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Screening for Health Conditions

Alaska

Last Updated: 6/25/2010

Vision and Hearing: Statute 14.30.127 (1982) requires a vision and hearing screening examination to be given to each child entering the school system, or soon thereafter, and at regular intervals specified by the district. The Department of Health and Social Services must set standards for the examination, train and certify public health nurses and school employees to administer the examination, assist with referring students who may need professional services, and assist with the maintenance and repair of the screening equipment.

Chronic Health Conditions: No state policy.

Body Mass Index (BMI) Screening: No state policy.


Alabama

Last Updated: 6/25/2010

Code 16-29-1 (1965) states that the Department of Education and the State Board of Health are to arrange for the examination of each child attending public school in the state or any physical defects of any kind, embracing mental deficiency; diseases of the ear, eye, nose and throat, mouth and teeth; any deformity or dislocation of the hip joints or spinal disease; phymosis; hookworm disease and any and all other communicable or contagious diseases where the county or city board of education or State Department of Education has reason to believe a child has a communicable or contagious disease; and any disease requiring medical or surgical aid in developing the child into a strong and healthy individual."

Chronic Health Conditions: No state policy.

Body Mass Index (BMI) Screening: No state policy.


Arkansas

Last Updated: 12/28/2013

Vision and Hearing: Code 6-18-1501 (2005) requires that all children in grades preK-2, 4, 6, and 8 as well as all transfer students receive eye and vision screenings.

Chronic Health Conditions
: Arkansas does not specifically require schools or districts to identify students with asthma. However, Code 6-18-701 (1947) allows school districts to appoint and provide for one or more physician or nurse to conduct physical examinations of pupils to detect contagious or infectious diseases or any defect of sight, hearing, or function or condition of health that may prevent a pupil from receiving the full benefit of schoolwork.

Body Mass Index (
BMI) Screening: Body Mass Index (BMI) Screening: The State Board of Education’s Rules Governing Nutrition and Physical Activity Standards  and Body Mass Index for Age Assessment Protocols in Arkansas Public Schools (2012), as codified by Code 20-7-135 (2007), require schools to include a body mass index percentile in a student's annual health report to parents beginning with kindergarten and then in even numbered grades.  Schools must permit any parent to refuse to have their child's BMI percentile reported by providing a written refusal to the school.  Students in grades 11-12 are exempt from the BMI reporting requirement.

 

 


Arizona

Last Updated: 6/25/2010

Vision and Hearing: No state policy.

Chronic Health Conditions: No state policy.

Body Mass Index (BMI) Screening: No state policy.


California

Last Updated: 6/25/2010

Vision and Hearing: Education Code 49452 (no date available) requires the governing board of a school district to provide for the testing of hearing and vision each enrolled pupil within the district. Education Code 49455 (no date available) required students have their vision screened upon enrollment and at least every third year thereafter until completion of the 8th grade.

Chronic Health Conditions: No state policy.

Body Mass Index (BMI) Screening: No state policy.

Dental: Education Code 49452.8 requires students enrolled in public school kindergarten or first grade (if student did not attend kindergarten in the public schools) to present proof by May 31st of having had received an oral assessment by a licensed dentist or other licensed or registered dental health professional within 12 months of enrollment.  Provisions for exemption are outlined in the code.


Colorado

Last Updated: 6/25/2010

Vision and Hearing: Statute 22-1-116 (1981) requires all children in grades K-3, 5, 7, and 9 grades be referred for vision and hearing testing.

Chronic Health Conditions: No state policy.

Body Mass Index (BMI) Screening: No state policy.


Connecticut

Last Updated: 6/4/2013

Vision and Hearing: Statute Chapter 169, Section 10-214 (1996) requires each local or regional board of education to annually provide each pupil in K-6 and 9 a vision screening.  Audiometric screening for hearing is required to be provided annually to each pupil in K-3, 5, and 8.

Chronic Health Conditions: Statute Chapter 169, Section 10-206 (2004) (b) and (c) requires a licensed school health professional to conduct a chronic disease health assessment that includes asthma for each pupil prior to pubic school enrollment; once in the once in the 6th or 7th grade, and again in 9th or 10th grade. Postural screening is required annually in grades 5-9.

Body Mass Index (BMI) Screening: Not a mandatory requirement.


Delaware

Last Updated: 6/25/2010

Vision and Hearing: Administrative Code 14:815 (2003) states, each public school student in kindergarten and in grades 2, 4, 7 and grades 9 or 10 shall receive a vision and a hearing screening by January 15th". Additionally, screening shall also be provided to new enterers, students referred by a teacher or an administrator, and students considered for special education".

Chronic Health Conditions: No state policy.

Body Mass Index (BMI) Screening: No state policy.


