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Individual Health Plan for Students

Alaska

Last Updated: 1/1/2006
04 AAC 07.060 (2002) requires each school to maintain a cumulative record for each student that contains documentation of required immunizations and physical examinations and other health-related matters required by state law or district policy.

Alabama

Last Updated: 3/5/2009

The State Board of Education/Alabama Board of Nursing Curriculum to Teach Unlicensed School Personnel How to Assist with Medications in the School Setting (2003) outlines the responsibilities of school nurses, which include the development and implementation of the nursing care plan/individualized health plan. Administrative Code 290-8-9-.05 (1999) also includes chronic health conditions as an "other health impairment" disability that requires special services written in an individualized education program.


Arkansas

Last Updated: 12/27/2013

The Rules Governing Public School Student Services(2012), codified by code 6-18-1005, state that students with special health care needs, including the chronically ill, medically fragile, and technology-dependent, and students with other health impairments, need to have individualized health care plans.

Administrative Rule
6.08.8 (no date available) defines "other health impairments" under the Individual with Disabilities Education Act to include a child with a chronic or acute health problem that adversely affects educational performance such as asthma and requires the development of an Individualized Education Program to document the services required in Rule 6.09.2 (no date available).


Arizona

Last Updated: 1/2/2006

ARS 15-346 instructs local districts to work with parents, teachers, and a health professional to adopt policies and procedures concerning pupils with chronic health problems. As part of a student’s health plan, the statute requires homework to be provided for students absent from school to avoid losing credit and flexibility in physical education activity requirements, so students may participate to the extent their health permits.


California

Last Updated: 10/24/2011

Although the state does not have a policy regarding individualized health plans for students in need of health services, the Guidelines for the Management of Asthma in California Schools (2004) does encourage asthma action plans prepared by healthcare providers for every student and an individualized school health care plan for students with severe and frequent asthma episodes that may impact their education program and require assistance from trained school staff.


Colorado

Last Updated: 1/2/2006
No state policy.

Connecticut

Last Updated: 10/27/2011

Statute Chapter 169, Section 10-212c (2005) requires the department of education to develop guidelines for the management of students with life-threatening food allergies which shall include a process for developing individualized health care and food allergy action plans.


Delaware

Last Updated: 5/8/2009

Administrative Code 14:811 (2003) requires a school health record to be prepared, documented, and kept confidential by a school nurse for each public school student. Administrative Code 14:817 (2003) also requires the school nurse to be included in the IEP team for students who require significant medical and/or nursing interventions.


Florida

Last Updated: 4/24/2013

No state policy for Individual Health Plans, but Statute 1006.062 (2012) requires child-specific training for health-related services.


Georgia

Last Updated: 8/25/2009

State Board of Education Rule 160-4-7-.09 (2000) requires an individualized education program to contain statements of any special education or related services provided to a student, including school health services according to State Board of Education Rule 160-4-7-.01 (2000).


Hawaii

Last Updated: 1/9/2006

Education Rules §8-56-38 (2000) and §8-56-2 (2000) require that school health services must be provided to students and included in an individualized education plan.


Iowa

Last Updated: 12/21/2008

281 IAC 41.404  requires each agency providing special education services to establish policies and procedures on individual health plans for students who require ongoing professional health evaluations when administering medication. 281 IAC 41.404-405 requires the each agency to adopt policy and procedures for special health services including an individual written health plan and emergency plan.


Idaho

Last Updated: 1/9/2006

No state policy.


Illinois

Last Updated: 10/24/2006

The state does not have a policy regarding individualized health plans for students in need of health services. However, 105 ILCS 5/10-20.35 (2002) encourages school districts to create and use an emergency medical information form that is filled out by the parent or guardian for bus drivers and emergency medical technicians for students with special needs or medical conditions.


Indiana

Last Updated: 8/14/2008

511 IAC 7-27-6 (2000) requires an individualized education program to contain statements of any special education or related services provided to a student. The definition of related services" includes school health services and can be found in 511 IAC 7-28-1 (2000).

20-34-5 (2007) requires a diabetes management and treatment plan for each student with diabetes.  The plan must be developed and signed by the student's licensed healthcare professional and parent and submitted to the school nurse.  It must identify services and procedures the student needs to receive at school and evaluate their understanding of diabetes and evaluate their ability to manage. 

