1. A. As used in this section, "school board employee" has the same meaning as in subsection E of § 22.1-274.

2. B. Each school board shall develop, amend as necessary, and implement a divisionwide plan for the care of each public elementary or secondary school student who is diagnosed with diabetes in the school division for the purpose of ensuring the maintenance of a safe and healthy learning environment and maximizing the opportunity for academic success for each student. Each such divisionwide plan shall:

   1. 1. Give consideration to and incorporate, where appropriate, the guidelines contained in the Department's Diabetes Management in Schools: Manual for Unlicensed Personnel (the Manual);
   2. 2. Ensure that any training, education, and professional development opportunities for licensed or unlicensed staff relating to such care are properly tailored to the unique needs that are present in each school in the school division and the skills of the staff in each such school;
   3. 3. Include procedures, consistent with subsection E of § 22.1-274, for ensuring that in each school building in the school division that is attended by one or more students diagnosed with diabetes and that has an instructional and administrative staff of (i) 10 or more, at least two employees have been trained in the administration of insulin and glucagon and (ii) fewer than 10, at least one employee has been trained in the administration of insulin and glucagon;

   4. 4. Ensure that the provision or assistance with the provision of diabetes-related care by licensed or unlicensed school board employees is consistent with the guidance contained in the most recent revision of the Manual and is in accordance with applicable law, including:

      1. a. Assistance with the administration of insulin or glucagon by a school board employee who is not a licensed practical nurse, registered nurse, advanced practice registered nurse, physician, or physician assistant but who has been trained in the administration of insulin or glucagon in accordance with the provisions of subsection E of § 22.1-274; and
      2. b. Assistance with the insertion and reinsertion of the insulin pump or any part thereof by a school board employee who has been trained in the administration of insulin, including the use and insertion of insulin pumps, and the administration of glucagon in accordance with the provisions of subsection B of § 22.1-274.01:1.
   5. 5. Make available opportunities for parental involvement in the process of providing care for such students at school, including establishing processes and procedures for the submission and consideration of Diabetes Medical Management Plans, the development of Individualized Health Care Plans in collaboration with the school nurse or another qualified staff member, and the consideration of complaints and resolution of disputes relating to such documents or any other aspect of the provision of care for such students at school;
   6. 6. Provide interested parents with opportunities to provide input on the development or amendment of the divisionwide plan;
   7. 7. Include procedures to implement the divisionwide plan in each public elementary and secondary school in the local school division; and
   8. 8. Address such other matters as the school board deems necessary and appropriate.
3. C. The Department shall, alone or in consultation with such individuals or entities as it deems appropriate, provide technical assistance to school boards upon request in the development, amendment, or implementation of the division-wide plans required pursuant to subsection B.
4. D. The Department shall, in consultation with the Department of Health, the School Committee of the Virginia Diabetes Council, the American Diabetes Association, school board members, and such other stakeholders as it deems appropriate, review the Department's Diabetes Management in Schools: Manual for Unlicensed Personnel at least biennially, revise it as necessary to ensure the information therein is current and accurate, and post it in a publicly accessible location on its website.
5. E. The Department shall, in collaboration with the Department of Health, develop, periodically review and update as necessary, make available to each school board, and post in a publicly accessible location on its website informational materials for parents on type 1 and type 2 diabetes. Each school board shall make such informational materials available to the parent of each student enrolled in the school division at the beginning of each school year..

2026, cc. 287, 288.