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State Laws on School Nursing Outline Copious Responsibilities for Nurses - Child Trends – ChildTrends
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srcSet="/_next/image?url=https%3A%2F%2Fcms.childtrends.org%2Fwp-content%2Fuploads%2F2017%2F07%2FWeb-Resolution-1CropSquare.jpg&w=640&q=75 640w, /_next/image?url=https%3A%2F%2Fcms.childtrends.org%2Fwp-content%2Fuploads%2F2017%2F07%2FWeb-Resolution-1CropSquare.jpg&w=750&q=75 750w, /_next/image?url=https%3A%2F%2Fcms.childtrends.org%2Fwp-content%2Fuploads%2F2017%2F07%2FWeb-Resolution-1CropSquare.jpg&w=828&q=75 828w, /_next/image?url=https%3A%2F%2Fcms.childtrends.org%2Fwp-content%2Fuploads%2F2017%2F07%2FWeb-Resolution-1CropSquare.jpg&w=1080&q=75 1080w, /_next/image?url=https%3A%2F%2Fcms.childtrends.org%2Fwp-content%2Fuploads%2F2017%2F07%2FWeb-Resolution-1CropSquare.jpg&w=1200&q=75 1200w, /_next/image?url=https%3A%2F%2Fcms.childtrends.org%2Fwp-content%2Fuploads%2F2017%2F07%2FWeb-Resolution-1CropSquare.jpg&w=1920&q=75 1920w, /_next/image?url=https%3A%2F%2Fcms.childtrends.org%2Fwp-content%2Fuploads%2F2017%2F07%2FWeb-Resolution-1CropSquare.jpg&w=2048&q=75 2048w, 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src="/_next/static/media/author-no-image.e4a37c88.svg"/></div><a href="/search?author=kristy-lao" class="sc-f6e799c7-4 gAFMke">Kristy Lao</a></li><li class="sc-f6e799c7-3 cYVpws"><div class="sc-f6e799c7-6 NHRdD"><img alt="" loading="lazy" decoding="async" data-nimg="fill" style="position:absolute;height:100%;width:100%;left:0;top:0;right:0;bottom:0;object-fit:cover;color:transparent" src="/_next/static/media/author-no-image.e4a37c88.svg"/></div><a href="/search?author=brissa-nunez" class="sc-f6e799c7-4 gAFMke">Brissa Nuñez</a></li><li class="sc-f6e799c7-3 cYVpws"><div class="sc-f6e799c7-6 NHRdD"><img alt="" loading="lazy" decoding="async" data-nimg="fill" style="position:absolute;height:100%;width:100%;left:0;top:0;right:0;bottom:0;object-fit:cover;color:transparent" src="/_next/static/media/author-no-image.e4a37c88.svg"/></div><a href="/search?author=kajol-surani" class="sc-f6e799c7-4 gAFMke">Kajol Surani</a></li><li class="sc-f6e799c7-3 cYVpws"><div class="sc-f6e799c7-6 NHRdD"><img alt="" loading="lazy" decoding="async" data-nimg="fill" style="position:absolute;height:100%;width:100%;left:0;top:0;right:0;bottom:0;object-fit:cover;color:transparent" src="/_next/static/media/author-no-image.e4a37c88.svg"/></div><a href="/search?author=victoria-stuart-cassel" class="sc-f6e799c7-4 gAFMke">Victoria Stuart-Cassel</a></li></ul></div></div><div class="sc-28764044-0 fffWkA"><p>As students returned to school in fall 2021, school nurses <a href="https://higherlogicdownload.s3.amazonaws.com/NASN/3870c72d-fff9-4ed7-833f-215de278d256/UploadedImages/PDFs/School-Nurse-Activities-during-COVID-19.pdf">played a critical role</a> in ensuring the ongoing health and safety of students. Though school nurses have historically led efforts to <a href="https://pubmed.ncbi.nlm.nih.gov/12387588/">mitigate the spread of communicable diseases</a>, their role has shifted significantly over time, and new COVID-19 responsibilities only added to school nurses’ already full plates. Even before the pandemic, school nurses were responsible for a wide range of tasks, including managing chronic disease, creating and coordinating individual student health plans, administering and storing medications, training school staff in emergency procedures and medication administration, and keeping and reporting records and health information. School nurses typically performed these services for multiple school buildings (as of 2017, only <a href="https://higherlogicdownload.s3.amazonaws.com/NASN/8575d1b7-94ad-45ab-808e-d45019cc5c08/UploadedImages/PDFs/Advocacy/2017_Workforce_Study_Infographic_School_Nurses_in_the_Nation.pdf">39.3 percent of schools</a> had a full time school nurse). Now, school nurses have become responsible for administering COVID-19 tests; helping with vaccination clinics; facilitating <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8047512/">immunizations and health screenings</a> that had been disrupted during remote learning; conducting <a href="https://journals.sagepub.com/doi/pdf/10.1177/1059840521992054">contact tracing; enforcing general COVID protocols</a>; and <a href="https://higherlogicdownload.s3.amazonaws.com/NASN/658e97be-9aae-4759-b5fe-feb712c1871d/UploadedImages/School_Nurses_Valuable_Role_in_Addressing_COVID-19_During_2020-21.pdf">providing COVID-19 education</a> to students, staff, and families—all in addition to their regular duties.</p> <p>State statutes and regulations dictate not only whether schools are required to employ a school nurse, but also what qualifications they must have and what they must do once they arrive in school buildings. Moreover, state policies highlight whether and how the role of a school nurse is valued, particularly as <a href="https://onlinelibrary.wiley.com/doi/full/10.1002/pits.22708">an expert in the wake of public health crises</a> like COVID-19. Understanding the current landscape of state statutes and regulations that govern school nursing is critical to identifying opportunities to better support and elevate school nurses’ role as longstanding pillars of public health.</p> <p>Child Trends, in partnership with EMT Associates, analyzed the landscape of state statutes and regulations as of October 2021 to better understand how such policies define the role of school nurses (see Methodology). This brief presents our findings.</p> <hr> </div><div class="sc-28764044-3 bmPOcp"></div></div><div class="sc-28764044-5 eeDvLZ"><div class="sc-28764044-2 jwOAci"></div><div class="sc-28764044-0 fffWkA"><h2>Findings</h2> <h3>State policies on whether districts must employ school nurses</h3> <p><strong>Thirty-five states and the District of Columbia (DC) have policies requiring (“must,” “shall”) the employment of school nurses, while another seven states authorize (“may”), encourage (“should”), or address making school nurses available to students</strong> (Appendix A). However, even among states that require making school nurses available, those requirements range from full-time nurses in each school to part-time nurses providing services to several schools to nurses employed at the LEA level. For example, two states (<a href="https://delcode.delaware.gov/title14/c013/index.html#1310.">Delaware</a> and <a href="https://education.vermont.gov/sites/aoe/files/documents/edu-state-board-rules-series-2000.pdf">Vermont</a>) <a href="https://statepolicies.nasbe.org/health/categories/health-services/school-nurse-availability">require full-time nurses in every school</a>, and an additional twelve states (<a href="https://codes.findlaw.com/al/title-16-education/al-code-sect-16-22-16.html#:~:text=(a)%20The%20State%20Department%20of,nurse%20within%20each%20school%20system.">Alabama</a>, <a href="https://codes.findlaw.com/ar/title-6-education/ar-code-sect-6-18-706.html#:~:text=(a)%20In%20order%20to%20improve,healthcare%20needs%20of%20these%20children.">Arkansas</a>, <a href="http://ga.elaws.us/law/section20-2-186">Georgia</a>, <a href="https://casetext.com/regulation/indiana-administrative-code/title-511-indiana-state-board-of-education/article-4-pupil-personnel-services-student-health-testing-food-and-nutrition-programs-extended-services/rule-511-iac-4-15-student-services/section-511-iac-4-15-2-personnel">Indiana</a>, <a href="https://www.legis.iowa.gov/docs/code/256.11.pdf">Iowa</a>, <a href="https://oregon.public.law/statutes/ors_336.201">Oregon</a>, <a href="https://www.pacodeandbulletin.gov/Display/pacode?file=/secure/pacode/data/028/chapter23/s23.53.html&d=reduce%27)">Pennsylvania</a>, <a href="https://codes.findlaw.com/tn/title-68-health-safety-and-environmental-protection/tn-code-sect-68-1-1203.html">Tennessee</a>, <a href="https://le.utah.gov/xcode/Title53G/Chapter9/53G-9-S204.html?v=C53G-9-S204_2018012420180124">Utah</a>, <a href="https://regulations.justia.com/states/vermont/agency-22/sub-agency-000/chapter-003/section-22-000-003/">Vermont</a>, <a href="https://law.lis.virginia.gov/vacode/title22.1/chapter14/section22.1-274/">Virginia</a>, and <a href="http://www.wvlegislature.gov/WVCODE/ChapterEntire.cfm?chap=18&art=5&section=22#5">West Virginia</a>) set recommended or required nurse-to-student ratios, though these ratios go <a href="https://www.washingtonpost.com/education/2020/08/26/school-nurse-shortage-makes-fight-against-covid-19-harder/">unheeded by many districts</a>. Notably, those ratios range from 1:500 (Alabama, Vermont) to 1:3,000 (Tennessee), while the <a href="https://www.cdc.gov/healthyschools/professional_development/e-learning/shg/page13.html">Centers for Disease Control and Prevention recommends</a> a ratio of one school nurse for every 750 students. Eight states (Alaska, Arizona, Idaho, Maryland, Montana, Nevada, New Mexico, and North Dakota) do not address requirements for school districts to employ school nurses.</p> <hr> <p><strong>State</strong><strong> policies on whether districts must employ school nurses</strong></p> </div><div class="sc-28764044-3 bmPOcp"></div></div><div class="sc-af359840-0 fykKgO"><div class="sc-af359840-1 cUpKsA"><div class="sc-af359840-2 cgDtHK"><img alt="CDC map1 must employ nurses 150-01" loading="lazy" width="1100" height="691" decoding="async" data-nimg="1" style="color:transparent;background-size:cover;background-position:50% 50%;background-repeat:no-repeat;background-image:url("data:image/svg+xml;charset=utf-8,%3Csvg xmlns='http://www.w3.org/2000/svg' viewBox='0 0 1100 691'%3E%3Cfilter id='b' color-interpolation-filters='sRGB'%3E%3CfeGaussianBlur stdDeviation='20'/%3E%3CfeColorMatrix values='1 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 100 -1' result='s'/%3E%3CfeFlood x='0' y='0' width='100%25' height='100%25'/%3E%3CfeComposite operator='out' in='s'/%3E%3CfeComposite in2='SourceGraphic'/%3E%3CfeGaussianBlur stdDeviation='20'/%3E%3C/filter%3E%3Cimage width='100%25' height='100%25' x='0' y='0' preserveAspectRatio='none' style='filter: url(%23b);' href='data:image/png;base64,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'/%3E%3C/svg%3E")" srcSet="/_next/image?url=https%3A%2F%2Fcms.childtrends.org%2Fwp-content%2Fuploads%2F2022%2F08%2FCDC-map1-must-employ-nurses-150-01-2.png&w=1200&q=75 1x, /_next/image?url=https%3A%2F%2Fcms.childtrends.org%2Fwp-content%2Fuploads%2F2022%2F08%2FCDC-map1-must-employ-nurses-150-01-2.png&w=3840&q=75 2x" src="/_next/image?url=https%3A%2F%2Fcms.childtrends.org%2Fwp-content%2Fuploads%2F2022%2F08%2FCDC-map1-must-employ-nurses-150-01-2.png&w=3840&q=75"/></div></div></div><div class="sc-28764044-5 eeDvLZ"><div class="sc-28764044-2 jwOAci"></div><div class="sc-28764044-0 fffWkA"><hr> <h3>State policies on school nurses’ qualifications</h3> </div><div class="sc-28764044-3 bmPOcp"></div></div><div class="sc-28764044-5 eeDvLZ"><div class="sc-28764044-2 jwOAci"></div><div class="sc-28764044-0 fffWkA"><p><strong>Thirty-one states and DC have policies that require specific educational qualifications or licenses/certifications for school nurses, while another nine states discuss licensing, certification, and educational qualifications by encouraging (discussing the benefits of) or addressing (by defining) such qualifications </strong>(Appendix B). Most states require school nurses to be licensed as a registered nurse (RN) by the state board of nursing with a bachelor’s or master’s degree from an accredited institution. Other <a href="https://www.ncsbn.org/nursing-terms.htm">permitted licenses and certifications</a> for school nurses include licensed practical nurses (LPNs) (<a href="https://codes.findlaw.com/al/title-16-education/al-code-sect-16-22-16.html">Alabama</a>, <a href="https://www.sos.ms.gov/adminsearch/ACCode/00000382c.pdf">Mississippi</a>, <a href="https://casetext.com/regulation/new-hampshire-administrative-code/title-ed-board-of-education/chapter-ed-300-administration-of-minimum-standards-in-public-schools/part-ed-306-minimum-standards-for-public-school-approval/section-ed-30612-school-health-services">New Hampshire</a>, <a href="https://ed.sc.gov/state-board/state-board-of-education/about-state-board/regulations-table-of-contents/sbe-regulaiton-43-205-administrative-and-professional-personnel-qualifications-duties-and-workloads/#:~:text=Schools%20with%20more%20than%20600,services%20for%20every%20100%20students.">South Carolina</a>), <a href="https://www.phnurse.org/what-is-a-phn-">licensed public health nurses</a> (<a href="https://app.leg.wa.gov/rcw/default.aspx?cite=28A.210.300">Washington</a>, <a href="https://docs.legis.wisconsin.gov/statutes/statutes/120/i/13/11">Wisconsin</a>), certified nursing assistants (CNAs) (<a href="https://casetext.com/regulation/new-hampshire-administrative-code/title-ed-board-of-education/chapter-ed-300-administration-of-minimum-standards-in-public-schools/part-ed-306-minimum-standards-for-public-school-approval/section-ed-30612-school-health-services">New Hampshire</a>), and <a href="https://www.aanp.org/advocacy/advocacy-resource/position-statements/scope-of-practice-for-nurse-practitioners">certified nurse practitioners</a> (CNPs) (<a href="https://casetext.com/regulation/tennessee-administrative-code/title-1200-health-environment-and-conservation/subtitle-1200-11-bureau-of-health-services/chapter-1200-11-05-rules-and-regulations-governing-the-tennessee-public-school-nurse-program/section-1200-11-05-05-staffing">Tennessee</a>). Fourteen states’ departments of education (<a href="https://www.law.cornell.edu/regulations/california/5-CCR-Sec-80050">California</a>, <a href="https://www.law.cornell.edu/regulations/connecticut/Regs-Conn-State-Agencies-SS-10-212-2">Connecticut</a>, <a href="https://regulations.delaware.gov/AdminCode/title14/1500/1582.shtml">Delaware</a>, <a href="https://www.law.cornell.edu/regulations/illinois/IL-Admin-Code-23-23-120">Illinois</a>, <a href="https://casetext.com/regulation/indiana-administrative-code/title-511-indiana-state-board-of-education/article-15-school-settings-and-license-content-areas/rule-511-iac-15-6-licensure-content-areas/section-511-iac-15-6-35-school-services-school-nurse">Indiana</a>, <a href="https://www.law.cornell.edu/regulations/michigan/Mich-Admin-Code-R-340-1166">Michigan</a>, <a href="https://www.leg.state.nv.us/nac/nac-391.html#NAC391Sec305">Nevada</a>, <a href="http://www.gencourt.state.nh.us/rsa/html/XV/200/200-29.htm">New Hampshire</a>, <a href="https://casetext.com/statute/new-jersey-statutes/title-18a-education/chapter-18a40-employment-of-medical-inspectors-optometrists-and-nurses-salaries-terms-rules/section-18a40-37-requirements-for-school-nurse-endorsement">New Jersey</a>, <a href="https://www.srca.nm.gov/parts/title06/06.063.0002.html">New Mexico</a>, <a href="https://codes.ohio.gov/ohio-administrative-code/rule-3301-24-05">Ohio</a>, <a href="https://oregon.public.law/statutes/ors_342.475">Oregon</a>, <a href="https://education.vermont.gov/sites/aoe/files/documents/Rules%20Governing%20the%20Licensing%20of%20Educators_9_20_2019.pdf">Vermont</a>, <a href="https://casetext.com/regulation/west-virginia-administrative-code/agency-126-education/title-126-legislative-rule-board-of-education/series-126-025a-standards-for-basic-and-specialized-health-care-procedures-policy-24227/section-126-25a-9-staffing-requirements">West Virginia</a>) require additional educational course work to receive and then maintain a state certification as a school nurse, in addition to the RN state license. Other common qualifications for school nurses include certification in first aid, cardiopulmonary resuscitation (CPR), and automatic external defibrillator (AED) use.</p> <p>Some states’ policies authorize non-certified staff to provide supplemental services, such as medication administration, emergency care, or health screenings, if they are trained and supervised by a registered school nurse.</p> <hr> <p><strong>State policies on school nurses’ qualifications</strong></p> </div><div class="sc-28764044-3 bkTVIV"><div class="sc-e51b2e82-0 htzcXy"><div class="sc-e51b2e82-1 bQLxXn"><h3 class="sc-e51b2e82-3 hDsxAa">Related Content</h3><div class="sc-e51b2e82-2 iDyANr"><ul class="sc-e51b2e82-5 dvHXoH"><li class="sc-e51b2e82-6 jawUlN"><a href="https://cms.childtrends.org/publications/state-policymakers-can-support-equitable-school-based-telemental-health-services" class="sc-e51b2e82-7 dwzCNJ"><span class="sc-e51b2e82-9 jJmlRi"><svg width="18" height="18" viewBox="0 0 18 18" fill="none" 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2.81703 15.1849C3.6113 15.9667 4.88588 15.9667 5.68015 15.1849Z" fill="#F26721"></path></svg></span><span class="sc-e51b2e82-8 iraLja">More Comprehensive State Guidance Can Support the Whole Child during COVID-19</span> </a></li></ul></div></div></div></div></div><div class="sc-af359840-0 fykKgO"><div class="sc-af359840-1 cUpKsA"><div class="sc-af359840-2 cgDtHK"><img alt="CDC map 2 nurse qualifications 150-01" loading="lazy" width="1100" height="700" decoding="async" data-nimg="1" style="color:transparent;background-size:cover;background-position:50% 50%;background-repeat:no-repeat;background-image:url("data:image/svg+xml;charset=utf-8,%3Csvg xmlns='http://www.w3.org/2000/svg' viewBox='0 0 1100 700'%3E%3Cfilter id='b' color-interpolation-filters='sRGB'%3E%3CfeGaussianBlur stdDeviation='20'/%3E%3CfeColorMatrix values='1 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 100 -1' result='s'/%3E%3CfeFlood x='0' y='0' width='100%25' height='100%25'/%3E%3CfeComposite operator='out' in='s'/%3E%3CfeComposite in2='SourceGraphic'/%3E%3CfeGaussianBlur stdDeviation='20'/%3E%3C/filter%3E%3Cimage width='100%25' height='100%25' x='0' y='0' preserveAspectRatio='none' style='filter: url(%23b);' href='data:image/png;base64,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'/%3E%3C/svg%3E")" srcSet="/_next/image?url=https%3A%2F%2Fcms.childtrends.org%2Fwp-content%2Fuploads%2F2022%2F08%2FCDC-map-2-nurse-qualifications-150-01.png&w=1200&q=75 1x, /_next/image?url=https%3A%2F%2Fcms.childtrends.org%2Fwp-content%2Fuploads%2F2022%2F08%2FCDC-map-2-nurse-qualifications-150-01.png&w=3840&q=75 2x" src="/_next/image?url=https%3A%2F%2Fcms.childtrends.org%2Fwp-content%2Fuploads%2F2022%2F08%2FCDC-map-2-nurse-qualifications-150-01.png&w=3840&q=75"/></div></div></div><div class="sc-28764044-5 eeDvLZ"><div class="sc-28764044-2 jwOAci"></div><div class="sc-28764044-0 fffWkA"><hr> <h3>State policies on school nurses’ role in managing chronic conditions</h3> <p><strong>Forty-eight states have policies that describe school nurses’ role in managing chronic conditions, including allergies, diabetes, and seizures </strong>(Appendix C). Responsibilities include storing and administering medication; developing and implementing student health plans related to these conditions; and training other school personnel on chronic disease care (e.g., recognizing symptoms, emergency administration of medication). Of these, 39 states require (“must,” “shall”) a registered (or otherwise properly licensed or certified) nurse to perform these services, while eight states authorize (“may”) but do not require school nurses to fill these roles, giving some flexibility to who performs these duties. Oregon addresses the non-liability of school nurses, school administrators, teachers, or other school staff related to administering medication or supervising student self-administration of medication. Notably, there is a <a href="https://www.nea.org/advocating-for-change/new-from-nea/school-nurses-were-not-ok">nationwide school nurse shortage</a>, which may mean that schools are <a href="https://www.frontlineeducation.com/blog/school-nurse-shortage/">asking staff without proper medical training</a> to perform these duties, even when the state requires proper licensure or certification. Schools may put students at risk when non-nurses perform duties that should be performed by qualified individuals.