Florida

Last Updated: 4/24/2013
Vision and Hearing: Section 381.0056 (2012), Florida Statutes, defines “screening” to mean presumptive identification of unknown or unrecognized diseases or defects by the application of tests that can be given with ease and rapidity to apparently healthy persons. This section of statute also requires each county health department to develop, jointly with the district school board and the local school health advisory committee, a school health services plan. The local school health services plan must include provisions for vision and hearing screening. Rule 64F—6.003, Florida Administrative Code, specifies minimum grade level requirements for vision and hearing screening.

Chronic Health Conditions: Section 381.0056 (2012), Florida Statutes, requires each county health department to develop, jointly with the district school board and the local school health advisory committee, a school health services plan. The local school health services plan must include provisions for scoliosis screening. Rule 64F-6.003, Florida Administrative Code, requires a minimum grade level requirement for scoliosis screening.

Body Mass Index (BMI) Screening: Section 381.0056 (2012), Florida Statutes, requires school health services programs administered jointly by the Department of Health and the Department of Education to administer growth and development screening for students as outlined in Rule Rule 64F-6.003, Florida Administrative Code. Although BMI is not explicitly mandated for student growth and development screenings, the Florida Department of Health has adopted the Centers for Disease Control clinical growth charts for boys & girls, which utilize BMI growth curves.  Calculation of BMI is required for all students in 1st, 3rd, 6th, and optionally 9th grades. 

Georgia

Last Updated: 10/30/2011

Vision and Hearing: Code 20-2-770 authorizes the Department of Human Resources, along with the State Board of Education to promulgate rules to provide for an eye examination for each student entering first grade in the public schools, and at other times as such rules provide.

Chronic Health Conditions: No state policy.

Body Mass Index (BMI) Screening: No state policy.

Physical Examination: Code 20-2-319.2 (2005) requires the State Board of Education to develop an interscholastic extracurricular athletic policy to provide "a single, comprehensive, preparticipation physical examination form" for schools.


Hawaii

Last Updated: 7/1/2010

Vision and Hearing: No state policy.

Chronic Health Conditions: No state policy.

Body Mass Index (BMI) Screening: No state policy.


Iowa

Last Updated: 11/29/2010

Vision and Hearing: Code 280.7A (2009) requires schools to provide each parent who registers a child for kindergarten to provide each parent who registers a child for kindergarten a student vision card, with the goal of every child receiving an eye exam by age seven. 281 IAC 41.304(3)  requires schools to collect information, and if appropriate assessment or evaluation of vision and hearing, prior to enrollment in special education. 

Chronic Health Conditions: IAC 281 41.405 (256B) requires school policy and procedures for special health services. Individuals requiring special health services shall receive special health services along with their educational program.

Body Mass Index (BMI) Screening: No state policy.

Dental:  Code 135.17 and 641 IAC 51 (2007) mandate that parents or guardians of elementary students must provide evidence to the school district or nonpublic elementary school of the child having a dental screening performed by a licensed medical professional (nurse, physician, physician assistant sometime between ages three and six.  A parent or guardian of a high school student must provide evidence of a dental screening preformed by a dental professional (hygienist or dentist) within the prior year. The Department of Public Health may specify the procedures that constitute a dental screening and authorize a waiver signed by a licensed medical professional for a person who is unduly burdened by the screening requirement. In addition, the screening requirement shall not apply to a person who submits an affidavit signed by the student (if an adult) or, if a minor, the student's parent or legal guardian, stating that the dental screening conflicts with a genuine and sincere religious belief.

Lead:  Code 135.102 (2007) requires that all children receive a blood lead test for elevated blood levels for lead prior to the age of six and before enrolling in any elementary school. The requirement may be waived if the department determines the child is at very low risk of elevated blood levels, or if the parent or legal guardian submits an affidavit stating that the blood testing conflicts with a genuine and sincere religious belief.


Idaho

Last Updated: 6/25/2010

Vision and Hearing: No state policy.

Chronic Health Conditions: No state policy.

Body Mass Index (BMI) Screening: No state policy.


Illinois

Last Updated: 12/26/2012

77 IAC 665.120 requires health examinations for students. Section 665.140 requires a physical examination prior to entering kindergarten or first grade, sixth grade and prior to entering ninth grade. Lead screening is a required part of the examination. 77 IAC 665.150 requires the examination to be completed on the Certificate of Child Health Examination Form.

Vision and Hearing77 IAC 675 requires hearing screening annually for grades K-3. 77 IAC 685 requires vision screening requires vision screening in kindergarden (or 1st grade if no kindergarden), 2 and 8, all special education classes and transfer students. 77 IAC 665.610 requires all children enrolling in kindergarten to have an eye examination.

Chronic Health Conditions: 105 ILCS 5/27-8.2 (2005) requires diabetes screening for Type 2 diabetes to be a part of each student's health examination.

Body Mass Index (BMI) Screening77 IAC 665.150 requires BMI to be included in the physical examination.

