This document provides guidance to address the needs of students with diabetes.

(a) Departments to establish guidelines. --The Department and the Maryland Department of Health jointly shall establish guidelines for public schools regarding the administration of health care services to students with diabetes.

(b) Scope. --The guidelines shall include:

• (1) Procedures for treating and administering medication to control diabetic symptoms;
• (2) Procedures for monitoring blood glucose and ketone levels;
• (3) A description of parental or caregiver responsibilities in relation to the care of their child with diabetes, including:
• (i) Notifying a school of a child's diabetes diagnosis;
• (ii) Providing appropriate medication, delivery devices, and medical condition indication devices, including MedicAlert bracelets or necklaces;
• (iii) Providing parental consent for the administration of medications; and
• (iv) Providing an emergency card for medical emergencies with up-to-date contact names and telephone numbers;
• (4) A description of school responsibilities in relation to the care of a student with diabetes, including:
• (i) Instruction by the school nurse for school health services personnel, teachers, coaches, transportation personnel,and other appropriate school personnel, as determined by the school nurse, including instruction on:
• 1. Recognizing the symptoms of hypoglycemia and hyperglycemia and the appropriate actions to take to control the symptoms;
• 2. Administering glucagon in an emergency in accordance with health care provider orders; and
• 3. Implementing a student's medical plan and a student's 504 plan;
• (ii) Providing and distributing the required documents for notification, consent for the administration of medications, medical emergency contact information, and any other appropriate documents to the appropriate individuals or entities; and
• (iii) Ensuring that appropriate school personnel are available to administer insulin during the school day and during other school-sponsored events and activities;
• (5) A description of student responsibilities in relation to the student's diabetes care that are age and clinically appropriate;
• (6) Establishing procedures for students who have been determined by the school nurse to be capable of and responsible for self-management of their diabetes in accordance with health care provider orders; and
• (7) Any other issue that is relevant to the administration of health care services to students with diabetes.

(a) Departments to establish guidelines. --The Department and the Maryland Department of Health jointly shall establish guidelines for public schools regarding the administration of health care services to students with diabetes.

(b) Scope. --The guidelines shall include:

• (1) Procedures for treating and administering medication to control diabetic symptoms;
• (2) Procedures for monitoring blood glucose and ketone levels;
• (3) A description of parental or caregiver responsibilities in relation to the care of their child with diabetes, including:
• (i) Notifying a school of a child's diabetes diagnosis;
• (ii) Providing appropriate medication, delivery devices, and medical condition indication devices, including MedicAlert bracelets or necklaces;
• (iii) Providing parental consent for the administration of medications; and
• (iv) Providing an emergency card for medical emergencies with up-to-date contact names and telephone numbers;
• (4) A description of school responsibilities in relation to the care of a student with diabetes, including:
• (i) Instruction by the school nurse for school health services personnel, teachers, coaches, transportation personnel,and other appropriate school personnel, as determined by the school nurse, including instruction on:
• 1. Recognizing the symptoms of hypoglycemia and hyperglycemia and the appropriate actions to take to control the symptoms;
• 2. Administering glucagon in an emergency in accordance with health care provider orders; and
• 3. Implementing a student's medical plan and a student's 504 plan;
• (ii) Providing and distributing the required documents for notification, consent for the administration of medications, medical emergency contact information, and any other appropriate documents to the appropriate individuals or entities; and
• (iii) Ensuring that appropriate school personnel are available to administer insulin during the school day and during other school-sponsored events and activities;
• (5) A description of student responsibilities in relation to the student's diabetes care that are age and clinically appropriate;
• (6) Establishing procedures for students who have been determined by the school nurse to be capable of and responsible for self-management of their diabetes in accordance with health care provider orders; and
• (7) Any other issue that is relevant to the administration of health care services to students with diabetes.