Student Health and Medication Supports

Supporting Students with Chronic Health Conditions 

Ohio’s strategic plan for education, Each Child, Our Future, recommends the adoption of a whole child model of education. Ohio’s Whole Child Framework places the child at the center and recognizes that students’ basic physiological and psychological needs must be met before they can fully engage in complex learning and social activities. Healthy is one of five tenets of Ohio’s Whole Child Framework, and when students are healthy, they can fully engage in learning. Schools, families and communities work together to prevent and manage chronic health conditions, such as food allergies or diabetes. Schools and districts can support students with food allergies or diabetes by implementing policies that address medication procurement and administration and training school staff and students on ways to prevent and respond to students in case of a health emergency.  

Ohio’s 133rd General Assembly enacted House Bill 231, the “Allison Rose Act," to increase supports for students with food allergies and diabetes. Ohio law encourages districts to train school personnel and age-appropriate students on supporting students with food allergies. The law outlines requirements regarding the procurement, distribution and training for the distribution of glucagon to support students with diabetes. This webpage outlines new or amended requirements in Ohio law that support students with chronic health conditions, such as food allergies or diabetes.


Supporting Students with Food Allergies:  

Ohio law requires the Ohio Department of Education to compile a list of organizations and companies that offer free and reduced-cost epinephrine autoinjectors to qualifying school districts, other public schools and chartered nonpublic schools annually.  

Free or Reduced-cost Epinephrine Autoinjectors:  

Policy to Support Students with Food Allergies 

In July 2009, Ohio law required the board of education of each city, local, exempted village and joint vocational school district, community school and the governing authority of each chartered nonpublic school to establish a written policy with respect to protecting students with food allergies. The policy must be developed in consultation with parents, school nurses and other school employees, school volunteers, students and community members.   

Training to Support Students with Food Allergies 

Ohio law was amended to specify that each school district board may create training for all staff members and age-appropriate instruction for students in grades kindergarten through 12 on food allergies and ways in which to assist an individual experiencing an allergic reaction. If a district board chooses to provide training to staff and students, the training may include:  

  • Instruction in food allergies;
  • Signs and symptoms of anaphylaxis; 
  • Prevention of allergic reactions;  
  • Management and administration of epinephrine; and  
  • Follow-up and reporting procedures.  

Ohio Law requires that training completed shall qualify as a professional development activity for the renewal of educator licenses, in addition to activities approved by local professional development committees. 

Information on food allergy policy requirements and resources to train staff and students can be found on the Department’s Food Allergy Policy Requirements and Guidance webpage.  

Supporting Students with Diabetes:   

Glucagon Procurement 

To support students with diabetes, Ohio law states the board of education of each city, local, exempted village or joint vocational school district may procure injectable or nasally administered glucagon for each school operated by the district to have on the school premises for use in emergency situations by doing one of the following:  

  1. Having a licensed health professional authorized to prescribe drugs personally furnish the injectable or nasally administered glucagon to the school or school district or issue a prescription for the drug in the name of the school or district.  
  2. Having the district's superintendent obtain a prescriber-issued protocol that includes definitive orders for injectable or nasally administered glucagon and the dosages to be administered. A district board that elects to procure injectable or nasally administered glucagon under this section is encouraged to maintain, at all times, at least two doses of the drug at each school operated by the district.  

Glucagon Policy 

Newly enacted Ohio law requires that if a district board chooses to procure injectable or nasally administered glucagon, the district's superintendent must adopt a policy governing maintenance and use of the drug. The policy is not required if the district board does not choose to procure glucagon. The policy must be developed in consultation with a licensed health professional authorized to prescribe drugs. The policy must do the following:   

  • Identify the one or more locations in each school operated by the district in which injectable or nasally administered glucagon must be stored.  
  • Specify the conditions under which injectable or nasally administered glucagon must be stored, replaced and disposed.  
  • Specify the individuals employed by or under contract with the district board, in addition to a licensed school nurse or licensed athletic trainer, who may access and use injectable or nasally administered glucagon in an emergency. 
  • Specify any training that employees or contractors, other than a school nurse or athletic trainer, must complete before being authorized to access and use injectable or nasally administered glucagon.  
  • Identify the emergency situations in which a school nurse, athletic trainer or other employees or contractors may access and use injectable or nasally administered glucagon.  
  • Specify that assistance from an emergency medical service provider must be requested immediately after a dose of glucagon is administered.  
  • Specify the individuals, if any, in addition to students, to whom a dose of glucagon may be administered in an emergency.  

A school district board of education may accept donations of injectable or nasally administered glucagon from a wholesale distributor of dangerous drugs or manufacturer of dangerous drugs, such as a pharmacy, and may accept donations of money from any person to purchase the drug.  

Information for schools and districts to support students with diabetes, including training and diabetes management, can be found on the Department’s Diabetes Management webpage.  

Reporting Glucagon Procurement and Usage 

Ohio law also requires a district board that elects to procure injectable or nasally administered glucagon under this section to report to the Ohio Department of Education each procurement and each occurrence in which a dose of the drug is used from a school's supply. 

Last Modified: 5/17/2022 8:29:59 AM