VirginiaSB1222026 Regular SessionSenateWALLET

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

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

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Bill Overview

Analyzed Economic Effects

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

Schools must plan students' diabetes care

Beginning with the 2028–2029 school year, Virginia school boards must implement and update divisionwide diabetes care plans in each public school. Plans must use state guidance and tailor staff training to each school's needs. Buildings attended by students with diabetes need minimum trained staffing. With 10 or more instructional and administrative staff, at least three employees need current first aid, CPR, and defibrillator training or certification. At least two employees must be trained to give insulin and glucagon. Smaller buildings need at least two employees with the emergency training and one trained to give insulin and glucagon. Unlicensed staff need prescriber authorization and parent consent for insulin, glucagon, or pump insertion help; pump assistance also requires pump-use training. Parents must have a role in plan changes, individual medical and health care plans, and complaint and dispute processes. Trained, designated unlicensed employees and other school personnel have civil immunity for ordinary negligence when providing authorized diabetes care. That protection requires compliance with prescriber authorization, parent consent, applicable law, and the divisionwide plan, and preserves other statutory protections. Implementation is linked to state appropriations and Education Department oversight of school health services funding.

Students get protected school diabetes care

Virginia students with diabetes can carry and use diabetes supplies and prescribed insulin pumps with parent consent and written prescriber approval. They can check glucose on school buses, school property, and during school-sponsored activities. They can use phones or smart devices for diabetes care or communication with parents, schools, or health care providers. School boards cannot ban care that employees are legally authorized and qualified to provide. Boards can set reasonable safety and operating rules with the student's health care provider. Authorized registered or practical nurses trained in insulin and glucagon can help insert or reinsert prescribed pumps or their parts. This help requires parent consent, prescriber authorization, and recognized American Diabetes Association methods; nurses are not required to provide it.

Parents and schools get diabetes guidance

Virginia's education and health departments must create, review, and update public information about type 1 and type 2 diabetes. School boards must make it available to every enrolled student's parent at the start of each school year. The Education Department must help school boards develop, change, or carry out diabetes care plans when boards request help. By January 1, 2028, it must comprehensively review its school diabetes care manual with the Health Department and specified stakeholders. It must review the manual at least every two years afterward, update it as needed, and post it publicly online. The manual must cover diabetes devices and technology, designated unlicensed staff, care, training, immunity, staffing, and responses when trained staff are unavailable.

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

Constitutional reading dispensed Block Vote (on 3rd reading)

Yes: 40 • No: 0

Senate vote • 2/10/2026

Read third time and passed Senate Block Vote

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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