Minnesota Legislature
SF 2256
as introduced - 93rd Legislature (2023 - 2024) Posted on 03/07/2023 10:37am
Current Version - as introduced
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A bill for an act
relating to education; providing for school health services; amending Minnesota
Statutes 2022, section 121A.21.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:
Section 1.
Minnesota Statutes 2022, section 121A.21, is amended to read:
121A.21 SCHOOL HEALTH SERVICES.
new text begin Subdivision 1. new text end
new text begin School health services defined. new text end
deleted text begin (a) Everydeleted text end new text begin Anew text end school boardnew text begin or charter
school administrator, regardless of enrollment size,new text end must provide services to promote the
health of its pupils.new text begin For the purposes of this section, "health services" means:
new text end
new text begin
(1) activities that address health promotion, disease prevention, health maintenance, and
health equity;
new text end
new text begin
(2) individual health care planning for students with chronic conditions to meet their
daily and emergency needs, including medication management, medication administration,
administration of health procedures, and coordination with teachers to reduce classroom
barriers to learning and ensure students are safe at school;
new text end
new text begin
(3) recognition of students' emergent and urgent health conditions and providing referrals,
as needed; and
new text end
new text begin
(4) providing population health services in combination with local public and private
health providers.
new text end
new text begin Subd. 2. new text end
new text begin Licensed school nurse. new text end
deleted text begin (b) Thedeleted text end new text begin (a) A schoolnew text end board deleted text begin of a district with 1,000
pupils or more in averagedeleted text end new text begin or charter school administrator must determinenew text end daily membershipnew text begin
by counting pupilsnew text end in early childhood family education, deleted text begin preschool disableddeleted text end new text begin special educationnew text end ,
elementary, and secondary programsnew text begin , including alternative programs, transition programs,
summer school, and extended year programs. A school board or charter school administratornew text end
must comply with the requirements of this paragraph. It may use one or a combination of
the deleted text begin followingdeleted text end methodsdeleted text begin :deleted text end new text begin in paragraphs (b) through (d), but must adhere to the criteria in this
paragraph.
new text end
deleted text begin (1)deleted text end new text begin (b) A school board or charter school administrator mustnew text end employ personnel, including
at least one full-time equivalent licensed school nursedeleted text begin ;deleted text end new text begin as defined in Minnesota Rules, part
8710.6100, in every building that has a daily membership of 500 or more pupils if:
new text end
new text begin
(1) there are fewer than 500 pupils in daily membership in a school building, the district
may employ at least one licensed school nurse for schools that have a combined daily
membership of over 500; and
new text end
new text begin
(2) a school district or charter school has fewer than 500 pupils in daily membership,
the district or charter school may work in cooperation with other districts or charter schools
within a county or within a special education cooperative to employ at least one full-time
licensed school nurse for the county or cooperative and meet the requirements of paragraph
(d).
new text end
deleted text begin (2)deleted text end new text begin (c) A school board or charter school administrator maynew text end contract with a public or
private health organization or another public agency for personnel deleted text begin during the regular school
yeardeleted text end , determined appropriate by the board, who are currently licensednew text begin as a registered nurse
under section 148.171, subdivision 20, or a public health nursenew text end under deleted text begin chapter 148 and who
are certified public health nurses; ordeleted text end new text begin section 148.171, subdivision 18, if no licensed school
nurse is available for employment.
new text end
deleted text begin (3)deleted text end new text begin (d) A school board or charter school administrator maynew text end enter into another arrangement
approvednew text begin annuallynew text end by the commissioner.new text begin If another arrangement is approved, it must:
new text end
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(1) meet the requirements in paragraph (b), clauses (1) and (2);
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(2) employ staff who are providing health services within their scope of practice if
licensed under chapter 148;
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(3) not allow staff to practice nursing if not licensed under chapter 148; and
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(4) make the arrangement public after approval by the commissioner and the school
district or charter school.
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new text begin Subd. 3. new text end
new text begin Additional health staff. new text end
new text begin
A school district or charter school may employ more
licensed school nurses than required by this section and employ additional health staff to
meet the requirements of subdivision 2. Additional health staff must report to and be
supervised onsite by licensed school nurses. Staff who provide health services, if licensed
under chapter 148, must provide services within their scope of practice. Unlicensed assistive
personnel are not licensed under chapter 148 and must not practice nursing. Additional
health staff must maintain current cardiopulmonary resuscitation, automatic external
defibrillator, and first aid training certificates.
new text end