Bill Full Text
Home
-
Bills
-
Bill
-
Authors
-
Dates
-
Locations
-
Analyses
-
Organizations
<?xml version="1.0" ?>
<ns0:MeasureDoc xmlns:html="http://www.w3.org/1999/xhtml" xmlns:ns0="http://lc.ca.gov/legalservices/schemas/caml.1#" xmlns:ns3="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" version="1.0" xsi:schemaLocation="http://lc.ca.gov/legalservices/schemas/caml.1# xca.1.xsd">
<ns0:Description>
<ns0:Id>20250SB__134799INT</ns0:Id>
<ns0:VersionNum>99</ns0:VersionNum>
<ns0:History>
<ns0:Action>
<ns0:ActionText>INTRODUCED</ns0:ActionText>
<ns0:ActionDate>2026-02-20</ns0:ActionDate>
</ns0:Action>
</ns0:History>
<ns0:LegislativeInfo>
<ns0:SessionYear>2025</ns0:SessionYear>
<ns0:SessionNum>0</ns0:SessionNum>
<ns0:MeasureType>SB</ns0:MeasureType>
<ns0:MeasureNum>1347</ns0:MeasureNum>
<ns0:MeasureState>INT</ns0:MeasureState>
</ns0:LegislativeInfo>
<ns0:AuthorText authorType="LEAD_AUTHOR">Introduced by Senator Niello</ns0:AuthorText>
<ns0:Authors>
<ns0:Legislator>
<ns0:Contribution>LEAD_AUTHOR</ns0:Contribution>
<ns0:House>SENATE</ns0:House>
<ns0:Name>Niello</ns0:Name>
</ns0:Legislator>
</ns0:Authors>
<ns0:Title> An act to amend Section 49414.7 to the Education Code, relating to pupil health. </ns0:Title>
<ns0:RelatingClause>pupil health</ns0:RelatingClause>
<ns0:GeneralSubject>
<ns0:Subject>Pupil health: emergency stock albuterol inhalers.</ns0:Subject>
</ns0:GeneralSubject>
<ns0:DigestText>
<html:p>Existing law authorizes a school district, county office of education, or charter school to provide emergency stock albuterol inhalers, as specified, to school nurses or trained personnel who have volunteered, and authorizes school nurses or trained personnel to use an emergency stock albuterol inhaler to provide emergency medical aid to persons suffering, or reasonably believed to be suffering, from respiratory distress, as provided.</html:p>
<html:p>This bill would revise and recast that latter provision by making its provisions instead apply to local educational agencies and defining “a local educational agency” to mean a school operated by a school district, county office of education, or charter school.</html:p>
</ns0:DigestText>
<ns0:DigestKey>
<ns0:VoteRequired>MAJORITY</ns0:VoteRequired>
<ns0:Appropriation>NO</ns0:Appropriation>
<ns0:FiscalCommittee>NO</ns0:FiscalCommittee>
<ns0:LocalProgram>NO</ns0:LocalProgram>
</ns0:DigestKey>
<ns0:MeasureIndicators>
<ns0:ImmediateEffect>NO</ns0:ImmediateEffect>
<ns0:ImmediateEffectFlags>
<ns0:Urgency>NO</ns0:Urgency>
<ns0:TaxLevy>NO</ns0:TaxLevy>
<ns0:Election>NO</ns0:Election>
<ns0:UsualCurrentExpenses>NO</ns0:UsualCurrentExpenses>
<ns0:BudgetBill>NO</ns0:BudgetBill>
<ns0:Prop25TrailerBill>NO</ns0:Prop25TrailerBill>
</ns0:ImmediateEffectFlags>
</ns0:MeasureIndicators>
</ns0:Description>
<ns0:Bill id="bill">
<ns0:Preamble>The people of the State of California do enact as follows:</ns0:Preamble>
<ns0:BillSection id="id_70DBB41D-72A6-4A68-AA96-5914EDBCCE78">
<ns0:Num>SECTION 1.</ns0:Num>