20-34-5 (2007) requires the development of an individualized health plan for each student with diabetes while the student is at school or participating in a school activity.  The individualized health plan must incorporate the components of the student's diabetes management and treatment plan.


Kansas

Last Updated: 11/20/2011

Regulation 91-40-1 (2000) defines other health impairments" under the Individual with Disabilities Education Act to include a child with a chronic or acute health problem. Statute 72-987 (1999) describes the content of an individualized education program to include a statement of the special education and related services provided to a child to enable academic and extracurricular progress.


Kentucky

Last Updated: 5/23/2013

The state does not have a policy regarding individualized health plans for students in need of health services. 702 KAR 1:160, Section 3 (2012) requires each school to initiate a cumulative health record for each student that contains screening tests and findings and recommendations of a physician and dentist.


Louisiana

Last Updated: 11/21/2011

RS 17:28, (1995), 17:435 (1990), 17:436 (1997), and 17:436.1 (2001) require all health procedures performed in the school setting to be performed in compliance with the rules and regulations established by the Louisiana State Board of Nursing for nurses in all settings and the Rules and Regulations of Nursing, of the Professional and Occupational Standards for nurses, call for individual health plans for all patients.

R.S. 17:1941 Bulletin 1706 requires the consideration of health needs of students with disabilities to be met during the school day based on a health assessment.

Title 28 Part CI Bulletin 1508 requires a health assessment and provision of appropriate health services by a school nurse or other qualified personnel for students with disabilities when there is evidence of the need for health technology, treatment and/or management.

 


Massachusetts

Last Updated: 1/21/2006

No state policy.


Maryland

Last Updated: 9/3/2009

Board of Education Regulation 13A.03.05.01 (1994) requires all school systems to comply with the federal Individuals with Disabilities Education Act and Section 504 of the Rehabilitation Act of 1973 when providing instructional services to public school students who are unable to participate in their school enrollment due to a physical or emotional condition. Board of Education Regulation 13A.05.05.08 (1991) allows a designated school health services personnel to participate in the health services component of the Individualized Education Plan, the Individualized Family Service Plan, or the Transitional Plan. This regulation also requires a student with special needs that may require particular attention during the school day to have a statement of those health needs and a nursing care plan for emergency and routine care prepared by the designated school health services professional.


Maine

Last Updated: 1/16/2006

No state policy.


Michigan

Last Updated: 10/12/2005

Administrative Code 340.1709a (2002) defines “other health impairments” under the Individual with Disabilities Education Act to include a child with a chronic or acute health problem and should be evaluated by a multidisciplinary evaluation team. Administrative Code 340.1713 (2002) informs the individualized education program team that an environmental, cultural, or economic disadvantage is not considered a specific learning disability.

In 2005, the State Board of Education adopted the Policy on the Management of Asthma in Schools that recommends schools establish asthma management and support systems by including individual asthma action plan forms in annual enrollment materials.


Minnesota

Last Updated: 1/22/2006
Statute 121A.22 (2004) allows the administration of medications to be written in the individual education plan of a child with a disability. School districts must also prepare an IHP for students with life threatening allergies that may need emergency epinephrine. Statute 144.29 (1997) also requires school nurses to maintain a health record for each child.

Missouri

Last Updated: 1/22/2006

No specific policy. However, school districts must establish policies pertaining to 504-related health plans.


Mississippi

Last Updated: 1/9/2007

Code §41-79-5 (2000) requires the school nurse to develop individualized health plans.


Montana

Last Updated: 12/19/2012

MCA 20-7-402 (2005) requires child study teams to identify disabilities and include them in an individualized education program. Administrative Rule 10.16.3018 (2007) and MCA 20-7-401 (2011) also define other health impairments" under the Individual with Disabilities Education Act to include a child with a chronic or acute health problem and requires a medical diagnosis of the health problem.


North Carolina

Last Updated: 12/18/2010

Statute 115C-113 (2000) requires each local education agency to prepare an individualized education program that includes statements of related services provided to a child based on his or her disability. Statute 115C-108 (1985) includes medical services in its definition of related services.

Statute 115C-149 (1989) requires that an appropriate education is provided for drug and alcohol addicted children; however, these children are not children with special needs".