</p> <hr> <p><strong>State policies on school nurses’ role in managing chronic conditions</strong></p> </div><div class="sc-28764044-3 bmPOcp"></div></div><div class="sc-af359840-0 fykKgO"><div class="sc-af359840-1 cUpKsA"><div class="sc-af359840-2 cgDtHK"><img alt="cdc map3 chronic conditions 150-01" loading="lazy" width="1100" height="702" decoding="async" data-nimg="1" style="color:transparent;background-size:cover;background-position:50% 50%;background-repeat:no-repeat;background-image:url("data:image/svg+xml;charset=utf-8,%3Csvg xmlns='http://www.w3.org/2000/svg' viewBox='0 0 1100 702'%3E%3Cfilter id='b' color-interpolation-filters='sRGB'%3E%3CfeGaussianBlur stdDeviation='20'/%3E%3CfeColorMatrix values='1 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 100 -1' result='s'/%3E%3CfeFlood x='0' y='0' width='100%25' height='100%25'/%3E%3CfeComposite operator='out' in='s'/%3E%3CfeComposite in2='SourceGraphic'/%3E%3CfeGaussianBlur stdDeviation='20'/%3E%3C/filter%3E%3Cimage width='100%25' height='100%25' x='0' y='0' preserveAspectRatio='none' style='filter: url(%23b);' href='data:image/png;base64,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'/%3E%3C/svg%3E")" srcSet="/_next/image?url=https%3A%2F%2Fcms.childtrends.org%2Fwp-content%2Fuploads%2F2022%2F08%2Fcdc-map3-chronic-conditions-150-01.png&w=1200&q=75 1x, /_next/image?url=https%3A%2F%2Fcms.childtrends.org%2Fwp-content%2Fuploads%2F2022%2F08%2Fcdc-map3-chronic-conditions-150-01.png&w=3840&q=75 2x" src="/_next/image?url=https%3A%2F%2Fcms.childtrends.org%2Fwp-content%2Fuploads%2F2022%2F08%2Fcdc-map3-chronic-conditions-150-01.png&w=3840&q=75"/></div></div></div><div class="sc-28764044-5 eeDvLZ"><div class="sc-28764044-2 jwOAci"></div><div class="sc-28764044-0 fffWkA"><hr> <h3>State policies on school nurses’ role in administering medication</h3> <p><strong>Twenty-five states have policies that describe school nurses’ role in administering medication beyond what is specifically required for managing chronic conditions </strong>(Appendix D). These responsibilities include storing and administering students’ prescription medicine, managing students’ health records and parental consents, training other school personnel to administer prescription medication as permitted by parents or guardians, and assessing students’ ability to self-administer medication. Of states with policies addressing medication administration, 18 specifically require (“must,” “shall”) school nurses to perform these duties, while five states authorize (“may”) but do not require school nurses to fill these roles, which allows unlicensed assistive personnel, school administrators, teachers, or other school staff to perform these duties.</p> <hr> <p><strong>State policies on school nurses’ role in administering medication</strong></p> </div><div class="sc-28764044-3 bmPOcp"></div></div><div class="sc-af359840-0 fykKgO"><div class="sc-af359840-1 cUpKsA"><div class="sc-af359840-2 cgDtHK"><img alt="" loading="lazy" width="1100" height="694" decoding="async" data-nimg="1" style="color:transparent;background-size:cover;background-position:50% 50%;background-repeat:no-repeat;background-image:url("data:image/svg+xml;charset=utf-8,%3Csvg xmlns='http://www.w3.org/2000/svg' viewBox='0 0 1100 694'%3E%3Cfilter id='b' color-interpolation-filters='sRGB'%3E%3CfeGaussianBlur stdDeviation='20'/%3E%3CfeColorMatrix values='1 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 100 -1' result='s'/%3E%3CfeFlood x='0' y='0' width='100%25' height='100%25'/%3E%3CfeComposite operator='out' in='s'/%3E%3CfeComposite in2='SourceGraphic'/%3E%3CfeGaussianBlur stdDeviation='20'/%3E%3C/filter%3E%3Cimage width='100%25' height='100%25' x='0' y='0' preserveAspectRatio='none' style='filter: url(%23b);' href='data:image/png;base64,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'/%3E%3C/svg%3E")" srcSet="/_next/image?url=https%3A%2F%2Fcms.childtrends.org%2Fwp-content%2Fuploads%2F2022%2F08%2Fcdc-map-4-medication-150-01.png&w=1200&q=75 1x, /_next/image?url=https%3A%2F%2Fcms.childtrends.org%2Fwp-content%2Fuploads%2F2022%2F08%2Fcdc-map-4-medication-150-01.png&w=3840&q=75 2x" src="/_next/image?url=https%3A%2F%2Fcms.childtrends.org%2Fwp-content%2Fuploads%2F2022%2F08%2Fcdc-map-4-medication-150-01.png&w=3840&q=75"/></div></div></div><div class="sc-28764044-5 eeDvLZ"><div class="sc-28764044-2 jwOAci"></div><div class="sc-28764044-0 fffWkA"><hr> <h3>State policies on school nurses’ role in developing and managing student health plans</h3> <p><strong>Twenty-one states have policies that describe school nurses’ role in developing and managing student health plans for chronic conditions such as allergies, asthma, diabetes, and seizures as well as other individualized health care needs </strong>(Appendix E). Responsibilities addressed include training other school personnel and volunteer health aides on proper procedures of care; collaborating with students, parents or guardians, and primary care physicians; developing protocol for emergency response; and storing emergency stock medication. Of the states that govern school nurses’ role in student health plans, 17 require (“must,” “shall”) a registered nurse to be involved in creating individualized student health and emergency action plans, while two states authorize (“may”) but do not require school nurses to assist students who require individualized health care services. Importantly, the assessment and care planning can be done only by an RN—assessment is not in the scope of practice for LPNs. In cases where an RN is not present, student care plans may not exist or are provided from outside healthcare providers, often without proper adaption to the school setting or school-specific needs.</p> <hr> <p><strong>State policies on school nurses’ role in developing and managing student health plans</strong></p> </div><div class="sc-28764044-3 bmPOcp"></div></div><div class="sc-af359840-0 fykKgO"><div class="sc-af359840-1 cUpKsA"><div class="sc-af359840-2 cgDtHK"><img alt="cdc map 5 managing health plans 150-01" loading="lazy" width="1100" height="706" decoding="async" data-nimg="1" style="color:transparent;background-size:cover;background-position:50% 50%;background-repeat:no-repeat;background-image:url("data:image/svg+xml;charset=utf-8,%3Csvg xmlns='http://www.w3.org/2000/svg' viewBox='0 0 1100 706'%3E%3Cfilter id='b' color-interpolation-filters='sRGB'%3E%3CfeGaussianBlur stdDeviation='20'/%3E%3CfeColorMatrix values='1 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 100 -1' result='s'/%3E%3CfeFlood x='0' y='0' width='100%25' height='100%25'/%3E%3CfeComposite operator='out' in='s'/%3E%3CfeComposite in2='SourceGraphic'/%3E%3CfeGaussianBlur stdDeviation='20'/%3E%3C/filter%3E%3Cimage width='100%25' height='100%25' x='0' y='0' preserveAspectRatio='none' style='filter: url(%23b);' href='data:image/png;base64,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'/%3E%3C/svg%3E")" srcSet="/_next/image?url=https%3A%2F%2Fcms.childtrends.org%2Fwp-content%2Fuploads%2F2022%2F08%2Fcdc-map-5-managing-health-plans-150-01.png&w=1200&q=75 1x, /_next/image?url=https%3A%2F%2Fcms.childtrends.org%2Fwp-content%2Fuploads%2F2022%2F08%2Fcdc-map-5-managing-health-plans-150-01.png&w=3840&q=75 2x" src="/_next/image?url=https%3A%2F%2Fcms.childtrends.org%2Fwp-content%2Fuploads%2F2022%2F08%2Fcdc-map-5-managing-health-plans-150-01.png&w=3840&q=75"/></div></div></div><div class="sc-28764044-5 eeDvLZ"><div class="sc-28764044-2 jwOAci"></div><div class="sc-28764044-0 fffWkA"><hr> <h3>State policies on school nurses’ role in student health screenings</h3> <p><strong>Twenty-five states have policies that describe school nurses’ roles in health screenings—including vision, hearing, dental, BMI, scoliosis, dyslexia, lead exposure, and general physical health </strong>(Appendix F). Their responsibilities range from scheduling, facilitating, documenting results, and/or referring students for follow-up care. Nineteen states require (“must,” “shall”) school nurses to conduct or oversee these screenings, receive training on specific screenings or examinations, or train other personnel to conduct the screenings, while six states authorize (“may”) or encourage (“recommend,” “should”) but do not require school nurses to fill these roles.</p> <hr> <p><strong>State policies on school nurses’ role in student health screenings</strong></p> </div><div class="sc-28764044-3 bmPOcp"></div></div><div class="sc-af359840-0 fykKgO"><div class="sc-af359840-1 cUpKsA"><div class="sc-af359840-2 cgDtHK"><img alt="cdc map 6 health screenings 150-01" loading="lazy" width="1100" height="706" decoding="async" data-nimg="1" style="color:transparent;background-size:cover;background-position:50% 50%;background-repeat:no-repeat;background-image:url("data:image/svg+xml;charset=utf-8,%3Csvg xmlns='http://www.w3.org/2000/svg' viewBox='0 0 1100 706'%3E%3Cfilter id='b' color-interpolation-filters='sRGB'%3E%3CfeGaussianBlur stdDeviation='20'/%3E%3CfeColorMatrix values='1 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 100 -1' result='s'/%3E%3CfeFlood x='0' y='0' width='100%25' height='100%25'/%3E%3CfeComposite operator='out' in='s'/%3E%3CfeComposite in2='SourceGraphic'/%3E%3CfeGaussianBlur stdDeviation='20'/%3E%3C/filter%3E%3Cimage width='100%25' height='100%25' x='0' y='0' preserveAspectRatio='none' style='filter: url(%23b);' href='data:image/png;base64,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'/%3E%3C/svg%3E")" srcSet="/_next/image?url=https%3A%2F%2Fcms.childtrends.org%2Fwp-content%2Fuploads%2F2022%2F08%2Fcdc-map-6-health-screenings-150-01.png&w=1200&q=75 1x, /_next/image?url=https%3A%2F%2Fcms.childtrends.org%2Fwp-content%2Fuploads%2F2022%2F08%2Fcdc-map-6-health-screenings-150-01.png&w=3840&q=75 2x" src="/_next/image?url=https%3A%2F%2Fcms.childtrends.org%2Fwp-content%2Fuploads%2F2022%2F08%2Fcdc-map-6-health-screenings-150-01.png&w=3840&q=75"/></div></div></div><div class="sc-28764044-5 eeDvLZ"><div class="sc-28764044-2 jwOAci"></div><div class="sc-28764044-0 fffWkA"><hr> <h3>State policies on school nurses’ role in student immunizations</h3> <p><strong>Twelve states have policies that describe school nurses’ role in facilitating and/or keeping records of student immunizations </strong>(Appendix G). Of these, ten states detail requirements for school nurses to administer immunizations, facilitate immunization programs or clinics, or keep or access records of student immunizations. <a href="https://law.justia.com/codes/new-mexico/2019/chapter-24/article-5/section-24-5-9/">New Mexico</a> authorizes school nurses to access the immunization registry, while <a href="https://texreg.sos.state.tx.us/public/readtac$ext.TacPage?sl=R&app=9&p_dir=&p_rloc=&p_tloc=&p_ploc=&pg=1&p_tac=&ti=25&pt=1&ch=97&rl=65">Texas</a> authorizes school nurses to submit a written statement of a student’s immunity or disease history in lieu of a vaccine record for varicella.</p> <hr> <p><strong>State policies on school nurses’ role in student immunizations</strong></p> </div><div class="sc-28764044-3 bmPOcp"></div></div><div class="sc-af359840-0 fykKgO"><div class="sc-af359840-1 cUpKsA"><div class="sc-af359840-2 cgDtHK"><img alt="" loading="lazy" width="1100" height="704" decoding="async" data-nimg="1" style="color:transparent;background-size:cover;background-position:50% 50%;background-repeat:no-repeat;background-image:url("data:image/svg+xml;charset=utf-8,%3Csvg xmlns='http://www.w3.org/2000/svg' viewBox='0 0 1100 704'%3E%3Cfilter id='b' color-interpolation-filters='sRGB'%3E%3CfeGaussianBlur stdDeviation='20'/%3E%3CfeColorMatrix values='1 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 100 -1' result='s'/%3E%3CfeFlood x='0' y='0' width='100%25' height='100%25'/%3E%3CfeComposite operator='out' in='s'/%3E%3CfeComposite in2='SourceGraphic'/%3E%3CfeGaussianBlur stdDeviation='20'/%3E%3C/filter%3E%3Cimage width='100%25' height='100%25' x='0' y='0' preserveAspectRatio='none' style='filter: url(%23b);' href='data:image/png;base64,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'/%3E%3C/svg%3E")" srcSet="/_next/image?url=https%3A%2F%2Fcms.childtrends.org%2Fwp-content%2Fuploads%2F2022%2F08%2Fcdc-map-7-immunizations-150-01.png&w=1200&q=75 1x, /_next/image?url=https%3A%2F%2Fcms.childtrends.org%2Fwp-content%2Fuploads%2F2022%2F08%2Fcdc-map-7-immunizations-150-01.png&w=3840&q=75 2x" src="/_next/image?url=https%3A%2F%2Fcms.childtrends.org%2Fwp-content%2Fuploads%2F2022%2F08%2Fcdc-map-7-immunizations-150-01.png&w=3840&q=75"/></div></div></div><div class="sc-28764044-5 eeDvLZ"><div class="sc-28764044-2 jwOAci"></div><div class="sc-28764044-0 fffWkA"><hr> <h3>State policies on school nurses’ role in infectious disease control</h3> <p><strong>Eighteen states and DC have policies that </strong><strong>describe school nurses’ role in mitigating the spread of contagious diseases </strong>(Appendix H). Of these, five states (<a href="https://www.maine.gov/sos/cec/rules/10/144/144c261.docx">Maine</a>, <a href="https://govt.westlaw.com/nycrr/Document/I365c05e4c22211ddb29d8bee567fca9f?bhcp=1&transitionType=Default&contextData=%28sc.Default%29">New York</a>, <a href="https://oregon.public.law/statutes/ors_433.260">Oregon</a>, <a href="https://www.pacodeandbulletin.gov/Display/pacode?file=/secure/pacode/data/028/chapter27/s27.71.html">Pennsylvania</a>, <a href="https://regulations.justia.com/states/west-virginia/agency-126/title-126/series-126-051/section-126-51-9/">West Virginia</a>) and <a href="https://dcregs.dc.gov/Common/DCMR/SectionList.aspx?SectionNumber=22-B209">DC</a> require schools to exclude students from school who have been exposed to a communicable disease or who are showing signs of illness as reported to them by school nurses, while four states (<a href="https://malegislature.gov/Laws/GeneralLaws/Parti/Titlexii/Chapter71/Section55a">Massachusetts</a>, <a href="https://casetext.com/statute/new-jersey-statutes/title-18a-education/chapter-18a40-employment-of-medical-inspectors-optometrists-and-nurses-salaries-terms-rules/section-18a40-8-exclusion-of-pupils-whose-presence-is-detrimental-to-health-and-cleanliness#:~:text=Section%2018A%3A40%2D8%20%2D,health%20and%20cleanliness%2C%20N.J.%20Stat.">New Jersey</a>, <a href="http://okrules.elaws.us/oac/310:520-1-4">Oklahoma</a>, <a href="https://docs.legis.wisconsin.gov/statutes/statutes/252/21">Wisconsin</a>) authorize but do not require schools to do so. <a href="https://oregon.public.law/statutes/ors_433.260">Oregon</a> and <a href="https://www.pacodeandbulletin.gov/Display/pacode?file=/secure/pacode/data/028/chapter27/s27.71.html">Pennsylvania’s</a> policies require nurses to determine when excluded students are no longer communicable and may be readmitted, while <a href="https://www.law.cornell.edu/regulations/idaho/IDAPA-16.02.10.090">Idaho</a>, <a href="http://okrules.elaws.us/oac/310:520-1-4">Oklahoma</a>, and <a href="https://govt.westlaw.com/nycrr/Document/I365c05e4c22211ddb29d8bee567fca9f?bhcp=1&transitionType=Default&contextData=%28sc.Default%29">New York</a> authorize but do not require school nurses to perform this duty. Three states (<a href="https://casetext.com/regulation/georgia-administrative-code/department-160-rules-of-georgia-department-of-education/chapter-160-1/subject-160-1-3-rules-of-general-applicability/rule-160-1-3-03-infectious-diseases">Georgia</a>, <a href="https://www.maine.gov/sos/cec/rules/10/144/144c261.docx">Maine</a>, <a href="https://www.pacodeandbulletin.gov/Display/pacode?file=/secure/pacode/data/028/chapter27/s27.71.html">Pennsylvania</a>) and <a href="https://dcregs.dc.gov/Common/DCMR/SectionList.aspx?SectionNumber=22-B209">DC</a> require school personnel to consult with the school nurse when a student is suspected of having a communicable disease, while nine states (<a href="https://www.law.cornell.edu/regulations/idaho/IDAPA-16.02.10.020">Idaho</a>, <a href="https://www.legis.iowa.gov/docs/iac/rule/02-01-2017.641.1.4.pdf">Iowa</a>, <a href="http://mdrules.elaws.us/comar/10.06.01.04">Maryland</a>, <a href="https://malegislature.gov/Laws/GeneralLaws/Parti/Titlexii/Chapter71/Section55a">Massachusetts</a>, <a href="https://www.law.cornell.edu/regulations/nebraska/173-Neb-Admin-Code-ch-1-SS-007">Nebraska</a>, <a href="https://www.srca.nm.gov/parts/title07/07.004.0003.html">New Mexico</a>, <a href="https://oregon.public.law/statutes/ors_433.260">Oregon</a>, <a href="https://regulations.justia.com/states/west-virginia/agency-126/title-126/series-126-051/section-126-51-9/">West Virginia</a>, <a href="https://docs.legis.wisconsin.gov/statutes/statutes/252/21">Wisconsin</a>) and <a href="https://dcregs.dc.gov/Common/DCMR/SectionList.aspx?SectionNumber=22-B209">DC</a> require school nurses to report suspected cases of communicable diseases to state and local public health agencies.</p> <hr> <p><strong>State policies on school nurses’ role in infectious disease control</strong></p> </div><div class="sc-28764044-3 bmPOcp"></div></div><div class="sc-af359840-0 fykKgO"><div class="sc-af359840-1 cUpKsA"><div class="sc-af359840-2 cgDtHK"><img alt="" loading="lazy" width="1100" height="695" decoding="async" data-nimg="1" style="color:transparent;background-size:cover;background-position:50% 50%;background-repeat:no-repeat;background-image:url("data:image/svg+xml;charset=utf-8,%3Csvg xmlns='http://www.w3.org/2000/svg' viewBox='0 0 1100 695'%3E%3Cfilter id='b' color-interpolation-filters='sRGB'%3E%3CfeGaussianBlur stdDeviation='20'/%3E%3CfeColorMatrix values='1 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 100 -1' result='s'/%3E%3CfeFlood x='0' y='0' width='100%25' height='100%25'/%3E%3CfeComposite operator='out' in='s'/%3E%3CfeComposite in2='SourceGraphic'/%3E%3CfeGaussianBlur stdDeviation='20'/%3E%3C/filter%3E%3Cimage width='100%25' height='100%25' x='0' y='0' preserveAspectRatio='none' style='filter: url(%23b);' href='data:image/png;base64,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'/%3E%3C/svg%3E")" srcSet="/_next/image?url=https%3A%2F%2Fcms.childtrends.org%2Fwp-content%2Fuploads%2F2022%2F08%2Fcdc-map-8-disease-control-150-01.png&w=1200&q=75 1x, /_next/image?url=https%3A%2F%2Fcms.childtrends.org%2Fwp-content%2Fuploads%2F2022%2F08%2Fcdc-map-8-disease-control-150-01.png&w=3840&q=75 2x" src="/_next/image?url=https%3A%2F%2Fcms.childtrends.org%2Fwp-content%2Fuploads%2F2022%2F08%2Fcdc-map-8-disease-control-150-01.png&w=3840&q=75"/></div></div></div><div class="sc-28764044-5 eeDvLZ"><div class="sc-28764044-2 jwOAci"></div><div class="sc-28764044-0 fffWkA"><hr> <h3>State policies on school nurses’ role in COVID-19</h3> <p><strong>As of October 2021, policies in three states explicitly addressed school nurses’ role in COVID-19. </strong>New Mexico requires school nurses to use the Centers for Disease Control and Prevention (CDC) <a href="https://www.srca.nm.gov/parts/title06/06.012.0014.html#:~:text=6.12.14.8%C2%A0%C2%A0%C2%A0%C2%A0%C2%A0%C2%A0%C2%A0%C2%A0%C2%A0%C2%A0%C2%A0%C2%A0%C2%A0%C2%A0%20REQUIREMENTS%20FOR%20SCHOOLS%3A">recommended transmission-based precautions</a> when caring for sick people. New York allowed health examinations, including hearing, vision, and scoliosis <a href="https://govt.westlaw.com/nycrr/Document/I365c05e4c22211ddb29d8bee567fca9f?transitionType=Default&contextData=%28sc.Default%29#:~:text=136.3%20School%20health%20services.,trustees%20and%20boards%20of%20education.&text=(9)%20to%20provide%20health%20examinations,certificates%20and%20street%20trades%20badges.">screenings to be waived during the 2020-2021 school year</a> due to COVID-19. Maine also updated an existing regulation on comprehensive health and safety and emergency management plans to require involving school nurses, physicians, and public health staff in developing and annually updating those plans. Four additional states (<a href="https://regulations.delaware.gov/AdminCode/title14/800/804.shtml">Delaware</a>, <a href="https://casetext.com/regulation/maryland-administrative-code/title-10-maryland-department-of-health/part-1/subtitle-06-diseases/chapter-100601-communicable-diseases-and-related-conditions-of-public-health-importance/section-10060104-reporting-procedures">Maryland</a>, <a href="https://legislature.vermont.gov/statutes/section/18/021/01129">Vermont</a>, and <a href="https://apps.sos.wv.gov/adlaw/csr/readfile.aspx?DocId=52997&Format=PDF">West Virginia</a>) updated policies referencing either immunization or communicable disease between March 2020 and October 2021; however, these policies do not specifically mention COVID-19. Delaware also passed emergency legislation on <a href="https://casetext.com/regulation/delaware-administrative-code/title-14-education/health-and-safety/health-examinations-and-screening/section-815-60-effective-until-512022-covid-19-mitigation-and-prevention">COVID-19 Mitigation and Prevention</a> requiring mask use by all students, faculty, staff, and visitors inside school buildings; however, the policy does not delegate a person responsible for ensuring that the policy is implemented or enforced.