Dental: 77 IAC 665.410  requires students in kindergarten, second, and sixth grade to have and show proof of a dental exam by a licensed dentist before May 15th. 

Diabetes: 
77 IAC 665.700 requires a diabetes screening as a part of the required health examination. 77 IAC 665.710 outlines the requirements of the diabetes screening.

 


Indiana

Last Updated: 11/30/2010

Vision and Hearing: State Board of Education 511 IAC 4-2-1 (1984) requires all school corporations to conduct annual visual acuity screening tests of all students enrolled in grades 3 and 8.  511 IAC 4-2-1.1 requires schoosl to conduct a visual acuity test of children when they enroll in either kindergarten or grade 1 unless an eye care professional requests, in writing, that the child not be tested. 511 IAC 6.1-2-4 requires schools to conduct annual audiometer tests.

Chronic Health Conditions: No state policy.

Body Mass Index (BMI) Screening: No state policy.


Kansas

Last Updated: 11/20/2011

Vision and Hearing: Statute 72-5205 (1959) requires each school board to provide basic vision screening without charge to every pupil not less than once every two years. Statute 72-1205 (1969) requires school districts and accredited nonpublic schools to provide students with basic hearing screening without charge during the first year of admission and not less than once every three years thereafter.

Chronic Health Conditions: Kansas does not specifically require schools or districts to identify students with asthma, however, Statute 72-5214 (1999) requires students up to age nine to receive a health assessment prior to admission into school.

Body Mass Index (BMI) Screening: No state policy.


Kentucky

Last Updated: 10/13/2013

Vision and Hearing: Under 702 KAR 1:160 (2012), each local board of education must require a preventative health care examination one year prior to a child seeking admission to school The examination shall include a physical assessment, with hearing and vision screening.

Pursuant to KRS 156.160 (2004), the Kentucky Board of Education requires that evidenceof a vision examination by an optometrist or ophthalmologist be submitted no later than January 1 of the first year that a three, four, five, or six year-old child is enrolled in public school, public preschool, or Head Start Program.

KRS 156.160 (2008) requires a dental screening or dental exam by a dentist, dental hygienist, physician, registered nurse, advance practice registered nurse or physician assistant the first year that a five- or six-year-old is enrolled in a public school.

Chronic Health Conditions: No state policy.

Body Mass Index (BMI) Screening: 702 KAR1:160 (2012) requires a preventative health care examination to be reported on the Preventative Health Care Examination form, KDESHS002, to whicha space has been added for the BMI percentile. 
 

Louisiana

Last Updated: 8/5/2008

Vision and Hearing: 17:391.11 (1989) requires every child entering kindergarten for the first time to be given a nationally recognized readiness screening that measures a student's proficiency in vision and hearing. RS 17:2112 (2003) also requires every local school board to test the sight, including color screening in 1st grade, and hearing during the first semester of the school year or within 30 days of admission into school.

Chronic Health Conditions: No state policy.

Body Mass Index (BMI) Screening: No state policy.


Massachusetts

Last Updated: 11/26/2011

Vision and Hearing105 CMR 200.400 (1994) requires all public school students to have their vision and hearing tested annually.

Body Mass Index (BMI) Screening: 105 CMR 200.500 (2009) requires each school committe or board of health to adopt policies and procedures by June 30, 2010 to ensure that the BMI score and corresponding percentile is calculated for each student in grades 1, 4, 7 and 10. A report with the BMI percentile, along with explanatory materials, must be mailed or directly communicated to the parents or guardians.  Aggregate BMI results must be reported to the Massachusetts Department of Public Health. Parents or guardians must be provided with the opportunity to request, in writing, that their children not participate in the program. The Massachusetts Department of Public Health provides guidance in BMI Screening Guidelines for Schools (2009).

Chronic Health Conditions: No state policy.


Maryland

Last Updated: 9/15/2010

Vision and Hearing: SB 600 (2008) requires each county board to provide hearing and vision screening for all students in the first year of school entry into the system and first grade, and eighth or ninth grade. Only those students whose parents object in writing to hearing and vision screening due to religious beliefs may be exempt. State Board of Education Regulation 13A.05.05.10 (no date available) requires a room shall be provided for hearing screening tests and space and lighting requirements for the specific vision test used shall be made available.

Chronic Health Conditions: Maryland does not specifically require schools or districts to identify students with asthma; however, Code 7-402 (1996) requires the Department of Education to adopt regulations requiring a physical examination for children entering the public school system for the first time. State Board of Education Regulation 13A.05.05.07 (1995) more specifically requires designated school health services personnel to conduct health appraisals to identify health problems and inform school personnel of conditions that may impede learning or require special care. Maryland State School Health Services Guidelines Management of Students with Asthma in School (2003), addresses how the needs of students with asthma should be addressed, planned for and documented.