Statute 115C-12(31) requires the State Board to adopt guidelines for the development and implementation of individual diabetes care plans. The guidelines must include (1) procedures for the development of an individual diabetes care plan, (2) procedures for regular review of an individual care plan, (3) information to be included in a diabetes care plan, including the responsibilities and appropriate staff development for teachers and other school personnel, an emergency care plan, the identification of allowable actions to be taken, the extent to which the student is able to participate in the student's diabetes care and management, other information necessary for teachers and other school personnel in order to offer appropriate assistance and support to the student, and (4) information and staff development to be made available to teachers and other school personnel in order to appropriately support and assist students with diabetes. Statute 115C-375.5 requires local boards of education to implement the guidelines provided by the State Board of Education regarding individual diabetes care plans. It also requires local boards of education and boards of directors of charter schools to report annually whether or not they have students with diabetes enrolled and information showing compliance with Statute 115C-12(31).


North Dakota

Last Updated: 1/30/2006

No state policy.


Nebraska

Last Updated: 12/21/2011

92 NAC 51-003.07 (no date available) addresses asthma, among many other conditions, as an, "other health impairment" that may be considered a disability when verified by a multidisciplinary team under 92 NAC 51-006 (no date available). Statute 79-225 (2006) requires the development of an individual medical management plan for self-administration of diabetes medications while at school. 

Special Education and related services would be specified in an individual education plan according to 92 NAC 51-007.05 (no date available).


New Hampshire

Last Updated: 1/29/2006
No state policy.

New Jersey

Last Updated: 1/23/2013

N.J.S.A. 18A:40-12.8 requires that an asthma treatment plan prepared by each pupil's physician for all pupils authorized to use asthma medication or a nebulizer.  Both N.J.S.A. 18A:40-4 (1997) and State Board of Education Administrative Code N.J.A.C. 6A:16-2.4 also require a health record to be kept for each pupil.  State Board of Education Administrative Code N.J.A.C. 6A:16-2.3(b) requires the certified school nurse to write and update at least annually, the individualized health care plan and the individualized emergency healthcare plan for students’ medical needs and instructing staff as appropriate;.

N.J.S.A. 18A:40-12.12 requires the school nurse to develop an Individualized Health Care Plan for a student with diabetes, in consultation with the parent or guardian of the student with diabetes and other appropriate medical professionals, which is consistent with the recommendations of the student’s health care providers and which sets out the health services needed by the student at school and is signed by the parent or guardian and the school nurse; and an Individualized Emergency Health Care Plan  which outlines a set of procedural guidelines that provide specific directions about what to do in a particular emergency situation and is signed by the parent or guardian and the school nurse.

New Mexico

Last Updated: 12/11/2006

6.31.2.11 (2001) NMAC requires a statement of related services a child with an, “other health impairment” disability is receiving to be included in the individualized education plan.


Nevada

Last Updated: 9/9/2009

NRS 388.520 (1999) requires the state board to develop standards for programs of instruction for special services in an individual education plan that includes other health impairments," defined in State Board of Education Administrative Code 388.046 (2000) that includes chronic or acute health problems.


New York

Last Updated: 1/29/2006

No state policy.


Ohio

Last Updated: 1/30/2006

No state policy.


Oklahoma

Last Updated: 4/24/2008

HB 1309 (2007) mandates the development of a diabetes medical management plan for each student who will seek care for diabetes while at school or while participating in a school activity.


Oregon

Last Updated: 2/21/2006

OAR 581-015-0005 (2003) defines “children with disabilities” to include those with chronic health problems that adversely affect a child’s educational performance due to the health impairment. OAR 581-015-0068 (2003) requires these health-related disabilities to be included as a statement describing the health services to be provided to the child in an individualized education program.


Pennsylvania

Last Updated: 2/18/2006
Pennsylvania does not have a policy specifically requiring schools to devise an individual health plan according to a student's health service needs.

Rhode Island

Last Updated: 2/13/2013

Section 15.0 of the Rules and Regulations for School Health (2009) requires the certified nurse-school personnel to maintain a complete, cumulative school health record for each student, which includes information regarding a student's health history, including chronic conditions and treatment plans, and documentation of health care provider's orders and any parental permission to administer medications or medical treatment to be given in school.


