SB 138: Pupil health: type 1 diabetes information: parent notification.
- Session Year: 2019-2020
- House: Senate
- Latest Version Date: 2019-04-03
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Date
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Status
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| Aug 30, 2019 | August 30 hearing: Held in committee and under submission. |
| Jul 3, 2019 | July 3 set for first hearing. Placed on APPR. suspense file. |
| Jun 20, 2019 | From committee: Do pass and re-refer to Com. on APPR. with recommendation: To consent calendar. (Ayes 7. Noes 0.) (June 19). Re-referred to Com. on APPR. |
| Jun 6, 2019 | Referred to Com. on ED. |
| May 24, 2019 | In Assembly. Read first time. Held at Desk. |
| May 23, 2019 | Read third time. Passed. (Ayes 38. Noes 0.) Ordered to the Assembly. |
| May 23, 2019 | Read third time. Passed. (Ayes 38. Noes 0. Page 1271.) Ordered to the Assembly. |
| May 21, 2019 | Ordered to special consent calendar. |
| May 16, 2019 | From committee: Do pass. (Ayes 6. Noes 0.) (May 16). |
| May 16, 2019 | From committee: Do pass. (Ayes 6. Noes 0. Page 1090.) (May 16). |
| May 10, 2019 | Set for hearing May 16. |
| Apr 22, 2019 | April 22 hearing: Placed on APPR. suspense file. |
| Apr 5, 2019 | Set for hearing April 22. |
| Apr 3, 2019 | Read second time and amended. Re-referred to Com. on APPR. |
| Apr 2, 2019 | From committee: Do pass as amended and re-refer to Com. on APPR. (Ayes 7. Noes 0.) (March 27). |
| Apr 2, 2019 | From committee: Do pass as amended and re-refer to Com. on APPR. (Ayes 7. Noes 0. Page 463.) (March 27). |
| Mar 8, 2019 | Set for hearing March 27. |
| Mar 5, 2019 | Set for hearing March 27. |
| Mar 4, 2019 | March 20 set for first hearing canceled at the request of author. |
| Feb 26, 2019 | Set for hearing March 20. |
| Jan 31, 2019 | Referred to Com. on ED. |
| Jan 18, 2019 | From printer. May be acted upon on or after February 17. |
| Jan 17, 2019 | Introduced. Read first time. To Com. on RLS. for assignment. To print. |
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Date
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Description
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Location
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Votes
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| Jun 19, 2019 | Do pass and be re-referred to the Committee on [Appropriations] with recommendation: To Consent Calendar | Assembly Standing Committee on Education |
Passed |
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| May 23, 2019 | Special Consent SB138 | Senate Floor |
Passed |
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| May 16, 2019 | Do pass | Senate Standing Committee on Appropriations |
Passed |
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| Apr 22, 2019 | Placed on suspense file | Senate Standing Committee on Appropriations |
Passed |
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| Mar 27, 2019 | Do pass as amended, but first amend, and re-refer to the Committee on [Appropriations] | Senate Standing Committee on Education |
Passed |
This list shows positions taken on this bill by organizations on the date displayed, which is linked to the original source.
Positions by individuals are not included.
Date of Hearing: July 3, 2019
ASSEMBLY COMMITTEE ON APPROPRIATIONS
Lorena Gonzalez, Chair
SBPCA Bill Id:SB 138
Author:(Roth) – As Amended Ver:April 3, 2019
Policy Committee: | Education | Vote: | 7 - 0 |
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Urgency: No State Mandated Local Program: Yes Reimbursable: Yes
SUMMARY:
This bill requires the California Department of Education (CDE), in consultation with stakeholders including the governing bodies of school districts and charter schools, to develop informational materials about type 1 diabetes. The bill requires, by January 1, 2021, school districts and charter schools to provide the informational materials to parents and guardians when their student enrolls in an elementary school and again when their student enrolls in grade seven.
FISCAL EFFECT:
- One-time General Fund costs to the CDE of about $125,000 to develop materials and convene a stakeholder meeting.
- Minor, ongoing Proposition 98 General Fund cost pressures to school districts and charter schools to provide informational materials to parents and guardians.
COMMENTS:
Background. Existing law requires schools to instruct students on the topics of diabetes, nutrition, obesity and diseases. Existing law also specifies that schools may provide instruction on preventative health care, including diabetes prevention.
