Mandate: RCW 28A.150.210 (1993) requires health education, but grade levels and amounts of instruction are not specified. The state does not currently have graduation requirements for health education, however, in WAC 180-51-061 (2001) the Washington State Board of Education requires two credits of health and fitness courses (out of 19 required credits). Details are also provided in High School Graduation Requirements (2004).

Curriculum Content: State standards, called the Health and Fitness Essential Academic Learning Requirements (2002), provide guidelines for what students should be able to learn and know, as well as providing a suggested curriculum framework for schools. RCW 28A.210.360 (2004) requires each district board of directors to adopt a policy on access to nutritious foods and developmentally appropriate exercise by August 1, 2005, based on the model policy developed by the Washington state school directors association. This model policy addresses the availability of quality health education.

State Assessment Requirement: Students in Washington are not required to take a statewide assessment covering health education topics. However, there will be voluntary health & fitness assessments available in 2005-6, which will be mandatory in 2008-9 for middle and high school grades and in 2009-10 for elementary grades.

Mandate: RCW 28A.230.040 (1984) requires every student in grades 1-8 to receive instruction in physical education. RCW 28A.210.365 (2007) states that it's a goal of Washington state to ensure that by 2010 all students in grades 1-9 should have at least one hundred fifty minutes of quality physical education every week.

WAC 180-51-061 (2001) the Washington State Board of Education specifies that beginning July 1, 2004, students who enter the 9th grade or begin the equivalent of a four-year high school program, will be required to complete two credits of health and fitness courses (out of 19 required credits). Details are also provided in High School Graduation Requirements (2004).

WAC 392-172-162 (1995) requires physical education services to be made available to every special education student receiving FAPE.

Exemptions: RCW 28A.230.040 allows only those students who have a physical disability, religious belief or participates in directed athletics to be excused from receiving instruction in physical education. RCW 28A.210.365 (2007) states that it's a goal of Washington state to ensure that beginning with the 2011-2012 school year, any district waiver or exemption policy from physical education requirements for high school students should be based upon meeting both health and fitness curricula concepts as well as alternative means of engaging in physical activity, but should acknowledge students' interest in pursuing their academic interests.

Curriculum Content: The Essential Academic Learning Requirements for Health and Fitness (2003) sets requirements for physical education for grades for grades 5, 8 and high school. RCW 28A.210.360 (2004) requires each district board of directors to adopt a policy on access to nutritious foods and developmentally appropriate exercise by August 1, 2005, based on the model policy developed by the Washington state school directors association. This model policy includes physical education and fitness curriculum recommendations.

Physical Fitness Assessment: None.

The Health and Fitness Essential Academic Learning Requirements (2002) require students to receive instruction on non-communicable diseases, such as asthma, and environmentally related health concerns including asthma.

The Health and Fitness Essential Academic Learning Requirements (2002), Benchmark 1, require students to learn how express emotions constructively. Benchmark 2 requires students be taught about the physical, emotional, intellectual, and social changes associated with puberty, the adverse physical, emotional, and economic consequences of being sexually active, and how emotions may influence decision-making and how to develop action strategies for emotional situations. Benchmark 3 requires students be taught how to identify and plan for coping with situations related to the physical, social, and emotional transition from adolescence to adulthood and how to anticipate emotional situations and to develop action strategies that are safe to self and others.

Character Education: RCW 28A.405.030 (1969) states, It shall be the duty of all teachers to endeavor to impress on the minds of their pupils the principles of morality, truth, justice, temperance, humanity and patriotism; to teach them to avoid idleness, profanity and falsehood; to instruct them in the principles of free government, and to train them up to the true comprehension of the rights, duty and dignity of American citizenship".

Mandate: Offering sex education is a local decision as specified in WAC 180-410-140 (2006). RCW 28A.230.020 (2006) requires students to receive instruction in the methods to prevent exposure to and transmission of sexually transmitted diseases. The Healthy Schools Act (2007) requires that sexual health education must be medically and scientifically accurate, age-appropriate, appropriate for students regardless of gender, race, disability status, or sexual orientation, and include information about abstinence and other methods of preventing unintended pregnancy and sexually transmitted diseases."  Abstinence may not be taught to the exclusion of other materials and instruction on contraceptives and disease prevention.  Medically and scientifically accurate" is defined in the Act. 

