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S1323aaH.......................................................by EDUCATION SCHOOL BUS DRIVERS - Amends existing law relating to school bus drivers to provide that the State Department of Education may issue a medical waiver to individuals with insulin dependent diabetes mellitus if the department determines that an applicant has met the requirements as specified; and to require the department to promulgate rules as necessary to implement the provisions for determining eligibility and issuing such waivers. 02/16 Senate intro - 1st rdg - to printing 02/17 Rpt prt - to Educ 02/23 Rpt out - rec d/p - to 2nd rdg 02/24 2nd rdg - to 3rd rdg 02/27 3rd rdg - PASSED - 26-7-2 AYES -- Andreason, Bailey, Bunderson, Burkett, Burtenshaw, Compton, Darrington, Gannon, Goedde, Ingram, Kennedy, Keough, Little, Lodge, Malepeai, Marley, McKenzie, McWilliams, Noble, Noh, Richardson, Schroeder, Sorensen, Stegner, Stennett, Werk NAYS -- Brandt, Calabretta, Cameron, Davis, Geddes, Pearce, Sweet Absent and excused -- Hill, Williams Floor Sponsor - Gannon Title apvd - to House 03/01 House intro - 1st rdg - to Educ 03/12 Rpt out - to Gen Ord 03/16 Rpt out amen - to 1st rdg as amen 03/17 1st rdg - to 2nd rdg as amen 03/18 2nd rdg - to 3rd rdg as amen 03/19 3rd rdg as amen - PASSED - 64-0-6 AYES -- Andersen, Barraclough, Barrett, Bayer, Bell, Black, Block, Boe, Bolz, Bradford, Campbell, Cannon, Clark, Collins, Crow, Cuddy, Deal, Denney, Douglas, Eberle, Edmunson, Ellsworth, Eskridge, Field(18), Field(23), Gagner, Garrett, Harwood, Henbest, Jaquet, Jones, Kulczyk, Lake, Langford, Langhorst, Martinez, McGeachin, McKague, Meyer, Miller, Mitchell, Naccarato, Nielsen, Pasley-Stuart, Raybould, Ridinger, Ring, Ringo, Robison, Rydalch, Sali, Sayler, Schaefer, Shepherd, Shirley, Skippen, Smith(30), Smith(24), Smylie, Snodgrass, Stevenson, Wills, Wood, Mr. Speaker NAYS -- None Absent and excused -- Bauer, Bedke, Kellogg, Moyle, Roberts, Trail Floor Sponsor - Jones Title apvd - to Senate 03/19 Senate concurred in House amens - to engros 03/20 Rpt engros - 1st rdg - to 2nd rdg as amen Rls susp - PASSED - 32-0-3 AYES -- Andreason, Bailey, Brandt, Bunderson, Burkett(Maxand), Calabretta, Cameron, Compton, Darrington, Davis, Gannon, Geddes, Goedde, Hill, Ingram, Kennedy, Keough, Little, Lodge, Marley, McKenzie, McWilliams, Noh, Pearce, Richardson, Schroeder, Sorensen, Stegner, Stennett, Sweet, Werk, Williams NAYS -- None Absent and excused -- Burtenshaw, Malepeai, Noble Floor Sponsor - Gannon Title apvd - To enrol - Rpt enrol - Pres signed 03/22 Sp signed - To Governor 03/23 Governor signed Session Law Chapter 218 Effective: 07/01/04
]]]] LEGISLATURE OF THE STATE OF IDAHO ]]]] Fifty-seventh Legislature Second Regular Session - 2004IN THE SENATE SENATE BILL NO. 1323 BY EDUCATION COMMITTEE 1 AN ACT 2 RELATING TO SCHOOL BUS DRIVERS; AMENDING SECTION 33-1509, IDAHO CODE, TO 3 DELETE PROVISIONS WHICH ALLOW A MEDICAL WAIVER FOR INDIVIDUALS WITH INSU- 4 LIN DEPENDENT DIABETES MELLITUS. 5 Be It Enacted by the Legislature of the State of Idaho: 6 SECTION 1. That Section 33-1509, Idaho Code, be, and the same is hereby 7 amended to read as follows: 8 33-1509. SCHOOL BUS DRIVERS -- DEFINITION -- QUALIFICATION -- DUTIES. For 9 the purpose of this chapter the term "school bus driver" shall mean any person 10 who at any time is operating a school bus while transporting pupils to or from 11 school, or to or from approved school activities. 12 A board of trustees shall employ school bus drivers only upon prior appli- 13 cation in writing and the board shall require of school bus drivers employed 14 by others who transport pupils of their district under contract, the same 15 information required in such written application. Each application shall con- 16 tain at least the minimum information specified by the state department of 17 education. 