</p> <hr> <p><strong>State policies on school nurses’ role in COVID-19</strong></p> </div><div class="sc-28764044-3 bmPOcp"></div></div><div class="sc-af359840-0 fykKgO"><div class="sc-af359840-1 cUpKsA"><div class="sc-af359840-2 cgDtHK"><img alt="" loading="lazy" width="1100" height="710" decoding="async" data-nimg="1" style="color:transparent;background-size:cover;background-position:50% 50%;background-repeat:no-repeat;background-image:url("data:image/svg+xml;charset=utf-8,%3Csvg xmlns='http://www.w3.org/2000/svg' viewBox='0 0 1100 710'%3E%3Cfilter id='b' color-interpolation-filters='sRGB'%3E%3CfeGaussianBlur stdDeviation='20'/%3E%3CfeColorMatrix values='1 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 100 -1' result='s'/%3E%3CfeFlood x='0' y='0' width='100%25' height='100%25'/%3E%3CfeComposite operator='out' in='s'/%3E%3CfeComposite in2='SourceGraphic'/%3E%3CfeGaussianBlur stdDeviation='20'/%3E%3C/filter%3E%3Cimage width='100%25' height='100%25' x='0' y='0' preserveAspectRatio='none' style='filter: url(%23b);' href='data:image/png;base64,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'/%3E%3C/svg%3E")" srcSet="/_next/image?url=https%3A%2F%2Fcms.childtrends.org%2Fwp-content%2Fuploads%2F2022%2F08%2Fcdc-map-9-covid-150-01.png&w=1200&q=75 1x, /_next/image?url=https%3A%2F%2Fcms.childtrends.org%2Fwp-content%2Fuploads%2F2022%2F08%2Fcdc-map-9-covid-150-01.png&w=3840&q=75 2x" src="/_next/image?url=https%3A%2F%2Fcms.childtrends.org%2Fwp-content%2Fuploads%2F2022%2F08%2Fcdc-map-9-covid-150-01.png&w=3840&q=75"/></div></div></div><div class="sc-28764044-5 eeDvLZ"><div class="sc-28764044-2 jwOAci"></div><div class="sc-28764044-0 fffWkA"><hr> <h2>Discussion and Conclusion</h2> <p>Our analysis examined how states govern the roles, responsibilities, and requirements for school nurses through policy. These policies often determine the availability of nurses in school buildings, the daily responsibilities they perform in service to their students, and expectations for how they will contribute to public health. The COVID-19 pandemic added significantly to existing responsibilities as school nurses stepped in to administer COVID-19 tests; conduct contact tracing; educate staff, students, and families on COVID-19 precautions, such as proper mask wearing, hand washing and hygiene, and physical distancing; update school-based health protocols and safety plans; and support decision making for school closing/reopening plans. The pandemic has increased the need for school nurses—who address and support efforts related to chronic absenteeism and the impact of health conditions on academic outcomes—and added to school nurses’ direct care responsibilities as students return to school demonstrating <a href="https://journals.sagepub.com/doi/pdf/10.1177/15598276211006657">worsened physical</a> and <a href="https://www.hhs.gov/sites/default/files/surgeon-general-youth-mental-health-advisory.pdf">mental health</a>.</p> <p>Our analysis was necessarily limited: although we examined the landscape of state policies, we did not evaluate their effect in practice. The presence or absence of state-level policy pertaining to school nurses does not preclude the existence of non-codified guidance, nor does it indicate whether or how well policies are being implemented. However, from what is codified, we can assess the baseline expectations of school nurses. School nurses are required to fulfill numerous codified responsibilities around coordinating care or providing direct health services in all 50 states and DC and have been asked to take on even more during the COVID-19 pandemic. Despite these copious and ever-increasing demands, few states have policies that set a strong floor for school nurse capacity in schools—just twelve states have policies addressing recommended or required nurse-to-student ratios and only two require a full-time nurse in every school. By establishing policies that improve school nurses’ capacity, states can vest power in nurses’ deep expertise to lead their school communities’ health and wellness efforts on behalf of students and staff.</p> </div><div class="sc-28764044-3 bmPOcp"></div></div><div class="sc-28764044-5 eeDvLZ"><div class="sc-28764044-2 jwOAci"></div><div class="sc-28764044-0 fffWkA"><hr> <h2>Methodology</h2> <p>To analyze the current landscape of state statutes and regulations related to school nursing practice, Child Trends and EMT Associates identified codified policies using a series of keyword Boolean searches in LexisNexis and Westlaw that reference school nursing. Policies repealed before October 2021 were not included in the search, nor were policies passed after this date or pending legislative action. Based on the content of each identified policy, researchers at EMT Associates conducted memoing to describe unique categories of policies. They then coded each identified policy based on its degree of prescriptiveness (addressed, encouraged, authorized, or required). Our analysis focused on the following research questions:</p> <ul> <li>How do states govern the availability of school nurses?</li> <li>How do states govern certifications or qualifications for school nurses?</li> <li>What are school nurses authorized to do?</li> <li>What are school nurses required to do?</li> <li>How are school nurses engaged in public health efforts?</li> <li>What specific responsibilities do school nurses have with respect to the COVID-19 pandemic?</li> </ul> <hr> </div><div class="sc-28764044-3 bmPOcp"></div></div><div class="sc-a641e77f-3 cJnaLZ"><div class="sc-a641e77f-4 bylpBI"><div class="sc-a641e77f-1 enRRTk"><div class="sc-a641e77f-0 eFSjNf"><h2>Suggested Citation</h2> <p>Steed, H., O’Toole, D., Lao, K., Nuñez, B., Surani, K., & Stuart-Cassel, V. (2022). State laws on school nursing outline copious responsibilities for nurses. Child Trends. <a href="https://doi.org/10.56417/2161j1674h">https://doi.org/10.56417/2161j1674h</a></p> </div></div></div></div><div class="sc-28764044-5 eeDvLZ"><div class="sc-28764044-2 jwOAci"></div><div class="sc-28764044-0 fffWkA"><hr> <p><em>This publication is supported by cooperative agreement NU87PS004367-01-01 funded by the Centers for Disease Control and Prevention (CDC). Its contents are solely the responsibility of the authors and do not necessarily represent the official views or endorsement of the CDC or the Department of Health and Human Services.</em></p> <hr> <h2>Appendices</h2> </div><div class="sc-28764044-3 bmPOcp"></div></div><div class="sc-e88c9e79-0 jnlYxS"><div class="sc-b8120e1b-0 ebOXxO"><div class="sc-b8120e1b-1 cVKOFd"><h3 class="sc-b8120e1b-2 jEWJci">Appendix A - Availability</h3></div><button class="sc-b8120e1b-6 kiqtxq"><svg viewBox="0 0 15 15" overflow="visible" preserveAspectRatio="none" width="15" height="15"><line x1="7.5" x2="7.5" y1="0" y2="15" stroke="#f26721" stroke-width="3" vector-effect="non-scaling-stroke"></line><line x1="0" x2="15" y1="7.5" y2="7.5" stroke="#f26721" stroke-width="3" vector-effect="non-scaling-stroke"></line></svg></button></div><div class="sc-b8120e1b-0 ebOXxO"><div class="sc-b8120e1b-1 cVKOFd"><h3 class="sc-b8120e1b-2 jEWJci">Appendix B - Certification</h3></div><button class="sc-b8120e1b-6 kiqtxq"><svg viewBox="0 0 15 15" overflow="visible" preserveAspectRatio="none" width="15" height="15"><line x1="7.5" x2="7.5" y1="0" y2="15" stroke="#f26721" stroke-width="3" vector-effect="non-scaling-stroke"></line><line x1="0" x2="15" y1="7.5" y2="7.5" stroke="#f26721" stroke-width="3" vector-effect="non-scaling-stroke"></line></svg></button></div><div class="sc-b8120e1b-0 ebOXxO"><div class="sc-b8120e1b-1 cVKOFd"><h3 class="sc-b8120e1b-2 jEWJci">Appendix C - Services - Chronic</h3></div><button class="sc-b8120e1b-6 kiqtxq"><svg viewBox="0 0 15 15" overflow="visible" preserveAspectRatio="none" width="15" height="15"><line x1="7.5" x2="7.5" y1="0" y2="15" stroke="#f26721" stroke-width="3" vector-effect="non-scaling-stroke"></line><line x1="0" x2="15" y1="7.5" y2="7.5" stroke="#f26721" stroke-width="3" vector-effect="non-scaling-stroke"></line></svg></button></div><div class="sc-b8120e1b-0 ebOXxO"><div class="sc-b8120e1b-1 cVKOFd"><h3 class="sc-b8120e1b-2 jEWJci">Appendix D - Services - MA</h3></div><button class="sc-b8120e1b-6 kiqtxq"><svg viewBox="0 0 15 15" overflow="visible" preserveAspectRatio="none" width="15" height="15"><line x1="7.5" x2="7.5" y1="0" y2="15" stroke="#f26721" stroke-width="3" vector-effect="non-scaling-stroke"></line><line x1="0" x2="15" y1="7.5" y2="7.5" stroke="#f26721" stroke-width="3" vector-effect="non-scaling-stroke"></line></svg></button></div><div class="sc-b8120e1b-0 ebOXxO"><div class="sc-b8120e1b-1 cVKOFd"><h3 class="sc-b8120e1b-2 jEWJci">Appendix E - Services - SHP</h3></div><button class="sc-b8120e1b-6 kiqtxq"><svg viewBox="0 0 15 15" overflow="visible" preserveAspectRatio="none" width="15" height="15"><line x1="7.5" x2="7.5" y1="0" y2="15" stroke="#f26721" stroke-width="3" vector-effect="non-scaling-stroke"></line><line x1="0" x2="15" y1="7.5" y2="7.5" stroke="#f26721" stroke-width="3" vector-effect="non-scaling-stroke"></line></svg></button></div><div class="sc-b8120e1b-0 ebOXxO"><div class="sc-b8120e1b-1 cVKOFd"><h3 class="sc-b8120e1b-2 jEWJci">Appendix F - Services - Screenings</h3></div><button class="sc-b8120e1b-6 kiqtxq"><svg viewBox="0 0 15 15" overflow="visible" preserveAspectRatio="none" width="15" height="15"><line x1="7.5" x2="7.5" y1="0" y2="15" stroke="#f26721" stroke-width="3" vector-effect="non-scaling-stroke"></line><line x1="0" x2="15" y1="7.5" y2="7.5" stroke="#f26721" stroke-width="3" vector-effect="non-scaling-stroke"></line></svg></button></div><div class="sc-b8120e1b-0 ebOXxO"><div class="sc-b8120e1b-1 cVKOFd"><h3 class="sc-b8120e1b-2 jEWJci">Appendix G - Immunization</h3></div><button class="sc-b8120e1b-6 kiqtxq"><svg viewBox="0 0 15 15" overflow="visible" preserveAspectRatio="none" width="15" height="15"><line x1="7.5" x2="7.5" y1="0" y2="15" stroke="#f26721" stroke-width="3" vector-effect="non-scaling-stroke"></line><line x1="0" x2="15" y1="7.5" y2="7.5" stroke="#f26721" stroke-width="3" vector-effect="non-scaling-stroke"></line></svg></button></div><div class="sc-b8120e1b-0 ebOXxO"><div class="sc-b8120e1b-1 cVKOFd"><h3 class="sc-b8120e1b-2 jEWJci">Appendix H - Communicable</h3></div><button class="sc-b8120e1b-6 kiqtxq"><svg viewBox="0 0 15 15" overflow="visible" preserveAspectRatio="none" width="15" height="15"><line x1="7.5" x2="7.5" y1="0" y2="15" stroke="#f26721" stroke-width="3" vector-effect="non-scaling-stroke"></line><line x1="0" x2="15" y1="7.5" y2="7.5" stroke="#f26721" stroke-width="3" vector-effect="non-scaling-stroke"></line></svg></button></div><div class="sc-b8120e1b-0 ebOXxO"><div class="sc-b8120e1b-1 cVKOFd"><h3 class="sc-b8120e1b-2 jEWJci">Appendix I - COVID</h3></div><button class="sc-b8120e1b-6 kiqtxq"><svg viewBox="0 0 15 15" overflow="visible" preserveAspectRatio="none" width="15" height="15"><line x1="7.5" x2="7.5" y1="0" y2="15" stroke="#f26721" stroke-width="3" vector-effect="non-scaling-stroke"></line><line x1="0" x2="15" y1="7.5" y2="7.5" stroke="#f26721" stroke-width="3" vector-effect="non-scaling-stroke"></line></svg></button></div></div><div class="TopicLinks_topicLinks__fwTJZ"><a class="TopicLinks_topicLink__pESHx" href="https://www.childtrends.org/research-topic/covid-19">COVID-19</a><a class="TopicLinks_topicLink__pESHx" href="https://www.childtrends.org/research-topic/health">Health</a><a class="TopicLinks_topicLink__pESHx" href="https://www.childtrends.org/research-topic/healthy-schools">Healthy Schools</a></div><div class="sc-aebf7fd2-1 gZuHMS"><div class="sc-aebf7fd2-2 hzWuUA"><div class="NewsletterSignup_newsletterSignup__6E0wR undefined sc-aebf7fd2-0 cDmiXr"><form class="NewsletterSignup_signupForm__QwSm8 "><input type="text" class="NewsletterSignup_honeyTrapField__dm9vv" id="name" name="name"/><h3 class="NewsletterSignup_heading__dFXXq undefined">Newsletters</h3><div class="NewsletterSignup_signupGroup__tlqqT undefined"><input type="text" class="NewsletterSignup_signupField__QOQEJ " placeholder="Email*" id="email" aria-invalid="false" 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Brief"}]},"topics":{"__typename":"PublicationToResearchTopicConnection","edges":[{"__typename":"PublicationToResearchTopicConnectionEdge","isPrimary":false,"node":{"__typename":"ResearchTopic","title":"COVID-19","url":"/research-topic/covid-19"}},{"__typename":"PublicationToResearchTopicConnectionEdge","isPrimary":true,"node":{"__typename":"ResearchTopic","title":"Health","url":"/research-topic/health"}},{"__typename":"PublicationToResearchTopicConnectionEdge","isPrimary":false,"node":{"__typename":"ResearchTopic","title":"Healthy Schools","url":"/research-topic/healthy-schools"}}]},"moduleJsEmbed":{"__typename":"ModuleJsEmbed","moduleJsEmbed":null},"template":{"__typename":"Template_PageBuilder20","pageBuilder":{"__typename":"PageBuilder","moduleHeroBackgroundImage":null,"internalNavTitle":null,"internalNavLinks":null,"pageBuilderModules":[{"__typename":"PageBuilderPageBuilder2ModuleWysiwygLayout","fieldGroupName":"PageBuilderPageBuilder2ModuleWysiwygLayout","html":"\u003cp\u003eAs students returned to school in fall 2021, school nurses \u003ca href=\"https://higherlogicdownload.s3.amazonaws.com/NASN/3870c72d-fff9-4ed7-833f-215de278d256/UploadedImages/PDFs/School-Nurse-Activities-during-COVID-19.pdf\"\u003eplayed a critical role\u003c/a\u003e in ensuring the ongoing health and safety of students. Though school nurses have historically led efforts to \u003ca href=\"https://pubmed.ncbi.nlm.nih.gov/12387588/\"\u003emitigate the spread of communicable diseases\u003c/a\u003e, their role has shifted significantly over time, and new COVID-19 responsibilities only added to school nurses’ already full plates. Even before the pandemic, school nurses were responsible for a wide range of tasks, including managing chronic disease, creating and coordinating individual student health plans, administering and storing medications, training school staff in emergency procedures and medication administration, and keeping and reporting records and health information. School nurses typically performed these services for multiple school buildings (as of 2017, only \u003ca href=\"https://higherlogicdownload.s3.amazonaws.com/NASN/8575d1b7-94ad-45ab-808e-d45019cc5c08/UploadedImages/PDFs/Advocacy/2017_Workforce_Study_Infographic_School_Nurses_in_the_Nation.pdf\"\u003e39.3 percent of schools\u003c/a\u003e had a full time school nurse). Now, school nurses have become responsible for administering COVID-19 tests; helping with vaccination clinics; facilitating \u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8047512/\"\u003eimmunizations and health screenings\u003c/a\u003e that had been disrupted during remote learning; conducting \u003ca href=\"https://journals.sagepub.com/doi/pdf/10.1177/1059840521992054\"\u003econtact tracing; enforcing general COVID protocols\u003c/a\u003e; and \u003ca href=\"https://higherlogicdownload.s3.amazonaws.com/NASN/658e97be-9aae-4759-b5fe-feb712c1871d/UploadedImages/School_Nurses_Valuable_Role_in_Addressing_COVID-19_During_2020-21.pdf\"\u003eproviding COVID-19 education\u003c/a\u003e to students, staff, and families—all in addition to their regular duties.\u003c/p\u003e\n\u003cp\u003eState statutes and regulations dictate not only whether schools are required to employ a school nurse, but also what qualifications they must have and what they must do once they arrive in school buildings. Moreover, state policies highlight whether and how the role of a school nurse is valued, particularly as \u003ca href=\"https://onlinelibrary.wiley.com/doi/full/10.1002/pits.22708\"\u003ean expert in the wake of public health crises\u003c/a\u003e like COVID-19. Understanding the current landscape of state statutes and regulations that govern school nursing is critical to identifying opportunities to better support and elevate school nurses’ role as longstanding pillars of public health.\u003c/p\u003e\n\u003cp\u003eChild Trends, in partnership with EMT Associates, analyzed the landscape of state statutes and regulations as of October 2021 to better understand how such policies define the role of school nurses (see Methodology). This brief presents our findings.\u003c/p\u003e\n\u003chr /\u003e\n","quoteData":{"__typename":"ModuleWysiwygModuleWysiwygModuleWysiwygQuoteGroup","text":null,"author":null},"sidebarWysiwyg":null,"sidebarPlacement":["none"],"sidebarStyle":["default"],"sidebarTitle":null,"sidebarLinks":null},{"__typename":"PageBuilderPageBuilder2ModuleWysiwygLayout","fieldGroupName":"PageBuilderPageBuilder2ModuleWysiwygLayout","html":"\u003ch2\u003eFindings\u003c/h2\u003e\n\u003ch3\u003eState policies on whether districts must employ school nurses\u003c/h3\u003e\n\u003cp\u003e\u003cstrong\u003eThirty-five states and the District of Columbia (DC) have policies requiring (“must,” “shall”) the employment of school nurses, while another seven states authorize (“may”), encourage (“should”), or address making school nurses available to students\u003c/strong\u003e (Appendix A). However, even among states that require making school nurses available, those requirements range from full-time nurses in each school to part-time nurses providing services to several schools to nurses employed at the LEA level. For example, two states (\u003ca href=\"https://delcode.delaware.gov/title14/c013/index.html#1310.\"\u003eDelaware\u003c/a\u003e and \u003ca href=\"https://education.vermont.gov/sites/aoe/files/documents/edu-state-board-rules-series-2000.pdf\"\u003eVermont\u003c/a\u003e) \u003ca href=\"https://statepolicies.nasbe.org/health/categories/health-services/school-nurse-availability\"\u003erequire full-time nurses in every school\u003c/a\u003e, and an additional twelve states (\u003ca href=\"https://codes.findlaw.com/al/title-16-education/al-code-sect-16-22-16.html#:~:text=(a)%20The%20State%20Department%20of,nurse%20within%20each%20school%20system.\"\u003eAlabama\u003c/a\u003e, \u003ca href=\"https://codes.findlaw.com/ar/title-6-education/ar-code-sect-6-18-706.html#:~:text=(a)%20In%20order%20to%20improve,healthcare%20needs%20of%20these%20children.\"\u003eArkansas\u003c/a\u003e, \u003ca href=\"http://ga.elaws.us/law/section20-2-186\"\u003eGeorgia\u003c/a\u003e, \u003ca href=\"https://casetext.com/regulation/indiana-administrative-code/title-511-indiana-state-board-of-education/article-4-pupil-personnel-services-student-health-testing-food-and-nutrition-programs-extended-services/rule-511-iac-4-15-student-services/section-511-iac-4-15-2-personnel\"\u003eIndiana\u003c/a\u003e, \u003ca href=\"https://www.legis.iowa.gov/docs/code/256.11.pdf\"\u003eIowa\u003c/a\u003e, \u003ca href=\"https://oregon.public.law/statutes/ors_336.201\"\u003eOregon\u003c/a\u003e, \u003ca href=\"https://www.pacodeandbulletin.gov/Display/pacode?file=/secure/pacode/data/028/chapter23/s23.53.html\u0026amp;d=reduce%27)\"\u003ePennsylvania\u003c/a\u003e, \u003ca href=\"https://codes.findlaw.com/tn/title-68-health-safety-and-environmental-protection/tn-code-sect-68-1-1203.html\"\u003eTennessee\u003c/a\u003e, \u003ca href=\"https://le.utah.gov/xcode/Title53G/Chapter9/53G-9-S204.html?v=C53G-9-S204_2018012420180124\"\u003eUtah\u003c/a\u003e, \u003ca href=\"https://regulations.justia.com/states/vermont/agency-22/sub-agency-000/chapter-003/section-22-000-003/\"\u003eVermont\u003c/a\u003e, \u003ca href=\"https://law.lis.virginia.gov/vacode/title22.1/chapter14/section22.1-274/\"\u003eVirginia\u003c/a\u003e, and \u003ca href=\"http://www.wvlegislature.gov/WVCODE/ChapterEntire.cfm?chap=18\u0026amp;art=5\u0026amp;section=22#5\"\u003eWest Virginia\u003c/a\u003e) set recommended or required nurse-to-student ratios, though these ratios go \u003ca href=\"https://www.washingtonpost.com/education/2020/08/26/school-nurse-shortage-makes-fight-against-covid-19-harder/\"\u003eunheeded by many districts\u003c/a\u003e. Notably, those ratios range from 1:500 (Alabama, Vermont) to 1:3,000 (Tennessee), while the \u003ca href=\"https://www.cdc.gov/healthyschools/professional_development/e-learning/shg/page13.html\"\u003eCenters for Disease Control and Prevention recommends\u003c/a\u003e a ratio of one school nurse for every 750 students. Eight states (Alaska, Arizona, Idaho, Maryland, Montana, Nevada, New Mexico, and North Dakota) do not address requirements for school districts to employ school nurses.\u003c/p\u003e\n\u003chr /\u003e\n\u003cp\u003e\u003cstrong\u003eState\u003c/strong\u003e\u003cstrong\u003e policies on whether districts must employ school nurses\u003c/strong\u003e\u003c/p\u003e\n","quoteData":{"__typename":"ModuleWysiwygModuleWysiwygModuleWysiwygQuoteGroup","text":null,"author":null},"sidebarWysiwyg":null,"sidebarPlacement":["none"],"sidebarStyle":["default"],"sidebarTitle":null,"sidebarLinks":null},{"__typename":"PageBuilderPageBuilder2ModuleImageFullWidthLayout","fieldGroupName":"PageBuilderPageBuilder2ModuleImageFullWidthLayout","image":{"__typename":"AcfMediaItemConnectionEdge","node":{"__typename":"MediaItem","alt":"CDC map1 must employ nurses 150-01","blurDataUrl":"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","mediaDetails":{"__typename":"MediaDetails","height":691,"width":1100},"sourceUrl":"https://cms.childtrends.org/wp-content/uploads/2022/08/CDC-map1-must-employ-nurses-150-01-2.png"}},"caption":{"__typename":"ModuleImageFullWidthModuleImageFullWidthModuleImageCaptionOptions","bodyBackgroundColor":"#0A355B","bodyText":null,"bodyTextColor":"#FFFFFF","headingBackgroundColor":"#B3DBF2","headingText":null,"headingTextColor":"#0A355B"},"detail":{"__typename":"ModuleImageFullWidthModuleImageFullWidthModuleImageDecorative","columnStyle":null,"headerText":null,"overlayStyle":["none"],"bodyTextOne":null,"bodyTextTwo":null},"captionStyle":["none"],"overlayType":["standalone"],"parallax":["full"],"widthStyle":["image"]},{"__typename":"PageBuilderPageBuilder2ModuleWysiwygLayout","fieldGroupName":"PageBuilderPageBuilder2ModuleWysiwygLayout","html":"\u003chr /\u003e\n\u003ch3\u003eState policies on school nurses’ qualifications\u003c/h3\u003e\n","quoteData":{"__typename":"ModuleWysiwygModuleWysiwygModuleWysiwygQuoteGroup","text":null,"author":null},"sidebarWysiwyg":null,"sidebarPlacement":["none"],"sidebarStyle":["default"],"sidebarTitle":null,"sidebarLinks":null},{"__typename":"PageBuilderPageBuilder2ModuleWysiwygLayout","fieldGroupName":"PageBuilderPageBuilder2ModuleWysiwygLayout","html":"\u003cp\u003e\u003cstrong\u003eThirty-one states and DC have policies that require specific educational qualifications or licenses/certifications for school nurses, while another nine states discuss licensing, certification, and educational qualifications by encouraging (discussing the benefits of) or addressing (by defining) such qualifications \u003c/strong\u003e(Appendix B). Most states require school nurses to be licensed as a registered nurse (RN) by the state board of nursing with a bachelor’s or master’s degree from an accredited institution. Other \u003ca href=\"https://www.ncsbn.org/nursing-terms.htm\"\u003epermitted licenses and certifications\u003c/a\u003e for school nurses include licensed practical nurses (LPNs) (\u003ca href=\"https://codes.findlaw.com/al/title-16-education/al-code-sect-16-22-16.html\"\u003eAlabama\u003c/a\u003e, \u003ca href=\"https://www.sos.ms.gov/adminsearch/ACCode/00000382c.pdf\"\u003eMississippi\u003c/a\u003e, \u003ca href=\"https://casetext.com/regulation/new-hampshire-administrative-code/title-ed-board-of-education/chapter-ed-300-administration-of-minimum-standards-in-public-schools/part-ed-306-minimum-standards-for-public-school-approval/section-ed-30612-school-health-services\"\u003eNew Hampshire\u003c/a\u003e, \u003ca href=\"https://ed.sc.gov/state-board/state-board-of-education/about-state-board/regulations-table-of-contents/sbe-regulaiton-43-205-administrative-and-professional-personnel-qualifications-duties-and-workloads/#:~:text=Schools%20with%20more%20than%20600,services%20for%20every%20100%20students.