RCW 28A.230.070 (1994) requires AIDS instruction at least once each school year beginning no later than the 5th grade. This law requires that "AIDS prevention education shall be limited to the discussion of the life-threatening dangers of the disease, its spread, and prevention. The program of AIDS prevention education shall stress the life-threatening dangers of contracting AIDS and shall stress that abstinence from sexual activity is the only certain means for the prevention of the spread or contraction of the AIDS virus through sexual contact. It shall also teach that condoms and other artificial means of birth control are not a certain means of preventing the spread of the AIDS virus and reliance on condoms puts a person at risk for exposure to the disease."

Code 28A.210.080 (2007) requires every public school to provide parents and guardians with information about human papillomavirus (HPV) disease and its vaccine at the beginning of every school year beginning with students entering sixth grade. The information about HPV must include the following: (1) Its causes and symptoms, how human papillomavirus disease is spread, and the places where parents and guardians may obtain additional information and vaccinations for their children; and (2) Current recommendations from the United States centers for disease control and prevention regarding the receipt of vaccines for human papillomavirus disease and where the vaccination can be received.

Curriculum Content: The state does not require schools to follow a specific curriculum; however all HIV curricula and supporting materials used in public schools must be approved by the State Department of Health for medical accuracy.  The Healthy Schools Act (2007) requires all sexual health information, instruction and materials to be medically and scientifically accurate."

The state Office of Superintendent of Public Instruction and Department of Health have jointly developed and disseminated Guidelines for Sexual Health and Disease Prevention (2005) for voluntary use by schools and other community organizations serving adolescents. The state also provides the KNOW HIV/STD Prevention Curriculum for grades 5/6 (2003), 7/8 (2005), 9/10 (1997), and 11/12 (1995).  The Healthy Schools Act (2007) requires the Superintendent of Public Instruction and Department of Health to develop a list of sexual health education curricula containing medically and scientifically accurate" information and consistent with the Guidelines for Sexual Health Information and Disease Prevention (2005) for use as a resource for schools and other groups.

Parental Approval: RCW 28A.230.070 states "no student may be required to participate in AIDS prevention education if the student's parent or guardian, having attended one of the district presentations, objects in writing to the participation" (an opt-out" policy). WAC 180-410-140 further states, "any parent or legal guardian who wishes to have his or her child excused from any planned instruction in sex education or human sexuality may do so upon filing a written request with the school district board of directors or its designee and the board of directors shall make available the appropriate forms for such requests. Alternative educational opportunities shall be provided for those excused" (an opt-out" policy).  The Healthy Schools Act (2007) also allows a parent or legal guardian to opt-out" of planned instruction in sexual health education with the same procedure outlined in WAC 180-410-140.

RCW 28A.210.360 (2004) requires each district board of directors to adopt a policy on access to nutritious foods and developmentally appropriate exercise by August 1, 2005, based on the model policy developed by the Washington state school directors association. This model policy includes nutrition education curriculum recommendations.

The Health and Fitness Learning Standards (2008) include numerous essential academic learning requirements around nutrition and healthy eating.

Alcohol: The Health and Fitness Essential Academic Learning Requirements (2002) mandate that students in grades K-12 learn the physical, emotional, and legal consequences of using alcohol and resistance skills.

Tobacco: The Health and Fitness Essential Academic Learning Requirements (2002) mandate that students in grades K-12 learn the physical, emotional, and legal consequences of using nicotine and resistance skills.

Drugs: The Health and Fitness Essential Academic Learning Requirements (2002) mandate that students in grades K-12 learn the physical, emotional, and legal consequences of using drugs and resistance skills.

Bullying/Harassment: The Health and Fitness Essential Academic Learning Requirements (2002) mandate students learn how to identify risky situations, such as bullying and harassment, and safe behaviors to prevent injury to self and others.

Fighting/Gangs: The Health and Fitness Essential Academic Learning Requirements (2002) mandate students learn how to identify risky situations and safe behaviors in order to prevent injury.

Suicide and Other Self-Abuse Prevention: Not specifically required.

