75th OREGON LEGISLATIVE ASSEMBLY--2009 Regular Session
 
HA to A-Eng. HB 2693
 
LC 1992/HB 2693-A10
 
                       HOUSE AMENDMENTS TO
                   A-ENGROSSED HOUSE BILL 2693
 
              By JOINT COMMITTEE ON WAYS AND MEANS
 
                             June 26
 
  On page 1 of the printed A-engrossed bill, line 2, delete '
appropriating'.
  In line 3, delete 'money;'.
  On page 2, after line 33, insert:
  ' (4)(a) A registered nurse or school nurse is responsible for
coordinating the school nursing services provided to an
individual student. The registered nurse or school nurse shall
work in partnership with the student's parent or guardian, health
care provider and appropriate school staff to the extent allowed
by law.
  ' (b) Decisions related to when or where a student receives
school nursing services must jointly be made by the registered
nurse or school nurse, the parent or guardian of the student and
any appropriate school staff. This paragraph does not apply to
students who have an individualized education program and for
whom special education and related services are determined by an
individualized education program team.'.
  In line 34, delete '(4)' and insert '(5)'.
  Delete lines 42 through 45.
  On page 3, delete lines 1 through 32 and insert:
  '  { +  SECTION 4. + } Section 2 of this 2009 Act is amended to
read:
  '  { +  Sec. 2. + } (1) As used in this section:
  ' (a) 'Licensed practical nurse' means an individual who is
licensed as a licensed practical nurse under ORS 678.010 to
678.410.
  '  { +  (b) 'Medically complex students' means students who may
have an unstable health condition and who may require daily
professional nursing services. + }
  '  { - (b) - }   { + (c) + } 'Medically fragile students' means
students who may have a life-threatening health condition and who
may require immediate professional nursing services.
  '  { - (c) - }   { + (d) + } 'Nursing-dependent students' means
students who may have an unstable or life-threatening health
condition and who may require daily, direct and continuous
professional nursing services.
  '  { - (d) - }   { + (e) + } 'Registered nurse' means an
individual who is licensed as a registered nurse under ORS
678.010 to 678.410.
  '  { - (e) - }   { + (f) + } 'School nurse' has the meaning
given that term in ORS 342.455.
  ' (2) Each school district shall ensure that the district has
access to a sufficient level of nursing services to provide:
  '  { +  (a) One registered nurse or school nurse for every 225
medically complex students. + }
  '  { - (a) - }   { + (b) + } One registered nurse or school
nurse for every 125 medically fragile students.
  '  { - (b) - }   { + (c) + } One registered nurse or school
nurse, or one licensed practical nurse under the supervision of a
 
registered nurse or school nurse, for each nursing-dependent
student.
  '  { +  (3) In addition to the requirements of subsection (2)
of this section, each school district is encouraged to have one
registered nurse or school nurse for every 750 students in the
school district. + }
  '  { - (3) - }   { + (4)(a)  + }A school district may satisfy
the requirements of subsection (2) of this section by using the
most cost-effective means available.
  '  { +  (b) A school district may satisfy the requirements
described in subsection (2)(a) of this section and the
recommendations described in subsection (3) of this section by:
  ' (A) Providing personnel trained and supervised by a
registered nurse or school nurse; and
  ' (B) Complying with the requirements of ORS 678.010 to
678.445. + }
  '  { - (4)(a) - }   { + (5)(a) + } A registered nurse or school
nurse is responsible for coordinating the school nursing services
provided to an individual student. The registered nurse or school
nurse shall work in partnership with the student's parent or
guardian, health care provider and appropriate school staff to
the extent allowed by law.
  ' (b) Decisions related to when or where a student receives
school nursing services must jointly be made by the registered
nurse or school nurse, the parent or guardian of the student and
any appropriate school staff. This paragraph does not apply to
students who have an individualized education program and for
whom special education and related services are determined by an
individualized education program team.
  '  { - (5) - }   { + (6) + } The Department of Education shall
submit to the State Board of Education and the interim
legislative committees related to education an annual report no
later than October 1 of each year that is based on the previous
school year and that provides information on:
  ' (a) The availability of licensed practical nurses, registered
nurses and school nurses in each school district; and
  ' (b) The number of  { + medically complex students, + }
medically fragile students and nursing-dependent students in each
school district.'.
  Delete lines 42 through 45.
  On page 4, delete lines 1 through 5.
  In line 6, delete '8' and insert '7'.
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