Body Mass Index (BMI) Screening: No state policy.


Maine

Last Updated: 12/14/2012

Vision and Hearing: Statute Title 20-A 6451 (2003) requires school districts to periodically screen for sight and hearing defects. DOE Rule Chapter 45 provides for the specification of vision and hearing screenings.

Chronic Health Conditions: No state policy.

Body Mass Index (BMI) Screening:  Statute title 20-A MRSA 6455 (2009) requires a school nurse or trained screener to collect body mass index from students in the school administrative unit in accordance with rules of the Department of Health and Human Services. Data may not be collected from a student whose parent or guardian objects on religious or philosophical grounds. Data must be reported in an aggregate manner to the Maine Center for Disease Control and Prevention. 


Michigan

Last Updated: 7/1/2010

Vision and Hearing: MCL 380.1177 (2000) requires children enrolling in kindergarten must provide evidence that their vision has been tested once since the age of 3.

Chronic Health Conditions: No state policy.

Body Mass Index (BMI) Screening: BMI Screening is recommended in the Healthy Weight (2001) paper approved by the State Board of Education.


Minnesota

Last Updated: 7/1/2010

Vision and Hearing: No state policy.

Chronic Health Conditions: No state policy.

Body Mass Index (BMI) Screening: No state policy.


Missouri

Last Updated: 4/28/2012

Vision and Hearing: Revised Statute 167.194 (2007) requires every child enrolling in kindergarten or first grade in a public elementary school to receive one comprehensive vision exam performed by a licensed optometrist or physician by January 1 of the first year the child is enrolled in school. Schedules and protocols for screenings for school age children can be found in the Guidelines for Hearing Screening (2004), the Guidelines for Vision Screening (2004), and the Guidelines for Spinal Screening in Schools (2004).

Chronic Health Conditions: The state does not have a specific policy requiring schools to identify students with asthma. However, the Missouri School Improvement Program (MSIP) (2001) requires districts to have developed and implemented a school health services program which must include board-approved policies on procedures for monitoring students' with chronic health problems and develop strategies for addressing the problems to ensure academic progress.

Body Mass Index (BMI) Screening: Protocols for using BMI screening in schools can be found in the Guidelines For Growth Screening (2005).


Mississippi

Last Updated: 7/1/2010

Vision and Hearing: Code 41-79-5 (2000) requires school nurse intervention services to provide hearing and vision screening services.

Chronic Health Conditions: No state policy.

Body Mass Index (BMI) Screening: No state policy.


Montana

Last Updated: 12/19/2012

Administrative Rule 37.111.825 recommends recommends that students be evaluated by registered professional nurses or other appropriately qualified health professionals on a periodic basis in order to identify those health problems which have the potential for interfering with learning, including:(a) assessment of student's health and developmental status; (b) vision screening; (c) hearing screening;(d) scoliosis screening; (e) chemical and alcohol abuse;(f) nutritional screening; and (g) dental screening.

Vision and Hearing:  Administrative Rule 37.111.825 recommends recommends that students be evaluated by registered professional nurses or other appropriately qualified health professionals on a periodic basis in order to identify those health problems which have the potential for interfering with learning, including hearing and vision screening.
 
Chronic Health Conditions: No state policy.

Body Mass Index (BMI) Screening: No state policy.


North Carolina

Last Updated: 7/1/2010

Vision and Hearing: Statute 130A-440 (2006) a vision screening in accordance with standards adopted by the Governor's Commission on Early Childhood Vision care, within 180 days of the start of the school year. For children who receive and fail to pass a vision screening, a comprehensive eye examination is required. If a public school teacher, administrator, or other appropriate school personnel has reason to believe that a child enrolled in K-3 is having problems with vision, the school personnel may recommend to the parent that the child have a comprehensive eye examination. Funds may be available from the Governor's Commission on Early Childhood Vision Care to pay providers for the examination, including corrective lenses. Once the comprehensive exam is completed, the parent shall submit a provider-signed transmittal form to the school.

Chronic Health Conditions: North Carolina does not require schools or districts to identify students with asthma. However, Statute 130A-440 requires every child in the state entering kindergarten to receive a health assessment and present it to the school principal.

Body Mass Index (BMI) Screening: No state policy.


North Dakota

Last Updated: 7/1/2010

Vision and Hearing: No state policy.

Chronic Health Conditions: No state policy.

Body Mass Index (BMI) Screening: No state policy.


Nebraska

Last Updated: 12/31/2013

LB 114 (2005) requires a student to receive a physical examination by a physician, physician assistant, or an advanced practice nurse six months prior to school entry into the beginning grades and the seventh grade. Admin Code 173 NAC 7 (2013) include specific guidelines regarding physical examination, vision, hearing and dental screenings. 