Professional Development: RCW 70.24.290 (1988) requires the superintendent of public instruction to adopt rules that require all public school employees to receive appropriate education and training on the prevention, transmission, and treatment of AIDS, specified in WAC 392-198-015 (1991).

RCW 28A.300.270 (1994) requires the superintendent of public instruction to, within the funds available, contract with school districts, educational service districts, and approved in-service providers to conduct training sessions for school certificated and classified employees in conflict resolution and other violence prevention topics.

SB 5841 (2005) instructs the superintendent of public instruction and the secretary of health to develop uniform policy for in-service training of school staff on the symptoms, treatment, and monitoring of students with asthma.

Pre-service Requirement: The minimum requirement for prospective health teachers in elementary and middle school is a bachelor's degree. The minimum requirement for prospective health teachers in high school is a bachelor's degree, with at least 30 semester hours in health. The specific details of initial licensure are outlined in the Office of Public Instruction's online Certification guidelines.

The State Board of Education adopted the endorsement system in 1998 as WAC 181-82A-204 (2004). WAC 181-79A-358 (1997) requires a candidate to have completed the minimum coursework credit hours in the area of health education. Details of the essential areas of study are provided in the Code.

Professional Development: WAC 392-192-030 (1990) requires all local school districts to adopt a professional growth program for certified classroom teachers and support personnel unless a collective bargaining agreement provides otherwise.

Pre-service Requirement: The minimum requirement for prospective physical education teachers in elementary and middle school is a bachelor's degree. The minimum requirement for prospective physical education teachers in high school is a bachelor's degree, with at least 30 semester hours in physical education. The specific details of initial licensure are outlined in the Office of Public Instruction's online Certification guidelines. 

The State Board of Education adopted the endorsement system in 1998 as WAC 181-82A-204 (2004). WAC 181-79A-380 (1997) requires a candidate to have completed the minimum coursework credit hours in the area of physical education. Details of the essential areas of study are provided in the Code. 

Professional Development: WAC 392-192-030 (1990) requires all local school districts to adopt a professional growth program for certified classroom teachers and support personnel unless a collective bargaining agreement provides otherwise.

Pre-service Requirement: For certification as a school nurse, a candidate must be 18 years of age, present good moral character and personal fitness, have completed a two semester hour course approved by the State Board of Education, possess a valid registered nursing license in the state of Washington, and possess a baccalaureate degree in nursing. For licensure as a registered nurse, a candidate must have completed a state accredited program of registered nursing according to RCW 18.79.160 (2004). 

Professional Development: WAC 392-192-030  (1990) requires all local school districts to adopt a professional growth program for certified classroom teachers and support personnel unless a collective bargaining agreement provides otherwise. 

Student-to-Nurse Ratio: None specified.

Pre-service Requirement: None specified.

Professional Development: None specified.

Pre-service Requirement: WAC 181-79A-221 (2004) requires, for initial certification, that the candidate have completed all requirements for a master's degree in counseling, excepting for any special projects or theses that may be required. The candidate must also have successfully completed a written comprehensive exam of the knowledge included in the course work required for the master's degree. The exam may be of a regionally accredited institution of higher learning or the National Counselor Examination of the National Board of Certified Counselors.

Professional Development: WAC 392-192-030 (1990) requires all local school districts to adopt a professional growth program for certified classroom teachers and support personnel unless a collective bargaining agreement provides otherwise.

Student-to-Counselor Ratio: None specified.

Pre-service Requirement: WAC 181-79A-221 (2004) requires, for initial certification, that the candidate have completed all requirements for a master's degree in school psychology, excepting for any special projects or theses that may be required. The candidate must also have successfully completed a written comprehensive exam of the knowledge included in the course work required for the master's degree. The exam may be of a regionally accredited institution of higher learning or the National Certification of School Psychologist exam.

Professional Development: WAC 392-192-030 (1990) requires all local school districts to adopt a professional growth program for certified classroom teachers and support personnel unless a collective bargaining agreement provides otherwise.

Student-to-Psychologist Ratio: No state policy.

Pre-service Requirement: WAC 181-79A-221 (2004) requires, for initial certification, that the candidate have completed all requirements for a master's degree in social work, excepting for any special projects or theses that may be required. The candidate must also have successfully completed a written comprehensive exam of the knowledge included in the course work required for the master's degree. The exam may be from a regionally accredited institution of higher learning, the social worker examination from the Academy of Certified Social Workers, or the Nation Teacher Examination. The School Social Worker Specialty Area exam is required for certification as a school social worker by the National Association of Social Workers. 

