- read twice and ordered printed, and
         when  printed  to be committed to the Committee on Education -- recom-
         mitted to the Committee on Education in accordance with Senate Rule 6,
         sec. 8 -- reported favorably from said committee, ordered to first and
         second report,  ordered  to  a  third  reading,  amended  and  ordered
         reprinted,  retaining its place in the order of third reading -- again
         amended and ordered reprinted, retaining its place  in  the  order  of
         third reading
       AN ACT to amend the education law, in relation to authorizing the use of
         nebulizers  in  schools; and to amend chapter 672 of the laws of 2007,
         amending the education law relating  to  the  maintenance  of  on-site
         nebulizers,  in  relation  to  the effectiveness of certain provisions
         thereof
         THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND  ASSEM-
       BLY, DO ENACT AS FOLLOWS:
    1    Section  1. Section 919 of the education law, as amended by chapter 42
    2  of the laws of 2008, is amended to read as follows:
    3    S 919. On-site nebulizers. 1. The board of education  or  trustees  of
    4  the  school  district  responsible  for  providing  health services in a
    5  school, or the board of cooperative educational services in the case  of
    6  programs  under  its  jurisdiction,  shall  make  a  nebulizer available
    7  on-site in every public and private school building  in  which  full  or
    8  part  time nurse services are provided. Nebulizers in such school build-
    9  ings shall be made available to allow reasonable access  to  all  public
   10  and  private  school students with a patient specific order, who require
   11  inhaled medications administered by a nebulizer, provided, however, that
   12  nebulizers shall be administered by a school nurse  [or],  physician  OR
   13  OTHER  LICENSED  PROFESSIONAL  AUTHORIZED TO PERFORM SUCH SERVICES UNDER
   14  TITLE EIGHT OF THIS CHAPTER pursuant to the student's  patient  specific
   15  order.  Every  nebulizer  shall  be  maintained  in working order by the
   16  school district  or  board  of  cooperative  educational  services  that
        EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                             [ ] is old law to be omitted.