\"\u003eSouth Carolina\u003c/a\u003e), \u003ca href=\"https://www.phnurse.org/what-is-a-phn-\"\u003elicensed public health nurses\u003c/a\u003e (\u003ca href=\"https://app.leg.wa.gov/rcw/default.aspx?cite=28A.210.300\"\u003eWashington\u003c/a\u003e, \u003ca href=\"https://docs.legis.wisconsin.gov/statutes/statutes/120/i/13/11\"\u003eWisconsin\u003c/a\u003e), certified nursing assistants (CNAs) (\u003ca href=\"https://casetext.com/regulation/new-hampshire-administrative-code/title-ed-board-of-education/chapter-ed-300-administration-of-minimum-standards-in-public-schools/part-ed-306-minimum-standards-for-public-school-approval/section-ed-30612-school-health-services\"\u003eNew Hampshire\u003c/a\u003e), and \u003ca href=\"https://www.aanp.org/advocacy/advocacy-resource/position-statements/scope-of-practice-for-nurse-practitioners\"\u003ecertified nurse practitioners\u003c/a\u003e (CNPs) (\u003ca href=\"https://casetext.com/regulation/tennessee-administrative-code/title-1200-health-environment-and-conservation/subtitle-1200-11-bureau-of-health-services/chapter-1200-11-05-rules-and-regulations-governing-the-tennessee-public-school-nurse-program/section-1200-11-05-05-staffing\"\u003eTennessee\u003c/a\u003e). Fourteen states’ departments of education (\u003ca href=\"https://www.law.cornell.edu/regulations/california/5-CCR-Sec-80050\"\u003eCalifornia\u003c/a\u003e, \u003ca href=\"https://www.law.cornell.edu/regulations/connecticut/Regs-Conn-State-Agencies-SS-10-212-2\"\u003eConnecticut\u003c/a\u003e, \u003ca href=\"https://regulations.delaware.gov/AdminCode/title14/1500/1582.shtml\"\u003eDelaware\u003c/a\u003e, \u003ca href=\"https://www.law.cornell.edu/regulations/illinois/IL-Admin-Code-23-23-120\"\u003eIllinois\u003c/a\u003e, \u003ca href=\"https://casetext.com/regulation/indiana-administrative-code/title-511-indiana-state-board-of-education/article-15-school-settings-and-license-content-areas/rule-511-iac-15-6-licensure-content-areas/section-511-iac-15-6-35-school-services-school-nurse\"\u003eIndiana\u003c/a\u003e, \u003ca href=\"https://www.law.cornell.edu/regulations/michigan/Mich-Admin-Code-R-340-1166\"\u003eMichigan\u003c/a\u003e, \u003ca href=\"https://www.leg.state.nv.us/nac/nac-391.html#NAC391Sec305\"\u003eNevada\u003c/a\u003e, \u003ca href=\"http://www.gencourt.state.nh.us/rsa/html/XV/200/200-29.htm\"\u003eNew Hampshire\u003c/a\u003e, \u003ca href=\"https://casetext.com/statute/new-jersey-statutes/title-18a-education/chapter-18a40-employment-of-medical-inspectors-optometrists-and-nurses-salaries-terms-rules/section-18a40-37-requirements-for-school-nurse-endorsement\"\u003eNew Jersey\u003c/a\u003e, \u003ca href=\"https://www.srca.nm.gov/parts/title06/06.063.0002.html\"\u003eNew Mexico\u003c/a\u003e, \u003ca href=\"https://codes.ohio.gov/ohio-administrative-code/rule-3301-24-05\"\u003eOhio\u003c/a\u003e, \u003ca href=\"https://oregon.public.law/statutes/ors_342.475\"\u003eOregon\u003c/a\u003e, \u003ca href=\"https://education.vermont.gov/sites/aoe/files/documents/Rules%20Governing%20the%20Licensing%20of%20Educators_9_20_2019.pdf\"\u003eVermont\u003c/a\u003e, \u003ca href=\"https://casetext.com/regulation/west-virginia-administrative-code/agency-126-education/title-126-legislative-rule-board-of-education/series-126-025a-standards-for-basic-and-specialized-health-care-procedures-policy-24227/section-126-25a-9-staffing-requirements\"\u003eWest Virginia\u003c/a\u003e) require additional educational course work to receive and then maintain a state certification as a school nurse, in addition to the RN state license. Other common qualifications for school nurses include certification in first aid, cardiopulmonary resuscitation (CPR), and automatic external defibrillator (AED) use.\u003c/p\u003e\n\u003cp\u003eSome states’ policies authorize non-certified staff to provide supplemental services, such as medication administration, emergency care, or health screenings, if they are trained and supervised by a registered school nurse.\u003c/p\u003e\n\u003chr /\u003e\n\u003cp\u003e\u003cstrong\u003eState policies on school nurses’ qualifications\u003c/strong\u003e\u003c/p\u003e\n","quoteData":{"__typename":"ModuleWysiwygModuleWysiwygModuleWysiwygQuoteGroup","text":null,"author":null},"sidebarWysiwyg":null,"sidebarPlacement":["right"],"sidebarStyle":["default"],"sidebarTitle":"Related Content","sidebarLinks":[{"__typename":"ModuleWysiwygModuleWysiwygSidebarLinks","linkType":["internal"],"link":{"__typename":"AcfLink","title":"State Policymakers Can Support Equitable School-based Telemental Health Services","url":"https://cms.childtrends.org/publications/state-policymakers-can-support-equitable-school-based-telemental-health-services"},"file":null},{"__typename":"ModuleWysiwygModuleWysiwygSidebarLinks","linkType":["internal"],"link":{"__typename":"AcfLink","title":"Bridging the Mental Health Care Gap for Black Children Requires a Focus on Racial Equity and Access","url":"https://cms.childtrends.org/bridging-the-mental-health-care-gap-for-black-children-requires-a-focus-on-racial-equity-and-access"},"file":null},{"__typename":"ModuleWysiwygModuleWysiwygSidebarLinks","linkType":["internal"],"link":{"__typename":"AcfLink","title":"More Comprehensive State Guidance Can Support the Whole Child during COVID-19","url":"https://cms.childtrends.org/publications/more-comprehensive-state-guidance-support-whole-child-covid-19"},"file":null}]},{"__typename":"PageBuilderPageBuilder2ModuleImageFullWidthLayout","fieldGroupName":"PageBuilderPageBuilder2ModuleImageFullWidthLayout","image":{"__typename":"AcfMediaItemConnectionEdge","node":{"__typename":"MediaItem","alt":"CDC map 2 nurse qualifications 150-01","blurDataUrl":"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","mediaDetails":{"__typename":"MediaDetails","height":700,"width":1100},"sourceUrl":"https://cms.childtrends.org/wp-content/uploads/2022/08/CDC-map-2-nurse-qualifications-150-01.png"}},"caption":{"__typename":"ModuleImageFullWidthModuleImageFullWidthModuleImageCaptionOptions","bodyBackgroundColor":"#0A355B","bodyText":null,"bodyTextColor":"#FFFFFF","headingBackgroundColor":"#B3DBF2","headingText":null,"headingTextColor":"#0A355B"},"detail":{"__typename":"ModuleImageFullWidthModuleImageFullWidthModuleImageDecorative","columnStyle":null,"headerText":null,"overlayStyle":["none"],"bodyTextOne":null,"bodyTextTwo":null},"captionStyle":["none"],"overlayType":["standalone"],"parallax":["full"],"widthStyle":["image"]},{"__typename":"PageBuilderPageBuilder2ModuleWysiwygLayout","fieldGroupName":"PageBuilderPageBuilder2ModuleWysiwygLayout","html":"\u003chr /\u003e\n\u003ch3\u003eState policies on school nurses’ role in managing chronic conditions\u003c/h3\u003e\n\u003cp\u003e\u003cstrong\u003eForty-eight states have policies that describe school nurses’ role in managing chronic conditions, including allergies, diabetes, and seizures \u003c/strong\u003e(Appendix C). Responsibilities include storing and administering medication; developing and implementing student health plans related to these conditions; and training other school personnel on chronic disease care (e.g., recognizing symptoms, emergency administration of medication). Of these, 39 states require (“must,” “shall”) a registered (or otherwise properly licensed or certified) nurse to perform these services, while eight states authorize (“may”) but do not require school nurses to fill these roles, giving some flexibility to who performs these duties. Oregon addresses the non-liability of school nurses, school administrators, teachers, or other school staff related to administering medication or supervising student self-administration of medication. Notably, there is a \u003ca href=\"https://www.nea.org/advocating-for-change/new-from-nea/school-nurses-were-not-ok\"\u003enationwide school nurse shortage\u003c/a\u003e, which may mean that schools are \u003ca href=\"https://www.frontlineeducation.com/blog/school-nurse-shortage/\"\u003easking staff without proper medical training\u003c/a\u003e to perform these duties, even when the state requires proper licensure or certification. Schools may put students at risk when non-nurses perform duties that should be performed by qualified individuals.\u003c/p\u003e\n\u003chr /\u003e\n\u003cp\u003e\u003cstrong\u003eState policies on school nurses’ role in managing chronic conditions\u003c/strong\u003e\u003c/p\u003e\n","quoteData":{"__typename":"ModuleWysiwygModuleWysiwygModuleWysiwygQuoteGroup","text":null,"author":null},"sidebarWysiwyg":null,"sidebarPlacement":["none"],"sidebarStyle":["default"],"sidebarTitle":null,"sidebarLinks":null},{"__typename":"PageBuilderPageBuilder2ModuleImageFullWidthLayout","fieldGroupName":"PageBuilderPageBuilder2ModuleImageFullWidthLayout","image":{"__typename":"AcfMediaItemConnectionEdge","node":{"__typename":"MediaItem","alt":"cdc map3 chronic conditions 150-01","blurDataUrl":"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","mediaDetails":{"__typename":"MediaDetails","height":702,"width":1100},"sourceUrl":"https://cms.childtrends.org/wp-content/uploads/2022/08/cdc-map3-chronic-conditions-150-01.png"}},"caption":{"__typename":"ModuleImageFullWidthModuleImageFullWidthModuleImageCaptionOptions","bodyBackgroundColor":"#0A355B","bodyText":null,"bodyTextColor":"#FFFFFF","headingBackgroundColor":"#B3DBF2","headingText":null,"headingTextColor":"#0A355B"},"detail":{"__typename":"ModuleImageFullWidthModuleImageFullWidthModuleImageDecorative","columnStyle":null,"headerText":null,"overlayStyle":["none"],"bodyTextOne":null,"bodyTextTwo":null},"captionStyle":["none"],"overlayType":["standalone"],"parallax":["full"],"widthStyle":["image"]},{"__typename":"PageBuilderPageBuilder2ModuleWysiwygLayout","fieldGroupName":"PageBuilderPageBuilder2ModuleWysiwygLayout","html":"\u003chr /\u003e\n\u003ch3\u003eState policies on school nurses’ role in administering medication\u003c/h3\u003e\n\u003cp\u003e\u003cstrong\u003eTwenty-five states have policies that describe school nurses’ role in administering medication beyond what is specifically required for managing chronic conditions \u003c/strong\u003e(Appendix D). These responsibilities include storing and administering students’ prescription medicine, managing students’ health records and parental consents, training other school personnel to administer prescription medication as permitted by parents or guardians, and assessing students’ ability to self-administer medication. Of states with policies addressing medication administration, 18 specifically require (“must,” “shall”) school nurses to perform these duties, while five states authorize (“may”) but do not require school nurses to fill these roles, which allows unlicensed assistive personnel, school administrators, teachers, or other school staff to perform these duties.\u003c/p\u003e\n\u003chr /\u003e\n\u003cp\u003e\u003cstrong\u003eState policies on school nurses’ role in administering medication\u003c/strong\u003e\u003c/p\u003e\n","quoteData":{"__typename":"ModuleWysiwygModuleWysiwygModuleWysiwygQuoteGroup","text":null,"author":null},"sidebarWysiwyg":null,"sidebarPlacement":["none"],"sidebarStyle":["default"],"sidebarTitle":null,"sidebarLinks":null},{"__typename":"PageBuilderPageBuilder2ModuleImageFullWidthLayout","fieldGroupName":"PageBuilderPageBuilder2ModuleImageFullWidthLayout","image":{"__typename":"AcfMediaItemConnectionEdge","node":{"__typename":"MediaItem","alt":"","blurDataUrl":"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","mediaDetails":{"__typename":"MediaDetails","height":694,"width":1100},"sourceUrl":"https://cms.childtrends.org/wp-content/uploads/2022/08/cdc-map-4-medication-150-01.png"}},"caption":{"__typename":"ModuleImageFullWidthModuleImageFullWidthModuleImageCaptionOptions","bodyBackgroundColor":"#0A355B","bodyText":null,"bodyTextColor":"#FFFFFF","headingBackgroundColor":"#B3DBF2","headingText":null,"headingTextColor":"#0A355B"},"detail":{"__typename":"ModuleImageFullWidthModuleImageFullWidthModuleImageDecorative","columnStyle":null,"headerText":null,"overlayStyle":["none"],"bodyTextOne":null,"bodyTextTwo":null},"captionStyle":["none"],"overlayType":["standalone"],"parallax":["full"],"widthStyle":["image"]},{"__typename":"PageBuilderPageBuilder2ModuleWysiwygLayout","fieldGroupName":"PageBuilderPageBuilder2ModuleWysiwygLayout","html":"\u003chr /\u003e\n\u003ch3\u003eState policies on school nurses’ role in developing and managing student health plans\u003c/h3\u003e\n\u003cp\u003e\u003cstrong\u003eTwenty-one states have policies that describe school nurses’ role in developing and managing student health plans for chronic conditions such as allergies, asthma, diabetes, and seizures as well as other individualized health care needs \u003c/strong\u003e(Appendix E). Responsibilities addressed include training other school personnel and volunteer health aides on proper procedures of care; collaborating with students, parents or guardians, and primary care physicians; developing protocol for emergency response; and storing emergency stock medication. Of the states that govern school nurses’ role in student health plans, 17 require (“must,” “shall”) a registered nurse to be involved in creating individualized student health and emergency action plans, while two states authorize (“may”) but do not require school nurses to assist students who require individualized health care services. Importantly, the assessment and care planning can be done only by an RN—assessment is not in the scope of practice for LPNs. In cases where an RN is not present, student care plans may not exist or are provided from outside healthcare providers, often without proper adaption to the school setting or school-specific needs.\u003c/p\u003e\n\u003chr /\u003e\n\u003cp\u003e\u003cstrong\u003eState policies on school nurses’ role in developing and managing student health plans\u003c/strong\u003e\u003c/p\u003e\n","quoteData":{"__typename":"ModuleWysiwygModuleWysiwygModuleWysiwygQuoteGroup","text":null,"author":null},"sidebarWysiwyg":null,"sidebarPlacement":["none"],"sidebarStyle":["default"],"sidebarTitle":null,"sidebarLinks":null},{"__typename":"PageBuilderPageBuilder2ModuleImageFullWidthLayout","fieldGroupName":"PageBuilderPageBuilder2ModuleImageFullWidthLayout","image":{"__typename":"AcfMediaItemConnectionEdge","node":{"__typename":"MediaItem","alt":"cdc map 5 managing health plans 150-01","blurDataUrl":"/9j/4AAQSkZJRgABAQEAYABgAAD//gA7Q1JFQVRPUjogZ2QtanBlZyB2MS4wICh1c2luZyBJSkcgSlBFRyB2NjIpLCBxdWFsaXR5ID0gMjAK/9sAQwAoHB4jHhkoIyEjLSsoMDxkQTw3Nzx7WF1JZJGAmZaPgIyKoLTmw6Cq2q2KjMj/y9ru9f///5vB////+v/m/f/4/9sAQwErLS08NTx2QUF2+KWMpfj4+Pj4+Pj4+Pj4+Pj4+Pj4+Pj4+Pj4+Pj4+Pj4+Pj4+Pj4+Pj4+Pj4+Pj4+Pj4+Pj4/8AAEQgABQAIAwEiAAIRAQMRAf/EAB8AAAEFAQEBAQEBAAAAAAAAAAABAgMEBQYHCAkKC//EALUQAAIBAwMCBAMFBQQEAAABfQECAwAEEQUSITFBBhNRYQcicRQygZGhCCNCscEVUtHwJDNicoIJChYXGBkaJSYnKCkqNDU2Nzg5OkNERUZHSElKU1RVVldYWVpjZGVmZ2hpanN0dXZ3eHl6g4SFhoeIiYqSk5SVlpeYmZqio6Slpqeoqaqys7S1tre4ubrCw8TFxsfIycrS09TV1tfY2drh4uPk5ebn6Onq8fLz9PX29/j5+v/EAB8BAAMBAQEBAQEBAQEAAAAAAAABAgMEBQYHCAkKC//EALURAAIBAgQEAwQHBQQEAAECdwABAgMRBAUhMQYSQVEHYXETIjKBCBRCkaGxwQkjM1LwFWJy0QoWJDThJfEXGBkaJicoKSo1Njc4OTpDREVGR0hJSlNUVVZXWFlaY2RlZmdoaWpzdHV2d3h5eoKDhIWGh4iJipKTlJWWl5iZmqKjpKWmp6ipqrKztLW2t7i5usLDxMXGx8jJytLT1NXW19jZ2uLj5OXm5+jp6vLz9PX29/j5+v/aAAwDAQACEQMRAD8A0gW343cdKKKKAP/Z","mediaDetails":{"__typename":"MediaDetails","height":706,"width":1100},"sourceUrl":"https://cms.childtrends.org/wp-content/uploads/2022/08/cdc-map-5-managing-health-plans-150-01.png"}},"caption":{"__typename":"ModuleImageFullWidthModuleImageFullWidthModuleImageCaptionOptions","bodyBackgroundColor":"#0A355B","bodyText":null,"bodyTextColor":"#FFFFFF","headingBackgroundColor":"#B3DBF2","headingText":null,"headingTextColor":"#0A355B"},"detail":{"__typename":"ModuleImageFullWidthModuleImageFullWidthModuleImageDecorative","columnStyle":null,"headerText":null,"overlayStyle":["none"],"bodyTextOne":null,"bodyTextTwo":null},"captionStyle":["none"],"overlayType":["standalone"],"parallax":["full"],"widthStyle":["image"]},{"__typename":"PageBuilderPageBuilder2ModuleWysiwygLayout","fieldGroupName":"PageBuilderPageBuilder2ModuleWysiwygLayout","html":"\u003chr /\u003e\n\u003ch3\u003eState policies on school nurses’ role in student health screenings\u003c/h3\u003e\n\u003cp\u003e\u003cstrong\u003eTwenty-five states have policies that describe school nurses’ roles in health screenings—including vision, hearing, dental, BMI, scoliosis, dyslexia, lead exposure, and general physical health \u003c/strong\u003e(Appendix F). Their responsibilities range from scheduling, facilitating, documenting results, and/or referring students for follow-up care. Nineteen states require (“must,” “shall”) school nurses to conduct or oversee these screenings, receive training on specific screenings or examinations, or train other personnel to conduct the screenings, while six states authorize (“may”) or encourage (“recommend,” “should”) but do not require school nurses to fill these roles.\u003c/p\u003e\n\u003chr /\u003e\n\u003cp\u003e\u003cstrong\u003eState policies on school nurses’ role in student health screenings\u003c/strong\u003e\u003c/p\u003e\n","quoteData":{"__typename":"ModuleWysiwygModuleWysiwygModuleWysiwygQuoteGroup","text":null,"author":null},"sidebarWysiwyg":null,"sidebarPlacement":["none"],"sidebarStyle":["default"],"sidebarTitle":null,"sidebarLinks":null},{"__typename":"PageBuilderPageBuilder2ModuleImageFullWidthLayout","fieldGroupName":"PageBuilderPageBuilder2ModuleImageFullWidthLayout","image":{"__typename":"AcfMediaItemConnectionEdge","node":{"__typename":"MediaItem","alt":"cdc map 6 health screenings 150-01","blurDataUrl":"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","mediaDetails":{"__typename":"MediaDetails","height":706,"width":1100},"sourceUrl":"https://cms.childtrends.org/wp-content/uploads/2022/08/cdc-map-6-health-screenings-150-01.png"}},"caption":{"__typename":"ModuleImageFullWidthModuleImageFullWidthModuleImageCaptionOptions","bodyBackgroundColor":"#0A355B","bodyText":null,"bodyTextColor":"#FFFFFF","headingBackgroundColor":"#B3DBF2","headingText":null,"headingTextColor":"#0A355B"},"detail":{"__typename":"ModuleImageFullWidthModuleImageFullWidthModuleImageDecorative","columnStyle":null,"headerText":null,"overlayStyle":["none"],"bodyTextOne":null,"bodyTextTwo":null},"captionStyle":["none"],"overlayType":["standalone"],"parallax":["full"],"widthStyle":["image"]},{"__typename":"PageBuilderPageBuilder2ModuleWysiwygLayout","fieldGroupName":"PageBuilderPageBuilder2ModuleWysiwygLayout","html":"\u003chr /\u003e\n\u003ch3\u003eState policies on school nurses’ role in student immunizations\u003c/h3\u003e\n\u003cp\u003e\u003cstrong\u003eTwelve states have policies that describe school nurses’ role in facilitating and/or keeping records of student immunizations \u003c/strong\u003e(Appendix G). Of these, ten states detail requirements for school nurses to administer immunizations, facilitate immunization programs or clinics, or keep or access records of student immunizations. \u003ca href=\"https://law.justia.com/codes/new-mexico/2019/chapter-24/article-5/section-24-5-9/\"\u003eNew Mexico\u003c/a\u003e authorizes school nurses to access the immunization registry, while \u003ca href=\"https://texreg.sos.state.tx.us/public/readtac$ext.TacPage?sl=R\u0026amp;app=9\u0026amp;p_dir=\u0026amp;p_rloc=\u0026amp;p_tloc=\u0026amp;p_ploc=\u0026amp;pg=1\u0026amp;p_tac=\u0026amp;ti=25\u0026amp;pt=1\u0026amp;ch=97\u0026amp;rl=65\"\u003eTexas\u003c/a\u003e authorizes school nurses to submit a written statement of a student’s immunity or disease history in lieu of a vaccine record for varicella.