Professional Development: WAC 392-192-030 (1990) requires all local school districts to adopt a professional growth program for certified classroom teachers and support personnel unless a collective bargaining agreement provides otherwise.

Student-to-Social Worker Ratio: None specified.

Pre-service Requirement: None specified.

Professional Development: None specified.

Pre-service Requirement: None specified.

Professional Development: None specified.

Additional Accountability Requirements: None

Additional Content Requirements: None 

Guidance Materials: RCW 28A.210.360 (Senate Bill 5436, 2004) requires districts to adopt local wellness policies and mandated the creation of a model policy and recommendations consistent with and above the federal requirements by a broad-based advisory committee. 

The Department of Education provides a multitude of resources covering all topics pertinent to school nutrition and physical activity from various organizations and other states, including a resources section devoted to the implementation of wellness policies. The Department also maintains a collection of local wellness policies from districts within the state.

Other: The state created a checklist to assure that each school district has addressed each major provision Section 204. The checklist must be returned to Child Nutrition Services along with a copy of the local wellness policy and the name of person responsible for overseeing implementation and evaluation of the policy.

Food Services: WAC 392-157-125 (1994) requires school breakfasts and lunches to allow a reasonable amount of time for each child to take care of personal hygiene and enjoy a complete meal. RCW 28A.210.360 (2004) requires each district board of directors to adopt a policy on access to nutritious foods and developmentally appropriate exercise by August 1, 2005, based on the model policy developed by the Washington state school directors association.

RCW 28A.210.365 (2007) states that it's a goal of Washington state to ensure that by 2010, "only healthy food and beverages provided by schools during school hours or for school-sponsored activities shall be available on school campuses."  Minimum standards for available food and beverages, except food served as part of a USDA meal program, are:

     (a) Not more than 35% percent of its total calories from fat (excluding nuts, nut butters, seeds, eggs, fresh or dried fruits, vegetables that have not been deep-fried, legumes, reduced-fat cheese, part-skim cheese, nonfat dairy products, or low-fat dairy products)
     (b) Not more than 10% of total calories form saturated fat (excluding eggs, reduced-fat cheese, partt-skim cheese, nonfat dairy products, or low-fat dairy products.
     (c) Not more than 35% percent of its total weight or 15 grams per food item shall be composed of sugar, including naturally occurring and added sugar (does not apply to the availability of fresh or dried fruits and vegetables that have not been deep-fried); and
     (d) The standards for food and beverages in this subsection do not apply to low-fat and nonfat flavored milk with up to thirty grams of sugar per serving, nonfat or low-fat rice or soy beverages, or 100% fruit or vegetable juice.

School Breakfast: RCW 28A.235.160 (2005) requires school districts to implement a school breakfast program in schools where 40 percent or more of the students are eligile to participate in the free or reduced price lunch program.

Food Allergies: No state policy. However, the Office of Public Instruction has published Guidelines for Care of Students with Life-Threatening Food Allergies (2008).

Farm-to-School: RCW 15.64.060 (2008) establishes a farm-to-school program within the Department of Agriculture. It requires the Department to identify and develop policies and procedures to implement and evaluate the farm-to-school program, to assist food producers, distributors, and food brokers to market Washington grown food to schools, to assist schools in connecting with local producers, and to identify and make available existing curricula and publications to educate students on the benefits of consuming locally grown food. 

Vending Machines/School Stores: No state policy.

Other Food Sales: RCW 28A.210.360 requires each district board of directors to adopt a policy on access to nutritious foods and developmentally appropriate exercise by August 1, 2005, based on the model policy developed by the Washington state school directors association. This model policy includes addressing the nutrition of foods sold in competition with the federal school breakfast and lunch programs.

