GENERAL ASSEMBLY OF NORTH CAROLINA

SESSION 1993

H	1 

HOUSE BILL 583

Short Title:  School Health Care Stand./Funds.	(Public)
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Sponsors: Representatives P. Wilson, Berry; Arnold, Baddour, Balmer, Beall, J. Brown, Cummings, Daughtry, Dickson, Gardner, Grady, Howard, Ives, James, Joye, Justus, Kuczmarski, McCombs, McLawhorn, Mitchell, Nichols, Oldham, C. Preston, Russell, Smith, and Warner.
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Referred to:  Health and Human Services.
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March 25, 1993

A BILL TO BE ENTITLED
AN ACT TO APPROPRIATE FUNDS TO ESTABLISH STANDARDS AND APPROPRIATE FUNDS FOR THE PROVISION OF HEALTH CARE SERVICES TO CHILDREN WITH SPECIAL HEALTH CARE NEEDS.
The General Assembly of North Carolina enacts:
Section 1.  G.S. 115C-12 is amended by adding a new subdivision to read:
"(21)	Power to set standards for the provision of special health care services. – The Board shall adopt standards for the provision of health care services in the school setting to children with special health care needs.  The standards shall:
a.	Ensure that safe care is provided to these children by assuring that a registered nurse is available to (i) assess, (ii) plan for the care of including identifying appropriate persons to perform the care, (iii) provide ongoing monitoring and evaluation of all children with special health care needs, and (iv) supervise individuals who perform special health care procedures;
b.	Require local boards of education to adopt policies to implement the standards and to document any required training of personnel; and
c.	Prohibit local boards of education from using State funds for special health care services to supplant State, local, or federal funds for school nurses.
	Special health care services include procedures that are invasive, carry reasonable risk of harm if not performed correctly, may not have a predictable outcome, and may require additional action based on results of testing or monitoring."
Sec. 2.  There is appropriated from the General Fund to the Department of Public Education, Aid to Local School Administrative Units, the sum of four million seven hundred seventy-nine thousand five hundred seventy-nine dollars ($4,779,579) for the 1993-94 fiscal year and the sum of four million seven hundred seventy-nine thousand five hundred seventy-nine dollars ( $4,779,579) for the 1994-95 fiscal year to provide the services of a registered nurse in each local school administrative unit to ensure that the special health care needs of children are met.  These funds shall be allocated to local school administrative units on a dollar amount basis and may be used to hire personnel or to contract for services.
Sec. 3.  This act becomes effective July 1, 1993.