VirginiaHB13012026 Regular SessionHouseWALLET

School boards; student diabetes care & management in schools, divisionwide plan required.

Sponsored By: Joshua E. Thomas (Democratic)

Signed by Governor

Summary

Public elementary and secondary schools; student diabetes medical care and management. Establishes several provisions relating to student diabetes medical care and management in public elementary and secondary schools in the Commonwealth, including requiring divisionwide plans for the care of students who are diagnosed with diabetes in each school division, effective beginning with the 2028–2029 school year. This bill incorporates HB 624 and is identical to SB 122.

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Bill Overview

Analyzed Economic Effects

4 provisions identified: 4 benefits, 0 costs, 0 mixed.

Qualified school staff can help with pumps

Authorized school nurses and, when applicable, certified nurse aides can help students insert or reinsert prescribed insulin pumps or parts. Employees must be trained to give insulin and glucagon. Help must follow the latest American Diabetes Association care standards and requires prescriber authorization and parent consent. No employee is required to provide this help, so a qualified employee must be available and willing.

Required school care plans for diabetes

Beginning with the 2028–2029 school year, Virginia school boards must implement and update divisionwide diabetes care plans. These plans cover public elementary and secondary students with diabetes, staff training, care procedures, and each school's responsibilities. Parents must be involved in their child's medical and school health care plans and may give divisionwide plan input. Buildings with 10 or more instructional or administrative staff need three employees trained in emergency first aid, CPR, and defibrillator use. Smaller buildings need two. Where students with diabetes attend, those buildings need two employees trained in insulin and glucagon care, or one in smaller buildings. Boards may hire or contract health staff, train designated unlicensed employees, and set reasonable safety limits on their duties. Authorized care requires the applicable prescriber approval and parent consent. Most employees cannot be punished for refusing nonemergency health duties or insulin and glucagon training unless their jobs include health services. Instructional aides and clerical staff cannot refuse to dispense oral medicines. Trained employees have protection from ordinary-negligence lawsuits when providing authorized care within state law; this is not blanket immunity.

Students can use phones for diabetes care

Virginia school boards must allow enrolled students with diabetes to carry and use phones or smart devices for diabetes care. Students can check their glucose on school property, school buses, and at school-sponsored activities. Parent consent and written approval from the student's prescriber are required.

Updated diabetes guidance for schools and parents

Virginia's Department of Education must review its school diabetes care manual and make needed updates by January 1, 2028. It must review the manual at least every two years afterward and post it online. Updates cover current care practices, diabetes devices and connected technology, staff roles, training, and staffing. The department must help school boards develop, amend, or carry out their diabetes care plans when boards request help. Education and health officials must prepare and update type 1 and type 2 diabetes information, which school boards must make available to every enrolled student's parents at the start of each school year.

Sponsors & Cosponsors

Sponsor

  • Joshua E. Thomas

    Democratic • House

Cosponsors

There are no cosponsors for this bill.

Roll Call Votes

All Roll Calls

Yes: 441 • No: 99

Senate vote • 3/14/2026

Conference report agreed to by Senate

Yes: 39 • No: 0

House vote • 3/14/2026

Conference report agreed to by House

Yes: 96 • No: 0

Senate vote • 3/11/2026

Senate insisted on substitute Block Vote

Yes: 40 • No: 0

House vote • 3/10/2026

Senate substitute rejected by House

Yes: 0 • No: 99

Senate vote • 3/9/2026

Education and Health Substitute agreed to

Yes: 0 • No: 0

Senate vote • 3/9/2026

Passed Senate with substitute Block Vote

Yes: 40 • No: 0

Senate vote • 3/5/2026

Constitutional reading dispensed Block Vote (on 2nd reading)

Yes: 39 • No: 0

Senate vote • 3/5/2026

Passed by for the day Block Vote (Voice Vote)

Yes: 0 • No: 0

Senate vote • 3/4/2026

Reported from Finance and Appropriations

Yes: 15 • No: 0

Senate vote • 2/26/2026

Reported from Education and Health with substitute and rereferred to Finance and Appropriations

Yes: 15 • No: 0

House vote • 2/17/2026

Read third time and passed House Block Vote

Yes: 97 • No: 0

House vote • 2/13/2026

Reported from Appropriations with substitute

Yes: 22 • No: 0

House vote • 2/13/2026

Subcommittee recommends reporting with substitute

Yes: 7 • No: 0

House vote • 2/11/2026

Reported from Education with substitute and referred to Appropriations

Yes: 21 • No: 0

House vote • 2/10/2026

Subcommittee recommends reporting with substitute

Yes: 10 • No: 0

Actions Timeline

  1. Acts of Assembly Chapter text (CHAP0287)

    4/6/2026Governor
  2. Approved by Governor-Chapter 287 (effective 7/1/2026)

    4/6/2026Governor
  3. Fiscal Impact Statement from Department of Planning and Budget (HB1301)

    3/31/2026House
  4. Governor's Action Deadline 11:59 p.m., April 13, 2026

    3/31/2026Governor
  5. Enrolled Bill communicated to Governor on March 31, 2026

    3/31/2026House
  6. Signed by Speaker

    3/31/2026House
  7. Bill text as passed House and Senate (HB1301ER)

    3/30/2026House
  8. Enrolled

    3/30/2026House
  9. Signed by President

    3/30/2026Senate
  10. Conference report agreed to by Senate (39-Y 0-N 0-A)

    3/14/2026Senate
  11. Conference report agreed to by House (96-Y 0-N 0-A)

    3/14/2026House
  12. Conference Report released

    3/14/2026
  13. House Conferees: Thomas, Cousins, Cherry

    3/12/2026House
  14. Conferees appointed by House

    3/12/2026House
  15. House acceded to request

    3/12/2026House
  16. Conferees appointed by Senate

    3/12/2026Senate
  17. Senate Conferees: McPike, VanValkenburg, Pillion

    3/12/2026Senate
  18. Senate insisted on substitute Block Vote (40-Y 0-N 0-A)

    3/11/2026Senate
  19. Senate requested conference committee

    3/11/2026Senate
  20. Senate substitute rejected by House (0-Y 99-N 0-A)

    3/10/2026House
  21. Passed Senate with substitute Block Vote (40-Y 0-N 0-A)

    3/9/2026Senate
  22. Education and Health Substitute agreed to

    3/9/2026Senate
  23. Engrossed by Senate - committee substitute

    3/9/2026Senate
  24. Read third time

    3/9/2026Senate
  25. Passed by for the day Block Vote (Voice Vote)

    3/6/2026Senate

Bill Text

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