HB233 Alabama 2014 Session

Summary

Primary Sponsor

Ron Johnson

Republican

Session

Regular Session 2014

Title

Health, delegation of specific medical procedures and training of certain school personnel relating to medical needs of students, limit liability of public schools and certain school personnel, Alabama Safe at Schools Act

Summary

HB233 creates a framework for diabetes care at schools by training select staff to administer diabetes medications under a student’s health plan, with liability protections for schools and providers.

What This Bill Does

It requires the development of training guidelines for school personnel to care for students with diabetes, including authorization to administer injectable diabetes medications under an Individual Health Plan. It allows trained unlicensed medication assistants to provide diabetes care on school grounds and during activities, limited to diabetes-related injections. It provides liability protections for schools, school personnel, and certain health professionals, and grants immunity from civil liability to physicians, CRNPs, and PAs acting under the act.

Who It Affects

• Students with diabetes and their families, who will receive on-site diabetes care at school under an Individual Health Plan and can attend and participate in school activities without discrimination.
• Public and private schools, school staff (including nurses and trained unlicensed medication assistants), and certain health professionals (physicians, CRNPs, PAs), who must implement the program, receive training, and receive liability protections under the act.

Key Provisions

• Establishes guidelines for training school personnel to provide diabetes care, developed by the Department of Education in consultation with the Alabama Board of Nursing; training limited to administration of injectable medications specific to diabetes.
• Local boards must ensure diabetes training for school nurses and unlicensed medication assistants; guidelines may influence placement of a school nurse based on a student’s needs.
• Requires an Individual Health Plan for each student with diabetes, including orders from a physician, CRNP under a collaborative agreement, or PA under a supervisory agreement; orders focus on diabetes-related injectable medications.
• School employees may decline to serve as unlicensed medication assistants; prohibitions on coercion or penalties related to choosing not to serve.
• On-site diabetes care must be available during regular school hours, before/after care, field trips, off-site activities, and certain bus scenarios as described by the plan.
• Licensed health professionals may train and supervise unlicensed medication assistants providing care under this act.
• Students with diabetes may attend any public school they would normally attend, participate in activities, and parents are not required to provide care unless medication or orders are not supplied by the parent/guardian.
• Immunity from civil liability for school employees and physicians/CRNPs/PAs acting under the act; physicians have no supervisory authority over the IH Plan and are immune from related liability.
• Applies to both public and private schools; effective July 1, 2014; private schools may provide training and diabetes care under the act.
• Allows the IH Plan framework to be used for other medical conditions requiring supervision or services, under a broader Individual Health Plan.

AI-generated summary using openai/gpt-5-nano on Feb 24, 2026. May contain errors — refer to the official bill text for accuracy.

Subjects

Health