<ns0:ActionLine action="IS_AMENDED" ns3:href="urn:caml:codes:EDC:caml#xpointer(%2Fcaml%3ALawDoc%2Fcaml%3ACode%2Fcaml%3ALawHeading%5B%40type%3D'TITLE'%20and%20caml%3ANum%3D'2.'%5D%2Fcaml%3ALawHeading%5B%40type%3D'DIVISION'%20and%20caml%3ANum%3D'4.'%5D%2Fcaml%3ALawHeading%5B%40type%3D'PART'%20and%20caml%3ANum%3D'27.'%5D%2Fcaml%3ALawHeading%5B%40type%3D'CHAPTER'%20and%20caml%3ANum%3D'9.'%5D%2Fcaml%3ALawHeading%5B%40type%3D'ARTICLE'%20and%20caml%3ANum%3D'1.'%5D%2Fcaml%3ALawSection%5Bcaml%3ANum%3D'49414.7.'%5D)" ns3:label="fractionType: LAW_SECTION" ns3:type="locator">
Section 49414.7 of the
<ns0:DocName>Education Code</ns0:DocName>
is amended to read:
</ns0:ActionLine>
<ns0:Fragment>
<ns0:LawSection id="id_56A0B921-AF86-4F07-AD8F-C512258CF930">
<ns0:Num>49414.7.</ns0:Num>
<ns0:LawSectionVersion id="id_253DF2FD-B085-446F-B65D-510E0DC7DD2A">
<ns0:Content>
<html:p>
(a)
<html:span class="EnSpace"/>
A local educational agency may provide emergency stock albuterol inhalers, including, if necessary, single-use disposable holding chambers, to school nurses or trained personnel who have volunteered pursuant to subdivision (d), and school nurses or trained personnel may use an emergency stock albuterol inhaler to provide emergency medical aid to persons suffering, or reasonably believed to be suffering, from respiratory distress.
</html:p>
<html:p>
(b)
<html:span class="EnSpace"/>
For purposes of this section, the following definitions apply:
</html:p>
<html:p>
(1)
<html:span class="EnSpace"/>
“Albuterol” means a bronchodilator used to open the airways by relaxing the muscles around the bronchial tubes.
</html:p>
<html:p>
(2)
<html:span class="EnSpace"/>
“Authorizing physician and surgeon” may include, but is not limited to, a physician and surgeon employed by, or contracting with, a local educational agency, a medical director of the local health department, or a local emergency medical services director.
</html:p>
<html:p>
(3)
<html:span class="EnSpace"/>
“Inhaler” means a device used for the delivery of prescribed asthma medication that is inhaled.
</html:p>
<html:p>
(4)
<html:span class="EnSpace"/>
“Local educational agency” means a school operated by a school district, county office of education, or charter school.
</html:p>
<html:p>
(5)
<html:span class="EnSpace"/>
“Metered-dose inhaler (MDI)” means a pressurized sprayer that delivers a measured amount of a medication.
</html:p>
<html:p>
(6)
<html:span class="EnSpace"/>
“Qualified supervisor of health” may include, but is not limited to, a school nurse.
</html:p>
<html:p>
(7)
<html:span class="EnSpace"/>
“Respiratory distress” means the sudden appearance of signs and symptoms of difficulty breathing. Signs and symptoms of respiratory distress may include one or more of the following:
</html:p>
<html:p>
(A)
<html:span class="EnSpace"/>
Complaints of a tight chest or chest pain.
</html:p>
<html:p>
(B)
<html:span class="EnSpace"/>
Wheezing or noisy breathing.
</html:p>
<html:p>
(C)
<html:span class="EnSpace"/>
Persistent coughing.
</html:p>
<html:p>
(D)
<html:span class="EnSpace"/>
Difficulty breathing.
</html:p>
<html:p>
(E)
<html:span class="EnSpace"/>
Appears to be in distress.
</html:p>
<html:p>
(F)
<html:span class="EnSpace"/>
Lips or fingernails turning blue.