18 Any person employed as a school bus driver shall be over the age of eigh- 19 teen (18) years, be of good moral character and not addicted to the use of 20 intoxicants or narcotics. School bus drivers shall be subject to the physical 21 examination standards of the federal motor carrier safety regulations.Pro-22vided however, that individuals with insulin-dependent diabetes mellitus, who23are otherwise medically qualified under the physical examination standards of24the federal motor carrier safety regulations, may request a waiver for this25condition and, in the discretion of the board of trustees, be issued a school26bus driver's permit for intrastate transport of pupils to or from school, or27to or from approved school activities. Applicants for a waiver under this sec-28tion shall provide all information and accompanying documentation as required29on a form approved by the state department of education.Before entering upon 30 his duties, each school bus driver shall file with the board of trustees a 31 current health certificate.and, if applicable, a waiver request pursuant to32this section with all required information and accompanying documentation.33 Subsequent health certificates shall be filed with the frequency required by 34 the federal motor carrier safety regulations. School bus drivers shall be 35 physically able to perform all job-related duties. 36 Each school bus driver shall at all times possess a valid and appropriate 37 commercial driver's license, including endorsements as specified in section 38 49-105, Idaho Code., and a school bus driver's permit issued by the board of39trustees and, if applicable, a waiver for insulin-dependent diabetes mellitus40issued by the board of trustees. The school bus driver's permit shall be in a41form approved by the state department of education and shall be carried on the42school bus driver's person or be exhibited in full view when the holder43thereof is operating any school bus with pupils therein.2 1The board of trustees may for cause, and after a hearing, revoke any2school bus driver's permit or waiver for insulin-dependent diabetes mellitus.3 Each school bus driver shall maintain such route books and other records 4 as may be required by the state department of education or by the board of 5 trustees of the school district. The school bus driver shall report any pupil 6 whose behavior is such as may endanger the operation of the vehicle, or who 7 damages the same or any part thereof, or whose language is obscene. 8 It shall be the duty of each school bus driver to report any condition on, 9 or bordering, his route which constitutes a hazard to the safety of the pupils 10 being transported.
]]]] LEGISLATURE OF THE STATE OF IDAHO ]]]] Fifty-seventh Legislature Second Regular Session - 2004Moved by Jones Seconded by Ellsworth IN THE HOUSE OF REPRESENTATIVES HOUSE AMENDMENT TO S.B. NO. 1323 1 AMENDMENTS TO SECTION 1 2 On page 1 of the printed bill, delete lines 20 through 25 and insert: 3 "intoxicants or narcotics. School bus drivers shallbe subject tomeet the 4 physical examination standards of the federal motor carrier safety regula- 5 tions. Provided however, that individuals with insulin dependent diabetes 6 mellitus, who are otherwise medically qualified under the physical examination 7 standards of the federal motor carrier safety regulations, may request a 8 waiver for this conditionand, in the discretion of the board of trustees, be9issued a school"; in line 29, following "education." insert: "from the state 10 department of education. If the applicant meets the requirements as specified 11 in subsections (1) through (7) of this section, the department shall grant a 12 waiver. The department shall notify each applicant and each affected school 13 district of its determination of eligibility with regard to each application 14 for a waiver. An applicant shall: 15 (1) Document that he has no other disqualifying conditions including 16 diabetes-related complications; 17 (2) Document that he has had no recurring, two (2) or more, hypoglycemic 18 reactions resulting in a loss of consciousness or seizure within the past five 19 (5) years. A period of one (1) year of demonstrated stability is required fol- 20 lowing the first episode of hypoglycemia; 