AB 2226 (Garcia), Chapter 235, 2006, required CDE to develop informational materials about type 2 diabetes and requires schools to make the informational materials accessible to parents and guardians when their student enrolls in grade seven. This bill applies similar requirements for type 1 diabetes, but goes further to requires schools to provide information about type 1 diabetes to parents and guardians when a student first enrolls in elementary school. This is because type 1 diabetes is more likely to affect younger children than type 2 diabetes.
Analysis Prepared by: Natasha Collins / APPR. / (916) 319-2081
Date of Hearing: June 19, 2019
ASSEMBLY COMMITTEE ON EDUCATION
Patrick O'Donnell, Chair
SBPCA Bill Id:SB 138
Author:(Roth) – As Amended Ver:April 3, 2019
SENATE VOTE: 38-0
SUBJECT: Pupil health: type 1 diabetes information: parent notification
SUMMARY: Requires the California Department of Education (CDE) to develop type 1 diabetes (T1D) informational materials, and requires school districts and charter schools to make the informational materials accessible to the parents and guardians of pupils by January 1, 2021. Specifically, this bill:
- Requires the CDE, in consultation with the governing boards of school districts and the governing bodies of charter schools that maintain any of kindergarten or grades 1 to 12, inclusive, and any other entity the CDE deems appropriate, to develop T1D informational materials for the parents and guardians of pupils.
- Requires the governing board of a school district and the governing body of a charter school to make the T1D informational materials accessible to parents or guardians of pupils while a the pupil is enrolled in kindergarten or when the pupil is first enrolled in elementary school, and while the pupil is enrolled in grade 7, on and after January 1, 2021.
- Specifies that information provided to parents and guardians may include, but not be limited to:
- A description of T1D;
- A description of the risk factors and warning signs associated with T1D;
- A recommendation that pupils displaying warning signs associated with T1D should be immediately screened for T1D;
- A description of the screening process for T1D; and
- A recommendation that, after a diagnosis, parents and guardians should consult with a medical care provider to determine if a specialist’s care is needed.
EXISTING LAW:
- Requires schools to develop a community child health and disability prevention program that provides early and periodic assessments of the health of pupils. Existing law requires health screenings to include tests for vision, hearing, anemia, tuberculosis, diabetes, and urinary tract conditions. (Education Code (EC) Section 49450 et seq.)
- Requires the CDE to develop a type 2 diabetes (T2D) information sheet and requires schools to provide the information sheet to the parents or guardians of incoming 7th graders. (EC Section 49452.7)
- Requires schools to instruct pupils on the topics of diabetes, nutrition, obesity, and diseases. Existing law specifies that schools may voluntarily provide pupils with instruction on preventative health care, including diabetes prevention through nutrition education. (EC Section 51890)
FISCAL EFFECT: According to the Senate Appropriations Committee:
- The CDE estimates one-time General Fund costs of about $127,000 to develop the informational materials and to convene a two-day stakeholders meeting. However, based on the costs for previous activities that are similar, the actual amount is likely to be lower.
- The bill’s requirement for school districts and charter schools to make the informational materials accessible to parents and students would likely result in a reimbursable state mandate. However, the costs are anticipated to be minor and would not meet the minimum claiming threshold.
COMMENTS:
Need for the bill. According to the author, “Section 49452.7 of the Education Code requires school districts to provide information regarding T2D to the parent or guardian of specified incoming students. While less common, T1D, also known as juvenile diabetes, is an autoimmune disease, which attacks the insulin-producing cells in the pancreas thereby resulting in life-threatening health problems and, if left untreated, can even result in death. It is critical that parents learn the symptoms of both T2D and T1D to prevent misdiagnosis. As with T2D, early diagnosis, and treatment greatly increase the quality of life for these children.”
Type 1 diabetes. T1D is an autoimmune disease where the body does not produce enough insulin, which is a hormone that breaks down sugar in the bloodstream. T1D can develop at any age. Affected individuals are usually diagnosed in childhood or early adolescence. The onset of T1D can be detected by blood tests and urine tests. These include tests to detect antibodies that are associated with this disorder, and tests to measure the levels of sugar in the bloodstream. There is no known way to prevent this disease, and neither is there a cure. Effective treatment management requires continuous blood sugar monitoring and lifelong insulin therapy in consultation with an appropriate medical care provider.