Vision and Hearing: Statute 79-248 (1996) requires each student to be carefully inspected" to identify whether the child suffers from defective sight or hearing. LB 114 more specifically requires a student to have received a visual evaluation by a physician, physician assistant, an advanced practice nurse, or an optometrist six months prior to school entry beginning with the 2006-07 school year and every year thereafter.

Dental: Statute 79-248 requires each student to be carefully inspected" to identify whether the child suffers from dental defects.

Chronic Health Conditions: No state policy.

Body Mass Index (BMI) Screening: No state policy.


New Hampshire

Last Updated: 7/1/2010

Vision and Hearing: No state policy.

Chronic Health Conditions: No state policy.

Body Mass Index (BMI) Screening: No state policy.


New Jersey

Last Updated: 1/22/2013

Vision and Hearing: N.J.S.A. 18A:40-4 requires a screening of hearing examination to be conducted on each pupil during the school year. State Board of Education Administrative Code N.J.A.C. 6A:16-2.2(k) requires biennial screening for visual acuity in kindergarten through grade 10. 

Chronic Health Conditions: New Jersey does not require schools or districts to identify students with asthma. However, N.J.S.A. 18A:40-4 (1997) requires that the medical inspector, the nurse or a licensed medical and health care personnel, under the immediate direction of the medical inspector, examine each pupil in order to identify whether any physical defects exists, or in lieu thereof the medical inspector may accept the report of such an examination by a physician licensed to practice medicine and surgery within the state or by a nurse practitioner/clinical nurse specialist certified by the New Jersey Board of Nursing working in collaboration with a physician licensed to practice medicine and surgery within the state. State Board of Education Administrative Code N.J.A.C. 6A:16-2.2 (2001) also requires students to receive a medical examination upon school entry, at least one time during each "developmental stage" (early childhood, pre-adolescence, and adolescence) and prior to participation on a school-sponsoredinterscholastic or intramural athletic team or squad for students enrolled in any of grades six to 12.

Body Mass Index (BMI) Screening: No state policy however. State Board of Education Administrative Code N.J.A.C. 6A:16-2.2(k) requires annual height and weight screenings for each student in kindergarten through grade 12.


New Mexico

Last Updated: 7/1/2010

Vision and Hearing: NMSA 24-1-30 through 24-1-32 (2007) created the Save Our Children’s Sight Fund and requires vision screening tests to be administered to students enrolled in the school in pre-kindergarten, kindergarten, first grade and third grade and for transfer and new students in those grades, unless a parent affirmatively prohibits the visual screening.  The statute also requires the Department of Health to promulgate rules for the award of money for certain eligible students from the fund along with rules to establish vision screening test standards based upon a DOH Secretary-appointed advisory committee’s recommendation.

Chronic Health Conditions: No state policy.

Body Mass Index (BMI) Screening: No state policy.


Nevada

Last Updated: 7/10/2013

Vision and Hearing: NRS 392.420 (2001) requires schools to provide tests for visual and auditory problems in at least two grades of the elementary schools, one grade of the middle or junior high schools, and one grade of the high schools".

Chronic Health Conditions: No state policy.

Body Mass Index (BMI) Screening: No state policy specifying BMI. However, NRS 392.420 (2013) requires each school district to conduct examinations of the height and weight of a representative sample of students in grades 4, 7 and 10 in the schools within the school district. The requirement is limited to school districts in a county  whose population is 100,000 or more.


New York

Last Updated: 9/27/2010

Vision and Hearing: Education Law 905 (no date available) requires schools to perform vision and hearing tests of all students "at such times defined by the regulations of the commissioner.

Chronic Health Conditions: No state policy.

Body Mass Index (BMI) Screening: Education Law 903 (2007) requires each student's health certificate to include information about the student's body mass index (BMI) and weight status category.  Health certificates are required to be presented by students upon entrance to school and at least twice during elementary school and twice during secondary school.  Weight status categories for children and adolescents shall be defined by the commissioner of health.  Parents or other  persons  in  parental  relation to a student may refuse to have the student's BMI and weight status category included in such survey.

Dental: Education Law 903 (2008) requires presentation of a dental health certificate showing that students have seen a dentist within the previous twelve months before entering the second, fourth, seventh and tenth grades. Lack of presentation of a certificate, however, does not preclude a student from attending schools.


Ohio

Last Updated: 4/29/2013

Vision and Hearing: ORC 3313.673 (1990) requires students, prior to November 1st of the school year in which they are enrolled in kindergarten or the first grade, to be screened for vision, hearing, and health or medical problems and for any developmental disorders. ORC 3313.69 (1953) requires a test to determine the existence of hearing and vision defects in school children. The methods of making such tests and the devices to be used shall be approved by the department of health.

Chronic Health Conditions: No state policy.

