<?xml version='1.0' encoding='utf-8'?>
<section article="ged" article_name="Education" number="7-426.4" title_number="7" title_name="Public Schools" subtitle_number="4" subtitle_name="Health and Safety of Students">
  <level label="a">
    <text>The Department and the Maryland Department of Health jointly shall establish guidelines for public schools regarding the administration of health care services to students with diabetes.</text>
  </level>
  <level label="b">
    <text>The guidelines shall include:</text>
    <level label="1">
      <text>Procedures for treating and administering medication to control diabetic symptoms;</text>
    </level>
    <level label="2">
      <text>Procedures for monitoring blood glucose and ketone levels;</text>
    </level>
    <level label="3">
      <text>A description of parental or caregiver responsibilities in relation to the care of their child with diabetes, including:</text>
      <level label="i">
        <text>Notifying a school of a child’s diabetes diagnosis;</text>
      </level>
      <level label="ii">
        <text>Providing appropriate medication, delivery devices, and medical condition indication devices, including Medic Alert bracelets or necklaces;</text>
      </level>
      <level label="iii">
        <text>Providing parental consent for the administration of medications; and</text>
      </level>
      <level label="iv">
        <text>Providing an emergency card for medical emergencies with up–to–date contact names and telephone numbers;</text>
      </level>
    </level>
    <level label="4">
      <text>A description of school responsibilities in relation to the care of a student with diabetes, including:</text>
      <level label="i">
        <text>Instruction by the school nurse for school health services personnel, teachers, coaches, transportation personnel, and other appropriate school personnel, as determined by the school nurse, including instruction on:</text>
        <level label="1">
          <text>Recognizing the symptoms of hypoglycemia and hyperglycemia and the appropriate actions to take to control the symptoms;</text>
        </level>
        <level label="2">
          <text>Administering glucagon in an emergency in accordance with health care provider orders; and</text>
        </level>
        <level label="3">
          <text>Implementing a student’s medical plan and a student’s 504 plan;</text>
        </level>
      </level>
      <level label="ii">
        <text>Providing and distributing the required documents for notification, consent for the administration of medications, medical emergency contact information, and any other appropriate documents to the appropriate individuals or entities; and</text>
      </level>
      <level label="iii">
        <text>Ensuring that appropriate school personnel are available to administer insulin during the school day and during other school–sponsored events and activities;</text>
      </level>
    </level>
    <level label="5">
      <text>A description of student responsibilities in relation to the student’s diabetes care that are age and clinically appropriate;</text>
    </level>
    <level label="6">
      <text>Establishing procedures for students who have been determined by the school nurse to be capable of and responsible for self–management of their diabetes in accordance with health care provider orders; and</text>
    </level>
    <level label="7">
      <text>Any other issue that is relevant to the administration of health care services to students with diabetes.</text>
    </level>
  </level>
  <level label="c">
    <text>The Department and the Maryland Department of Health shall:</text>
    <level label="1">
      <text>Provide technical assistance to schools to:</text>
      <level label="i">
        <text>Implement the guidelines established under this section; and</text>
      </level>
      <level label="ii">
        <text>Instruct school personnel at the local level regarding the guidelines established under this section; and</text>
      </level>
    </level>
    <level label="2">
      <text>Develop a process to monitor the implementation of the guidelines established under this section.</text>
    </level>
  </level>
  <level label="d">
    <level label="1">
      <text>An individual who has received instruction to provide diabetes care services to students in accordance with the guidelines adopted under this section is not civilly liable for any act or omission in the course of providing diabetes care services to a student if:</text>
      <level label="i">
        <text>The individual is acting in good faith while providing diabetes care services to a student who is in need of diabetes care services or to a student who the individual believes in good faith to be in need of diabetes care services;</text>
      </level>
      <level label="ii">
        <text>The diabetes care services are provided in a reasonably prudent manner; and</text>
      </level>
      <level label="iii">
        <text>The diabetes care services are provided to the student without fee or other compensation.</text>
      </level>
    </level>
    <level label="2">
      <text>Paragraph (1) of this subsection does not affect, and may not be construed to affect, any immunities from civil liability or defenses established by any other provision of law to which an individual may be entitled.</text>
    </level>
  </level>
</section>