RCW 28A.210.365 (2007) states that its a goal of Washington state to ensure that by 2010, "only healthy food and beverages provided by schools during school hours or for school-sponsored activities shall be available on school campuses."  Minimum standards for available food and beverages, except food served as part of a USDA meal program, are:

     (a) Not more than 35% percent of its total calories from fat (excluding nuts, nut butters, seeds, eggs, fresh or dried fruits, vegetables that have not been deep-fried, legumes, reduced-fat cheese, part-skim cheese, nonfat dairy products, or low-fat dairy products)
     (b) Not more than 10% of total calories form saturated fat (excluding eggs, reduced-fat cheese, partt-skim cheese, nonfat dairy products, or low-fat dairy products.
     (c) Not more than 35% percent of its total weight or 15 grams per food item shall be composed of sugar, including naturally occurring and added sugar (does not apply to the availability of fresh or dried fruits and vegetables that have not been deep-fried); and
     (d) The standards for food and beverages in this subsection do not apply to low-fat and nonfat flavored milk with up to thirty grams of sugar per serving, nonfat or low-fat rice or soy beverages, or 100% fruit or vegetable juice.

School Gardening: RCW 28A.320.185 (2008) allows school districts to operate school gardens or farms for both educational purposes and, where appropriate, to be offered to students through the district nutrition services meal and snack program.

General Physical Activity Requirement: No state policy.

Recess or Physical Activity Breaks: No state policy requiring or recommending recess.

Recess Before Lunch: No state policy.

Walking/Biking to School: No state policy.

Interscholastic Athletics: No state policy.

Concussion and Sports-Related Head Injury: RCW 28A.600 (2009) requires each school district's board of directors to work with the Washington interscholastic activities association to develop guidelines to inform and and educate coaches, youth athletes, and their parents and/or guardians of the nature and risk of concussion and head injury including continuing to play after concussion or head injury. Parents must sign and return a youth athlete’s concussion and head injury information sheet prior to them initiating practice or competition. A youth athlete who is suspected of sustaining a concussion or head injury in a practice or game must be removed from competition at that time. They may not return to play until the athlete is evaluated by a licensed health care provider trained in the evaluation and management of concussion and receives written clearance to return to play from that health care provider (who may be a volunteer). The statute provides immunity from liability for civil damages resulting from any act of omission to a volunteer who authorizes a youth athlete to return to play, except in circumstances of gross negligence or willful or wanton misconduct.

Fighting/Gangs: RCW 28A.600.455 (1997) allows public school students that are members of a gang and knowingly engages in gang activity on school grounds to expelled or suspended.

RCW 28A.300.280 (1994) requires, The superintendent of public instruction and the office of the attorney general, in cooperation with the Washington state bar association, [to] develop a volunteer-based conflict resolution and mediation program for use in community groups such as neighborhood organizations and the public schools. The program shall use lawyers to train students who in turn become trainers and mediators for their peers in conflict resolution".

Weapons: RCW 28A.600.420 (1997) states, Any elementary or secondary school student who is determined to have carried a firearm onto, or to have possessed a firearm on, public elementary or secondary school premises, public school-provided transportation, or areas of facilities while being used exclusively by public schools, shall be expelled from school for not less than one year". Furthermore, any malicious act involving the display of an instrument that appears or appeared to be a firearm shall be subject up to a one-year suspension. Any student involved in authorized military education training with rifles, authorized convention lecture, or demonstration in firearms safety, or authorized rifle competition is exempt from this policy.

RCW 28A.320.130 (1993) requires each school district and private school to report to the superintendent of public instruction all known incidents involving the possession of weapons on school premises, on transportation systems, or in areas of facilities while being used exclusively by public or private schools.

Drugs and Alcohol: No state policy.

Collaboration with Law Enforcement: RCW 28A.600.475 (1998) allows schools and law enforcement to share and exchange information to the extent that the Family Educational and Privacy Rights Act of 1974 allows.

Bullying/Harassment: RCW 28A.300.285 (2010) requires each school district to adopt or amend a policy that prohibits harassment, intimidation, or bullying of any student. The policy must incorporate the revised model policy. Harassment, intimidation or bullying" is defined as any electronic, written, verbal or physical act that results in the following:  (1) Physically harms a student or damages their property, (2) Has the effect of substantially interfering with a student's education, (3) Is so severe, persistent, or pervasive that it creates an intimidating or threatening educational environment, or (4) Has the effect of substantially disrupting the operation of the school.  

