LRB-2278/2
PG:kjf:rs
2009 - 2010 LEGISLATURE
December 2, 2009 - Introduced by Senators Lehman, Robson, Miller and Taylor,
cosponsored by Representatives Pope-Roberts, Pasch and Turner. Referred
to Committee on Education.
SB414,1,6 1An Act to renumber and amend 115.001 (11) and 118.29 (2) (a) 1.; to amend
2115.88 (1), 115.88 (1m) (am), 115.88 (1m) (b), 118.29 (1) (a), 118.29 (2) (a) 2., 2r.
3and 3. and (b), 118.29 (4) and 118.29 (5); to repeal and recreate 118.29 (1) (b);
4and to create 115.001 (11) (a) and (b), 118.29 (1) (bg), 118.29 (1) (dm), 118.29
5(2) (a) 1. b. and 118.29 (6) of the statutes; relating to: school nurses and the
6administration of drugs to pupils.
Analysis by the Legislative Reference Bureau
School nurses
Current law directs the Department of Public Instruction (DPI) to license as a
school nurse any registered nurse who is qualified to perform professional nursing
services in a public school. A school district may employ or contract for the services
of a registered nurse who is not licensed as a school nurse; only a licensed school
nurse, however, is immune from civil liability for referring a pupil to law enforcement
authorities, or for removing a pupil from school premises, for suspicion of possession,
distribution, delivery, or consumption of an alcohol beverage or controlled substance,
and only a licensed school nurse may be employed for a special education program.
Under this bill, a school nurse is defined as a registered nurse who has a
bachelor's degree in nursing or who is employed by, or under contract with, a school
board, a cooperative educational service agency (CESA), a county children with

disabilities education board (CCDEB), or an independent charter school as a nurse
on the effective date of the bill. A school nurse need not be licensed by DPI to enjoy
immunity from civil liability for referring a pupil to law enforcement authorities or
to be employed for a special education program.
Administration of drugs to pupils
Under current law, a school bus operator, and any school, CCDEB, or CESA
employee or volunteer authorized by a school district, CCDEB, or CESA
administrator, or by a school principal, may administer a nonprescription drug to a
pupil in compliance with the written instructions of the pupil's parent or guardian
if the pupil's parent or guardian consents. This bill adds the following conditions:
the nonprescription drug must be supplied by the pupil's parent or guardian in the
original sealed manufacturer's package and the package must list the ingredients
and recommended therapeutic dose. A pupil may be administered a nonprescription
drug in a dosage other then the recommended therapeutic dose only with the written
approval of the pupil's practitioner.
Under current law, the persons enumerated above may administer a
prescription drug to a pupil if the pupil's parent or guardian consents. This bill adds
the following conditions: the prescription drug must be supplied by the pupil's parent
or guardian in the original pharmacy-labeled package, and the package must specify
the pupil's name, the prescriber's name, the name of the drug, the dose, the effective
date, and the directions.
The bill also adds a condition that applies to both prescription and
nonprescription drugs: none of the persons enumerated above may administer
either to a pupil unless the person has received appropriate training that has been
approved by DPI.
Current law exempts any person enumerated above from civil liability for his
or her acts or omissions in administering a prescription or nonprescription drug to
a pupil unless he or she is a health care professional or the act or omission constitutes
a high degree of negligence. Similarly, any person who authorizes a person
enumerated above to administer a prescription or nonprescription drug to a pupil is
immune from civil liability for the act of authorization unless it constitutes a high
degree of negligence.
This bill provides that the person administering the drug to a pupil is not
immune from civil liability if he or she has not received DPI-approved training, and
that the authorizer is not immune from civil liability if he or she authorizes a person
who has not received DPI-approved training to administer a drug to a pupil.
The bill takes effect on the first day of the 12th month beginning after
publication.
For further information see the state and local fiscal estimate, which will be
printed as an appendix to this bill.
The people of the state of Wisconsin, represented in senate and assembly, do
enact as follows:
SB414, s. 1
1Section 1. 115.001 (11) of the statutes is renumbered 115.001 (11) (intro.) and
2amended to read:
SB414,3,63 115.001 (11) School nurse. (intro.) "School nurse" means a registered nurse
4licensed under ch. 441 s. 441.06 or in a party state, as defined in s. 441.50 (2) (j), who
5is also certified by the department as being qualified to perform professional nursing
6services in a public school.
satisfies one or both of the following:
SB414, s. 2 7Section 2. 115.001 (11) (a) and (b) of the statutes are created to read:
SB414,3,88 115.001 (11) (a) Has a baccalaureate in nursing.
SB414,3,129 (b) Was employed by, or under contract with, a school board, a board of control
10of a cooperative educational service agency, a county children with disabilities
11education board, or an operator of a charter school established under s. 118.40 (2r),
12as a nurse, on the effective date of this paragraph .... [LRB inserts date].
SB414, s. 3 13Section 3. 115.88 (1) of the statutes is amended to read:
SB414,4,214 115.88 (1) Personnel. A school board, board of control of a cooperative
15educational service agency or, upon authorization of the county board, a county
16children with disabilities education board may employ, for a special education
17program, either full- or part-time licensed teachers, licensed coordinators of special
18education, licensed school nurses, licensed school social workers, licensed school
19psychologists, licensed school counselors, paraprofessionals, licensed consulting
20teachers to work with any teacher of regular education programs who has a child
21with a disability in a class and any other personnel approved by the department. The
22board may contract with private or public agencies for physical or occupational
23therapy services on the basis of demonstrated need. A school board may contract
24with a charter school to provide special education services to pupils attending the