21 (3) Document that he has had no recurrent hypoglycemic reactions requir- 22 ing the assistance of another person within the past five (5) years. A period 23 of one (1) year of demonstrated stability is required following the first epi- 24 sode of hypoglycemia; 25 (4) Document that he has had no recurrent hypoglycemic reactions result- 26 ing in impaired cognitive function that occurred without warning symptoms 27 within the past five (5) years. A period of one (1) year of demonstrated sta- 28 bility is required following the first episode of hypoglycemia; 29 (5) Document that he has been examined by a board-certified or board- 30 eligible endocrinologist who has conducted a complete medical examination. The 31 complete medical examination shall consist of a comprehensive evaluation of 32 the applicant's medical history and current status with a report including the 33 following information: 34 (a) The date insulin use began; 35 (b) Diabetes diagnosis and disease history; 36 (c) Hospitalization records; 37 (d) Consultation notes for diagnostic examinations; 38 (e) Special studies pertaining to the diabetes; 39 (f) Follow-up reports; 40 (g) Reports of any hypoglycemic insulin reactions within the last five 41 (5) years; 42 (h) Two (2) measures of glycosylated hemoglobin, the first ninety (90) 43 days before the last and current measure; 2 1 (i) Insulin dosages and types, diet utilized for control and any signifi- 2 cant factors such as smoking, alcohol use, and other medications or drugs 3 taken; and 4 (j) Examinations to detect any peripheral neuropathy or circulatory 5 insufficiency of the extremities; 6 (6) Submit a signed statement from an examining endocrinologist indicat- 7 ing the following medical determinations: 8 (a) The endocrinologist is familiar with the applicant's medical history 9 for the past five (5) years, either through actual treatment over that 10 time or through consultation with a physician who has treated the appli- 11 cant during that time; 12 (b) The applicant has been educated in diabetes and its management, thor- 13 oughly informed of and understands the procedures which must be followed 14 to monitor and manage the applicant's diabetes and what procedures should 15 be followed if complications arise; and 16 (c) The applicant has the ability and has demonstrated willingness to 17 properly monitor and manage the applicant's diabetes; and 18 (7) Submit a separate signed statement from an ophthalmologist or optome- 19 trist that the applicant has been examined and that the applicant does not 20 have diabetic retinopathy and meets the vision standard in 49 CFR 21 391.41(b)(10), or has been issued a valid medical exemption. If the applicant 22 has any evidence of diabetic retinopathy, the applicant must be examined by an 23 ophthalmologist and submit a separate signed statement from the ophthalmolo- 24 gist that the applicant does not have unstable advancing disease of blood ves- 25 sels in the retina, known as unstable proliferative diabetic retinopathy."; 26 and delete lines 38 through 40 and insert: "49-105, Idaho Code, anda school27bus driver's permit issued by the board of trustees and,if applicable, a 28 waiver for insulin dependent diabetes mellitus issued by theboard of trustees29 state department of education.The school bus driver's permit shall be in a". 30 On page 2, following line 10, insert: 31 "The state department of education shall promulgate rules as necessary for 32 the determination of eligibility and issuance of a waiver to individuals with 33 insulin dependent diabetes mellitus in accordance with the provisions of this 34 section.". 35 CORRECTION TO TITLE 36 On page 1, delete lines 3 and 4 and insert: "PROVIDE THAT THE STATE 37 DEPARTMENT OF EDUCATION MAY ISSUE A MEDICAL WAIVER TO INDIVIDUALS WITH INSULIN 38 DEPENDENT DIABETES MELLITUS IF THE DEPARTMENT DETERMINES THAT AN APPLICANT HAS 39 MET THE REQUIREMENTS AS SPECIFIED, AND TO REQUIRE THE DEPARTMENT TO PROMULGATE 40 RULES AS NECESSARY TO IMPLEMENT THE PROVISIONS FOR DETERMINING ELIGIBILITY AND 41 ISSUING SUCH WAIVERS.".