Nationally, T1D accounts for about five percent of all cases of diabetes. According to the California Department of Public Health, in 2014 about 38,000 Californians were living with T1D.
Which grades would receive the informational materials? This bill requires the CDE, in consultation with the governing boards of school districts and the governing bodies of charter schools to develop T1D informational materials for pupils in kindergarten, or when the pupil is first enrolled in elementary school, as well as in grade 7. However, medical tests can identify T1D in children much earlier in life. The availability of the informational materials in the earlier grades may help to facilitate early detection of the disease.
In addition, existing law requires the CDE to provide schools with a T2D informational materials for the parents or guardians of incoming 7th graders. Providing the informational materials for T1D concurrently with T2D in grade 7 will likely reinforce educational themes around health, nutrition, metabolism and hereditary illnesses.
Arguments in support. Supporters from the California School Employees Association state, “SB 138 helps with the early diagnosis of T1D by reaching out to school districts about the best way of informing parents and students about this disease. Parents will be able to identify the symptoms and seek medical help for their children in treating and managing this disease, making it easier for classified and other important school employees to make sure students remain healthy and safe at school.”
Arguments in opposition. None on file.
Related legislation. AB 2226 (Garcia), Chapter 235, Statutes of 2006, requires, on or after July 1, 2010, school districts to provide an information sheet regarding T2D, as specified, to the parent or guardian of incoming 7th grade pupils, and requires the California Department of Education to develop that information sheet.
REGISTERED SUPPORT / OPPOSITION:
Support
California School Employees Association
Ease T1d Type 1 Diabetes Awareness
Opposition
None on file
Analysis Prepared by: Marguerite Ries / ED. / (916) 319-2087
Office of Senate Floor Analyses (916) 651-1520 Fax: (916) 327-4478 | SB 138 |
THIRD READING
Bill No: SB 138
Amended: 4/3/19
SENATE EDUCATION COMMITTEE: 7-0, 3/27/19
AYES: Leyva, Wilk, Chang, Durazo, Glazer, McGuire, Pan
SENATE APPROPRIATIONS COMMITTEE: 6-0, 5/16/19
AYES: Portantino, Bates, Bradford, Hill, Jones, Wieckowski
SUBJECT: Pupil health: type 1 diabetes information: parent notification
DIGEST:
This bill requires the California Department of Education (CDE) to develop type 1 diabetes informational materials. This bill requires school districts and charter schools to make the type 1 diabetes informational materials accessible to the parents and guardians of pupils on and after January 1, 2021.
Existing law:
- Requires schools to develop a community child health and disability prevention program that provides early and periodic assessments of the health of pupils. Existing law requires health screenings to include tests for vision, hearing, anemia, tuberculosis, diabetes, and urinary tract conditions. (Education Code § 49450 et seq.)
- Requires the CDE to develop a type 2 diabetes information sheet and requires schools to provide the information sheet to the parents or guardians of incoming 7th graders. (EC § 49452.7)
- Requires schools to instruct pupils on the topics of diabetes, nutrition, obesity, and diseases. Existing law specifies that schools may voluntarily provide pupils with instruction on preventative health care, including diabetes prevention through nutrition education. (EC § 51890)
This bill:
- Requires the CDE to develop type 1 diabetes informational materials for the parents and guardians of pupils.
- Specifies that CDE shall develop the type 1 diabetes informational materials in consultation with school districts and charter schools maintaining grades K-12 inclusive, and with any other entity CDE deems appropriate.
- Requires school districts and charter schools, on and after January 1, 2021, to make the type 1 diabetes informational materials accessible to the parents and guardians of pupils while the pupil is when the pupil is first enrolled in elementary school and while the pupil is enrolled in grade 7.
- Specifies that the information provided to parents may include, but is not limited to, the following information:
- A description of type 1 diabetes.
- A description of the risk factors and warning signs of type 1 diabetes.
- A recommendation that pupils who display warning signs of type 1 diabetes are screened for the disease.
- A description of the screening process for type 1 diabetes.
- A recommendation that the parents and guardians of pupils who are test positive for type 1 diabetes should seek the consultation of a medical care provider to determine if specialized care is needed for the pupil.