</html:p>
<html:p>
(G)
<html:span class="EnSpace"/>
Shortness of breath.
</html:p>
<html:p>
(8)
<html:span class="EnSpace"/>
“Stock albuterol inhaler” means albuterol medication in the form of an MDI that is ordered by a health care provider and is not prescribed for a specific person and also includes, if necessary, a single-use disposable holding chamber.
</html:p>
<html:p>
(9)
<html:span class="EnSpace"/>
“Volunteer” or “trained personnel” means an employee who has volunteered to administer stock albuterol inhalers to a person if the person is
suffering, or reasonably believed to be suffering, from respiratory distress, has been designated by a school, and has received training pursuant to subdivision (d).
</html:p>
<html:p>
(c)
<html:span class="EnSpace"/>
Each private school in the state may voluntarily determine whether or not to make emergency stock albuterol inhalers and trained personnel available at its school. In making this determination, a school shall evaluate the emergency medical response time to the school and determine whether initiating emergency medical services is an acceptable alternative to stock albuterol inhalers and trained personnel. A private
school choosing to exercise the authority provided under this subdivision shall not receive state funds specifically for purposes of this subdivision.
</html:p>
<html:p>
(d)
<html:span class="EnSpace"/>
(1)
<html:span class="EnSpace"/>
Each local educational agency and private school in the state may designate one or more volunteers to receive initial and annual refresher training, based on the standards developed pursuant to subdivision (e), regarding the storage and emergency use of a stock albuterol inhaler from the school nurse or other qualified person designated by an authorizing physician and surgeon.
</html:p>
<html:p>
(2)
<html:span class="EnSpace"/>
Schools are encouraged and recommended to have a minimum of two trained school employees.
</html:p>
<html:p>
(e)
<html:span class="EnSpace"/>
(1)
<html:span class="EnSpace"/>
The Superintendent shall establish, and post on the department’s internet website, minimum standards of training for the administration of stock albuterol inhalers that satisfies the requirements of paragraph (2). Every five years, or sooner as deemed necessary by the Superintendent, the Superintendent shall review minimum standards of training for the administration of stock albuterol inhalers that satisfy the requirements of paragraph (2). For purposes of this subdivision, the Superintendent shall consult with organizations and providers with expertise in administering stock albuterol inhalers and administering medication in a school environment, including, but not limited to, the State Department of Public Health, the Emergency Medical Services Authority, the American Academy of Allergy, Asthma and
Immunology, the California School Nurses Organization, the California Medical Association, the American Academy of Pediatrics, the California Society of Allergy, Asthma and Immunology, the American College of Allergy, Asthma and Immunology, and others.
</html:p>
<html:p>
(2)
<html:span class="EnSpace"/>
Training established pursuant to this subdivision shall include all of the following:
</html:p>
<html:p>
(A)
<html:span class="EnSpace"/>
Techniques for recognizing symptoms of respiratory distress.
</html:p>
<html:p>
(B)
<html:span class="EnSpace"/>
Standards and procedures for the storage, restocking, and emergency use of stock albuterol inhalers.
</html:p>
<html:p>
(C)
<html:span class="EnSpace"/>
Emergency followup procedures, including calling the emergency 911 telephone number and contacting, if possible, the pupil’s parent or guardian and physician.
</html:p>
<html:p>
(D)
<html:span class="EnSpace"/>
Recommendations on
the necessity of instruction and certification in cardiopulmonary resuscitation.
</html:p>
<html:p>
(E)
<html:span class="EnSpace"/>
Written materials covering the information required under this subdivision.
</html:p>
<html:p>
(3)
<html:span class="EnSpace"/>
Training established pursuant to this subdivision shall be consistent with the most recent guidelines for medication administration issued by the department.
</html:p>
<html:p>
(4)
<html:span class="EnSpace"/>
Training established pursuant to this subdivision shall be provided to a volunteer during the volunteer’s regular working hours and at no cost to the volunteer.
</html:p>
<html:p>
(5)
<html:span class="EnSpace"/>
A school shall retain for reference the written materials prepared under subparagraph (E) of paragraph (2).
