Introduced Version
Senate Bill 114 History
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Key: Green = existing Code. Red = new code to be enacted
Senate Bill No. 114
(By Senator Miller)
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[Introduced February 13, 2013; referred to the Committee on
Education; and then to the Committee on Finance.]
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A BILL to amend and reenact §18-5-22 of the Code of West Virginia,
1931, as amended, relating to requirements for employment of
nurses in public schools; changing the student-school nurse
staffing ratio; expanding its coverage to all grades; and
eliminating a county's ability to obtain contract services for
nursing.
Be it enacted by the Legislature of West Virginia:
That §18-5-22 of the Code of West Virginia, 1931, as amended,
be amended and reenacted to read as follows:
ARTICLE 5. COUNTY BOARD OF EDUCATION.
§18-5-22. Medical and dental inspection; school nurses;
specialized health procedures; establishment of
council of school nurses.
(a) County boards shall provide proper medical and dental inspections for all pupils attending the schools of their county
and have the authority to take any other action necessary to
protect the pupils from infectious diseases, including the
authority to require from all school personnel employed in their
county, certificates of good health and of physical fitness.
(b) Each county board shall employ full time at least one
school nurse for every one thousand five hundred kindergarten
through seventh grade pupils seven hundred fifty pupils in net
enrollment or major fraction thereof beginning with the school year
2013-2014: Provided, That each county shall employ full time at
least one school nurse: Provided, however, That a county board may
contract with a public health department for services considered
equivalent to those required by this section in accordance with a
plan to be approved by the state board: Provided further, That the
state board shall promulgate rules requiring the employment of
school nurses in excess of the number required by this section to
ensure adequate provision of services to severely handicapped
pupils. An appropriation may be made to the state department to be
distributed to county boards to support school health service needs
that exceed the capacity of staff as mandated in this section.
Each county board shall apply to the state superintendent for
receipt of this funding in a manner set forth by the state
superintendent that assesses and takes into account varying acuity
levels of students with specialized health care needs.
(c) Any person employed as a school nurse must be a registered
professional nurse properly licensed by the West Virginia Board of
Examiners for Registered Professional Nurses in accordance with
article seven, chapter thirty of this code.
(d) Specialized health procedures that require the skill,
knowledge and judgment of a licensed health professional may be
performed only by school nurses, other licensed school health care
providers as provided in this section, or school employees who have
been trained and retrained every two years who are subject to the
supervision and approval by school nurses. After assessing the
health status of the individual student, a school nurse, in
collaboration with the student's physician, parents and, in some
instances, an individualized education program team, may delegate
certain health care procedures to a school employee who shall be is
trained pursuant to this section, considered competent, have
consultation can consult with, and be is monitored or supervised by
the school nurse: Provided, That nothing in this section prohibits
does not prohibit any school employee from providing specialized
health procedures or any other prudent action to aid any person who
is in acute physical distress or requires emergency assistance.
For the purposes of this section "specialized health procedures"
means, but is not limited to, catheterization, suctioning of
tracheostomy, naso-gastric tube feeding or gastrostomy tube
feeding. "School employee" means "teachers" as defined in section one, article one of this chapter and "aides" as defined in section
eight, article four, chapter eighteen-a of this code. Commencing
with the school year beginning on July 1, 2002, "school employee"
also means "secretary I", "secretary II" and "secretary III" as
defined in section eight, article four, chapter eighteen-a of this
code: Provided, however, That a "secretary I", "secretary II" and
"secretary III" shall be limited to the dispensing of medications.
(e) Any school service employee who elects, or is required by
this section, to undergo training or retraining to provide, in the
manner specified in this section, the specialized health care
procedures for those students for which the selection has been
approved by both the principal and the county board shall receive
additional pay of at least one pay grade higher than the highest
pay grade for which the employee is paid: Provided, That any
training required in this section may be considered in lieu of
required in-service training of the school employee and a school
employee may not be required to elect to undergo the training or
retraining: Provided, however, That commencing with July 1, 1989,
any newly employed school employee in the field of special
education is required to undergo the training and retraining as
provided in this section: Provided further, That if an employee
who holds a class title of an aide is employed in a school and the
aide has received the training, pursuant to this section, then an
employee in the field of special education is not required to perform the specialized health care procedures.
(f) Each county school nurse, as designated and defined by
this section, shall perform a needs assessment. These nurses shall
meet on the basis of the area served by their regional educational
service agency, prepare recommendations and elect a representative
to serve on the council of school nurses established under this
section.
(g) There shall be a Council of School Nurses which shall be
convened by the State Board of Education. This council shall
prepare a procedural manual and shall provide recommendations
regarding a training course to the Commissioner of the Bureau for
Public Health who shall consult with the State Department of
Education. The state board then has the authority to promulgate a
rule in accordance with the provisions of article three-b, chapter
twenty-nine-a of this code to implement the training and to create
standards used by those school nurses and school employees
performing specialized health procedures. The council shall meet
every two years to review the certification and training program
regarding school employees.
(h) The State Board of Education shall work in conjunction
with county boards to provide training and retraining every two
years as recommended by the Council of School Nurses and
implemented by the rule promulgated by the state board.
NOTE: The purpose of this bill is to reduce the student-school
nurse ratio from 1,500-1 in grades K-7 to 750-1 and to expand it to
all levels of school in the 2013-14 school year to provide for
ever-increasing medical needs of students, while ensuring that
school nurses will do the work, not contract services.
Strike-throughs indicate language that would be stricken from
the present law, and underscoring indicates new language that would
be added.