- Need for the bill. According to the author, “Section 49452.7 of the Education Code requires school districts to provide information regarding type 2 Diabetes (T2D) to the parent or guardian of specified incoming students. While less common, T1D, also known as juvenile diabetes, is an autoimmune disease, which attacks the insulin-producing cells in the pancreas thereby resulting in life-threatening health problems and, if left untreated, can even result in death. It is critical that parents learn the symptoms of both T2D and T1D to prevent misdiagnosis. As with T2D, early diagnosis, and treatment greatly increase the quality of life for these children."
- What is type 1 diabetes? Type 1 diabetes is an autoimmune disease where the body does not produce enough insulin, which is a hormone that breaks down sugar in the bloodstream.
- How prevalent is type 1 diabetes in California? Nationally, Type 1 diabetes accounts for about five percent of all cases of diabetes. According to the California Department of Public Health in 2014, about 38,000 Californians were living with type 1 diabetes.
- Is it preventable or curable? How is it treated? There is no known way to prevent this disease, and neither is there a cure. Effective treatment management requires continuous blood sugar monitoring and lifelong insulin therapy in consultation with an appropriate medical care provider.
- How do you screen for type 1 diabetes? Type 1 diabetes can develop at any age. Affected individuals are usually diagnosed in childhood or early adolescence. The onset of type 1 diabetes can be detected by blood tests and urine tests. These include tests to detect antibodies that are associated with this disorder, and tests to measure the levels of sugar in the bloodstream.
- Which grades receive the factsheet? This bill requires schools to develop type 1 diabetes informational materials for pupils in elementary school, especially kindergarden. Type 1 diabetes is typically diagnosed in childhood, most commonly around age 14. However, medical tests can identify type 1 diabetes in children much earlier in life. The availability of the informational materials in the earlier grades facilitates early detection of the disease and improves the quality of life for patients. Additionally, existing law already requires the CDE to provide schools with a type 2 diabetes informational materials for the parents or guardians of incoming 7th graders. Providing the informational materials for type 1 diabetes concurrently with type 2 diabetes in grade 7 reinforces educational themes around health, nutrition, metabolism and hereditary illnesses.
FISCAL EFFECT: Appropriation: No Fiscal Com.: Yes Local: Yes
According to the Senate Appropriations Committee:
- CDE estimates one-time General Fund costs of about $127,000 to develop the informational materials and to convene a two-day stakeholders meeting. However, based on the costs for previous activities that are similar, the actual amount is likely to be lower.
- This bill’s requirement for school districts and charter schools to make the informational materials accessible to parents and students would likely result in a reimbursable state mandate. However, the costs are anticipated to be minor and would not meet the minimum claiming threshold.
California School Employees Association
OPPOSITION: (Verified 5/16/19)
None received
Prepared by: Chanel Matney / ED. /
5/18/19 12:00:34
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Office of Senate Floor Analyses (916) 651-1520 Fax: (916) 327-4478 | SB 138 |
THIRD READING
Bill No: SB 138
Amended: 4/3/19
SENATE EDUCATION COMMITTEE: 7-0, 3/27/19
AYES: Leyva, Wilk, Chang, Durazo, Glazer, McGuire, Pan
SENATE APPROPRIATIONS COMMITTEE: 6-0, 5/16/19
AYES: Portantino, Bates, Bradford, Hill, Jones, Wieckowski
SUBJECT: Pupil health: type 1 diabetes information: parent notification
DIGEST:
This bill requires the California Department of Education (CDE) to develop type 1 diabetes informational materials. This bill requires school districts and charter schools to make the type 1 diabetes informational materials accessible to the parents and guardians of pupils on and after January 1, 2021.
Existing law:
- Requires schools to develop a community child health and disability prevention program that provides early and periodic assessments of the health of pupils. Existing law requires health screenings to include tests for vision, hearing, anemia, tuberculosis, diabetes, and urinary tract conditions. (Education Code § 49450 et seq.)
- Requires the CDE to develop a type 2 diabetes information sheet and requires schools to provide the information sheet to the parents or guardians of incoming 7th graders. (EC § 49452.7)
- Requires schools to instruct pupils on the topics of diabetes, nutrition, obesity, and diseases. Existing law specifies that schools may voluntarily provide pupils with instruction on preventative health care, including diabetes prevention through nutrition education. (EC § 51890)
This bill:
- Requires the CDE to develop type 1 diabetes informational materials for the parents and guardians of pupils.
- Specifies that CDE shall develop the type 1 diabetes informational materials in consultation with school districts and charter schools maintaining grades K-12 inclusive, and with any other entity CDE deems appropriate.