1charter school if the charter school is under contract with the school board under s.
2118.40 (2m) and the charter school is not an instrumentality of the school district.
SB414, s. 4 3Section 4. 115.88 (1m) (am) of the statutes is amended to read:
SB414,4,174 115.88 (1m) (am) Subject to par. (b), if the operator of a charter school
5established under s. 118.40 (2r) operates a special education program and the state
6superintendent is satisfied that the operator of the charter school is complying with
720 USC 1400 to 1491o, the state superintendent shall certify to the department of
8administration in favor of the operator of the charter school a sum equal to the
9amount that the operator of the charter school expended during the previous school
10year for salaries of full-time or part-time licensed teachers, licensed coordinators of
11special education, licensed school nurses, licensed school social workers, licensed
12school psychologists, licensed school counselors, paraprofessionals, licensed
13consulting teachers to work with any teacher of regular education programs who has
14a child with a disability in a class and any other personnel, as determined by the state
15superintendent, as costs eligible for reimbursement from the appropriation under s.
1620.255 (2) (b). The state superintendent may audit costs under this paragraph and
17adjust reimbursement to cover only actual, eligible costs.
SB414, s. 5 18Section 5. 115.88 (1m) (b) of the statutes is amended to read:
SB414,4,2519 115.88 (1m) (b) The department shall promulgate rules establishing the
20percentage of the salaries of licensed school nurses, licensed school social workers,
21licensed school psychologists, and licensed school counselors that may be certified
22under pars. (a) and (am) as costs eligible for reimbursement. For each category of
23personnel, the department shall base the percentage on the average percentage of
24work time that the category spends providing services to children with disabilities,
25including conducting evaluations under s. 115.782.
SB414, s. 6
1Section 6. 118.29 (1) (a) of the statutes is amended to read:
SB414,5,42 118.29 (1) (a) "Administer" means the direct application of a nonprescription
3drug product or prescription drug, whether by injection, ingestion or other means,
4to the human body.
SB414, s. 7 5Section 7. 118.29 (1) (b) of the statutes is repealed and recreated to read:
SB414,5,86 118.29 (1) (b) "Drug" means any substance recognized as a drug in the official
7U.S. pharmacopoeia and national formulary or official homeopathic pharmacopoeia
8of the United States or any supplement to either of them.
SB414, s. 8 9Section 8. 118.29 (1) (bg) of the statutes is created to read:
SB414,5,1110 118.29 (1) (bg) "Drug product" means a specific drug or drugs in a specific
11dosage form and strength from a known source of manufacture.
SB414, s. 9 12Section 9. 118.29 (1) (dm) of the statutes is created to read:
SB414,5,1613 118.29 (1) (dm) "Nonprescription drug product" means any nonnarcotic drug
14product which may be sold without a prescription order and which is prepackaged
15for use by consumers and labeled in accordance with the requirements of state and
16federal law.
SB414, s. 10 17Section 10. 118.29 (2) (a) 1. of the statutes is renumbered 118.29 (2) (a) 1. a.
18and amended to read:
SB414,5,2519 118.29 (2) (a) 1. a. May Except as provided in subd. 1. b., may administer any
20nonprescription drug which may lawfully be sold over the counter without a
21prescription
product to a pupil in compliance with the written instructions of the
22pupil's parent or guardian if the pupil's parent or guardian consents in writing, the
23nonprescription drug product is supplied by the pupil's parent or guardian in the
24original sealed manufacturer's package, and the package lists the ingredients and
25recommended therapeutic dose in a legible format
.
SB414, s. 11
1Section 11. 118.29 (2) (a) 1. b. of the statutes is created to read:
SB414,6,42 118.29 (2) (a) 1. b. May administer a nonprescription drug product to a pupil
3in a dosage other than the recommended therapeutic dose only if the request to do
4so is accompanied by the written approval of the pupil's practitioner.
SB414, s. 12 5Section 12. 118.29 (2) (a) 2., 2r. and 3. and (b) of the statutes are amended to
6read:
SB414,6,127 118.29 (2) (a) 2. May administer a prescription drug to a pupil in compliance
8with the written instructions of a practitioner if the pupil's parent or guardian
9consents in writing; the prescription drug is supplied by the pupil's parent or
10guardian in the original pharmacy-labeled package; and the package specifies the
11name of the pupil, the name of the prescriber, the name of the prescription drug, the
12dose, the effective date, and the directions in a legible format
.
SB414,6,1913 2r. Except for glucagon administered under subd. 2., may administer glucagon
14to any pupil who the school bus driver, employee, or volunteer knows is diabetic and
15who
appears to be experiencing a severe hypoglycemic low blood sugar event with
16altered consciousness
if, as soon as practicable, the school bus operator, employee,
17or volunteer reports the event to by dialing the telephone number "911" or, in an area
18in which the telephone number "911" is not available, the telephone number for
an
19emergency medical service provider.
SB414,6,2320 3. Is immune from civil liability for his or her acts or omissions in administering
21a nonprescription drug product or prescription drug to a pupil under subd. 1., 2., 2m.,
22or 2r. unless the act is in violation of sub. (6) or the act or omission constitutes a high
23degree of negligence. This subdivision does not apply to health care professionals.
SB414,7,624 (b) Any school district administrator, county children with disabilities
25education board administrator, cooperative educational service agency

1administrator, public or private school principal, or private school administrator who
2authorizes an employee or volunteer to administer a nonprescription drug product
3or prescription drug to a pupil under par. (a) is immune from civil liability for the act
4of authorization unless it constitutes a high degree of negligence or the administrator
5or principal authorizes a person who has not received the required training under
6sub. (6) to administer a nonprescription drug product or prescription drug to a pupil
.
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