Florida Senate - 2025 COMMITTEE AMENDMENT Bill No. SB 772 Ì743186=Î743186 LEGISLATIVE ACTION Senate . House Comm: RCS . 03/17/2025 . . . . ————————————————————————————————————————————————————————————————— ————————————————————————————————————————————————————————————————— The Committee on Education Pre-K - 12 (Calatayud) recommended the following: 1 Senate Amendment (with title amendment) 2 3 Delete lines 33 - 107 4 and insert: 5 (j) Diabetes management.— 6 1. As used in this paragraph, the term: 7 a. “Authorized health care practitioner” means a physician 8 licensed under chapter 458 or chapter 459, a physician assistant 9 licensed under chapter 458 or chapter 459, or an advanced 10 practice registered nurse licensed under chapter 464. 11 b. “Participating school” means a public school which 12 maintains a supply of undesignated glucagon pursuant to this 13 paragraph. 14 c. “Undesignated glucagon” means a glucagon rescue therapy 15 approved by the United States Food and Drug Administration that 16 does not require reconstitution for the treatment of severe 17 hypoglycemia in a dosage form that can be rapidly administered 18 to the patient in an emergency, including prefilled injectable 19 or nasally administered glucagon, and is prescribed in the name 20 of a public school or school district pursuant to this 21 paragraph. 22 2. A school district may not restrict the assignment of a 23 student who has diabetes to a particular school on the basis 24 that the student has diabetes, that the school does not have a 25 full-time school nurse, or that the school does not have trained 26 diabetes personnel. Diabetic students whose parent and physician 27 provide their written authorization to the school principal may 28 carry diabetic supplies and equipment on their person and attend 29 to the management and care of their diabetes while in school, 30 participating in school-sponsored activities, or in transit to 31 or from school or school-sponsored activities to the extent 32 authorized by the parent and physician and within the parameters 33 set forth by State Board of Education rule. The written 34 authorization shall identify the diabetic supplies and equipment 35 that the student is authorized to carry and shall describe the 36 activities the child is capable of performing without 37 assistance, such as performing blood-glucose level checks and 38 urine ketone testing, administering insulin through the insulin 39 delivery system used by the student, and treating hypoglycemia 40 and hyperglycemia. 41 a. The State Board of Education, in cooperation with the 42 Department of Health, shall adopt rules to encourage every 43 school in which a student with diabetes is enrolled to have 44 personnel trained in routine and emergency diabetes care. The 45 State Board of Education, in cooperation with the Department of 46 Health, shall also adopt rules for the management and care of 47 diabetes by students in schools that include provisions to 48 protect the safety of all students from the misuse or abuse of 49 diabetic supplies or equipment. 50 b. A school district, county health department, and public 51 private partner, and the employees and volunteers of those 52 entities, shall be indemnified by the parent of a student 53 authorized to carry diabetic supplies or equipment for any and 54 all liability with respect to the student’s use of such supplies 55 and equipment pursuant to this paragraph. 56 3. A school district or public school may acquire and 57 maintain a supply of undesignated glucagon for the purpose of 58 treating a student with diabetes experiencing a hypoglycemic 59 emergency. Undesignated glucagon must be stored in a secure 60 location on the school’s premises that is immediately accessible 61 to a school nurse or other school personnel trained to 62 administer glucagon pursuant to this paragraph. Undesignated 63 glucagon must be stored in accordance with the manufacturer’s 64 instructions. 65 a. A school district or public school may acquire and stock 66 a supply of glucagon from a wholesale distributor as defined in 67 s. 499.003 or may enter into an arrangement with a wholesale 68 distributor or manufacturer as defined in s. 499.003 for 69 glucagon at fair market, free, or reduced prices pursuant to a 70 prescription issued in accordance with this section. 71 b. A school district or public school may accept donated or 72 transferred glucagon if it is new, unexpired, manufacturer 73 sealed, not subject to recall, unadulterated, and in compliance 74 with relevant regulations adopted by the United States Food and 75 Drug Administration. A school district or public school may also 76 obtain monetary donations or apply for grants to purchase 77 glucagon. 78 c. A school district or public school may request a 79 prescription for glucagon from a county health department. 80 4. An authorized health care practitioner may prescribe 81 glucagon in the name of a school district or public school for 82 use in accordance with this section, and a licensed pharmacist 83 may dispense glucagon pursuant to a prescription issued in the 84 name of a school district or public school for use in accordance 85 with this paragraph. 86 5. A participating school shall make available undesignated 87 glucagon that is able to be administered as ordered in a 88 student’s diabetes medical management plan or health care 89 practitioner’s orders. 90 6. A school nurse or trained school personnel shall 91 administer glucagon to students only if such school nurse or 92 trained school personnel has successfully completed training and 93 believe in good faith that the student is experiencing a 94 hypoglycemic emergency. 95 7. Immediately after undesignated glucagon has been 96 administered to a student, an employee of the public school 97 shall call for emergency assistance, notify the school nurse, 98 and notify the student’s parent or guardian or emergency 99 contact. 100 8. The State Board of Education, in cooperation with the 101 Department of Health, shall adopt rules to implement the 102 provisions of this paragraph. 103 9. Notwithstanding any other provision of law to the 104 contrary, a school nurse or school personnel of a school 105 district trained in the administration of glucagon who 106 administers or attempts to administer glucagon in compliance 107 with this section and s. 768.13 and the school district that 108 employs the school nurse or the trained school personnel are 109 immune from civil or criminal liability as a result of such 110 administration or attempted administration of glucagon. 111 10.a. An authorized health care practitioner, acting in 112 good faith and exercising reasonable care, is not subject to 113 discipline or other adverse action under any professional 114 licensure statute or rule and is immune from any civil or 115 criminal liability as a result of prescribing glucagon in 116 accordance with this section. 117 b. A dispensing health care practitioner or pharmacist, 118 acting in good faith and exercising reasonable care, is not 119 subject to discipline or other adverse action under any 120 professional licensure statute or rule and is immune from any 121 civil or criminal liability as a result of dispensing glucagon 122 in accordance with this section. 123 124 ================= T I T L E A M E N D M E N T ================ 125 And the title is amended as follows: 126 Delete lines 3 - 20 127 and insert: 128 amending s. 1002.20, F.S.; defining terms; authorizing 129 a school district or public school to acquire and 130 maintain a supply of undesignated glucagon; requiring 131 that undesignated glucagon be stored in a secure 132 location that is immediately accessible; authorizing a 133 school district or public school to enter into 134 arrangements with a manufacturer or supplier to obtain 135 glucagon free of charge or at a fair market or reduced 136 price; authorizing a school district or public school 137 to accept donated or transferred glucagon that meets 138 certain requirements; authorizing a school district or 139 public school to obtain monetary donations or apply 140 for grants to purchase glucagon; authorizing a school 141 district or public school to request a prescription 142 for glucagon from a county health department; 143 authorizing a licensed health care practitioner to 144 prescribe glucagon in the name of a school district or 145 public school; authorizing a licensed pharmacist to 146 dispense glucagon pursuant to such prescription; 147 requiring a participating school to make available 148 undesignated glucagon to be administered as ordered in 149 a student’s diabetes medical management plan or health 150 care practitioner’s orders; requiring an employee to 151 call for emergency assistance and provide parental 152 notification after the administration of glucagon; 153 requiring the State Board of Education to adopt rules; 154 providing certain persons and entities with immunity 155 from civil and criminal liability under certain 156 circumstances; providing an effective date.