- Requires school districts and charter schools, on and after January 1, 2021, to make the type 1 diabetes informational materials accessible to the parents and guardians of pupils while the pupil is when the pupil is first enrolled in elementary school and while the pupil is enrolled in grade 7.
- Specifies that the information provided to parents may include, but is not limited to, the following information:
- A description of type 1 diabetes.
- A description of the risk factors and warning signs of type 1 diabetes.
- A recommendation that pupils who display warning signs of type 1 diabetes are screened for the disease.
- A description of the screening process for type 1 diabetes.
- A recommendation that the parents and guardians of pupils who are test positive for type 1 diabetes should seek the consultation of a medical care provider to determine if specialized care is needed for the pupil.
- Need for the bill. According to the author, “Section 49452.7 of the Education Code requires school districts to provide information regarding type 2 Diabetes (T2D) to the parent or guardian of specified incoming students. While less common, T1D, also known as juvenile diabetes, is an autoimmune disease, which attacks the insulin-producing cells in the pancreas thereby resulting in life-threatening health problems and, if left untreated, can even result in death. It is critical that parents learn the symptoms of both T2D and T1D to prevent misdiagnosis. As with T2D, early diagnosis, and treatment greatly increase the quality of life for these children."
- What is type 1 diabetes? Type 1 diabetes is an autoimmune disease where the body does not produce enough insulin, which is a hormone that breaks down sugar in the bloodstream.
- How prevalent is type 1 diabetes in California? Nationally, Type 1 diabetes accounts for about five percent of all cases of diabetes. According to the California Department of Public Health in 2014, about 38,000 Californians were living with type 1 diabetes.
- Is it preventable or curable? How is it treated? There is no known way to prevent this disease, and neither is there a cure. Effective treatment management requires continuous blood sugar monitoring and lifelong insulin therapy in consultation with an appropriate medical care provider.
- How do you screen for type 1 diabetes? Type 1 diabetes can develop at any age. Affected individuals are usually diagnosed in childhood or early adolescence. The onset of type 1 diabetes can be detected by blood tests and urine tests. These include tests to detect antibodies that are associated with this disorder, and tests to measure the levels of sugar in the bloodstream.
- Which grades receive the factsheet? This bill requires schools to develop type 1 diabetes informational materials for pupils in elementary school, especially kindergarden. Type 1 diabetes is typically diagnosed in childhood, most commonly around age 14. However, medical tests can identify type 1 diabetes in children much earlier in life. The availability of the informational materials in the earlier grades facilitates early detection of the disease and improves the quality of life for patients. Additionally, existing law already requires the CDE to provide schools with a type 2 diabetes informational materials for the parents or guardians of incoming 7th graders. Providing the informational materials for type 1 diabetes concurrently with type 2 diabetes in grade 7 reinforces educational themes around health, nutrition, metabolism and hereditary illnesses.
FISCAL EFFECT: Appropriation: No Fiscal Com.: Yes Local: Yes
According to the Senate Appropriations Committee:
- CDE estimates one-time General Fund costs of about $127,000 to develop the informational materials and to convene a two-day stakeholders meeting. However, based on the costs for previous activities that are similar, the actual amount is likely to be lower.
- This bill’s requirement for school districts and charter schools to make the informational materials accessible to parents and students would likely result in a reimbursable state mandate. However, the costs are anticipated to be minor and would not meet the minimum claiming threshold.
California School Employees Association
OPPOSITION: (Verified 5/16/19)
None received
Prepared by: Chanel Matney / ED. /
5/18/19 12:06:13
**** END ****
SENATE COMMITTEE ON APPROPRIATIONS
Senator Anthony Portantino, Chair
2019 - 2020 Regular Session
SB 138 (Roth) - Pupil health: type 1 diabetes information: parent notification
Version: April 3, 2019 | Policy Vote: ED. 7 - 0 |
Urgency: No | Mandate: Yes |
Hearing Date: April 22, 2019 | Consultant: Lenin Del Castillo |
Bill Summary:
This bill requires the California Department of Education (CDE) to develop type 1 diabetes informational materials for which school districts and charter schools would be required to make accessible to parents and students.
Fiscal Impact:
- CDE estimates one-time General Fund costs of about $127,000 to develop the informational materials and to convene a two-day stakeholders meeting. However, based on the costs for previous activities that are similar, the actual amount is likely to be lower.
