VirginiaSB1222026 Regular SessionSenateWALLET

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

Sponsored By: Jeremy S. McPike (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 is identical to HB 1301.

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Bill Overview

Analyzed Economic Effects

5 provisions identified: 4 benefits, 0 costs, 1 mixed.

Division plans and parent info by 2028

Each school board must create and use a divisionwide diabetes care plan starting with the 2028–2029 school year. The plan must set training and staffing steps, follow state guidance, and include parent involvement and complaint steps. The Department of Education will provide technical help on request. The Department must review and update its Diabetes Management Manual by January 1, 2028, review it at least every two years, and post it online. The Departments of Education and Health will create and update diabetes materials for parents, and schools must give them to parents at the start of each school year.

Minimum diabetes training at every school

Schools with 10 or more staff must have at least three employees trained in first aid, CPR, and AED use. If students with diabetes attend, at least two employees must be trained to give insulin and glucagon. Smaller buildings must have at least two employees with emergency training, and at least one trained to give insulin and glucagon when diabetes students attend. Staff assigned from local health departments count toward these totals.

Students with diabetes can carry supplies

Students diagnosed with diabetes may carry and use their diabetes supplies at school. A parent must consent and a prescriber must approve. Students may check blood sugar in class, on buses, and at school events. They may also carry and use a cell phone or smart device to manage or share diabetes information.

Help at school with insulin and pumps

Trained school nurses, licensed practical nurses, or certified nurse aides may help insert or reinsert an insulin pump. A prescriber must authorize the help and a parent must consent, and staff may decline. Authorized employees who provide diabetes care under orders and consent are protected from civil lawsuits for ordinary mistakes and are not considered to be practicing medicine. School boards cannot ban authorized employees from giving care, but can set reasonable rules. If a registered nurse, nurse practitioner, doctor, or physician assistant is present, only those licensed staff may give insulin or glucagon. Other employees may help only with prescriber authorization and parent consent.

Staff can refuse nonemergency health tasks

Most instructional and clerical employees cannot be punished for refusing nonemergency health services or refusing insulin and glucagon training. This protection does not apply to administrators or staff hired to deliver health services. Instructional aides and clerical staff must still give oral medicines. Employees may decline future health tasks with reasonable notice.

Sponsors & Cosponsors

Sponsor

  • Jeremy S. McPike

    Democratic • Senate

Cosponsors

There are no cosponsors for this bill.

Roll Call Votes

All Roll Calls

Yes: 426 • No: 41

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: 97 • No: 0

Senate vote 3/12/2026

Senate acceded to request Block Vote

Yes: 40 • No: 0

Senate vote 3/10/2026

House substitute rejected by Senate (0-Y 40-Y 0-A)

Yes: 0 • No: 40

House vote 3/9/2026

Passed House with substitute

Yes: 96 • No: 0

House vote 3/4/2026

Reported from Education with substitute

Yes: 20 • No: 1

Senate vote 2/10/2026

Read third time and passed Senate Block Vote

Yes: 40 • No: 0

Senate vote 2/10/2026

Constitutional reading dispensed Block Vote (on 3rd reading)

Yes: 40 • No: 0

Senate vote 2/10/2026

Education and Health Substitute rejected

Yes: 0 • No: 0

Senate vote 2/6/2026

Passed by for the day Block Vote (Voice Vote)

Yes: 0 • No: 0

Senate vote 2/6/2026

Constitutional reading dispensed Block Vote (on 1st reading)

Yes: 39 • No: 0

Senate vote 2/5/2026

Reported from Education and Health with substitute

Yes: 15 • No: 0

Actions Timeline

  1. Acts of Assembly Chapter text (CHAP0288)

    4/6/2026Governor
  2. Approved by Governor-Chapter 288 (effective 7/1/2026)

    4/6/2026Governor
  3. Fiscal Impact Statement from Department of Planning and Budget (SB122)

    3/31/2026Senate
  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

    3/31/2026Senate
  6. Signed by Speaker

    3/31/2026House
  7. Bill text as passed Senate and House (SB122ER)

    3/30/2026Senate
  8. Enrolled

    3/30/2026Senate
  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 (97-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. Senate acceded to request Block Vote (40-Y 0-N 0-A)

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

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

    3/12/2026Senate
  18. House requested conference committee

    3/11/2026House
  19. House insisted on substitute

    3/11/2026House
  20. House substitute rejected by Senate (0-Y 40-Y 0-A)

    3/10/2026Senate
  21. Passed House with substitute (96-Y 0-N 0-A)

    3/9/2026House
  22. Engrossed by House - committee substitute

    3/9/2026House
  23. committee substitute agreed to

    3/9/2026House
  24. Read third time

    3/9/2026House
  25. Read second time

    3/6/2026House

Bill Text

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