Body Mass Index (BMI) Screening: ORC 3313.674 (2013) permits requires the board of education of each city, exempted village or local school district and the governing authority of each chartered nonpublic school to require each student enrolled in kindergarten, third, fifth and ninth grade to undergo a screening for body mass index and weight status . The board or governing authority may provide the required screenings, contract with another entity, or request the parent or guardian obtain the screening from a provider and submit the results. If requesting screening from parents or guardians, the board or governing authority must provide a list of providers and screening services available to parents and guardians who cannot afford a provider. If the board or governing authority provides the screenings itself or contracts with another entity, it must protect student privacy by ensuring that each student is screened alone and not in the presence of other students or staff. The board or governing authority must provide the parent or guardian of each subject student with information about the screening program prior to the first day of February of each school year. Parents or guardians may request an exemption from the requirement. For students screened, the board or governing authority must notify parents of any health risks associated with the student’s results and provide information about appropriate addressing the risks.  The board or governing authority must maintain confidentiality of each student’s screening results, with individual results only to parents or guardians. Aggregate BMI and weight status data must be reported to the Department of Health (DOH). The DOH must then publish reported data on an annual basis, aggregated by county.
 


Oklahoma

Last Updated: 7/1/2010

Vision and Hearing: §70-1210.284 (2006) requires the parent or guardian of each student enrolled in kindergarten in public school to prevent a certification to school personnel that the student passed a vision screening during the previous 12 months. Parents of students enrolled in first and third grade must present a certification to school personnel within 30 days of the beginning of the school year confirming that the student passed a vision screening during the previous 12 months. Students who do not pass a vision exam will receive a recommendation for a comprehensive eye examination. The opthamologist or optometrist shall forward a written report of the comprehensive eye exam to the school, parent or guardian and health care provider.

Chronic Health Conditions: No state policy.

Body Mass Index (BMI) Screening: No state policy.


Oregon

Last Updated: 7/1/2010

Vision and Hearing: OAR 581-022-0705 (1996) requires school districts to provide vision and hearing screening.

Chronic Health Conditions: No state policy.

Body Mass Index (BMI) Screening: No state policy.


Pennsylvania

Last Updated: 7/1/2010

The School Health Program Manual (2009) outlines the requirements for the categories below.

Vision and Hearing: 028 PA Code 23.1 (1959), per 24 P.S. 14-1402 (1966), states that each child shall be given a vision test and hearing test as outlined in 028 PA Code 23.4 & 23.5 (1959).

Chronic Health Conditions: 24 P.S. 14-1408 (1957) states that schools shall file with the Department of Health such reports as required by the regulations of the Department. 028 PA Code 23.28 and 23.61 (1982) specify that applications for reimbursement shall be made to the Department of Health. This application/report includes listing the number of children with a medical diagnosis of asthma.

Body Mass Index (BMI) Screening: 028 PA Code 23.7 (1959), per  24 P.S. 14-1402, requires "a measurement of height and weight by a school nurse or teacher, who shall use the measurements to compute a child's weight-for-height ratio." BMI screening is required as a part of the growth screening program.

Dental: 24P.S. 14-1403(a) requires a dental examination by a school dentist (or family dentist) upon original entry into school, third grade and seventh grade.

Other: 028 PA Code 23.10 (1982) states that scoliosis screenings shall be included in school health programs.


Rhode Island

Last Updated: 2/13/2013

Vision and Hearing: Statute 16-21-14 (1961) requires hearing and vision screening tests be provided for schools statewide. Statute 16-21-14.1 (2006) requires a vision screening upon entering kindergarten or within 30 days of the start of the school year. Section 9.0 of the Rules and Regulations for School Health  (2009) requires each student receive a vision screening at a minimum upon school entry and in the 1st, 2nd, 3rd, 4th, 5th, 7th, and 9th grades.

Statute 16-21-14 requires a hearing screening test be administered upon initial entry into school. Section 11.0 of the Rules and Regulations for School Health  (2009) requires each student first enrolled to receive a hearing screening test conducted by a properly trained and qualified person, and screened at intervals consistent with the current guidelines of ASHA.

Chronic Health Conditions
: Rhode Island does not require schools or districts to identify students with asthma. However, the state does require students who have not previously enrolled in a public or non-public school in that state shall have a medical history and physical examination that assesses the health and well-being of the student and evaluate any challenges to the child's success in school and school-related activities stated in Section 9.0 of the Rules and Regulations for School Health (2009). The section further requires a second general health examination to be conducted upon entry into the 7th grade.

Body Mass Index (BMI) Screening: No state policy.

Dental: Section 14.0 of the Rules and Regulations for School Health(2009) requires every student upon initial enrollment into a public school to be given an initial dental screening by a licensed dentist or dental hygienist. Students are to then receive annual dental screenings by a licensed dentist or hygienist through 5th grade and screened at least once between the 6th and 10th grades. Statute 16-21-9 (1956) requires that communities provide for health and dental screenings of students. Statute 16-21-12 (1956) further states that the school committee may provide dental treatment of students who parents or guardians do not provide treatment within one month of receiving a notice resulting from this dental screening.

