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AB-882 Pupil health care services: School Nursing and Pupil Health Care Services Task Force.(2017-2018)

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Date Published: 05/03/2017 09:00 PM
AB882:v96#DOCUMENT

Amended  IN  Assembly  May 03, 2017
Amended  IN  Assembly  April 04, 2017
Amended  IN  Assembly  March 23, 2017

CALIFORNIA LEGISLATURE— 2017–2018 REGULAR SESSION

Assembly Bill No. 882


Introduced by Assembly Member Arambula

February 16, 2017


An act to add Article 1.5 (commencing with Section 49420) to Chapter 9 of Part 27 of Division 4 of Title 2 of the Education Code, relating to pupil health care services.


LEGISLATIVE COUNSEL'S DIGEST


AB 882, as amended, Arambula. Pupil health care services: School Nursing and Pupil Health Care Services Task Force.
Existing law requires the governing board of a school district to give diligent care to the health and physical development of pupils, and authorizes the governing board of a school district to employ properly certified persons for that work. Existing law authorizes a school nurse, subject to approval by the governing board of the school district, to perform various pupil health care services.
This bill would establish the School Nursing and Pupil Health Care Services Task Force consisting of 18 members, appointed as specified. The bill would specify that the main task of the task force shall be to identify model school health care services programs and practices that directly serve pupils that can be used by county offices of education and school districts to provide support and technical assistance to schools within each jurisdiction in order to improve the safety and quality of health care services to pupils. The bill would require the task force to perform specified actions, including, among others, examining health care funding sources, investigating the billing of pupils’ health insurance, and recommending standards of school nursing practices. The bill would require the State Department of Education to convene one or more meetings of the task force to complete these requirements and to report the results to the Governor and the Legislature on or before January 1, 2019.
Vote: MAJORITY   Appropriation: NO   Fiscal Committee: YES   Local Program: NO  

The people of the State of California do enact as follows:


SECTION 1.

 (a) The Legislature finds and declares both of the following:
(1) The health care needs of pupils are not being adequately met in California’s public schools due to a lack of qualified health professionals employed by school districts who have access to local school campuses.
(2) School nurses are uniquely qualified to attend to the primary care of pupils suffering from chronic and acute health conditions that lead to excessive absenteeism from school, to provide case management services that encourage access to health insurance and followup health care services, and to improve Healthcare Effectiveness Data and Information Set measures.
(b) It is the intent of the Legislature that the governing board of each school district and each county superintendent of schools maintain fundamental school health care services at a level that is adequate to accomplish all of the following:
(1) Preserve pupils’ ability to learn.
(2) Fulfill existing state requirements and policies regarding pupils’ health.
(3) Contain health care costs through preventive programs and education.

SEC. 2.

 Article 1.5 (commencing with Section 49420) is added to Chapter 9 of Part 27 of Division 4 of Title 2 of the Education Code, to read:
Article  1.5. School Nursing and Pupil Health Care Services Task Force

49420.
 (a) The School Nursing and Pupil Health Care Services Task Force is hereby established. The main task of the task force shall be to identify model school health care services programs and practices that directly serve pupils that can be used by county offices of education and school districts to provide support and technical assistance to schools within each jurisdiction in order to improve the safety and quality of health care services to pupils in each jurisdiction.
(b) The task force shall consist of 18 members, appointed as follows:
(1) (A) The Senate Rules Committee shall appoint one member from among the Members of the Senate. The appointed member may select a designee to serve in his or her stead.
(B) The Speaker of the Assembly shall appoint one member from among the Members of the Assembly. The appointed member may select a designee to serve in his or her stead.
(C) The director of the State Department of Health Care Services or his or her designee.
(2) The Governor shall appoint the following members as follows:
(A) One member who represents special education services.
(B) One member who represents a school district that primarily serves an urban area.
(C) One member who represents a school district that primarily serves a rural region.

(D)One member from the State Department of Health Care Services.

(E)

(D) One member from the State Department of Education who is involved in school health.

(F)

(E) One member who represents a statewide organization that is an association organized by and for California school nurses.

(G)

(F) One member who represents a statewide organization that is a professional association for nurses in this state.

(H)

(G) One member who represents classified school employees who work directly with school nurses.

(I)

(H) One member who represents a statewide organization that is dedicated to developing school-based health centers.

(J)

(I) One member who represents an organization for community clinics that provides health services in California.

(K)

(J) One member who represents an organization for private insurers in this state.

(L)

(K) One member who is a representative of local health officers.

(M)

(L) One member who is a representative of an association organized by and for California teachers.

(N)

(M) One member who is a representative of an association composed of parents and teachers intended to facilitate parental participation in the schools.

(O)

(N) One member who is a representative of the association that represents school educational leaders in California.

(P)

(O) One member who represents the elected officials who govern California’s public school districts and county offices of education.
(c) When appointing members to the task force, the Governor shall consider whether the composition of the task force represents diversity in relation to race, ethnicity, language, and disability status.
(d) (1) The State Department of Education shall convene one or more meetings of the task force to complete the requirements of Section 49421 and shall report the results to the Governor and the Legislature on or before January 1, 2019.
(2) A report to be submitted to the Legislature pursuant to paragraph (1) shall be submitted in compliance with Section 9795 of the Government Code.

49421.
 The School Nursing and Pupil Health Care Services Task Force shall do all of the following:
(a) Examine health care funding sources, including increasing the numbers of schools and school districts who participate in the local educational agency Medi-Cal billing option and the School-Based Administrative Claiming process program.
(b) Investigate the billing of pupils’ health insurance for the costs of providing medically necessary health care services at schools and to determine if schools can supplement the funding received from education sources to fund school health care services.
(c) Recommend sustainable revenue sources for school health care services that could be used to fund required school health screenings and to achieve the level of school nursing services described in Article 2 (commencing with Section 49422), which states the requirements for, roles of, responsibilities of, and services provided by school nurses in California’s schools.
(d) Recommend standards of school nursing practices that include outcome measures related to health transformation and academic performance.
(e) Recommend ways to create a Whole School, Whole Community, Whole Child approach and to foster and promote a noncompetitive strategy that is collaborative and that directs an appropriate level of funding to school nursing and school-based health centers. collaborative approach to foster and promote a noncompetitive strategy that directs an appropriate level of funding to school nursing and school-based health care centers.