School boards; student diabetes care & management in schools, division wide plan required.

The document format was updated to reflect a 'Senate Substitute' status, including new header information, page numbers, and amendment dates, while the actual legislative text and policy provisions remained unchanged.

Added a new requirement for school boards to develop and maintain a divisionwide plan for student diabetes care and management.

Changed the nurse-to-student ratio requirement from a goal of one nurse per 1,000 students to a mandatory minimum, while adding a cap preventing more than one nurse per building in large schools.

Added a mandate for the Department of Education to collect data on glucagon access and report findings to legislative committees by November 1, 2026.

Expanded student rights to include carrying and using cell phones or smart devices to communicate with parents and healthcare providers regarding diabetes care.

Modified the rules for non-nurse employees (like clerical staff) to assist with insulin and glucagon, requiring them to have specific training and explicit prescriber authorization and parental consent before doing so.

Updated the definition of 'administration of insulin' to explicitly include wearable devices, smart pens, and inhalation methods, and added definitions for 'connected diabetes technology' and 'interim strategies'.

The bill is now an 'Amendment in the Nature of a Substitute' proposed by the House Committee on Education instead of a 'Senate Substitute' proposed by Senator McPike.

The proposal date was updated from February 10, 2026, to March 4, 2026.

The text includes additional spacing and line breaks typical of a new draft version, but no substantive policy text was added or removed.

The document structure was changed from a standard bill format to a reprint format with added line numbers, extra spacing, and a different header style, but the legal text itself is identical to the previous version.