\u003c/p\u003e\n\u003chr /\u003e\n\u003cp\u003e\u003cstrong\u003eState policies on school nurses’ role in student immunizations\u003c/strong\u003e\u003c/p\u003e\n","quoteData":{"__typename":"ModuleWysiwygModuleWysiwygModuleWysiwygQuoteGroup","text":null,"author":null},"sidebarWysiwyg":null,"sidebarPlacement":["none"],"sidebarStyle":["default"],"sidebarTitle":null,"sidebarLinks":null},{"__typename":"PageBuilderPageBuilder2ModuleImageFullWidthLayout","fieldGroupName":"PageBuilderPageBuilder2ModuleImageFullWidthLayout","image":{"__typename":"AcfMediaItemConnectionEdge","node":{"__typename":"MediaItem","alt":"","blurDataUrl":"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","mediaDetails":{"__typename":"MediaDetails","height":704,"width":1100},"sourceUrl":"https://cms.childtrends.org/wp-content/uploads/2022/08/cdc-map-7-immunizations-150-01.png"}},"caption":{"__typename":"ModuleImageFullWidthModuleImageFullWidthModuleImageCaptionOptions","bodyBackgroundColor":"#0A355B","bodyText":null,"bodyTextColor":"#FFFFFF","headingBackgroundColor":"#B3DBF2","headingText":null,"headingTextColor":"#0A355B"},"detail":{"__typename":"ModuleImageFullWidthModuleImageFullWidthModuleImageDecorative","columnStyle":null,"headerText":null,"overlayStyle":["none"],"bodyTextOne":null,"bodyTextTwo":null},"captionStyle":["none"],"overlayType":["standalone"],"parallax":["full"],"widthStyle":["image"]},{"__typename":"PageBuilderPageBuilder2ModuleWysiwygLayout","fieldGroupName":"PageBuilderPageBuilder2ModuleWysiwygLayout","html":"\u003chr /\u003e\n\u003ch3\u003eState policies on school nurses’ role in infectious disease control\u003c/h3\u003e\n\u003cp\u003e\u003cstrong\u003eEighteen states and DC have policies that \u003c/strong\u003e\u003cstrong\u003edescribe school nurses’ role in mitigating the spread of contagious diseases \u003c/strong\u003e(Appendix H). Of these, five states (\u003ca href=\"https://www.maine.gov/sos/cec/rules/10/144/144c261.docx\"\u003eMaine\u003c/a\u003e, \u003ca href=\"https://govt.westlaw.com/nycrr/Document/I365c05e4c22211ddb29d8bee567fca9f?bhcp=1\u0026amp;transitionType=Default\u0026amp;contextData=%28sc.Default%29\"\u003eNew York\u003c/a\u003e, \u003ca href=\"https://oregon.public.law/statutes/ors_433.260\"\u003eOregon\u003c/a\u003e, \u003ca href=\"https://www.pacodeandbulletin.gov/Display/pacode?file=/secure/pacode/data/028/chapter27/s27.71.html\"\u003ePennsylvania\u003c/a\u003e, \u003ca href=\"https://regulations.justia.com/states/west-virginia/agency-126/title-126/series-126-051/section-126-51-9/\"\u003eWest Virginia\u003c/a\u003e) and \u003ca href=\"https://dcregs.dc.gov/Common/DCMR/SectionList.aspx?SectionNumber=22-B209\"\u003eDC\u003c/a\u003e require schools to exclude students from school who have been exposed to a communicable disease or who are showing signs of illness as reported to them by school nurses, while four states (\u003ca href=\"https://malegislature.gov/Laws/GeneralLaws/Parti/Titlexii/Chapter71/Section55a\"\u003eMassachusetts\u003c/a\u003e, \u003ca href=\"https://casetext.com/statute/new-jersey-statutes/title-18a-education/chapter-18a40-employment-of-medical-inspectors-optometrists-and-nurses-salaries-terms-rules/section-18a40-8-exclusion-of-pupils-whose-presence-is-detrimental-to-health-and-cleanliness#:~:text=Section%2018A%3A40%2D8%20%2D,health%20and%20cleanliness%2C%20N.J.%20Stat.\"\u003eNew Jersey\u003c/a\u003e, \u003ca href=\"http://okrules.elaws.us/oac/310:520-1-4\"\u003eOklahoma\u003c/a\u003e, \u003ca href=\"https://docs.legis.wisconsin.gov/statutes/statutes/252/21\"\u003eWisconsin\u003c/a\u003e) authorize but do not require schools to do so. \u003ca href=\"https://oregon.public.law/statutes/ors_433.260\"\u003eOregon\u003c/a\u003e and \u003ca href=\"https://www.pacodeandbulletin.gov/Display/pacode?file=/secure/pacode/data/028/chapter27/s27.71.html\"\u003ePennsylvania’s\u003c/a\u003e policies require nurses to determine when excluded students are no longer communicable and may be readmitted, while \u003ca href=\"https://www.law.cornell.edu/regulations/idaho/IDAPA-16.02.10.090\"\u003eIdaho\u003c/a\u003e, \u003ca href=\"http://okrules.elaws.us/oac/310:520-1-4\"\u003eOklahoma\u003c/a\u003e, and \u003ca href=\"https://govt.westlaw.com/nycrr/Document/I365c05e4c22211ddb29d8bee567fca9f?bhcp=1\u0026amp;transitionType=Default\u0026amp;contextData=%28sc.Default%29\"\u003eNew York\u003c/a\u003e authorize but do not require school nurses to perform this duty. Three states (\u003ca href=\"https://casetext.com/regulation/georgia-administrative-code/department-160-rules-of-georgia-department-of-education/chapter-160-1/subject-160-1-3-rules-of-general-applicability/rule-160-1-3-03-infectious-diseases\"\u003eGeorgia\u003c/a\u003e, \u003ca href=\"https://www.maine.gov/sos/cec/rules/10/144/144c261.docx\"\u003eMaine\u003c/a\u003e, \u003ca href=\"https://www.pacodeandbulletin.gov/Display/pacode?file=/secure/pacode/data/028/chapter27/s27.71.html\"\u003ePennsylvania\u003c/a\u003e) and \u003ca href=\"https://dcregs.dc.gov/Common/DCMR/SectionList.aspx?SectionNumber=22-B209\"\u003eDC\u003c/a\u003e require school personnel to consult with the school nurse when a student is suspected of having a communicable disease, while nine states (\u003ca href=\"https://www.law.cornell.edu/regulations/idaho/IDAPA-16.02.10.020\"\u003eIdaho\u003c/a\u003e, \u003ca href=\"https://www.legis.iowa.gov/docs/iac/rule/02-01-2017.641.1.4.pdf\"\u003eIowa\u003c/a\u003e, \u003ca href=\"http://mdrules.elaws.us/comar/10.06.01.04\"\u003eMaryland\u003c/a\u003e, \u003ca href=\"https://malegislature.gov/Laws/GeneralLaws/Parti/Titlexii/Chapter71/Section55a\"\u003eMassachusetts\u003c/a\u003e, \u003ca href=\"https://www.law.cornell.edu/regulations/nebraska/173-Neb-Admin-Code-ch-1-SS-007\"\u003eNebraska\u003c/a\u003e, \u003ca href=\"https://www.srca.nm.gov/parts/title07/07.004.0003.html\"\u003eNew Mexico\u003c/a\u003e, \u003ca href=\"https://oregon.public.law/statutes/ors_433.260\"\u003eOregon\u003c/a\u003e, \u003ca href=\"https://regulations.justia.com/states/west-virginia/agency-126/title-126/series-126-051/section-126-51-9/\"\u003eWest Virginia\u003c/a\u003e, \u003ca href=\"https://docs.legis.wisconsin.gov/statutes/statutes/252/21\"\u003eWisconsin\u003c/a\u003e) and \u003ca href=\"https://dcregs.dc.gov/Common/DCMR/SectionList.aspx?SectionNumber=22-B209\"\u003eDC\u003c/a\u003e require school nurses to report suspected cases of communicable diseases to state and local public health agencies.\u003c/p\u003e\n\u003chr /\u003e\n\u003cp\u003e\u003cstrong\u003eState policies on school nurses’ role in infectious disease control\u003c/strong\u003e\u003c/p\u003e\n","quoteData":{"__typename":"ModuleWysiwygModuleWysiwygModuleWysiwygQuoteGroup","text":null,"author":null},"sidebarWysiwyg":null,"sidebarPlacement":["none"],"sidebarStyle":["default"],"sidebarTitle":null,"sidebarLinks":null},{"__typename":"PageBuilderPageBuilder2ModuleImageFullWidthLayout","fieldGroupName":"PageBuilderPageBuilder2ModuleImageFullWidthLayout","image":{"__typename":"AcfMediaItemConnectionEdge","node":{"__typename":"MediaItem","alt":"","blurDataUrl":"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","mediaDetails":{"__typename":"MediaDetails","height":695,"width":1100},"sourceUrl":"https://cms.childtrends.org/wp-content/uploads/2022/08/cdc-map-8-disease-control-150-01.png"}},"caption":{"__typename":"ModuleImageFullWidthModuleImageFullWidthModuleImageCaptionOptions","bodyBackgroundColor":"#0A355B","bodyText":null,"bodyTextColor":"#FFFFFF","headingBackgroundColor":"#B3DBF2","headingText":null,"headingTextColor":"#0A355B"},"detail":{"__typename":"ModuleImageFullWidthModuleImageFullWidthModuleImageDecorative","columnStyle":null,"headerText":null,"overlayStyle":["none"],"bodyTextOne":null,"bodyTextTwo":null},"captionStyle":["none"],"overlayType":["standalone"],"parallax":["full"],"widthStyle":["image"]},{"__typename":"PageBuilderPageBuilder2ModuleWysiwygLayout","fieldGroupName":"PageBuilderPageBuilder2ModuleWysiwygLayout","html":"\u003chr /\u003e\n\u003ch3\u003eState policies on school nurses’ role in COVID-19\u003c/h3\u003e\n\u003cp\u003e\u003cstrong\u003eAs of October 2021, policies in three states explicitly addressed school nurses’ role in COVID-19. \u003c/strong\u003eNew Mexico requires school nurses to use the Centers for Disease Control and Prevention (CDC) \u003ca href=\"https://www.srca.nm.gov/parts/title06/06.012.0014.html#:~:text=6.12.14.8%C2%A0%C2%A0%C2%A0%C2%A0%C2%A0%C2%A0%C2%A0%C2%A0%C2%A0%C2%A0%C2%A0%C2%A0%C2%A0%C2%A0%20REQUIREMENTS%20FOR%20SCHOOLS%3A\"\u003erecommended transmission-based precautions\u003c/a\u003e when caring for sick people. New York allowed health examinations, including hearing, vision, and scoliosis \u003ca href=\"https://govt.westlaw.com/nycrr/Document/I365c05e4c22211ddb29d8bee567fca9f?transitionType=Default\u0026amp;contextData=%28sc.Default%29#:~:text=136.3%20School%20health%20services.,trustees%20and%20boards%20of%20education.\u0026amp;text=(9)%20to%20provide%20health%20examinations,certificates%20and%20street%20trades%20badges.\"\u003escreenings to be waived during the 2020-2021 school year\u003c/a\u003e due to COVID-19. Maine also updated an existing regulation on comprehensive health and safety and emergency management plans to require involving school nurses, physicians, and public health staff in developing and annually updating those plans. Four additional states (\u003ca href=\"https://regulations.delaware.gov/AdminCode/title14/800/804.shtml\"\u003eDelaware\u003c/a\u003e, \u003ca href=\"https://casetext.com/regulation/maryland-administrative-code/title-10-maryland-department-of-health/part-1/subtitle-06-diseases/chapter-100601-communicable-diseases-and-related-conditions-of-public-health-importance/section-10060104-reporting-procedures\"\u003eMaryland\u003c/a\u003e, \u003ca href=\"https://legislature.vermont.gov/statutes/section/18/021/01129\"\u003eVermont\u003c/a\u003e, and \u003ca href=\"https://apps.sos.wv.gov/adlaw/csr/readfile.aspx?DocId=52997\u0026amp;Format=PDF\"\u003eWest Virginia\u003c/a\u003e) updated policies referencing either immunization or communicable disease between March 2020 and October 2021; however, these policies do not specifically mention COVID-19. Delaware also passed emergency legislation on \u003ca href=\"https://casetext.com/regulation/delaware-administrative-code/title-14-education/health-and-safety/health-examinations-and-screening/section-815-60-effective-until-512022-covid-19-mitigation-and-prevention\"\u003eCOVID-19 Mitigation and Prevention\u003c/a\u003e requiring mask use by all students, faculty, staff, and visitors inside school buildings; however, the policy does not delegate a person responsible for ensuring that the policy is implemented or enforced.\u003c/p\u003e\n\u003chr /\u003e\n\u003cp\u003e\u003cstrong\u003eState policies on school nurses’ role in COVID-19\u003c/strong\u003e\u003c/p\u003e\n","quoteData":{"__typename":"ModuleWysiwygModuleWysiwygModuleWysiwygQuoteGroup","text":null,"author":null},"sidebarWysiwyg":null,"sidebarPlacement":["none"],"sidebarStyle":["default"],"sidebarTitle":null,"sidebarLinks":null},{"__typename":"PageBuilderPageBuilder2ModuleImageFullWidthLayout","fieldGroupName":"PageBuilderPageBuilder2ModuleImageFullWidthLayout","image":{"__typename":"AcfMediaItemConnectionEdge","node":{"__typename":"MediaItem","alt":"","blurDataUrl":"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","mediaDetails":{"__typename":"MediaDetails","height":710,"width":1100},"sourceUrl":"https://cms.childtrends.org/wp-content/uploads/2022/08/cdc-map-9-covid-150-01.png"}},"caption":{"__typename":"ModuleImageFullWidthModuleImageFullWidthModuleImageCaptionOptions","bodyBackgroundColor":"#0A355B","bodyText":null,"bodyTextColor":"#FFFFFF","headingBackgroundColor":"#B3DBF2","headingText":null,"headingTextColor":"#0A355B"},"detail":{"__typename":"ModuleImageFullWidthModuleImageFullWidthModuleImageDecorative","columnStyle":null,"headerText":null,"overlayStyle":["none"],"bodyTextOne":null,"bodyTextTwo":null},"captionStyle":["none"],"overlayType":["standalone"],"parallax":["full"],"widthStyle":["image"]},{"__typename":"PageBuilderPageBuilder2ModuleWysiwygLayout","fieldGroupName":"PageBuilderPageBuilder2ModuleWysiwygLayout","html":"\u003chr /\u003e\n\u003ch2\u003eDiscussion and Conclusion\u003c/h2\u003e\n\u003cp\u003eOur analysis examined how states govern the roles, responsibilities, and requirements for school nurses through policy. These policies often determine the availability of nurses in school buildings, the daily responsibilities they perform in service to their students, and expectations for how they will contribute to public health. The COVID-19 pandemic added significantly to existing responsibilities as school nurses stepped in to administer COVID-19 tests; conduct contact tracing; educate staff, students, and families on COVID-19 precautions, such as proper mask wearing, hand washing and hygiene, and physical distancing; update school-based health protocols and safety plans; and support decision making for school closing/reopening plans. The pandemic has increased the need for school nurses—who address and support efforts related to chronic absenteeism and the impact of health conditions on academic outcomes—and added to school nurses’ direct care responsibilities as students return to school demonstrating \u003ca href=\"https://journals.sagepub.com/doi/pdf/10.1177/15598276211006657\"\u003eworsened physical\u003c/a\u003e and \u003ca href=\"https://www.hhs.gov/sites/default/files/surgeon-general-youth-mental-health-advisory.pdf\"\u003emental health\u003c/a\u003e.\u003c/p\u003e\n\u003cp\u003eOur analysis was necessarily limited: although we examined the landscape of state policies, we did not evaluate their effect in practice. The presence or absence of state-level policy pertaining to school nurses does not preclude the existence of non-codified guidance, nor does it indicate whether or how well policies are being implemented. However, from what is codified, we can assess the baseline expectations of school nurses. School nurses are required to fulfill numerous codified responsibilities around coordinating care or providing direct health services in all 50 states and DC and have been asked to take on even more during the COVID-19 pandemic. Despite these copious and ever-increasing demands, few states have policies that set a strong floor for school nurse capacity in schools—just twelve states have policies addressing recommended or required nurse-to-student ratios and only two require a full-time nurse in every school. By establishing policies that improve school nurses’ capacity, states can vest power in nurses’ deep expertise to lead their school communities’ health and wellness efforts on behalf of students and staff.\u003c/p\u003e\n","quoteData":{"__typename":"ModuleWysiwygModuleWysiwygModuleWysiwygQuoteGroup","text":null,"author":null},"sidebarWysiwyg":null,"sidebarPlacement":["none"],"sidebarStyle":["default"],"sidebarTitle":null,"sidebarLinks":null},{"__typename":"PageBuilderPageBuilder2ModuleWysiwygLayout","fieldGroupName":"PageBuilderPageBuilder2ModuleWysiwygLayout","html":"\u003chr /\u003e\n\u003ch2\u003eMethodology\u003c/h2\u003e\n\u003cp\u003eTo analyze the current landscape of state statutes and regulations related to school nursing practice, Child Trends and EMT Associates identified codified policies using a series of keyword Boolean searches in LexisNexis and Westlaw that reference school nursing. Policies repealed before October 2021 were not included in the search, nor were policies passed after this date or pending legislative action. Based on the content of each identified policy, researchers at EMT Associates conducted memoing to describe unique categories of policies. They then coded each identified policy based on its degree of prescriptiveness (addressed, encouraged, authorized, or required). Our analysis focused on the following research questions:\u003c/p\u003e\n\u003cul\u003e\n\u003cli\u003eHow do states govern the availability of school nurses?\u003c/li\u003e\n\u003cli\u003eHow do states govern certifications or qualifications for school nurses?\u003c/li\u003e\n\u003cli\u003eWhat are school nurses authorized to do?\u003c/li\u003e\n\u003cli\u003eWhat are school nurses required to do?\u003c/li\u003e\n\u003cli\u003eHow are school nurses engaged in public health efforts?\u003c/li\u003e\n\u003cli\u003eWhat specific responsibilities do school nurses have with respect to the COVID-19 pandemic?\u003c/li\u003e\n\u003c/ul\u003e\n\u003chr /\u003e\n","quoteData":{"__typename":"ModuleWysiwygModuleWysiwygModuleWysiwygQuoteGroup","text":null,"author":null},"sidebarWysiwyg":null,"sidebarPlacement":["none"],"sidebarStyle":["default"],"sidebarTitle":null,"sidebarLinks":null},{"__typename":"PageBuilderPageBuilder2ModuleFeaturedTextboxLayout","fieldGroupName":"PageBuilderPageBuilder2ModuleFeaturedTextboxLayout","primaryColor":"#ECECEC","bodyTextColor":"#272727","secondaryColor":null,"bodyText":"\u003ch2\u003eSuggested Citation\u003c/h2\u003e\n\u003cp\u003eSteed, H., O’Toole, D., Lao, K., Nuñez, B., Surani, K., \u0026amp; Stuart-Cassel, V. (2022). State laws on school nursing outline copious responsibilities for nurses. Child Trends. \u003ca href=\"https://doi.org/10.56417/2161j1674h\"\u003ehttps://doi.org/10.56417/2161j1674h\u003c/a\u003e\u003c/p\u003e\n","headerTextColor":"#272727","headerText":null,"boxStyle":["plain"],"Tag":["h3"]},{"__typename":"PageBuilderPageBuilder2ModuleWysiwygLayout","fieldGroupName":"PageBuilderPageBuilder2ModuleWysiwygLayout","html":"\u003chr /\u003e\n\u003cp\u003e\u003cem\u003eThis publication is supported by cooperative agreement NU87PS004367-01-01 funded by the Centers for Disease Control and Prevention (CDC). Its contents are solely the responsibility of the authors and do not necessarily represent the official views or endorsement of the CDC or the Department of Health and Human Services.\u003c/em\u003e\u003c/p\u003e\n\u003chr /\u003e\n\u003ch2\u003eAppendices\u003c/h2\u003e\n","quoteData":{"__typename":"ModuleWysiwygModuleWysiwygModuleWysiwygQuoteGroup","text":null,"author":null},"sidebarWysiwyg":null,"sidebarPlacement":["none"],"sidebarStyle":["default"],"sidebarTitle":null,"sidebarLinks":null},{"__typename":"PageBuilderPageBuilder2ModuleAccordionLayout","fieldGroupName":"PageBuilderPageBuilder2ModuleAccordionLayout","showCollapseAllButton":false,"showDropShadows":false,"items":[{"__typename":"ModuleAccordionModuleAccordionAccordionItems","contentType":["text"],"headlineLink":null,"hiddenContent":"\u003ctable width=\"1037\"\u003e\n\u003ctbody\u003e\n\u003ctr\u003e\n\u003ctd width=\"122\"\u003e\u003cstrong\u003eState\u003c/strong\u003e\u003c/td\u003e\n\u003ctd width=\"279\"\u003e\u003cstrong\u003eCode\u003c/strong\u003e\u003c/td\u003e\n\u003ctd width=\"636\"\u003e\u003cstrong\u003eCitation(s)\u003c/strong\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eAlabama\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eAla. Code § 16-22-16\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eAlaska\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eArizona\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eArkansas\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eArk. Code Ann. § 6-18-706 ; Ark. Code Ann. § 6-20-2517\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eCalifornia\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eCal. Educ. Code § 49426\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eColorado\u003c/td\u003e\n\u003ctd\u003eAuthorized\u003c/td\u003e\n\u003ctd\u003eColo. Rev. Stat. Ann. § 25-1.5-406\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eConnecticut\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eConn. Gen. Stat. Ann. § 10-212\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eDelaware\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eDel. Code Ann. tit. 14, § 1310\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eDistrict of Columbia\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eD.C. Code Ann. § 38-621\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eFlorida\u003c/td\u003e\n\u003ctd\u003eAddressed\u003c/td\u003e\n\u003ctd\u003eFla. Stat. § 381.0057\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eGeorgia\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eGa. Code Ann. § 20-2-771.2; Ga. Code Ann. § 20-2-186\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eHawaii\u003c/td\u003e\n\u003ctd\u003eAddressed\u003c/td\u003e\n\u003ctd\u003eHAR 11-146-2\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eIdaho\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eIllinois\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003e105 ILCS 5/10-22.23; Ill. Admin. Code tit. 23, § 1.760\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eIndiana\u003c/td\u003e\n\u003ctd\u003eRequired; Authorized; Encouraged; Addressed\u003c/td\u003e\n\u003ctd\u003e511 Ind. Admin. Code 4-1.5-2; 511 Ind. Admin. Code 4-1.5-6; Burns Ind. Code Ann. § 16-22-8-34; Burns Ind. Code Ann. § 16-46-3-2; Burns Ind. Code Ann. § 20-34-3-6; Burns Ind. Code Ann. § 20-34-3-7; Burns Ind. Code Ann. § 20-34-4.5-4\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eIowa\u003c/td\u003e\n\u003ctd\u003eRequired; Authorized\u003c/td\u003e\n\u003ctd\u003e281 