                                                                  LBD09038-14-4
       S. 4988--B                          2
    1  provides  school  health services to the school building where the nebu-
    2  lizer is located.   NEBULIZERS AT SUCH  LOCATIONS  SHALL  ALSO  BE  MADE
    3  AVAILABLE  TO PUBLIC AND PRIVATE SCHOOL STUDENTS WHO HAVE BEEN DIAGNOSED
    4  BY  A  PHYSICIAN  OR  OTHER DULY AUTHORIZED HEALTH CARE PROVIDER WITH AN
    5  ASTHMATIC CONDITION OR ANOTHER RESPIRATORY  DISEASE  TO  SELF-ADMINISTER
    6  INHALED  MEDICATIONS  THROUGH  SUCH  NEBULIZER  TO ALLEVIATE RESPIRATORY
    7  SYMPTOMS OR TO PREVENT THE ONSET OF EXERCISE INDUCED ASTHMATIC  SYMPTOMS
    8  DURING  THE  SCHOOL DAY ON SCHOOL PROPERTY AND AT ANY SCHOOL FUNCTION AS
    9  SUCH TERMS ARE DEFINED, RESPECTIVELY, BY SUBDIVISIONS  ONE  AND  TWO  OF
   10  SECTION  ELEVEN OF THIS CHAPTER, WITH THE WRITTEN PERMISSION OF A PHYSI-
   11  CIAN OR OTHER DULY AUTHORIZED HEALTH CARE PROVIDER, AND WRITTEN PARENTAL
   12  CONSENT. THE WRITTEN PERMISSION SHALL  INCLUDE  AN  ATTESTATION  BY  THE
   13  PHYSICIAN  OR THE HEALTH CARE PROVIDER CONFIRMING THE FOLLOWING: (A) THE
   14  PUPIL IS DIAGNOSED WITH ASTHMA OR ANOTHER RESPIRATORY DISEASE FOR  WHICH
   15  INHALED  MEDICATIONS ARE PRESCRIBED TO ALLEVIATE RESPIRATORY SYMPTOMS OR
   16  TO PREVENT THE ONSET OF EXERCISE INDUCED  ASTHMATIC  SYMPTOMS;  AND  (B)
   17  THAT  THE  PUPIL HAS DEMONSTRATED THAT HE OR SHE CAN SELF-ADMINISTER THE
   18  PRESCRIBED INHALED MEDICATION THROUGH A NEBULIZER EFFECTIVELY. THE WRIT-
   19  TEN PERMISSION SHALL ALSO INCLUDE THE NAME  OF  THE  PRESCRIBED  INHALED
   20  MEDICATION,  THE DOSE, THE TIMES WHEN THE MEDICATION IS TO BE TAKEN, THE
   21  CIRCUMSTANCES WHICH MAY WARRANT THE USE OF THE MEDICATION AND THE LENGTH
   22  OF TIME FOR WHICH THE NEBULIZER IS PRESCRIBED. IN ADDITION, ANY  MEDICA-
   23  TION PROVIDED BY THE PUPIL'S PARENTS OR PERSONS IN PARENTAL RELATION FOR
   24  USE  IN  A  NEBULIZER  SHALL BE MADE AVAILABLE TO THE PUPIL AS NEEDED IN
   25  ACCORDANCE WITH THE SCHOOL DISTRICT'S OR  BOARD  OF  COOPERATIVE  EDUCA-
   26  TIONAL SERVICES' POLICY AND THE ORDERS PRESCRIBED IN THE WRITTEN PERMIS-
   27  SION OF THE PHYSICIAN OR OTHER AUTHORIZED HEALTH CARE PROVIDER.
   28    2. THE BOARD OF EDUCATION OR TRUSTEES OF A SCHOOL DISTRICT RESPONSIBLE
   29  FOR  PROVIDING  HEALTH  SERVICES  IN  A SCHOOL, THE BOARD OF COOPERATIVE
   30  EDUCATIONAL SERVICES IN THE CASE OF PROGRAMS UNDER ITS JURISDICTION,  OR
   31  A  NON-PUBLIC  SCHOOL  MAY MAKE A NEBULIZER AVAILABLE ON SCHOOL PROPERTY
   32  AND AT ANY SCHOOL FUNCTION AS SUCH TERMS MAY BE  DEFINED,  RESPECTIVELY,
   33  BY SUBDIVISIONS ONE AND TWO OF SECTION ELEVEN OF THIS CHAPTER. ANY NEBU-
   34  LIZER  MADE  AVAILABLE  UNDER  THIS SUBDIVISION MAY BE MADE AVAILABLE TO
   35  PUBLIC AND PRIVATE SCHOOL STUDENTS WITH A PATIENT  SPECIFIC  ORDER,  WHO
   36  REQUIRE  INHALED  MEDICATIONS  ADMINISTERED  BY  A  NEBULIZER, PROVIDED,
   37  HOWEVER, THAT NEBULIZERS SHALL BE ADMINISTERED BY A SCHOOL NURSE, PHYSI-
   38  CIAN OR OTHER LICENSED PROFESSIONAL AUTHORIZED TO PROVIDE SUCH  SERVICES
   39  UNDER  TITLE  EIGHT  OF  THIS  CHAPTER PURSUANT TO THE STUDENT'S PATIENT
   40  SPECIFIC ORDER.  EVERY NEBULIZER MADE AVAILABLE UNDER  THIS  SUBDIVISION
   41  SHALL  BE MAINTAINED IN WORKING ORDER BY THE SCHOOL DISTRICT OR BOARD OF
   42  COOPERATIVE EDUCATIONAL SERVICES THAT PROVIDES SCHOOL  HEALTH  SERVICES;
   43  PROVIDED,  HOWEVER,  THAT  NON-PUBLIC  SCHOOLS SHALL MAINTAIN IN WORKING
   44  ORDER EVERY NEBULIZER PROVIDED  BY  A  NON-PUBLIC  SCHOOL.    NEBULIZERS
   45  PROVIDED  BY  THE  SCHOOL  DISTRICT,  BOARD  OF  COOPERATIVE EDUCATIONAL
   46  SERVICES OR NON-PUBLIC SCHOOL SHALL ALSO BE MADE AVAILABLE TO PUBLIC AND
   47  PRIVATE SCHOOL STUDENTS WHO HAVE BEEN DIAGNOSED BY A PHYSICIAN OR  OTHER
   48  DULY  AUTHORIZED  HEALTH  CARE  PROVIDER  WITH AN ASTHMATIC CONDITION OR
   49  ANOTHER  RESPIRATORY  DISEASE  TO  SELF-ADMINISTER  INHALED  MEDICATIONS
   50  THROUGH  SUCH  NEBULIZER TO ALLEVIATE RESPIRATORY SYMPTOMS OR TO PREVENT