]]]] LEGISLATURE OF THE STATE OF IDAHO ]]]] Fifty-seventh Legislature Second Regular Session - 2004IN THE SENATE SENATE BILL NO. 1323, As Amended in the House BY EDUCATION COMMITTEE 1 AN ACT 2 RELATING TO SCHOOL BUS DRIVERS; AMENDING SECTION 33-1509, IDAHO CODE, TO PRO- 3 VIDE THAT THE STATE DEPARTMENT OF EDUCATION MAY ISSUE A MEDICAL WAIVER TO 4 INDIVIDUALS WITH INSULIN DEPENDENT DIABETES MELLITUS IF THE DEPARTMENT 5 DETERMINES THAT AN APPLICANT HAS MET THE REQUIREMENTS AS SPECIFIED, AND TO 6 REQUIRE THE DEPARTMENT TO PROMULGATE RULES AS NECESSARY TO IMPLEMENT THE 7 PROVISIONS FOR DETERMINING ELIGIBILITY AND ISSUING SUCH WAIVERS. 8 Be It Enacted by the Legislature of the State of Idaho: 9 SECTION 1. That Section 33-1509, Idaho Code, be, and the same is hereby 10 amended to read as follows: 11 33-1509. SCHOOL BUS DRIVERS -- DEFINITION -- QUALIFICATION -- DUTIES. For 12 the purpose of this chapter the term "school bus driver" shall mean any person 13 who at any time is operating a school bus while transporting pupils to or from 14 school, or to or from approved school activities. 15 A board of trustees shall employ school bus drivers only upon prior appli- 16 cation in writing and the board shall require of school bus drivers employed 17 by others who transport pupils of their district under contract, the same 18 information required in such written application. Each application shall con- 19 tain at least the minimum information specified by the state department of 20 education. 21 Any person employed as a school bus driver shall be over the age of eigh- 22 teen (18) years, be of good moral character and not addicted to the use of 23 intoxicants or narcotics. School bus drivers shallbe subject tomeet the 24 physical examination standards of the federal motor carrier safety regula- 25 tions. Provided however, that individuals with insulin-dependent diabetes 26 mellitus, who are otherwise medically qualified under the physical examination 27 standards of the federal motor carrier safety regulations, may request a 28 waiver for this conditionand, in the discretion of the board of trustees, be29issued a school bus driver's permit for intrastate transport of pupils to or30from school, or to or from approved school activities. Applicants for a waiver31under this section shall provide all information and accompanying documenta-32tion as required on a form approved by the state department of education.from 33 the state department of education. If the applicant meets the requirements as 34 specified in subsections (1) through (7) of this section, the department shall 35 grant a waiver. The department shall notify each applicant and each affected 36 school district of its determination of eligibility with regard to each appli- 37 cation for a waiver. An applicant shall: 38 (1) Document that he has no other disqualifying conditions including 39 diabetes-related complications; 40 (2) Document that he has had no recurring, two (2) or more, hypoglycemic 41 reactions resulting in a loss of consciousness or seizure within the past five 42 (5) years. A period of one (1) year of demonstrated stability is required fol- 43 lowing the first episode of hypoglycemia; 2 1 (3) Document that he has had no recurrent hypoglycemic reactions requir- 2 ing the assistance of another person within the past five (5) years. A period 3 of one (1) year of demonstrated stability is required following the first epi- 4 sode of hypoglycemia; 5 (4) Document that he has had no recurrent hypoglycemic reactions result- 6 ing in impaired cognitive function that occurred without warning symptoms 7 within the past five (5) years. A period of one (1) year of demonstrated sta- 8 bility is required following the first episode of hypoglycemia; 9 (5) Document that he has been examined by a board-certified or board- 10 eligible endocrinologist who has conducted a complete medical examination. The 11 complete medical examination shall consist of a comprehensive evaluation of 12 the applicant's medical history and current status with a report including the 13 following information: 14 (a) The date insulin use began; 15 (b) Diabetes diagnosis and disease history; 16 (c) Hospitalization records; 17 (d) Consultation notes for diagnostic examinations; 18 (e) Special studies pertaining to the diabetes; 19 (f) Follow-up reports; 20 (g) Reports of any hypoglycemic insulin reactions within the last five 21 (5) years; 22 (h) Two (2) measures of glycosylated hemoglobin, the first ninety (90) 23 days before the last and current measure; 24 (i) Insulin dosages and types, diet utilized for control and any signifi- 25 cant factors such as smoking, alcohol use, and other medications or drugs 26 