Lead: Statute 23-24.6-8 (1991)requires each public and private nursery school and kindergarten to obtain evidence from a parent that the child has been screened for lead poisoning prior to entry into school. Section 9.7 of Rules and Regulations for School Health (2009) states that, in lieu of testing, parents may sign a certificate stating that blood testing is contrary to that person's beliefs.

Other: Statute 16-21-10 (1981) requires yearly scoliosis screenings for students in grades 6 through 8. 

Section 13.0 of the Rules and Regulations for School Health (2009) and Statute 16-21-10 (1981) require the school health program to provide for yearly screening or examination for scoliosis for all school children in grades 6-8 conducted by a certified nurse-teacher. Parent/guardian may have the screening or examination conducted by a private physician with the results made available to the school.

Section 12.0 of the Rules and Regulations for School Health (2009) requires every elementary student to be screened for speech and language impairments by a trained and qualified person if they had not been previously screened.


South Carolina

Last Updated: 7/1/2010

Vision and Hearing: No state policy.

Chronic Health Conditions: The School Health Program Manual (1997) [no link available] recommends that students with chronic health deficits to be identified upon enrollment and by annual health status updates. 

Body Mass Index (BMI) Screening: No state policy.


South Dakota

Last Updated: 7/1/2010

Vision and Hearing: No state policy.

Chronic Health Conditions: No state policy.

Body Mass Index (BMI) Screening: No state policy.


Tennessee

Last Updated: 2/5/2012

Guidelines for screening are outlined in the Tennessee School Health Screenings Guidelines Manual.

Vision and Hearing: Chapter 632 of the Public Acts of 2008 amends Code 49-6-5004 (2008) to state LEAs are encouraged to seek free or reduced-cost eye and/or hearing examinations.

Chronic Health Conditions: A health assessment by a registered nurse is advised for any child with acute or chronic health issues in the Tennessee State Board of Education, Guidelines for the Use of Healthcare Professionals and Health Procedures in a School Setting 4.205 (2007).

Body Mass Index (BMI) Screening: Code 49-6-1401 (2005) authorizes local education agencies (LEA) to implement programs that identify public school children who are at risk of obesity by training school volunteers and school staff in taking a BMI.   LEAs must complete a BMI-for-age for every child enrolled in the school system if not exempted by the parents. Schools must then provide each student's parents or guardians with a confidential health report card that represents the result of the child's BMI-for-age screening, along with basic educational information on what the results mean and what the parents or guardians should do with the information. Code 49-6-1402 (2005) mandates the department of education to provide a framework for a BMI screening program for LEAs. Code 49-6-1404 (2005) encourages schools with high rates of overweight children to expand or implement new school-based nutrition and physical activity programs.

Drug Screening: Code 49-6-4213 (2010)  allows a student to be subject to testing for the presence of drugs if there are reasonable indications to the principal that the student may have used or be under the influence of drugs. The need for such testing may be brought to the attention of the principal through a search authorized by §49-6-4204 or §49-6-4205, observed or reported use of drugs by the student on school property, or other reasonable information received from a teacher, staff member or other student. Standards for reasonableness outlined in the statute must be met to conduct the testing. The statute allows a student participating in voluntary extracurricular activities to be subject to random drug testing in the absence of individualized reasonable suspicion. Each LEA participating in the drug testing of students must develop policies and procedures to ensure that those students receive the assistance needed, including an assessment to determine the severity of the student's alcohol and drug problem and a recommendation for referral to intervention or treatment resources as appropriate. If an LEA adopts a policy permitting random drug testing of students in voluntary extracurricular activities, it must notify the parents and guardians that the student may be subjected to random drug testing prior to a student participating in an extracurricular activity, with the parent or guardian providing written consent. If a student is tested in a drug testing program and the results of the test are positive, all records of the test must be confidential. A student tested under a random drug testing program may not be suspended or expelled from school solely as the result of the positive test.


Texas

Last Updated: 10/1/2010

Vision and Hearing: Health and Safety Code 36.001 requires the screening of individuals who attend public or private preschools or schools  to detect hearing and vision disorders as specified by the Board of Education. The Vision and Hearing Screening Requirements require vision screening for all 4 year olds, kindergarten entrants and all other first-time entrants. In addition, a vision screening is required for 1st, 3rd, 5th and 7th graders.

Chronic Health Conditions: No state policy.

Body Mass Index (BMI) Screening: No state policy.

Other: Education Code 38.003 (1995) requires students enrolling in public schools to be tested at appropriate times for dyslexia and related disorders.

Education Code 38.019 (2007) establishes a pilot cardiovascular screening program, including an electrocardiogram and echocardiogram, for sixth grade students at participating campuses. The results must be provided to each students' parent or guardian and a summary of the results must be provided to the legislature.


