Florida Senate - 2025 CS for SB 772 By the Committee on Education Pre-K - 12; and Senator Calatayud 581-02507-25 2025772c1 1 A bill to be entitled 2 An act relating to diabetes management in schools; 3 amending s. 1002.20, F.S.; defining terms; authorizing 4 a school district or public school to acquire and 5 maintain a supply of undesignated glucagon; requiring 6 that undesignated glucagon be stored in a secure 7 location that is immediately accessible; authorizing a 8 school district or public school to enter into 9 arrangements with a manufacturer or supplier to obtain 10 glucagon free of charge or at a fair market or reduced 11 price; authorizing a school district or public school 12 to accept donated or transferred glucagon that meets 13 certain requirements; authorizing a school district or 14 public school to obtain monetary donations or apply 15 for grants to purchase glucagon; authorizing a school 16 district or public school to request a prescription 17 for glucagon from a county health department; 18 authorizing a licensed health care practitioner to 19 prescribe glucagon in the name of a school district or 20 public school; authorizing a licensed pharmacist to 21 dispense glucagon pursuant to such prescription; 22 requiring a participating school to make available 23 undesignated glucagon to be administered as ordered in 24 a student’s diabetes medical management plan or health 25 care practitioner’s orders; requiring an employee to 26 call for emergency assistance and provide parental 27 notification after the administration of glucagon; 28 requiring the State Board of Education to adopt rules; 29 providing certain persons and entities with immunity 30 from civil and criminal liability under certain 31 circumstances; providing an effective date. 32 33 Be It Enacted by the Legislature of the State of Florida: 34 35 Section 1. Paragraph (j) of subsection (3) of section 36 1002.20, Florida Statutes, is amended to read: 37 1002.20 K-12 student and parent rights.—Parents of public 38 school students must receive accurate and timely information 39 regarding their child’s academic progress and must be informed 40 of ways they can help their child to succeed in school. K-12 41 students and their parents are afforded numerous statutory 42 rights including, but not limited to, the following: 43 (3) HEALTH ISSUES.— 44 (j) Diabetes management.— 45 1. As used in this paragraph, the term: 46 a. “Authorized health care practitioner” means a physician 47 licensed under chapter 458 or chapter 459, a physician assistant 48 licensed under chapter 458 or chapter 459, or an advanced 49 practice registered nurse licensed under chapter 464. 50 b. “Participating school” means a public school which 51 maintains a supply of undesignated glucagon pursuant to this 52 paragraph. 53 c. “Undesignated glucagon” means a glucagon rescue therapy 54 approved by the United States Food and Drug Administration that 55 does not require reconstitution for the treatment of severe 56 hypoglycemia in a dosage form that can be rapidly administered 57 to the patient in an emergency, including prefilled injectable 58 or nasally administered glucagon, and is prescribed in the name 59 of a public school or school district pursuant to this 60 paragraph. 61 2. A school district may not restrict the assignment of a 62 student who has diabetes to a particular school on the basis 63 that the student has diabetes, that the school does not have a 64 full-time school nurse, or that the school does not have trained 65 diabetes personnel. Diabetic students whose parent and physician 66 provide their written authorization to the school principal may 67 carry diabetic supplies and equipment on their person and attend 68 to the management and care of their diabetes while in school, 69 participating in school-sponsored activities, or in transit to 70 or from school or school-sponsored activities to the extent 71 authorized by the parent and physician and within the parameters 72 set forth by State Board of Education rule. The written 73 authorization shall identify the diabetic supplies and equipment 74 that the student is authorized to carry and shall describe the 75 activities the child is capable of performing without 76 assistance, such as performing blood-glucose level checks and 77 urine ketone testing, administering insulin through the insulin 78 delivery system used by the student, and treating hypoglycemia 79 and hyperglycemia. 