IAC 12.4; Iowa Code § 249A.32B; Iowa Code § 256.11\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eKansas\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eKan. Admin. Regs. 60-15-101\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eKentucky\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eKRS § 156.501\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eLouisiana\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eLAC 28:CXV.503; La. Stat. Ann. § 17:28\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eMaine\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eMe. Rev. Stat. tit. 20-A, § 6403-A; CMR 05-071-125\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eMaryland\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eMassachusetts\u003c/td\u003e\n\u003ctd\u003eRequired; Authorized\u003c/td\u003e\n\u003ctd\u003eMass. Gen. Laws Ann. ch. 71, § 53; Mass. Gen. Laws Ann. ch. 71, § 53A ; 105 CMR 201.015; 603 CMR 18.05; 603 CMR 50.06\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eMichigan\u003c/td\u003e\n\u003ctd\u003eRequired; Authorized\u003c/td\u003e\n\u003ctd\u003eMich. Admin. Code R 340.1163; Mich. Comp. Laws Ann. § 380.1252\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eMinnesota\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eMinn. R. 8710.6100; Minn. Stat. § 121A.21; Minn. Stat. § 125A.29\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eMississippi\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eMiss. Code Ann. § 37-14-1; Miss. Code Ann. § 37-14-3; Miss. Code Ann. § 41-79-5; Miss. Code Ann. § 41-79-53\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eMissouri\u003c/td\u003e\n\u003ctd\u003eAuthorized\u003c/td\u003e\n\u003ctd\u003eMo. Ann. Stat. § 168.171\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eMontana\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eNebraska\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eNebraska Admin. Code Title 471, Ch. 25\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eNevada\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eNew Hampshire\u003c/td\u003e\n\u003ctd\u003eRequired; Encouraged; Addressed\u003c/td\u003e\n\u003ctd\u003eRSA 21-N:6-a; RSA 186:13; RSA 189:49; RSA 200:27; RSA 200:29; RSA 200:31\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eNew Jersey\u003c/td\u003e\n\u003ctd\u003eRequired; Encouraged; Addressed\u003c/td\u003e\n\u003ctd\u003eN.J. Stat. § 18A:40-1; N.J. Stat. § 18A:40-3.1; N.J. Stat. § 18A:40-3.2; N.J. Stat. § 18A:40-3.3; N.J. Stat. § 18A:40-3.4; N.J.A.C. 6A:16-2.3\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eNew Mexico\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eNew York\u003c/td\u003e\n\u003ctd\u003eRequired; Encouraged\u003c/td\u003e\n\u003ctd\u003eNY CLS Educ § 901; NY CLS Educ § 902; NY CLS Educ § 912; NY CLS Educ § 1950; NY CLS Educ § 2503; NY CLS Pub Health § 356; 8 NYCRR § 136.2\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eNorth Carolina\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003e16 N.C.A.C. 6D.0402\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eNorth Dakota\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eOhio\u003c/td\u003e\n\u003ctd\u003eEncouraged\u003c/td\u003e\n\u003ctd\u003eORC Ann. 3313.68; ORC Ann. 3313.72\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eOklahoma\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eO.A.C. § 210:35-3-107; 70 Okl. St. § 3-129.11\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eOregon\u003c/td\u003e\n\u003ctd\u003eRequired; Authorized\u003c/td\u003e\n\u003ctd\u003eOAR 581-022-2220; ORS § 336.201; ORS § 678.038\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003ePennsylvania\u003c/td\u003e\n\u003ctd\u003eRequired; Encouraged; Addressed\u003c/td\u003e\n\u003ctd\u003e24 P.S. § 14-1402; 24 P.S. § 14-1405; 24 P.S. § 14-1410; 28 Pa. Code § 23.51; 28 Pa. Code § 23.52; 28 Pa. Code § 23.53; 28 Pa. Code § 23.62\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eRhode Island\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eR.I. Gen. Laws § 16-21-7; R.I. Gen. Laws § 16-21-8; R.I. Gen. Laws § 23-17-4.1\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eSouth Carolina\u003c/td\u003e\n\u003ctd\u003eRequired; Addressed\u003c/td\u003e\n\u003ctd\u003eS.C. Code Ann. § 43-5-1235; S.C. Code Ann. § 59-10-210\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eSouth Dakota\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eS.D. Codified Laws § 13-33A-1\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eTennessee\u003c/td\u003e\n\u003ctd\u003eRequired; Authorized; Encouraged; Addressed\u003c/td\u003e\n\u003ctd\u003eTenn. Comp. R. \u0026amp; Regs. R. 1200-11-05-.02; Tenn. Comp. R. \u0026amp; Regs. R. 1200-11-05-.05; Tenn. Code Ann. § 49-3-359; Tenn. Code Ann. § 68-1-1201; Tenn. Code Ann. § 68-1-1203\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eTexas\u003c/td\u003e\n\u003ctd\u003eRequired; Authorized\u003c/td\u003e\n\u003ctd\u003eTex. Educ. Code § 21.002; Tex. Health \u0026amp; Safety Code § 281.0465\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eUtah\u003c/td\u003e\n\u003ctd\u003eRequired; Encouraged\u003c/td\u003e\n\u003ctd\u003eUtah Code Ann. § 53F-2-415; Utah Code Ann. § 53G-9-204\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eVermont\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eCVR 22-000-003\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eVirginia\u003c/td\u003e\n\u003ctd\u003eRequired; Encouraged\u003c/td\u003e\n\u003ctd\u003eVa. Code Ann. § 22.1-253.13:2; Va. Code Ann. § 22.1-274\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eWashington\u003c/td\u003e\n\u003ctd\u003eAuthorized; Encouraged\u003c/td\u003e\n\u003ctd\u003eRev. Code Wash. (ARCW) § 28A.210.300; Rev. Code Wash. (ARCW) § 28A.210.305\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eWest Virginia\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eW. Va. Code § 18-5-22; W. Va. CSR § 126-25A-7; W. Va. CSR § 126-25A-9\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eWisconsin\u003c/td\u003e\n\u003ctd\u003eRequired; Encouraged\u003c/td\u003e\n\u003ctd\u003eWis. Adm. Code PI 8.01; Wis. Stat. § 120.13\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eWyoming\u003c/td\u003e\n\u003ctd\u003eEncouraged\u003c/td\u003e\n\u003ctd\u003eWyo. Stat. § 21-2-202\u003c/td\u003e\n\u003c/tr\u003e\n\u003c/tbody\u003e\n\u003c/table\u003e\n","hiddenPostContent":null,"visibleContent":"Appendix A - Availability"},{"__typename":"ModuleAccordionModuleAccordionAccordionItems","contentType":["text"],"headlineLink":null,"hiddenContent":"\u003ctable width=\"887\"\u003e\n\u003ctbody\u003e\n\u003ctr\u003e\n\u003ctd width=\"122\"\u003e\u003cstrong\u003eState\u003c/strong\u003e\u003c/td\u003e\n\u003ctd width=\"206\"\u003e\u003cstrong\u003eCode\u003c/strong\u003e\u003c/td\u003e\n\u003ctd width=\"559\"\u003e\u003cstrong\u003eCitation(s)\u003c/strong\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eAlabama\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eAla. Code § 16-22-16\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eAlaska\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eArizona\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eArkansas\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eCalifornia\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eCal. Educ. Code § 44267.5; Cal. Educ. Code § 44877; Cal. Code Regs. tit. 5, § 80050\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eColorado\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003e1 Colo. Code Regs. § 301-101:7.05\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eConnecticut\u003c/td\u003e\n\u003ctd\u003eRequired; Encouraged\u003c/td\u003e\n\u003ctd\u003eConn. Agencies Regs. 10-212-2; Conn. Agencies Regs. 10-212-4; Conn. Agencies Regs. 10-212-5; Conn. Agencies Regs. 10-212-6\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eDelaware\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eCode Del. Regs. 1582\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eDistrict of Columbia\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eD.C. Code Ann. § 38-621\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eFlorida\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eFla. Stat. § 1012.55\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eGeorgia\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eHawaii\u003c/td\u003e\n\u003ctd\u003eAddressed\u003c/td\u003e\n\u003ctd\u003eHAR 11-146-2\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eIdaho\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eIdaho Code § 33-1201\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eIllinois\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eIll. Admin. Code tit. 23, § 23.120\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eIndiana\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003e511 Ind. Admin. Code 15-6-35\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eIowa\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003e281 IAC 12.4\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eKansas\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eK.S.A. § 72-255\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eKentucky\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eKRS § 156.501\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eLouisiana\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eLAC 28:CXXXI.411\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eMaine\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eCMR 05-071-125\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eMaryland\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eCOMAR 13A.05.05.13\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eMassachusetts\u003c/td\u003e\n\u003ctd\u003eRequired; Authorized\u003c/td\u003e\n\u003ctd\u003eMass. Gen. Laws Ann. ch. 71, § 53; Mass. Gen. Laws Ann. ch. 71, § 53A\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eMichigan\u003c/td\u003e\n\u003ctd\u003eRequired; Addressed\u003c/td\u003e\n\u003ctd\u003eMich. Admin. Code R 340.1161; Mich. Admin. Code R 340.1164; Mich. Admin. Code R 340.1166; Mich. Admin. Code R 340.1167; Mich. Admin. Code R 340.1168; Mich. Admin. Code R 340.1169\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eMinnesota\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eMinn. Stat. § 121A.21\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eMississippi\u003c/td\u003e\n\u003ctd\u003eAddressed\u003c/td\u003e\n\u003ctd\u003eCMSR 07-000-003\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eMissouri\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eMontana\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eNebraska\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eNevada\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eNev. Admin. Code 391.305; Nev. Admin. Code 391.310\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eNew Hampshire\u003c/td\u003e\n\u003ctd\u003eRequired; Encouraged\u003c/td\u003e\n\u003ctd\u003eN.H. Admin. Rules, Ed 306.12; RSA 200:29\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eNew Jersey\u003c/td\u003e\n\u003ctd\u003eRequired; Addressed\u003c/td\u003e\n\u003ctd\u003eN.J. Stat. § 18A:40-3.3; N.J. Stat. § 18A:40-3.7; N.J. Stat. § 18A:40-3.8\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eNew Mexico\u003c/td\u003e\n\u003ctd\u003eAddressed\u003c/td\u003e\n\u003ctd\u003eN.M. Admin. Code 6.63.2; N.M. Stat. Ann. § 22-34-2\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eNew York\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003e8 NYCRR § 136.2\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eNorth Carolina\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003e16 N.C.A.C. 6D.0402\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eNorth Dakota\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eOhio\u003c/td\u003e\n\u003ctd\u003eAddressed\u003c/td\u003e\n\u003ctd\u003eOAC Ann. 3301-24-05\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eOklahoma\u003c/td\u003e\n\u003ctd\u003eAddressed\u003c/td\u003e\n\u003ctd\u003e70 Okl. St. § 1-116\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eOregon\u003c/td\u003e\n\u003ctd\u003eRequired; Encouraged; Addressed\u003c/td\u003e\n\u003ctd\u003eORS § 342.455; ORS § 342.465; ORS § 342.475; ORS § 342.485; ORS § 342.495; OAR 584-021-0110\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003ePennsylvania\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003e28 Pa. Code § 23.54\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eRhode Island\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003e216 RICR 020-10-4\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eSouth Carolina\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eS.C. Code Regs. 43-205\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eSouth Dakota\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eS.D. Codified Laws § 13-33A-1\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eTennessee\u003c/td\u003e\n\u003ctd\u003eRequired; Encouraged\u003c/td\u003e\n\u003ctd\u003eTenn. Comp. R. \u0026amp; Regs. R. 1200-11-05-.05; Tenn. Code Ann. § 49-3-359\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eTexas\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eUtah\u003c/td\u003e\n\u003ctd\u003eEncouraged\u003c/td\u003e\n\u003ctd\u003eUtah Code Ann. § 53G-9-204\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eVermont\u003c/td\u003e\n\u003ctd\u003eAddressed\u003c/td\u003e\n\u003ctd\u003e7-1 Vt. Code R. § 13\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eVirginia\u003c/td\u003e\n\u003ctd\u003eEncouraged\u003c/td\u003e\n\u003ctd\u003eVa. Code Ann. § 22.1-274\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eWashington\u003c/td\u003e\n\u003ctd\u003eEncouraged\u003c/td\u003e\n\u003ctd\u003eRev. Code Wash. (ARCW) § 28A.210.300\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eWest Virginia\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eW. Va. Code § 18-5-22; W. Va. CSR § 126-25A-9\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eWisconsin\u003c/td\u003e\n\u003ctd\u003eRequired; Encouraged\u003c/td\u003e\n\u003ctd\u003eWis. Adm. Code PI 8.01; Wis. Stat. § 120.13\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eWyoming\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003c/tbody\u003e\n\u003c/table\u003e\n","hiddenPostContent":null,"visibleContent":"Appendix B - Certification"},{"__typename":"ModuleAccordionModuleAccordionAccordionItems","contentType":["text"],"headlineLink":null,"hiddenContent":"\u003ctable width=\"946\"\u003e\n\u003ctbody\u003e\n\u003ctr\u003e\n\u003ctd width=\"122\"\u003e\u003cstrong\u003eState\u003c/strong\u003e\u003c/td\u003e\n\u003ctd width=\"279\"\u003e\u003cstrong\u003eCode\u003c/strong\u003e\u003c/td\u003e\n\u003ctd width=\"545\"\u003e\u003cstrong\u003eCitation(s)\u003c/strong\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eAlabama\u003c/td\u003e\n\u003ctd\u003eRequired; Authorized; Addressed\u003c/td\u003e\n\u003ctd\u003eAla. Code § 16-1-48; Ala. Code § 16-30A-3; Ala. Code § 16-30A-5; Ala. Code § 16-30C-2; Ala. Code § 16-30C-4; Ala. Admin. Code 610-X-7-.10\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eAlaska\u003c/td\u003e\n\u003ctd\u003eAuthorized\u003c/td\u003e\n\u003ctd\u003eAlaska Stat. Ann. § 14.30.141\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eArizona\u003c/td\u003e\n\u003ctd\u003eRequired; Authorized\u003c/td\u003e\n\u003ctd\u003eAriz. Admin. Code R7-2-809; Ariz. Admin. Code R7-2-810; Ariz. Rev. Stat. Ann. § 15-157; Ariz. Rev. Stat. Ann. § 15-158; Ariz. Rev. Stat. Ann. § 15-342; Ariz. Rev. Stat. Ann. § 15-344.01\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eArkansas\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eCode Ark. R. 005.28.42-4.00; Code Ark. R. 005.28.42-7.00; 067 00 CARR 009; Ark. Code Ann. § 6-18-707\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eCalifornia\u003c/td\u003e\n\u003ctd\u003eRequired; Authorized\u003c/td\u003e\n\u003ctd\u003eCal. Educ. Code § 49414; Cal. Educ. Code § 49414.5; Cal. Educ. Code § 49423.1\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eColorado\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eColo. Rev. Stat. Ann. § 22-1-119.5; Colo. Rev. Stat. Ann. § 22-1-132; Colo. Rev. Stat. Ann. § 22-2-135; 1 Colo. Code Regs. § 301-68:2.00; 1 Colo. Code Regs. § 301-68:3.00; 1 Colo. Code Regs. § 301-68:4.00; 1 Colo. Code Regs. § 301-68:5.00\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eConnecticut\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eConn. Agencies Regs. 10-212a-2\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eDelaware\u003c/td\u003e\n\u003ctd\u003eRequired; Addressed\u003c/td\u003e\n\u003ctd\u003eCode Del. Regs. 612; Del. Code Ann. tit. 16, § 3003E; Del. Code Ann. tit. 16, § 3007E\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eDistrict of Columbia\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eFlorida\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eFla. Admin. Code Ann. r. 6A-6.0251; Fla. Admin. Code Ann. r. 6A-6.0253\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eGeorgia\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eGa. Code Ann. § 20-2-776; Ga. Code Ann. § 20-2-779\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eHawaii\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eIdaho\u003c/td\u003e\n\u003ctd\u003eRequired; Addressed\u003c/td\u003e\n\u003ctd\u003eIdaho Code § 33-520; Idaho Code § 33-520A\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eIllinois\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003e105 ILCS 5/2-3.182; 105 ILCS 145/15; 105 ILCS 145/27; Ill. Admin. Code tit. 23, § 1.540\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eIndiana\u003c/td\u003e\n\u003ctd\u003eRequired; Authorized\u003c/td\u003e\n\u003ctd\u003eBurns Ind. Code Ann. § 20-34-3-26; Burns Ind. Code Ann. § 20-34-5-12; Burns Ind. Code Ann. § 20-34-5-13; Burns Ind. Code Ann. § 20-34-5-14; Burns Ind. Code Ann. § 20-34-5-15; Burns Ind. Code Ann. § 20-34-5-17\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eIowa\u003c/td\u003e\n\u003ctd\u003eRequired; Authorized\u003c/td\u003e\n\u003ctd\u003e281 IAC 14.3(256); Iowa Code § 280.16; Iowa Code § 280.16A\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eKansas\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eK.S.A. § 72-6282\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eKentucky\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eKRS § 158.834; KRS § 158.836\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eLouisiana\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eLAC 28:CLVII.307; La. Stat. Ann. § 17:436.1; La. Stat. Ann. § 17:436.3\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eMaine\u003c/td\u003e\n\u003ctd\u003eRequired; Authorized\u003c/td\u003e\n\u003ctd\u003eMe. Rev. Stat. tit. 20-A, § 254; 20-A M.R.S. § 6305\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eMaryland\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eMd. Code Ann., Educ. § 7-426.2; Md. Code Ann., Educ. § 7-426.4\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eMassachusetts\u003c/td\u003e\n\u003ctd\u003eRequired; Addressed\u003c/td\u003e\n\u003ctd\u003eMass. Gen. Laws Ann. ch. 71, § 54B; 105 CMR 210.100\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eMichigan\u003c/td\u003e\n\u003ctd\u003eAuthorized\u003c/td\u003e\n\u003ctd\u003eMich. Comp. Laws Ann. § 333.17744a\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eMinnesota\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eMinn. Stat. § 121A.24; Minn. Stat. § 121A.221\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eMississippi\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eMiss. Code Ann. § 37-11-71; Miss. Code Ann. § 41-79-1; Miss. Code Ann. § 41-79-3\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eMissouri\u003c/td\u003e\n\u003ctd\u003eRequired; Authorized\u003c/td\u003e\n\u003ctd\u003eMo. Code Regs. Ann. tit. 5, § 20-200.300; Mo. Ann. Stat. § 167.630; Mo. Ann. Stat. § 167.635; Mo. Ann. Stat. § 167.803; Mo. Ann. Stat. § 167.809\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eMontana\u003c/td\u003e\n\u003ctd\u003eRequired; Authorized\u003c/td\u003e\n\u003ctd\u003eMont. Code Ann. § 20-5-420; Mont. Code Ann. § 20-5-421\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eNebraska\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eNeb. Rev. Stat. Ann. § 79-224; Neb. Rev. Stat. Ann. § 79-3203\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eNevada\u003c/td\u003e\n\u003ctd\u003eAuthorized\u003c/td\u003e\n\u003ctd\u003eNev. Rev. Stat. Ann. § 386.870; Nev. Rev. Stat. Ann. § 392.425\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eNew Hampshire\u003c/td\u003e\n\u003ctd\u003eRequired; Encouraged; Authorized; Addressed\u003c/td\u003e\n\u003ctd\u003eRSA 200:42; RSA 200:43; RSA 200:44; RSA 200:44-a; RSA 200:45; RSA 200:46; RSA 200:54; RSA 200:55; RSA 200:57\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eNew Jersey\u003c/td\u003e\n\u003ctd\u003eRequired; Authorized; Addressed\u003c/td\u003e\n\u003ctd\u003eN.J. Stat. § 