Utah

Last Updated: 7/1/2010

Vision and Hearing: Code 53A-11-201 (1996) also requires each local school board to implement rules as prescribed by the Department of Health for vision, dental, abnormal spinal curvature, and hearing examinations of students attending the district's schools. Code 53A-11-203 (2010) requires children entering school under the age of seven to have a vision screening. Each school district may conduct free vision screening clinics for children aged 3 1/2 to 7. The statute also authorizes districts to provide free vision screening for children ages 8 and older, establishes guidelines for administering a free vision screening programs, and establish penalties for a violation of certain provisions related to free vision screenings.

Chronic Health Conditions: No state policy.

Body Mass Index (BMI) Screening: No state policy.


Virginia

Last Updated: 11/16/2010

Vision and Hearing: Code 22.1-273 (1995) calls for the principal of each school identified by the school board to ensure the testing of sight and hearing of relevant pupils unless it was included as part of the examination required in Code 22.1-270 (2004).

Chronic Health Conditions: The Department of Education, with the Virginia Department of Health, developed the Guidelines for Managing Asthma in Virginia Schools (2003), which suggest school nurses, as part of their duties, identify those students with asthma.

Body Mass Index (BMI):No state policy.

Other: Code 22.1-273.1 (2003) requires each school board to provide information to parents or implement a program of regular screening for scoliosis for pupils in grades 5-10, unless it was included as part of the examination required in Code 22.1-270.

Code 22.1-270 prohibits any student from admittance into any public kindergarten or elementary school without furnishing a report from a qualified licensed medical professional of a comprehensive physical examination.


Vermont

Last Updated: 7/1/2010

Vision and Hearing: 16 VSA 1422 (2009) requires periodic hearing and vision screening of school-aged children screening by primary care providers and school districts based on research-based guidelines developed by the commissioner of health in consultation with the commissioner of education. 

Chronic Health Conditions: No state policy.

Body Mass Index (BMI) Screening: No state policy.


Washington

Last Updated: 7/1/2010

Vision and Hearing: RCW 28A.210.020 (1971) requires all school boards to provide vision and hearing screening for their students.

Chronic Health Conditions: No state policy.

Body Mass Index (BMI) Screening: No state policy.


Wisconsin

Last Updated: 7/13/2011

Vision and Hearing: Statute 118.135 (2001) requires each school board and each charter school to request each pupil entering kindergarten to provide evidence that the pupil has had his or her eyes examined by a [licensed] optometrist or evaluated by a [licensed] physician". This statute also encourages, but does not require, physicians and optometrists to provide free examinations for those in financial need.

Chronic Health Conditions: No state policy.

Body Mass Index (BMI) Screening: No state policy. However, the Department of Health and Family Services and the Wisconsin Nutrition and Physical Activity Program produced guidance for schools in BMI screening, To Weigh and Measure: Height, Weight and Body Mass Index (2008).


West Virginia

Last Updated: 3/14/2012

Vision and Hearing: Code 18-5-17 requires new school enterers to be screened for vision, hearing and speech and language prior to enrollment.  Development screening are performed upon request from parent or community member.  State Board of Education Policy  2525 requires all PreK students to have an EPSDT(HealthCheck) on file prior to enrollment or 45 days after enrollment which in inclusive of hearing, vision, speech & language, developmental and dental.

Chronic Health Conditions: WVSBOE Policy 2525 requires an EPSDT(HealthCheck) and provider identification of chronic health conditions and ordered care during the school day.  WV's Governor has initiated a KIDS FIRST program to recommend all students entering kindergarten receive a EPSDT(HealthCheck) prior to enrollment.  The initiative is at http://www.wvkidsfirst.org/ .

Body Mass Index (BMI) Screening: Code 18-2-7a (2005) states that the board shall promulgate a rule in accordance with the provisions article 3b, chapter 29a the code that includes at least the following provisions to provide for the collection, reporting and use of BMI data in the public schools:
(1) The data shall be collected using the appropriate methodology for assessing the BMI from student height and weight data;
(2) The data shall be collected on a scientifically drawn sample of students;
(3) The data shall be collected and reported in a manner that protects student confidentiality;
(4) The data shall be reported to the Department of Education; and
(5) All body mass index data shall be reported in aggregate to the Governor, the State Board of Education, the Healthy Lifestyles Coalition and the Legislative Oversight Commission on Health and Human Resources Accountability for use as an indicator of progress toward promoting healthy lifestyles among school-aged children.


Wyoming

Last Updated: 3/25/2012

Vision and Hearing: Rule 4362, Chapter VI (2001) requires the district to provide an organized program that identifies potential and existing health problems through routine hearing and vision screenings performed by qualified personnel.

Chronic Health Conditions: No state policy. 

Body Mass Index (BMI) Screening: No state policy.


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