   51  THE ONSET OF EXERCISE INDUCED ASTHMATIC SYMPTOMS DURING THE  SCHOOL  DAY
   52  ON SCHOOL PROPERTY AND AT ANY SCHOOL FUNCTION AS SUCH TERMS ARE DEFINED,
   53  RESPECTIVELY,  BY  SUBDIVISIONS  ONE  AND  TWO OF SECTION ELEVEN OF THIS
   54  CHAPTER, WITH THE WRITTEN  PERMISSION  OF  A  PHYSICIAN  OR  OTHER  DULY
   55  AUTHORIZED HEALTH CARE PROVIDER, AND WRITTEN PARENTAL CONSENT. THE WRIT-
   56  TEN  PERMISSION  SHALL  INCLUDE  AN  ATTESTATION BY THE PHYSICIAN OR THE
       S. 4988--B                          3
    1  HEALTH CARE PROVIDER CONFIRMING THE FOLLOWING: (A) THE  PUPIL  IS  DIAG-
    2  NOSED WITH ASTHMA OR ANOTHER RESPIRATORY DISEASE FOR WHICH INHALED MEDI-
    3  CATIONS  ARE  PRESCRIBED TO ALLEVIATE RESPIRATORY SYMPTOMS OR TO PREVENT
    4  THE ONSET OF EXERCISE INDUCED ASTHMATIC SYMPTOMS; AND (B) THAT THE PUPIL
    5  HAS  DEMONSTRATED  THAT  HE  OR  SHE  CAN SELF-ADMINISTER THE PRESCRIBED
    6  INHALED MEDICATION THROUGH A NEBULIZER EFFECTIVELY. THE WRITTEN  PERMIS-
    7  SION  SHALL  ALSO INCLUDE THE NAME OF THE PRESCRIBED INHALED MEDICATION,
    8  THE DOSE, THE TIMES WHEN THE MEDICATION IS  TO  BE  TAKEN,  THE  CIRCUM-
    9  STANCES  WHICH  MAY  WARRANT THE USE OF THE MEDICATION AND THE LENGTH OF
   10  TIME FOR WHICH THE NEBULIZER IS PRESCRIBED. IN ADDITION, ANY  MEDICATION
   11  PROVIDED  BY THE PUPIL'S PARENTS OR PERSONS IN PARENTAL RELATION FOR USE
   12  IN A NEBULIZER SHALL BE MADE AVAILABLE TO THE PUPIL AS NEEDED IN ACCORD-
   13  ANCE WITH THE SCHOOL DISTRICT'S  OR  BOARD  OF  COOPERATIVE  EDUCATIONAL
   14  SERVICES'  POLICY AND THE ORDERS PRESCRIBED IN THE WRITTEN PERMISSION OF
   15  THE PHYSICIAN OR OTHER AUTHORIZED HEALTH CARE PROVIDER.
   16    3. A SCHOOL DISTRICT, BOARD OF COOPERATIVE EDUCATIONAL SERVICES,  NON-
   17  PUBLIC  SCHOOL  AND/OR THEIR AGENTS OR EMPLOYEES SHALL INCUR NO LEGAL OR
   18  FINANCIAL LIABILITY AS A RESULT OF ANY HARM OR  INJURY  SUSTAINED  BY  A
   19  PUPIL  OR  OTHER  PERSON  CAUSED BY REASONABLE AND GOOD FAITH COMPLIANCE
   20  WITH THIS SECTION.
   21    4. The commissioner shall be authorized to promulgate regulations  for
   22  the implementation of this section.
   23    S  2. Section 2 of chapter 672 of the laws of 2007 amending the educa-
   24  tion law relating to the maintenance of on-site nebulizers,  is  amended
   25  to read as follows:
   26    S  2. This act shall take effect September 1, 2007; provided, however,
   27  that if upon such effective date,  an  appropriation  to  the  education
   28  department  shall  not  have  been made for FULL reimbursement of school
   29  districts  and  boards  of  cooperative  educational  services  for  the
   30  purposes  of implementing the provisions of SUBDIVISION 1 OF section 919
   31  of the education law, as added by section one of this  act,  then  [this
   32  act] SUBDIVISION 1 OF SECTION 919 OF THE EDUCATION LAW shall take effect
   33  on  the  forty-fifth  day  after  such  an  appropriation  is  made, and
   34  provided, further, that the division of  the  budget  shall  notify  the
   35  legislative  bill  drafting commission on September 1, 2007 whether such
   36  an appropriation has been made, and if such appropriation shall not have
   37  been made on or before such date, the division of the budget shall noti-
   38  fy the legislative bill drafting commission upon the date such an appro-
   39  priation shall have been made, in order that the commission may maintain
   40  an accurate and timely effective data base of the official text  of  the
   41  laws  of  the  state  of  New  York  in  furtherance of effectuating the
   42  provisions of section 44 of the legislative law and section 70-b of  the
   43  public officers law.
   44    S  3.  This  act shall take effect immediately; provided however, that
   45  the amendments to subdivision 1 of section 919 of the education law made
   46  by section one of this act shall take effect on the same date and in the
   47  same manner as such subdivision takes effect pursuant to chapter 672  of
   48  the laws of 2007, as amended.
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