80 a. The State Board of Education, in cooperation with the 81 Department of Health, shall adopt rules to encourage every 82 school in which a student with diabetes is enrolled to have 83 personnel trained in routine and emergency diabetes care. The 84 State Board of Education, in cooperation with the Department of 85 Health, shall also adopt rules for the management and care of 86 diabetes by students in schools that include provisions to 87 protect the safety of all students from the misuse or abuse of 88 diabetic supplies or equipment. 89 b. A school district, county health department, and public 90 private partner, and the employees and volunteers of those 91 entities, shall be indemnified by the parent of a student 92 authorized to carry diabetic supplies or equipment for any and 93 all liability with respect to the student’s use of such supplies 94 and equipment pursuant to this paragraph. 95 3. A school district or public school may acquire and 96 maintain a supply of undesignated glucagon for the purpose of 97 treating a student with diabetes experiencing a hypoglycemic 98 emergency. Undesignated glucagon must be stored in a secure 99 location on the school’s premises that is immediately accessible 100 to a school nurse or other school personnel trained to 101 administer glucagon pursuant to this paragraph. Undesignated 102 glucagon must be stored in accordance with the manufacturer’s 103 instructions. 104 a. A school district or public school may acquire and stock 105 a supply of glucagon from a wholesale distributor as defined in 106 s. 499.003 or may enter into an arrangement with a wholesale 107 distributor or manufacturer as defined in s. 499.003 for 108 glucagon at fair market, free, or reduced prices pursuant to a 109 prescription issued in accordance with this section. 110 b. A school district or public school may accept donated or 111 transferred glucagon if it is new, unexpired, manufacturer 112 sealed, not subject to recall, unadulterated, and in compliance 113 with relevant regulations adopted by the United States Food and 114 Drug Administration. A school district or public school may also 115 obtain monetary donations or apply for grants to purchase 116 glucagon. 117 c. A school district or public school may request a 118 prescription for glucagon from a county health department. 119 4. An authorized health care practitioner may prescribe 120 glucagon in the name of a school district or public school for 121 use in accordance with this section, and a licensed pharmacist 122 may dispense glucagon pursuant to a prescription issued in the 123 name of a school district or public school for use in accordance 124 with this paragraph. 125 5. A participating school shall make available undesignated 126 glucagon that is able to be administered as ordered in a 127 student’s diabetes medical management plan or health care 128 practitioner’s orders. 129 6. A school nurse or trained school personnel shall 130 administer glucagon to students only if such school nurse or 131 trained school personnel has successfully completed training and 132 believe in good faith that the student is experiencing a 133 hypoglycemic emergency. 134 7. Immediately after undesignated glucagon has been 135 administered to a student, an employee of the public school 136 shall call for emergency assistance, notify the school nurse, 137 and notify the student’s parent or guardian or emergency 138 contact. 139 8. The State Board of Education, in cooperation with the 140 Department of Health, shall adopt rules to implement the 141 provisions of this paragraph. 142 9. Notwithstanding any other provision of law to the 143 contrary, a school nurse or school personnel of a school 144 district trained in the administration of glucagon who 145 administers or attempts to administer glucagon in compliance 146 with this section and s. 768.13 and the school district that 147 employs the school nurse or the trained school personnel are 148 immune from civil or criminal liability as a result of such 149 administration or attempted administration of glucagon. 150 10.a. An authorized health care practitioner, acting in 151 good faith and exercising reasonable care, is not subject to 152 discipline or other adverse action under any professional 153 licensure statute or rule and is immune from any civil or 154 criminal liability as a result of prescribing glucagon in 155 accordance with this section. 156 b. A dispensing health care practitioner or pharmacist, 157 acting in good faith and exercising reasonable care, is not 158 subject to discipline or other adverse action under any 159 professional licensure statute or rule and is immune from any 160 civil or criminal liability as a result of dispensing glucagon 161 in accordance with this section. 162 Section 2. This act shall take effect July 1, 2025.