18A:40-12.5; N.J. Stat. § 18A:40-12.6; N.J. Stat. § 18A:40-12.6c; N.J. Stat. § 18A:40-12.6d; N.J. Stat. § 18A:40-12.7; N.J. Stat. § 18A:40-12.8; N.J. Stat. § 18A:40-12.11; N.J. Stat. § 18A:40-12.13; N.J. Stat. § 18A:40-12.14; N.J. Stat. § 18A:40-12.35; N.J.A.C. 6A:16-2.1; N.J.A.C. 6A:16-2.2\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eNew Mexico\u003c/td\u003e\n\u003ctd\u003eRequired; Authorized\u003c/td\u003e\n\u003ctd\u003e6.12.2.9 NMAC; 6.12.8.8 NMAC; 6.12.11.10 NMAC; 7.30.12.10 NMAC; N.M. Stat. Ann. § 22-5-4.3; N.M. Stat. Ann. § 22-33-3; N.M. Stat. Ann. § 22-33-4; N.M. Stat. Ann. § 22-34-5\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eNew York\u003c/td\u003e\n\u003ctd\u003eRequired; Authorized\u003c/td\u003e\n\u003ctd\u003eNY CLS Educ § 902-a; NY CLS Educ § 902-b; NY CLS Educ § 916; NY CLS Educ § 916-a; NY CLS Educ § 916-b; NY CLS Educ § 921; NY CLS Pub Health § 2500-h; 8 NYCRR § 136.7\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eNorth Carolina\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eN.C. Gen. Stat. § 115C-12; N.C. Gen. Stat. § 115C-375.2; N.C. Gen. Stat. § 115C-375.2A\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eNorth Dakota\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eOhio\u003c/td\u003e\n\u003ctd\u003eRequired; Authorized\u003c/td\u003e\n\u003ctd\u003eORC Ann. 3313.718; ORC Ann. 3313.719; ORC Ann. 3313.7110; ORC Ann. 3313.7112; ORC Ann. 3313.7113; ORC Ann. 3313.7115\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eOklahoma\u003c/td\u003e\n\u003ctd\u003eRequired; Authorized\u003c/td\u003e\n\u003ctd\u003e70 Okl. St. § 1-116.3; 70 Okl. St. § 1210.196.3; 70 Okl. St. § 1210.196.4; 70 Okl. St. § 1210.196.5\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eOregon\u003c/td\u003e\n\u003ctd\u003eAddressed\u003c/td\u003e\n\u003ctd\u003eORS § 339.871\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003ePennsylvania\u003c/td\u003e\n\u003ctd\u003eRequired; Authorized\u003c/td\u003e\n\u003ctd\u003e24 P.S. § 14-1414.1; 24 P.S. § 14-1414.2; 24 Pa. Stat. Ann. § 14-1414.3\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eRhode Island\u003c/td\u003e\n\u003ctd\u003eRequired; Authorized\u003c/td\u003e\n\u003ctd\u003eR.I. Gen. Laws Ann. § 16-21-22; R.I. Gen. Laws § 16-21-32; 216 RICR 020-10-4\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eSouth Carolina\u003c/td\u003e\n\u003ctd\u003eAuthorized\u003c/td\u003e\n\u003ctd\u003eS.C. Code Ann. § 59-63-95\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eSouth Dakota\u003c/td\u003e\n\u003ctd\u003eAuthorized\u003c/td\u003e\n\u003ctd\u003eS.D. Codified Laws § 13-33A-6\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eTennessee\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eTenn. Code Ann. § 49-50-1602; Tenn. Comp. R. \u0026amp; Regs. R. 0520-01-13-.03\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eTexas\u003c/td\u003e\n\u003ctd\u003eRequired; Authorized\u003c/td\u003e\n\u003ctd\u003eTex. Educ. Code § 38.015; Tex. Educ. Code § 38.208; Tex. Health \u0026amp; Safety Code § 168.003; Tex. Health \u0026amp; Safety Code § 168.005; Tex. Health \u0026amp; Safety Code § 168.007; 25 TAC § 40.44; 25 TAC § 40.46; 25 TAC § 40.47\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eUtah\u003c/td\u003e\n\u003ctd\u003eRequired; Authorized\u003c/td\u003e\n\u003ctd\u003eUtah Code Ann. § 26-41-104; Utah Code Ann. § 26-41-105; Utah Code Ann. § 53G-9-504; Utah Code Ann. § 53G-9-505\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eVermont\u003c/td\u003e\n\u003ctd\u003eAuthorized\u003c/td\u003e\n\u003ctd\u003e16 V.S.A. § 1388\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eVirginia\u003c/td\u003e\n\u003ctd\u003eRequired; Authorized\u003c/td\u003e\n\u003ctd\u003e8 VAC 20-131-260; Va. Code Ann. § 22.1-274.01:1; Va. Code Ann. § 22.1-274.2; Va. Code Ann. § 22.1-274.6; Va. Code Ann. § 54.1-3408\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eWashington\u003c/td\u003e\n\u003ctd\u003eRequired; Encouraged\u003c/td\u003e\n\u003ctd\u003eWash. Rev. Code Ann. § 28A.210.355; Rev. Code Wash. (ARCW) § 28A.210.370; Rev. Code Wash. (ARCW) § 28A.210.380; Rev. Code Wash. (ARCW) § 28A.210.383\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eWest Virginia\u003c/td\u003e\n\u003ctd\u003eRequired; Authorized\u003c/td\u003e\n\u003ctd\u003eW. Va. Code § 18-2K-2; W. Va. Code § 18-5-22b; W. Va. Code § 18-5-22c; W. Va. CSR § 126-25A-11; W. Va. CSR § 126-25A-12; W. Va. CSR § 126-27-9; W. Va. CSR § 126-27-10\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eWisconsin\u003c/td\u003e\n\u003ctd\u003eAuthorized\u003c/td\u003e\n\u003ctd\u003eWis. Stat. § 118.2925\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eWyoming\u003c/td\u003e\n\u003ctd\u003eAuthorized\u003c/td\u003e\n\u003ctd\u003eWyo. Stat. § 21-4-316\u003c/td\u003e\n\u003c/tr\u003e\n\u003c/tbody\u003e\n\u003c/table\u003e\n","hiddenPostContent":null,"visibleContent":"Appendix C - Services - Chronic"},{"__typename":"ModuleAccordionModuleAccordionAccordionItems","contentType":["text"],"headlineLink":null,"hiddenContent":"\u003ctable style=\"border-collapse: collapse; width: 748pt;\" width=\"997\"\u003e\n\u003ctbody\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd class=\"xl16\" style=\"width: 92pt; height: 14.25pt;\" width=\"122\" height=\"19\"\u003e\u003ca name=\"D - Services - MA!A1:C52\"\u003e\u003c/a\u003e\u003cstrong\u003eState\u003c/strong\u003e\u003c/td\u003e\n\u003ctd class=\"xl16\" style=\"width: 164pt;\" width=\"218\"\u003e\u003cstrong\u003eCode\u003c/strong\u003e\u003c/td\u003e\n\u003ctd class=\"xl16\" style=\"width: 493pt;\" width=\"657\"\u003e\u003cstrong\u003eCitation(s)\u003c/strong\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eAlabama\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eAlaska\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eArizona\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eArkansas\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eArk. Code Ann. § 6-18-718\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eCalifornia\u003c/td\u003e\n\u003ctd\u003eRequired; Authorized\u003c/td\u003e\n\u003ctd\u003eCal. Educ. Code § 49423; Cal. Code Regs. tit. 5, § 600; Cal. Code Regs. tit. 5, § 604\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eColorado\u003c/td\u003e\n\u003ctd\u003eAddressed\u003c/td\u003e\n\u003ctd\u003eColo. Rev. Stat. Ann. § 12-255-132\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eConnecticut\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eConn. Gen. Stat. Ann. § 10-212a ; Conn. Agencies Regs. 10-212a-3; Conn. Agencies Regs. 10-212a-4; Conn. Agencies Regs. 10-212a-5; Conn. Agencies Regs. 10-212a-7; Conn. Agencies Regs. 10-212a-8; Conn. Agencies Regs. 10-212a-9\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eDelaware\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eDel. Code Ann. tit. 16, § 3004E; Del. Code Ann. tit. 16, § 3006E; Code Del. Regs. 817\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eDistrict of Columbia\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eFlorida\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eGeorgia\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eHawaii\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eIdaho\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eIllinois\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003e105 ILCS 5/10-22.21b; 105 ILCS 5/22-30; 105 ILCS 5/34-18.61\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eIndiana\u003c/td\u003e\n\u003ctd\u003eAuthorized; Addressed\u003c/td\u003e\n\u003ctd\u003eBurns Ind. Code Ann. § 20-34-4.5-2; Burns Ind. Code Ann. § 20-34-4.5-4\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eIowa\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eKansas\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eKan. Admin. Regs. 60-15-104; K.S.A. § 72-6282\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eKentucky\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eLouisiana\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eLAC 28:CLVII.305\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eMaine\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eCode Me. R. tit. 05-071 Ch. 40, § 2; Code Me. R. tit. 05-071 Ch. 40, § 3\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eMaryland\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eMd. Code Ann., Educ. § 7-421\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eMassachusetts\u003c/td\u003e\n\u003ctd\u003eRequired; Addressed\u003c/td\u003e\n\u003ctd\u003e105 CMR 210.001; 105 CMR 210.003; 105 CMR 210.004; 105 CMR 210.005; 105 CMR 210.006; 105 CMR 210.007; 105 CMR 210.008; 105 CMR 210.009; 603 CMR 18.05\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eMichigan\u003c/td\u003e\n\u003ctd\u003eAddressed\u003c/td\u003e\n\u003ctd\u003eMich. Comp. Laws Ann. § 380.1178\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eMinnesota\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eMississippi\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eMissouri\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eMo. Ann. Stat. § 167.627\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eMontana\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eNebraska\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eNevada\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eNev. Admin. Code 632.226\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eNew Hampshire\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eN.H. Admin. Rules, Ed 311.02\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eNew Jersey\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eN.J. Stat. § 18A:40-12.30; N.J. Stat. § 18A:40-12.32\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eNew Mexico\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eNew York\u003c/td\u003e\n\u003ctd\u003eAuthorized\u003c/td\u003e\n\u003ctd\u003eNY CLS Educ § 919\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eNorth Carolina\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eNorth Dakota\u003c/td\u003e\n\u003ctd\u003eAuthorized; Encouraged; Addressed\u003c/td\u003e\n\u003ctd\u003eN.D. Cent. Code, § 15.1-19-23; N.D. Cent. Code, § 23-44-03; N.D. Cent. Code, § 43-12.1-04; N.D. Cent. Code, § 43-12.1-16; N.D. Cent. Code, § 43-12.1-16.1\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eOhio\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eOklahoma\u003c/td\u003e\n\u003ctd\u003eAuthorized\u003c/td\u003e\n\u003ctd\u003e70 Okl. St. § 1-116.2\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eOregon\u003c/td\u003e\n\u003ctd\u003eRequired; Addressed\u003c/td\u003e\n\u003ctd\u003eOAR 581-021-0037; ORS § 339.873\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003ePennsylvania\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eRhode Island\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eSouth Carolina\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eSouth Dakota\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eS.D. Codified Laws § 13-33A-1\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eTennessee\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eTexas\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eUtah\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eUtah Code Ann. § 53G-9-502\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eVermont\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eVirginia\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eWashington\u003c/td\u003e\n\u003ctd\u003eAuthorized\u003c/td\u003e\n\u003ctd\u003eRev. Code Wash. (ARCW) § 28A.210.305\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eWest Virginia\u003c/td\u003e\n\u003ctd\u003eRequired; Addressed\u003c/td\u003e\n\u003ctd\u003eW. Va. CSR § 126-25A-10; W. Va. CSR § 126-27-3; W. Va. CSR § 126-27-6; W. Va. CSR § 126-27-7; W. Va. CSR § 126-27-8\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eWisconsin\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eWyoming\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003c/tbody\u003e\n\u003c/table\u003e\n","hiddenPostContent":null,"visibleContent":"Appendix D - Services - MA"},{"__typename":"ModuleAccordionModuleAccordionAccordionItems","contentType":["text"],"headlineLink":null,"hiddenContent":"\u003ctable width=\"691\"\u003e\n\u003ctbody\u003e\n\u003ctr\u003e\n\u003ctd width=\"122\"\u003e\u003cstrong\u003eState\u003c/strong\u003e\u003c/td\u003e\n\u003ctd width=\"129\"\u003e\u003cstrong\u003eCode\u003c/strong\u003e\u003c/td\u003e\n\u003ctd width=\"440\"\u003e\u003cstrong\u003eCitation(s)\u003c/strong\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eAlabama\u003c/td\u003e\n\u003ctd\u003eAddressed\u003c/td\u003e\n\u003ctd\u003eAla. Code § 16-30A-2\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eAlaska\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eArizona\u003c/td\u003e\n\u003ctd\u003eAuthorized\u003c/td\u003e\n\u003ctd\u003eAriz. Rev. Stat. Ann. § 15-344.01\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eArkansas\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eArk. Code Ann. § 6-18-718\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eCalifornia\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eColorado\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003e1 Colo. Code Regs. § 301-68:2.00\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eConnecticut\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eDelaware\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eDistrict of Columbia\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eFlorida\u003c/td\u003e\n\u003ctd\u003eRequired; Addressed\u003c/td\u003e\n\u003ctd\u003eFla. Admin. Code Ann. r. 6A-6.0251; Fla. Admin. Code Ann. r. 6A-6.0252\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eGeorgia\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eGa. Comp. R. \u0026amp; Regs. 160-4-8-.18\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eHawaii\u003c/td\u003e\n\u003ctd\u003eAuthorized\u003c/td\u003e\n\u003ctd\u003eHAR 11-146-6\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eIdaho\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eIllinois\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003e105 ILCS 145/15\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eIndiana\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eBurns Ind. Code Ann. § 20-34-5-12; Burns Ind. Code Ann. § 20-34-5-13; Burns Ind. Code Ann. § 20-34-5-16; Burns Ind. Code Ann. § 20-34-5-17\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eIowa\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eKansas\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eKentucky\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eLouisiana\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eLAC 28:CLVII.307; La. Stat. Ann. § 17:436.3\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eMaine\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eMaryland\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eMassachusetts\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eMichigan\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eMinnesota\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eMississippi\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eMissouri\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eMontana\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eNebraska\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eNeb. Rev. Stat. Ann. § 79-3203\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eNevada\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eNew Hampshire\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eNew Jersey\u003c/td\u003e\n\u003ctd\u003eAddressed\u003c/td\u003e\n\u003ctd\u003eN.J. Stat. Ann. § 18A:40-12.34\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eNew Mexico\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003e6.12.2.9 NMAC\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eNew York\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eNorth Carolina\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eN.C. Gen. Stat. § 115C-12; 16 N.C.A.C. 6D.0402\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eNorth Dakota\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eOhio\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eOklahoma\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003e70 Okl. St. § 1210.196.3\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eOregon\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003ePennsylvania\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eRhode Island\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eR.I. Gen. Laws § 16-21-32; 216 RICR 020-10-4\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eSouth Carolina\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eS.C. Code Ann. § 59-63-80\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eSouth Dakota\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eTennessee\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eTenn. Code Ann. § 49-50-1601; Tenn. Code Ann. § 49-50-1602; Tenn. Comp. R. \u0026amp; Regs. R. 0520-01-13-.03\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eTexas\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eTex. Health \u0026amp; Safety Code § 168.003; Tex. Health \u0026amp; Safety Code § 168.007\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eUtah\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eVermont\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eVirginia\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eWashington\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eWash. Rev. Code Ann. § 28A.210.355\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eWest Virginia\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eW. Va. Code § 18-2K-2; W. Va. CSR § 126-25A-6\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eWisconsin\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eWyoming\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003c/tbody\u003e\n\u003c/table\u003e\n","hiddenPostContent":null,"visibleContent":"Appendix E - Services - SHP"},{"__typename":"ModuleAccordionModuleAccordionAccordionItems","contentType":["text"],"headlineLink":null,"hiddenContent":"\u003ctable style=\"border-collapse: collapse; width: 788pt;\" width=\"1051\"\u003e\n\u003ctbody\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd class=\"xl16\" style=\"width: 92pt; height: 14.25pt;\" width=\"122\" height=\"19\"\u003e\u003cstrong\u003e\u003ca name=\"F - Services - Screenings!A1:C52\"\u003e\u003c/a\u003eState\u003c/strong\u003e\u003c/td\u003e\n\u003ctd class=\"xl16\" style=\"width: 108pt;\" width=\"144\"\u003e\u003cstrong\u003eCode\u003c/strong\u003e\u003c/td\u003e\n\u003ctd class=\"xl16\" style=\"width: 589pt;\" width=\"785\"\u003e\u003cstrong\u003eCitation(s)\u003c/strong\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eAlabama\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eAlaska\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eAlaska Stat. Ann. § 14.30.127\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eArizona\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eAriz. Rev. Stat. Ann. § 36-899.10\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eArkansas\u003c/td\u003e\n\u003ctd\u003eRequired; Authorized\u003c/td\u003e\n\u003ctd\u003eCode Ark. R. 005.28.18-8.0; Code Ark. R. 005.28.43-12.00; Ark. Code Ann. § 6-18-701; Ark. Code Ann. § 6-18-1501\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eCalifornia\u003c/td\u003e\n\u003ctd\u003eRequired; Authorized\u003c/td\u003e\n\u003ctd\u003eCal. Educ. Code § 33319; Cal. Educ. Code § 49452.5; Cal. Educ. Code § 49455; Cal. Code Regs. tit. 5, § 591; Cal. Code Regs. tit. 5, § 596\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eColorado\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eConnecticut\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eConn. Agencies Regs. 10-214-2; Conn. Agencies Regs. 10-214-3; Conn. Agencies Regs. 10-214-4; Conn. Gen. Stat. Ann. § 10-206\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eDelaware\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eCode Del. Regs. 815\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eDistrict of Columbia\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eFlorida\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eGeorgia\u003c/td\u003e\n\u003ctd\u003eAuthorized\u003c/td\u003e\n\u003ctd\u003eGa. Comp. R. \u0026amp; Regs. r. 511-5-6-.04\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eHawaii\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eIdaho\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eIllinois\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eIll. Admin. Code tit. 23, § 1.760\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eIndiana\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eIowa\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eKansas\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eKentucky\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eLouisiana\u003c/td\u003e\n\u003ctd\u003eAuthorized\u003c/td\u003e\n\u003ctd\u003eLAC 