RCW 28A.300.285 (2010)   requires each school district to designate one person in the district as the primary contact regarding the antiharassment, intimidation or bullying policy. The primary contact shall receive copies of all complaints, have responsibility for assuring the implementation of the policy and procedure, and serve as the priamry contact on the policy and procedures.

SB 5288 (2007) requires the state school directors association and the superintendent of public instructi
on to convene an advisory committee to develop a model policy prohibiting acts of harassment, intimidation or bullying that are conducted via electronic means by a student while on school grounds during the school day.  It also requires the state school directors association and the advisory committee to develop sample educational materials on safe internet use and options for reporting bullying via electronic means.

RCW 28A.640.020 (1994) requires the superintendent of public instruction to develop criteria for sexual harassment policies.  RCW 28A.600.480 (2002) prohibits in reprisal, retaliation or false accusation against a witness, victim or one with reliable information about an act of harassment, intimidation or bullying in the school environment.  It also provides immunity (from a cause of action for failure to remedy the incident) to a school employee, student or volunteer who promptly reports an incident of harassment, intimidation or bullying. 

Cyberbullying: RCW 28A.300.285 (2002) requires each school district to adopt or amend a policy that prohibits harassment, intimidation, or bullying of any student. The definition of "harassment, intimidation or bullying" includes an electronic act  that (1) Physically harms a student or damages their property, (2) Has the effect of substantially interfering with a student's education, (3) Is so severe, persistent, or pervasive that it creates an intimidating or threatening educational environment, or (4) Has the effect of substantially disrupting the operation of the school. 

Hazing: No state policy addressing elementary or secondary schools.

Response and Management Plans: No state policy.

Reporting Incidents of Violence: RCW 28A.600.480 (2002) encourages school employees, students, and volunteers who have witnessed, or have reliable information about a student has been subjected to, harassment, intimidation, or bullying to report such an incident to an appropriate school official.

RCW 28A.210.310 (1997) requires each school district to develop a policy prohibiting the use of all tobacco products on public school property. The policy should include, but not be limited to, providing notification to students and school personnel of the prohibition, the posting of signs prohibiting the use of tobacco products, sanctions for students and school personnel who violate the policy, and a requirement that district personnel enforce the prohibition.

WAC 246-366-080 (1991) requires all rooms used by students or staff to be kept reasonably free of all objectionable odor, excessive heat or condensation and all air contaminant producing sources shall be controlled through the maintenance of local ventilation systems. RCW 43.20.050 (1993) further requires the state board of health to adopt rules controlling health-related environmental conditions pertaining to heating, lighting, ventilation, sanitary facilities, cleanliness and space in all public facilities including schools. Lastly, RCW 70.162.050 (1998) allows the superintendent of instruction to implement a model program in a district that evaluates the current indoor air quality in the district and establishes procedures to ensure the maintenance and operation of any ventilation and filtration system.

RCW 17.21.415 (2009) requires public schools to establish a notification system that, as a minimum, notifies interested parents or guardians of students and employees at least 48 hours before a pesticide application to a school facility. Requirements for the notification are outlined in the statute.
 

Playgrounds: No state policy specifically addressing playgrounds.

Facility: WAC 246-366-140 (1990) requires the secretary in cooperation with the state superintendent of public instruction to review potentially hazardous conditions in schools which are in violation of good safety practices. They must jointly prepare a guide for use by department personnel during routine school inspections in identifying violations of good safety practices.

Facility safety policies include building plan review and construction (RCW 70.79, RCW 70.05, RCW 43.20, RCW 19.28 and RCW 19.27.097); water supply (RCW 90.44 and RCW 18.104); waste management (RCW 70.05); food service (RCW 70.05, WAC 246-215 and 246-366-130); shop safety (RCW 70.05, WAC 246-366-140); chemicals (RCW 70.05, WAC 246-366-140 and WISHA standards), fire safety (RCW 28A.305.130) and portables (RCW 43.22 and RCW 70.05).

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.

Staff Administration: RCW 28A.210.260 (2000) instructs the board of directors of a school district to adopt policies addressing the designation of an employee to administer oral medications to students, written request from a parent or guardian, written request from the licensed health professional prescribing the medication, identification of the medication to be administered, safekeeping of the medication, and record keeping of the administration of medication. 