South Carolina

Last Updated: 10/14/2006

Code 59-63-80 (2005) requires each school district to adopt a policy, "requiring that students with special health care needs have individual health care plans".

The School Health Program Manual (1997) [no link available] recommends that each student have appropriate school health records that record the general health status, emergency information, and routine services for every student upon school entry. More specifically, an individual healthcare plan is to be developed for students with a disability or chronic condition.


South Dakota

Last Updated: 2/2/2012

Administrative Rule 24:05:27:01.03 (2000) requires a student's individualized education program to contain a statement of related services that will be provided for the student. Administrative Rule 24:05:27:16 (2000) outlines the related services, which includes school health services. Similarly, Administrative Rule 67:16:37:03 (1991) requires a school district to have a plan of care for each child receiving medical services, which can be substituted with an Individual Education Plan (IEP) or Individual Family Service Plan (IFSP).


Tennessee

Last Updated: 2/5/2012

Code 49-5-415 (2006) requires registered nurses to complete an Individual Health Plan (IHP) for students with acute or chronic health issues that can serve as an asthma action plan. The Tennessee State Board of Education, Guidelines for the Use of Healthcare Professionals and Health Procedures in a School Setting 4.205 (2007) defines and details the requirements of the IHP.

Rules of the State Board of Education Special Education Programs and Services Chapter 0520-1-9-.06 (2008) requires an Individualized Education Program (IEP) to be developed for each child that has a disability and is in need of special education and related services. Chronic or acute health problems are included as an “other health impairment” disability in need of related services per Rules of the State Board of Education Special Education Programs and Services Chapter 0520-1-9-.02 (2008).


Texas

Last Updated: 10/3/2010

Health & Safety Code 168.003 (2005) requires that an IHP be developed for each student with diabetes who will seek care while at school or while participating in a school activity. The IHP must incorporate components of said student's diabetes treatment and management plan.


Utah

Last Updated: 2/18/2006

No state policy.


Virginia

Last Updated: 2/18/2006

Code §22.1-274.2 requires local school boards to develop and implement policies allowing students with asthma to possess and self-administer inhaler medications during the school day, at school-sponsored events, or on a school bus or property to include the development of an individualized health care plan.


Vermont

Last Updated: 2/18/2006

No state policy.


Washington

Last Updated: 1/1/2007

WAC 392-172-160 (2001) requires a student’s individualized education program to include a statement on related services or support that will be provided to a student by school personnel. WAC 392-172-124 (2000) includes students with chronic or acute health problems in the definition of health impairments eligible for services. WAC 392-172-212 (1995) requires the superintendent of public instruction and districts to comply with the federal health and safety requirements stated in the Individuals with Disabilities Education Act.


Wisconsin

Last Updated: 1/2/2007

Statute 115.787 of the 1997 Wisconsin Act 164 requires an individualized education programs to include a statement explaining how the child’s disability affects the child’s involvement in the general curriculum and participation in activities and outline the related services and supplementary aids needed. Statute 115.76 (1997) defines a “child with a disability,” including other health impairments, as one who needs special education and related services. Wisconsin Code PI 11.36 (2001) defines “other health impairment” as one who has limited “strength, vitality or alertness, due to chronic or acute health problems.”


West Virginia

Last Updated: 3/18/2012

Board Policy 2422.7 (2004) requires a health care plan to be prepared by a certified school nurse based on the assessment of a student and/or physician's order. The plan should include a nursing assessment, nursing diagnosis, goals and expected outcomes, interventions, and evaluations.

Board Policy 2419 (2005) requires full educational opportunities to all students with disabilities from birth through 21 years of age. The rule classifies chronic health conditions as an other health impairment" disability that requires documentation of a licensed physician's diagnoses and the educational accommodations needed as a result of the condition.

Code 18-2K-2 (2006) requires the State Board of Education to adopt guidelines for the development and implementation of individual diabetes care plans.  The requirements of the plan are outlined in the code, including an emergency care plan and student and staff responsibilities.  Code 18-2K-3 (2006) requires each county board of education to adopt a diabetes care plan to be implemented in schools in which students diagnosed with diabetes are enrolled.


Wyoming

Last Updated: 2/19/2006

No state policy.


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