- The bill’s requirement for school districts and charter schools to make the informational materials accessible to parents and students would likely result in a reimbursable state mandate. However, the costs are anticipated to be minor and would not meet the minimum claiming threshold.
Background:
Existing law requires schools to develop a community child health and disability prevention program that provides early and periodic assessments of the health of pupils. Existing law requires health screenings to include tests for vision, hearing, anemia, tuberculosis, diabetes, and urinary tract conditions.
Existing law also requires the CDE to develop a type 2 diabetes information sheet and requires schools to provide the information sheet to the parents or guardians of incoming 7th graders.
Existing law requires schools to instruct pupils on the topics of diabetes, nutrition, obesity, and diseases. Existing law also specifies that schools may voluntarily provide pupils with instruction on preventative health care, including diabetes prevention through nutrition education.
Proposed Law: This bill requires CDE, in consultation with the governing boards of school districts and the governing bodies of charter schools, and any other entity the department deems appropriate, to develop diabetes informational materials for the parents and guardians of students.
This bill requires school districts and charter schools, on or after January 1, 2021, to make the type 1 diabetes informational materials accessible to parents when students are enrolled in kindergarten or first enrolled in elementary school, and while the students are enrolled in grade 7.
This bill specifies that the information provided to parents may include, but is not limited to, the following information: a description of type 1 diabetes, a description of the risk factors and warning signs of type 1 diabetes, a recommendation that pupils who display warning signs of type 1 diabetes are screened for the disease, a description of the screening process for type 1 diabetes, and a recommendation that, after diagnosis, parents should consult with a medical care provider to determine if a specialist’s care is needed.
Related Legislation:
AB 2536 (Chau, Chapter 419, 2016) requires the CDE to display and periodically update their websites with information on discrimination, harassment, intimidation, bullying, and cyber sexual bullying and encourages schools to refer pupils to these resources.
AB 1639 (Maienschein, Chapter 792, 2016) requires the CDE to educate coaches, pupils and their parents or legal guardians about warning signs of cardiac arrest by posting an information sheet on its website. This bill encourages school districts and schools to post these same informational materials to their websites as well.
AB 2226 (Garcia, Chapter 235, 2006) requires schools to provide a type 2 diabetes information sheet, to be developed by the State Department of Education, to the parent or guardian of incoming 7th graders.
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SENATE COMMITTEE ON EDUCATION
Senator Connie Leyva, Chair
2019 - 2020 Regular
Bill No: SB 138 Hearing Date: March 27, 2019
Author: | Roth | ||
Version: | January 17, 2019 | ||
Urgency: | No | Fiscal: | Yes |
Consultant: | Chanel Matney | ||
Subject: Pupil health: type 1 diabetes information: parent notification.
SUMMARY
This bill requires school districts and charter schools to identify the best methods of informing students and parents about type 1 diabetes and implement those methods by January 1, 2021.
BACKGROUND
Existing law:
Requires schools to develop a community child health and disability prevention program that provides early and periodic assessments of the health of pupils. Existing law requires health screenings to include tests for vision, hearing, anemia, tuberculosis, diabetes, and urinary tract conditions. (Education Code § 49450 et seq.)
Existing law requires the Department of Education to develop a type 2 diabetes information sheet and requires schools to provide the information sheet to the parents or guardians of incoming 7th graders. (EC § 49452.7)
- Requires schools to instruct pupils on the topics of diabetes, nutrition, obesity, and diseases. Existing law specifies that schools may voluntarily provide pupils with instruction on preventative health care, including diabetes prevention through nutrition education. (EC § 51890)
ANALYSIS
This bill:
- Requires school district governing boards and charter school governing bodies to, in collaboration with their K-12 schools, identify the best way to educate the parents and guardians of pupils about type 1 diabetes.
- Requires the optimal type 1 diabetes information campaign to be implemented by school districts and charter schools governing bodies by January 1, 2021.
- Specifies that the information provided to parents may include, but is not limited to, the following information:
- A description of type 1 diabetes.
- A description of the risk factors and warning signs of type 1 diabetes.
- A recommendation that pupils who display warning signs of type 1 diabetes are screened for the disease.
- A description of the screening process for type 1 diabetes.
- That an endocrinologist is the preferred specialist for ongoing treatment.
