(a) Upon written request of a parent or guardian of a student with diabetes and written authorization by the treating physician of the student, a student in the classroom, in a designated area at the school, on school grounds, or at a school-related activity may:

1. (1) Perform blood glucose checks;
2. (2) Administer insulin through the insulin delivery system the student uses;
3. (3) Treat hypoglycemia and hyperglycemia; and
4. (4) Possess on his or her person the necessary supplies and equipment to perform diabetes monitoring and treatment functions.

(d) A school district shall strive to achieve the following staffing ratios for students with diabetes at each public school of at least:

1. (1) One (1) care provider (volunteer school personnel) for a public school with one (1) full-time licensed registered nurse; and
2. (2) Three (3) care providers (volunteer school personnel) for a public school without one (1) full-time licensed registered nurse.

(e)

1. (1) The school district may recruit and identify public school personnel to serve as care providers (volunteer school personnel) to administer insulin, glucagon, or both when a licensed registered nurse is not available.

2. (2) A school district shall not require or pressure a parent or guardian of a student with diabetes to provide diabetes care at:

   1. (A) School; or
   2. (B) A school-related activity.

(g)

1. (1) The training listed in subsection (f) of this section and 6 CAR § 154-203 shall be conducted at least annually, regardless of whether a volunteer has previously completed training.
2. (2) Nothing in this part prohibits training from being conducted more often than annually.

(h)

1. (1) No trained volunteer school personnel designated as care providers pursuant to this part may administer insulin, glucagon, or both to a student diagnosed with diabetes unless the parent or guardian of the student first signs a written authorization allowing the administration of insulin, glucagon, or both to the student.
2. (2) The trained volunteer school personnel designated as a care provider shall be incorporated into the health plan of a student.

(j)

1. (1) During glucagon or nonscheduled insulin administration, other qualified staff shall assume the regular duties of the trained volunteer.
2. (2) Once other qualified staff have relieved the trained volunteer from his or her regular duties, the trained volunteer shall remain released until a parent, guardian, or medical personnel have arrived.

(k)

1. (1) When a school nurse is available and onsite during an emergency situation, the school nurse shall administer insulin, glucagon, or both to the student when necessary.
2. (2) Volunteer school personnel who are designated as care providers and trained to administer insulin, glucagon, or both shall administer insulin, glucagon, or both only in the absence or unavailability of a school nurse.

(l)

1. (1) The training outlined in this part is intended to be provided to volunteer school personnel.
2. (2) No school personnel shall be required, pressured, or otherwise subjected to duress in such a manner as to compel their participation in training.
3. (3) Prior to receiving training, volunteers must sign a written acknowledgement indicating their desire to volunteer.