Illinois General Assembly - Full Text of Public Act 101-0428
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Public Act 101-0428


Public Act 0428 101ST GENERAL ASSEMBLY



Public Act 101-0428
HB0822 EnrolledLRB101 06850 AXK 51881 b

    AN ACT concerning education.
    Be it enacted by the People of the State of Illinois,
represented in the General Assembly:
    Section 5. The Care of Students with Diabetes Act is
amended by changing Sections 10 and 25 and by adding Section 27
as follows:
    (105 ILCS 145/10)
    Sec. 10. Definitions. As used in this Act:
    "Delegated care aide" means a school employee who has
agreed to receive training in diabetes care and to assist
students in implementing their diabetes care plan and has
entered into an agreement with a parent or guardian and the
school district or private school.
    "Diabetes care plan" means a document that specifies the
diabetes-related services needed by a student at school and at
school-sponsored activities and identifies the appropriate
staff to provide and supervise these services.
    "Health care provider" means a physician licensed to
practice medicine in all of its branches, advanced practice
registered nurse who has a written agreement with a
collaborating physician who authorizes the provision of
diabetes care, or a physician assistant who has a written
supervision agreement with a supervising physician who
authorizes the provision of diabetes care.
    "Principal" means the principal of the school.
    "School" means any primary or secondary public, charter, or
private school located in this State.
    "School employee" means a person who is employed by a
public school district or private school, a person who is
employed by a local health department and assigned to a school,
or a person who contracts with a school or school district to
perform services in connection with a student's diabetes care
plan. This definition must not be interpreted as requiring a
school district or private school to hire additional personnel
for the sole purpose of serving as a designated care aide.
    "Undesignated glucagon" means glucagon prescribed in the
name of a school.
(Source: P.A. 100-513, eff. 1-1-18.)
    (105 ILCS 145/25)
    Sec. 25. Training for school employees and delegated care
    (a) In schools that have a student with diabetes, all
school employees shall receive training in the basics of
diabetes care, how to identify when a student with diabetes
needs immediate or emergency medical attention, and whom to
contact in the case of an emergency during regular inservice
training under Section 3-11 of the School Code.
    (b) Delegated care aides shall be trained to perform the
tasks necessary to assist a student with diabetes in accordance
with his or her diabetes care plan, including training to do
the following:
        (1) check blood glucose and record results;
        (2) recognize and respond to the symptoms of
    hypoglycemia according to the diabetes care plan;
        (3) recognize and respond to the symptoms of
    hyperglycemia according to the diabetes care plan;
        (4) estimate the number of carbohydrates in a snack or
        (5) administer insulin according to the student's
    diabetes care plan and keep a record of the amount
    administered; and
        (6) respond in an emergency, including administering
    how to administer glucagon and calling call 911.
    (c) The school district shall coordinate staff training.
    (d) Initial training of a delegated care aide shall be
provided by a licensed healthcare provider with expertise in
diabetes or a certified diabetic educator and individualized by
a student's parent or guardian. Training must be consistent
with the guidelines provided by the U.S. Department of Health
and Human Services in the guide for school personnel entitled
"Helping the Student with Diabetes Succeed". The training shall
be updated when the diabetes care plan is changed and at least
    (e) School nurses, where available, or health care
providers may provide technical assistance or consultation or
both to delegated care aides.
    (f) An information sheet shall be provided to any school
employee who transports a student for school-sponsored
activities. It shall identify the student with diabetes,
identify potential emergencies that may occur as a result of
the student's diabetes and the appropriate responses to such
emergencies, and provide emergency contact information.
(Source: P.A. 96-1485, eff. 12-1-10; 97-559, eff. 8-25-11.)
    (105 ILCS 145/27 new)
    Sec. 27. Undesignated glucagon. A school may maintain a
supply of glucagon in any secure location that is immediately
accessible to a school nurse or a delegated care aide. A
physician, a physician assistant who has prescriptive
authority under Section 7.5 of the Physician Assistant Practice
Act of 1987, or an advanced practice registered nurse who has
prescriptive authority under Section 65-40 of the Nurse
Practice Act may prescribe undesignated glucagon in the name of
the school to be maintained for use when necessary. Any supply
of undesignated glucagon must be maintained in accordance with
the manufacturer's instructions. A school nurse or delegated
care aide may administer undesignated glucagon if he or she is
authorized to administer the undesignated glucagon through a
student's diabetes care plan and if the student's prescribed
glucagon is not available on-site or has expired. Immediately
after the administration of undesignated glucagon, a school
must notify the school nurse, unless the school nurse was the
one administering the undesignated glucagon, and the student's
parent or guardian or emergency contact, if known, and health
care provider of its use.
    Section 99. Effective date. This Act takes effect upon
becoming law.

Effective Date: 08/19/2019