STAFF COMMENTS
- Need for the bill. According to the author, “Section 49452.7 of the Education Code requires school districts to provide information regarding type 2 Diabetes (T2D) to the parent or guardian of specified incoming students. While less common, T1D, also known as juvenile diabetes, is an autoimmune disease, which attacks the insulin-producing cells in the pancreas thereby resulting in life-threatening health problems and, if left untreated, can even result in death. It is critical that parents learn the symptoms of both T2D and T1D to prevent misdiagnosis. As with T2D, early diagnosis, and treatment greatly increase the quality of life for these children."
- What is type 1 diabetes? Type 1 diabetes is an autoimmune disease where the body does not produce enough insulin, which is a hormone that breaks down sugar in the bloodstream.
- How prevalent is type 1 diabetes in California? Nationally, Type 1 diabetes accounts for about 5 percent of all cases of diabetes. According to the California Department of Public Health in 2014, about 38,000 Californians were living with type 1 diabetes.
- Is it preventable or curable? How is it treated? There is no known way to prevent this disease, and neither is there a cure. Effective treatment management requires continuous blood sugar monitoring and lifelong insulin therapy in consultation with an appropriate medical care provider. Since each case of type 1 diabetes is unique, an endocrinologist may not be the preferred specialist for treatment in all patients. Staff recommends an amendment that the factsheet may encourage the parents to consult with their primary medical care provider regarding if a specialist’s care is needed.
- How do you screen for type 1 diabetes? Type 1 diabetes can develop at any age. Affected individuals are usually diagnosed in childhood or early adolescence. The onset of type 1 diabetes can be detected by blood tests and urine tests. These include tests to detect antibodies that are associated with this disorder, and tests to measure the levels of sugar in the bloodstream.
- Who should develop the fact sheet? To ensure that the content, quality, accuracy, and breadth of the factsheet is consistent across California schools, staff recommends an amendment that the California Department of Education develops an online webpage that informs parents of Type 1 Diabetes. This is cost-effective, efficient, affords standardization, and prevents hundreds of district and charter schools from designing different documents for their individual schools.
- How will the information be fact-checked? The California Department of Public Health, the American Diabetes Association, and other related groups maintain accurate and continuously updated outreach and information materials related to type 1 diabetes. Staff recommends an amendment to require the California Department of Education (CDE) to work in consultation with any entity the Department deems appropriate, including but not limited to those listed above.
- Which grades receive the factsheet?
- This bill requires schools to develop a factsheet for grades K-12. Type 1 diabetes is typically diagnosed in childhood, most commonly around age 14. However, medical tests can identify type 1 diabetes in children much earlier in life. Staff recommends an amendment that schools make the factsheet available to parents and guardians of pupils during the kindergarten year, or upon first enrollment or entry in an elementary school.
- Existing law requires the CDE to provide schools with a type 2 diabetes information sheet for the parents or guardians of incoming 7th graders. Should an information sheet on type 1 diabetes be made available to the parents and guardians at the same time? Staff recommends an amendment that schools make available a factsheet on both type 1 and type 2 diabetes for the parents and guardians of incoming 7th graders.
Prior legislation. AB 2536 (Chau, Chapter 419, 2016) requires the CDE to display and periodically update their websites with information on discrimination, harassment, intimidation, bullying, and cyber sexual bullying and encourages schools to refer pupils to these resources.
AB 1639 (Maienschein, Chapter 792, 2016) requires the California Department of Education to educate coaches, pupils and their parents or legal guardians about warning signs of cardiac arrest by posting an information sheet on the State Department of Education website. This bill encourages school districts and schools to post these same informational materials to their websites as well.
AB 2226 (Garcia, Chapter 235, 2006) requires schools to provide a type 2 diabetes information sheet, to be developed by the State Department of Education, to the parent or guardian of incoming 7th graders.
AB 766 (Longville, Chapter 745, 2003) established a voluntary three-year pilot program to screen pupils in grades 7-8 for the risk of developing type 2 diabetes and scoliosis. This legislation sunsetted on January 1, 2008.
AB 195 (Chan, Chapter 550, 2003) specifies that K-12 comprehensive health education programs may provide instruction in nutrition. This bill also specifies that school districts may provide pupils with obesity, diabetes, and nutrition education.
SUPPORT
California School Employees Association
OPPOSITION
None received
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Bill Author
Bill Co-Author(s):