RCW 28A.210.270 (2000) states that the school and its employees are not liable for any criminal action or civil damages from performing the function of administering medication. The code also states that the school, district, and its employees may discontinue the administration of oral medication provided that prior oral or written notification has been given to the parent or guardian.

Staff Administration of Anaphylaxis Medication: SB 6556 (2008) requires the office of the superintendent of public instruction to develop anaphylactic policy guidelines for schools to prevent anaphylaxis and deal wtih medical emergencies resulting from it.  These policy guildelines include responsibilities from school nurses and other appropriate school personnel for responding to a student experiencing anaphylaxis, and the content of a training course for those responding. By September 1, 2009, each school district must develop and adopt a district policy for the prevention of anaphylaxis based on the guidelines in SB 6556 (2008).

Self-Administration of Asthma Medication: RCW 28A.210.370 (2005) requires all districts to adopt policies regarding asthma rescue procedures and authorizing elementary and secondary students with asthma or anaphylaxis to self-administer medication if the following requirements are met: (1) prescription by a health care provider to use during the school day, (2) the health care provider provides a written treatment plan, (3) the student has demonstrated his/her ability to property self-administer the medication, (4) the parent provides written authorization for the student to possess and self-administer medication.

Self-Administration of Anaphylaxis Medication: RCW 28A.210.370 (2005) requires all districts to adopt policies regarding asthma rescue procedures and authorizing elementary and secondary students with asthma or anaphylaxis to self-administer medication if the following requirements are met: (1) prescription by a health care provider to use during the school day, (2) the health care provider provides a written treatment plan, (3) the student has demonstrated his/her ability to property self-administer the medication, (4) the parent provides written authorization for the student to possess and self-administer medication.

Psychotropic Medications: No state policy.

Storage and Record-keeping: No state policy.

Requirement to Provide Services: No state policy.

Identification of Students with Mental or Emotional Disorders: No state policy.

Substance Abuse: No state policy.

Suicide Prevention: No state policy.

HIV, STD, and Pregnancy Testing and Counseling: No state policy.

Immunity of Liability: No state policy.

Detailed, current information about immunization requirements by state is maintained by the National Network for Immunization Information.  Select your state from the drop down box under Search for State Vaccine Requirements for School Entry."

Code 28A.210.080 (2007) requires every public school to provide parents and guardians with information about human papillomavirus disease and its vaccine at the beginning of every school year beginning with students entering sixth grade.

Exemptions: 28A.210.090 (1979) allows for exemption from immunization requirements under the following circumstances: (1) Written certification from a licensed physician that a particular vaccine required by rule of the state board of health is, in his or her judgment, not advisable for the child, or (2) Written certification signed by any parent or legal guardian of the child or any adult in loco parentis to the child that the religious beliefs of the signator are contrary to the required immunization measures, or (3) Written certification signed by any parent or legal guardian of the child or any adult in loco parentis to the child that the signator has either a philosophical or personal objection to immunization of the child.  In the case of medical exemption, when it is determined that the immunization(s) named in the certification are no longer contraindicated, the child will be required to complete immunization.

RCW 70.24.105 (1997) states, “no person may disclose or be compelled to disclose the identity of any person upon whom an HIV antibody test is performed, or the results of such a test, nor may the result of a test for any other sexually transmitted disease when it is positive be disclosed.”

RCW 70.24.105 (1997) states, “no person may disclose or be compelled to disclose the identity of any person upon whom an HIV antibody test is performed, or the results of such a test, nor may the result of a test for any other sexually transmitted disease when it is positive be disclosed.”

No state policy.

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.

State-level: No state policy.

Local-level: RCW 28A.210.365 (no date available) states that "It's the goal of Washington state to ensure that by 2010, all K-12 districts have school health advisory committees that advise school administration and school board members on policies, environmental changes, and programs needed to support healthy food choice and physical activity and childhood fitness."

State-level: No state policy.

Local-level: No state policy.

Student Health-Related Records: Washington does not have a policy regarding the confidentiality of school health records that goes beyond the federal FERPA requirements. RCW 70.02 (1994), however, does cover general patient health care information access and disclosure by health care providers.

Student Health-Related Services: No state policy.

No state policy.