VirginiaHB13012026 Regular SessionHouseWALLET

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

Sponsored By: Joshua E. Thomas (Democratic)

Became Law

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

5 provisions identified: 3 benefits, 0 costs, 2 mixed.

Divisionwide diabetes plans by 2028–29

Each school board must adopt and run a divisionwide plan for every student with diabetes. Plans must follow the state diabetes care manual, include training for licensed and unlicensed staff, and include procedures to meet the minimum diabetes staffing in each school. The Department of Education will finish a manual review by January 1, 2028, keep it updated every two years, and post it online. The Department will give technical help to school boards on request. Plans take effect starting with the 2028–2029 school year. Boards must also give state diabetes information to all parents at the start of each school year.

Minimum trained staff in each school

Each school building must meet minimum training levels. If a school has 10 or more instructional and administrative staff, at least three must have current first aid, CPR, and AED certification. If a student with diabetes attends, at least two staff must be trained to give insulin and glucagon. Smaller schools need at least two staff with first aid/CPR/AED certification and, if a student with diabetes attends, at least one trained to give insulin and glucagon.

Students with diabetes can self‑manage

Students diagnosed with diabetes may carry and use needed supplies at school, on buses, and at activities. With your written consent and the prescriber’s written approval, your child may bring a short supply of carbs, an insulin pump and parts, and glucose treatment tools. Your child may check blood sugar anywhere at school and use a phone or smart device for monitoring and communication.

Who may help with insulin at school

A trained school RN, LPN, or certified nurse aide may help insert or reinsert an insulin pump with prescriber authorization and parent consent. Any non‑licensed employee must have both prescriber authorization and parent consent before helping with insulin, giving glucagon, or helping with a pump. If a licensed nurse or doctor is present, only they may give insulin or glucagon. Authorized employees who follow prescriber orders and parent consent get civil immunity and are not treated as practicing medicine or nursing for this care. School boards cannot ban authorized diabetes care, but they may set reasonable safety rules with the student’s provider.

Protections and duties for school staff

Licensed instructional staff, instructional aides, and clerical staff cannot be punished for refusing nonemergency health tasks or refusing insulin/glucagon training. Employees without a health‑service job may decline future health tasks with reasonable notice. This does not apply to administrators or staff whose job includes health services. Instructional aides and clerical staff must still dispense oral medications and cannot refuse that duty.

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 • Other: 1

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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