</html:p>
<html:p>
(f)
<html:span class="EnSpace"/>
Any local educational agency electing to utilize stock albuterol inhalers for emergency aid
shall distribute a notice at least once per school year to all staff that contains the following information:
</html:p>
<html:p>
(1)
<html:span class="EnSpace"/>
A description of the volunteer request stating that the request is for volunteers to be trained to administer a stock albuterol inhaler to a person if the person is suffering, or reasonably believed to be suffering, from respiratory distress, as specified in subdivision (b).
</html:p>
<html:p>
(2)
<html:span class="EnSpace"/>
A description of the training that the volunteer will receive pursuant to subdivision (d).
</html:p>
<html:p>
(g)
<html:span class="EnSpace"/>
(1)
<html:span class="EnSpace"/>
A qualified supervisor of health at a local educational agency electing to utilize stock albuterol inhalers for emergency aid shall obtain from an authorizing physician and surgeon a prescription for each school for stock albuterol inhalers. A qualified supervisor of health at a local educational agency shall be
responsible for stocking the stock albuterol inhalers and restocking it if it is used.
</html:p>
<html:p>
(2)
<html:span class="EnSpace"/>
If a local educational agency does not have a qualified supervisor of health, an administrator at the local educational agency shall carry out the duties specified in paragraph (1).
</html:p>
<html:p>
(3)
<html:span class="EnSpace"/>
A prescription pursuant to this subdivision may be filled by local or mail-order pharmacies or stock albuterol inhaler manufacturers.
</html:p>
<html:p>
(4)
<html:span class="EnSpace"/>
An authorizing physician and surgeon shall not be subject to professional review, be liable in a civil action, or be subject to criminal prosecution for the issuance of a prescription or order pursuant to this
section, unless the physician and surgeon’s issuance of the prescription or order constitutes gross negligence or willful or malicious conduct.
</html:p>
<html:p>
(h)
<html:span class="EnSpace"/>
A school nurse or, if the school does not have a school nurse or the school nurse is not onsite or available, a volunteer may administer a stock albuterol inhaler to a person exhibiting potentially life-threatening symptoms of respiratory distress at school or a school activity when a physician is not immediately available. If the stock albuterol inhaler is used, it shall be restocked as soon as reasonably possible, but no later than two weeks after it is used. Stock albuterol inhalers shall be restocked before their expiration date.
</html:p>
<html:p>
(i)
<html:span class="EnSpace"/>
A volunteer shall initiate emergency medical services or other appropriate medical followup in accordance with the training materials retained pursuant to paragraph (5) of subdivision (e).
</html:p>
<html:p>
(j)
<html:span class="EnSpace"/>
(1)
<html:span class="EnSpace"/>
A local educational agency electing to utilize stock albuterol inhalers for emergency aid shall not be liable for any civil damages resulting from any act or omission, other than an act or omission constituting gross negligence or willful and wanton misconduct, in the emergency administration of an albuterol inhaler by any of its school nurses or trained volunteers who have volunteered pursuant to subdivision (d).
</html:p>
<html:p>
(2)
<html:span class="EnSpace"/>
An employee who volunteers under this section shall be provided defense and indemnification by the local educational agency for any and all civil liability, in accordance with, but not limited to, that provided in Division 3.6 (commencing with Section 810) of Title 1 of the Government Code. This information shall be reduced to writing, provided to the volunteer, and retained in the volunteer’s personnel file.
</html:p>
<html:p>
(k)
<html:span class="EnSpace"/>
A state agency, the department, or a public school may accept gifts, grants, and donations from any source for the support of the public school carrying out the provisions of this section, including, but not limited to, the acceptance of stock albuterol inhalers from a manufacturer or wholesaler.
</html:p>
</ns0:Content>
</ns0:LawSectionVersion>
</ns0:LawSection>
</ns0:Fragment>
</ns0:BillSection>
</ns0:Bill>
</ns0:MeasureDoc>