taken; and 27 (j) Examinations to detect any peripheral neuropathy or circulatory 28 insufficiency of the extremities; 29 (6) Submit a signed statement from an examining endocrinologist indicat- 30 ing the following medical determinations: 31 (a) The endocrinologist is familiar with the applicant's medical history 32 for the past five (5) years, either through actual treatment over that 33 time or through consultation with a physician who has treated the appli- 34 cant during that time; 35 (b) The applicant has been educated in diabetes and its management, thor- 36 oughly informed of and understands the procedures which must be followed 37 to monitor and manage the applicant's diabetes and what procedures should 38 be followed if complications arise; and 39 (c) The applicant has the ability and has demonstrated willingness to 40 properly monitor and manage the applicant's diabetes; and 41 (7) Submit a separate signed statement from an ophthalmologist or optome- 42 trist that the applicant has been examined and that the applicant does not 43 have diabetic retinopathy and meets the vision standard in 49 CFR 44 391.41(b)(10), or has been issued a valid medical exemption. If the applicant 45 has any evidence of diabetic retinopathy, the applicant must be examined by an 46 ophthalmologist and submit a separate signed statement from the ophthalmolo- 47 gist that the applicant does not have unstable advancing disease of blood ves- 48 sels in the retina, known as unstable proliferative diabetic retinopathy. 49 Before entering upon his duties, each school bus driver shall file with the 50 board of trustees a current health certificate.and, if applicable, a waiver51request pursuant to this section with all required information and accompany-52ing documentation.Subsequent health certificates shall be filed with the fre- 53 quency required by the federal motor carrier safety regulations. School bus 54 drivers shall be physically able to perform all job-related duties. 55 Each school bus driver shall at all times possess a valid and appropriate 3 1 commercial driver's license, including endorsements as specified in section 2 49-105, Idaho Code, anda school bus driver's permit issued by the board of3trustees and,if applicable, a waiver for insulin-dependent diabetes mellitus 4 issued by theboard of trusteesstate department of education.The school bus5driver's permit shall be in a form approved by the state department of educa-6tion and shall be carried on the school bus driver's person or be exhibited in7full view when the holder thereof is operating any school bus with pupils8therein.9The board of trustees may for cause, and after a hearing, revoke any10school bus driver's permit or waiver for insulin-dependent diabetes mellitus.11 Each school bus driver shall maintain such route books and other records 12 as may be required by the state department of education or by the board of 13 trustees of the school district. The school bus driver shall report any pupil 14 whose behavior is such as may endanger the operation of the vehicle, or who 15 damages the same or any part thereof, or whose language is obscene. 16 It shall be the duty of each school bus driver to report any condition on, 17 or bordering, his route which constitutes a hazard to the safety of the pupils 18 being transported. 19 The state department of education shall promulgate rules as necessary for 20 the determination of eligibility and issuance of a waiver to individuals with 21 insulin dependent diabetes mellitus in accordance with the provisions of this 22 section.
STATEMENT OF PURPOSE RS 13857C1 This proposal amends current law removing the authority of a district school board to review and accept or reject a special waiver request when considering hiring a bus driver that is insulin dependent with Diabetes Mellitus. This amendment will require a licensed physician, not the school board, to make the determination about the fitness of a person with diabetes to drive a passenger school bus. Every bus driver with diabetes applying to be a school bus driver will still be required to be issued a commercial driver's license and will also be required to carry an ITD medical card displaying endorsements and conditions prescribed by the physician. The effect of this legislation would be to return medical decisions to physicians instead of a lay board of school district trustees. FISCAL NOTE There would be neither state nor local government fiscal impact. Current review procedures and staff would be used as with other commercial driver license applicants. Contact: Cliff Green or John Watts Idaho School Board Association 854-1476 or 385-7070 STATEMENT OF PURPOSE/FISCAL NOTE S 1323