28:CLVII.301; LAC 48:V.2103; La. Stat. Ann. § 17:2112\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eMaine\u003c/td\u003e\n\u003ctd\u003eRequired; Authorized\u003c/td\u003e\n\u003ctd\u003eCMR 10-144-281; Code Me. R. tit. 05-071 Ch. 45, § 2; Code Me. R. tit. 05-071 Ch. 45, § 4\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eMaryland\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eMassachusetts\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003e105 CMR 200.400\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eMichigan\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eMinnesota\u003c/td\u003e\n\u003ctd\u003eAuthorized\u003c/td\u003e\n\u003ctd\u003eMinn. Stat. § 121A.17\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eMississippi\u003c/td\u003e\n\u003ctd\u003eEncouraged; Addressed\u003c/td\u003e\n\u003ctd\u003eMiss. Code Ann. § 37-23-15; CMSR 07-000-007\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eMissouri\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eMontana\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eNebraska\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eNevada\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eNev. Admin. Code 385B.336; Nev. Rev. Stat. Ann. § 392.420\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eNew Hampshire\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eNew Jersey\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eN.J.A.C. 6A:16-2.2; N.J. Stat. § 18A:40-4.3; N.J. Stat. § 18A:40A-23; N.J. Stat. § 18A:40-41.7\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eNew Mexico\u003c/td\u003e\n\u003ctd\u003eRequired; Authorized\u003c/td\u003e\n\u003ctd\u003eN.M. Code R. § 7.30.11.8; N.M. Stat. Ann. § 22-13-30\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eNew York\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eNY CLS Educ § 903; NY CLS Educ § 904; 8 NYCRR § 136.3\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eNorth Carolina\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eNorth Dakota\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eOhio\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eOklahoma\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eOregon\u003c/td\u003e\n\u003ctd\u003eRequired; Authorized\u003c/td\u003e\n\u003ctd\u003eORS § 336.211; OAR 581-021-0031\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003ePennsylvania\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003e28 Pa. Code § 23.11; 28 Pa. Code § 23.71; 28 Pa. Code § 23.73; 28 Pa. Code § 23.78\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eRhode Island\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eR.I. Gen. Laws § 16-21-10; 216 RICR 020-10-4\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eSouth Carolina\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eS.C. Code Ann. § 44-29-195\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eSouth Dakota\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eTennessee\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eTexas\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eUtah\u003c/td\u003e\n\u003ctd\u003eRequired; Authorized\u003c/td\u003e\n\u003ctd\u003eUtah Code Ann. § 53G-9-403; Utah Code Ann. § 53G-9-404; U.A.C. R384-201-8; U.A.C. R384-201-9; U.A.C. R384-201-10\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eVermont\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eVirginia\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eWashington\u003c/td\u003e\n\u003ctd\u003eAuthorized\u003c/td\u003e\n\u003ctd\u003eWAC § 246-760-080; WAC § 246-760-100\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eWest Virginia\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eW. Va. CSR § 126-51-5\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eWisconsin\u003c/td\u003e\n\u003ctd\u003eAuthorized\u003c/td\u003e\n\u003ctd\u003eWis. Stat. Ann. § 118.25\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eWyoming\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003c/tbody\u003e\n\u003c/table\u003e\n","hiddenPostContent":null,"visibleContent":"Appendix F - Services - Screenings"},{"__typename":"ModuleAccordionModuleAccordionAccordionItems","contentType":["text"],"headlineLink":null,"hiddenContent":"\u003ctable style=\"border-collapse: collapse; width: 587pt;\" width=\"783\"\u003e\n\u003ctbody\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd class=\"xl16\" style=\"width: 92pt; height: 14.25pt;\" width=\"122\" height=\"19\"\u003e\u003ca name=\"G - Immunization!A1:C52\"\u003e\u003c/a\u003e\u003cstrong\u003eState\u003c/strong\u003e\u003c/td\u003e\n\u003ctd class=\"xl16\" style=\"width: 98pt;\" width=\"131\"\u003e\u003cstrong\u003eCode\u003c/strong\u003e\u003c/td\u003e\n\u003ctd class=\"xl16\" style=\"width: 398pt;\" width=\"530\"\u003e\u003cstrong\u003eCitation(s)\u003c/strong\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eAlabama\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eAlaska\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eArizona\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eAriz. Rev. Stat. Ann. § 36-673; Ariz. Rev. Stat. Ann. § 36-674\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eArkansas\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eCalifornia*\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eCal. Educ. Code § 49426\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eColorado\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eConnecticut\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eDelaware\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eCode Del. Regs. 804\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eDistrict of Columbia\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eFlorida\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eFla. Stat. § 1003.22\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eGeorgia\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eHawaii\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eIdaho\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eIllinois\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eIndiana\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eIowa\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eKansas\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eKentucky\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eLouisiana\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eMaine*\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eCode Me. R. tit. 05-071 Ch. 126, § 7; Code Me. R. tit. 10-144 Ch. 261, § 7; Code Me. R. tit. 10-144-261\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eMaryland\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eMassachusetts*\u003c/td\u003e\n\u003ctd\u003eRequired; Authorized\u003c/td\u003e\n\u003ctd\u003e105 CMR 300.191; Mass. Gen. Laws Ann. ch. 76, § 15\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eMichigan\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eMinnesota\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eMississippi\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eMissouri\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eMo. Ann. Stat. § 167.181\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eMontana\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eNebraska\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eNevada\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eNev. Rev. Stat. Ann. § 391.292\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eNew Hampshire\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eRSA 200:38\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eNew Jersey\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eNew Mexico\u003c/td\u003e\n\u003ctd\u003eAuthorized\u003c/td\u003e\n\u003ctd\u003eN.M. Stat. Ann. § 24-5-9\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eNew York\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eNorth Carolina\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eNorth Dakota\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eOhio\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eOklahoma\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eOregon\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003ePennsylvania\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eRhode Island\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eSouth Carolina\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eSouth Dakota\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eTennessee\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eTexas\u003c/td\u003e\n\u003ctd\u003eAuthorized\u003c/td\u003e\n\u003ctd\u003e25 Tex. Admin. Code § 97.65\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eUtah\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eVermont\u003c/td\u003e\n\u003ctd\u003eRequired; Authorized\u003c/td\u003e\n\u003ctd\u003e18 V.S.A. § 1124; 18 V.S.A. § 1129; 12-5 Vt. Code R. § 5; CVR 13-140-021\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eVirginia\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eWashington\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eWest Virginia\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eWisconsin\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eWyoming\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003c/tbody\u003e\n\u003c/table\u003e\n","hiddenPostContent":null,"visibleContent":"Appendix G - Immunization"},{"__typename":"ModuleAccordionModuleAccordionAccordionItems","contentType":["text"],"headlineLink":null,"hiddenContent":"\u003ctable style=\"border-collapse: collapse; width: 608pt;\" width=\"810\"\u003e\n\u003ctbody\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd class=\"xl16\" style=\"width: 92pt; height: 14.25pt;\" width=\"122\" height=\"19\"\u003e\u003cstrong\u003eState\u003c/strong\u003e\u003c/td\u003e\n\u003ctd class=\"xl16\" style=\"width: 98pt;\" width=\"131\"\u003e\u003cstrong\u003eCode\u003c/strong\u003e\u003c/td\u003e\n\u003ctd class=\"xl16\" style=\"width: 370pt;\" width=\"493\"\u003e\u003cstrong\u003eCitation(s)\u003c/strong\u003e\u003c/td\u003e\n\u003ctd style=\"width: 48pt;\" width=\"64\"\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eConnecticut\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eConn. Agencies Regs. 19a-36-A8\u003c/td\u003e\n\u003ctd\u003eRcol-N\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eDistrict of Columbia\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eD.C. Mun. Regs. tit. 22-B, § 209\u003c/td\u003e\n\u003ctd\u003eRC-N; REx-N; RR-N\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eGeorgia\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eGa. Comp. R. \u0026amp; Regs. 160-1-3-.03\u003c/td\u003e\n\u003ctd\u003eRC-N\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eIdaho\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eIdaho Admin. Code r. 16.02.10.020; Idaho Admin. Code r. 16.02.10.090\u003c/td\u003e\n\u003ctd\u003eRR-N; A-RA-N\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eIllinois\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eIll. Admin. Code tit. 23, § 1.760\u003c/td\u003e\n\u003ctd\u003eRcol-N\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eIowa\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003e641 IAC 1.4; 641 IAC 1.6\u003c/td\u003e\n\u003ctd\u003eRR-N\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eMaine*\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eMe. Rev. Stat. tit. 20-A, § 6301; Me. Rev. Stat. tit. 20-A, § 6402-A; Code Me. R. tit. 05-071 Ch. 126, § 6; Code Me. R. tit. 10-144 Ch. 261, § 6\u003c/td\u003e\n\u003ctd\u003eRC-N; REx-S; AEx-N\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eMaryland\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eCOMAR 10.06.01.04\u003c/td\u003e\n\u003ctd\u003eRR-N\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eMassachusetts*\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eMass. Gen. Laws Ann. ch. 71, § 55A\u003c/td\u003e\n\u003ctd\u003eAEx-N; RR-N\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eNebraska\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003e173 Neb. Admin. Code Ch. 1, 1-007; 173 Neb. Admin. Code Ch. 3, 3-004\u003c/td\u003e\n\u003ctd\u003eRR-N\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eNew Mexico\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003e6.12.14.8 NMAC; 7.4.3.8 NMAC\u003c/td\u003e\n\u003ctd\u003eRR-N\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eNew York\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003e8 NYCRR § 136.3\u003c/td\u003e\n\u003ctd\u003eREx-S\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eOregon\u003c/td\u003e\n\u003ctd\u003eRequired; Addressed\u003c/td\u003e\n\u003ctd\u003eOAR 581-022-2220; ORS § 433.260\u003c/td\u003e\n\u003ctd\u003eR-RA-N; REd-N; RR-N; REx-S\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003ePennsylvania\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003e28 Pa. Code § 27.71; 28 Pa. Code § 27.72; 28 Pa. Code § 27.73\u003c/td\u003e\n\u003ctd\u003eREx-S; R-RA-N; RC-N\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eWest Virginia\u003c/td\u003e\n\u003ctd\u003eRequired; Addressed\u003c/td\u003e\n\u003ctd\u003eW. VA. CSR § 126-42-7; W. Va. CSR § 126-51-3; W. Va. CSR § 126-51-9\u003c/td\u003e\n\u003ctd\u003eREx-N; RR-N; REd-BoE\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eWisconsin\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eWis. Stat. § 252.21\u003c/td\u003e\n\u003ctd\u003eAEx-N; RR-N\u003c/td\u003e\n\u003c/tr\u003e\n\u003c/tbody\u003e\n\u003c/table\u003e\n","hiddenPostContent":null,"visibleContent":"Appendix H - Communicable"},{"__typename":"ModuleAccordionModuleAccordionAccordionItems","contentType":["text"],"headlineLink":null,"hiddenContent":"\u003ctable style=\"border-collapse: collapse; width: 369pt;\" width=\"492\"\u003e\n\u003ctbody\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd class=\"xl16\" style=\"width: 92pt; height: 14.25pt;\" width=\"122\" height=\"19\"\u003e\u003cstrong\u003e\u003ca name=\"I - COVID!A1:C52\"\u003e\u003c/a\u003eState\u003c/strong\u003e\u003c/td\u003e\n\u003ctd class=\"xl16\" style=\"width: 95pt;\" width=\"126\"\u003e\u003cstrong\u003eCode\u003c/strong\u003e\u003c/td\u003e\n\u003ctd class=\"xl16\" style=\"width: 183pt;\" width=\"244\"\u003e\u003cstrong\u003eCitation(s)\u003c/strong\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eAlabama\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eAlaska\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eArizona\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eArkansas\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eCalifornia\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eColorado\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eConnecticut\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eDelaware\u003c/td\u003e\n\u003ctd\u003eUpdated\u003c/td\u003e\n\u003ctd\u003eCode Del. Regs. 804; Code Del. Regs. 815\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eDistrict of Columbia\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eFlorida\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eGeorgia\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eHawaii\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eIdaho\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eIllinois\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eIndiana\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eIowa\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eKansas\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eKentucky\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eLouisiana\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eMaine\u003c/td\u003e\n\u003ctd\u003eAddressed\u003c/td\u003e\n\u003ctd\u003eMe. Rev. Stat. tit. 20-A, § 1001\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eMaryland\u003c/td\u003e\n\u003ctd\u003eUpdated\u003c/td\u003e\n\u003ctd\u003eCOMAR 10.06.01.04\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eMassachusetts\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eMichigan\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eMinnesota\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eMississippi\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eMissouri\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eMontana\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eNebraska\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eNevada\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eNew Hampshire\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eNew Jersey\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eNew Mexico\u003c/td\u003e\n\u003ctd\u003eAddressed\u003c/td\u003e\n\u003ctd\u003e6.12.14.8 NMAC\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eNew York\u003c/td\u003e\n\u003ctd\u003eAddressed\u003c/td\u003e\n\u003ctd\u003e8 NYCRR § 136.3\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eNorth Carolina\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eNorth Dakota\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eOhio\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eOklahoma\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eOregon\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003ePennsylvania\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eRhode Island\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eSouth Carolina\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eSouth Dakota\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eTennessee\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eTexas\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eUtah\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eVermont\u003c/td\u003e\n\u003ctd\u003eUpdated\u003c/td\u003e\n\u003ctd\u003e18 V.S.A. § 1129\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eVirginia\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eWashington\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eWest Virginia\u003c/td\u003e\n\u003ctd\u003eUpdated\u003c/td\u003e\n\u003ctd\u003eW. VA. CSR § 126-42-7\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eWisconsin\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eWyoming\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003c/tbody\u003e\n\u003c/table\u003e\n","hiddenPostContent":null,"visibleContent":"Appendix I - COVID"}],"headline":null,"headlineTag":["h3"],"itemBackgroundColor":"#ebf5fa","textColor":"#0a355b","toggleColor":"#f26721"}]}},"language":{"__typename":"Language","code":"EN","name":"English"},"translations":[],"simplePublicationDetails":{"__typename":"SimplePublicationDetails","detail":null,"fileAttachment":null,"pubLinkText":null,"pubUrl":null}},"enAboutMenu":{"__typename":"RootQueryToMenuConnection","nodes":[{"__typename":"Menu","name":"About Us"}]},"enAboutNavItems":{"__typename":"RootQueryToMenuItemConnection","nodes":[{"__typename":"MenuItem","title":"Our People","url":"/our-people/leadership"},{"__typename":"MenuItem","title":"Our Projects","url":"https://www.childtrends.org/projects"},{"__typename":"MenuItem","title":"Diversity and Inclusion","url":"/about-us/diversity-and-inclusion"},{"__typename":"MenuItem","title":"Government Contract 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Adolescent-Friendly Care","url":"https://cms.childtrends.org/publications/prioritizing-adolescent-friendly-care"}}]},{"__typename":"GeneralOptionsToolkit1302Menu","title":"Case Studies","links":[{"__typename":"GeneralOptionsToolkit1302MenuLinks","link":{"__typename":"AcfLink","title":"Health Resource Center Coordinators","url":"https://cms.childtrends.org/publications/health-resource-center-coordinators-support-care-through-relationship-building-health-education-warm-referrals"}},{"__typename":"GeneralOptionsToolkit1302MenuLinks","link":{"__typename":"AcfLink","title":"Access to LARC Services","url":"https://cms.childtrends.org/publications/increasing-access-to-adolescent-friendly-larc-services-in-school-based-health-centers"}},{"__typename":"GeneralOptionsToolkit1302MenuLinks","link":{"__typename":"AcfLink","title":"School-Based Health Educator 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Though school nurses have historically led efforts to \u003ca href=\"https://pubmed.ncbi.nlm.nih.gov/12387588/\"\u003emitigate the spread of communicable diseases\u003c/a\u003e, their role has shifted significantly over time, and new COVID-19 responsibilities only added to school nurses’ already full plates. Even before the pandemic, school nurses were responsible for a wide range of tasks, including managing chronic disease, creating and coordinating individual student health plans, administering and storing medications, training school staff in emergency procedures and medication administration, and keeping and reporting records and health information. School nurses typically performed these services for multiple school buildings (as of 2017, only \u003ca href=\"https://higherlogicdownload.s3.amazonaws.com/NASN/8575d1b7-94ad-45ab-808e-d45019cc5c08/UploadedImages/PDFs/Advocacy/2017_Workforce_Study_Infographic_School_Nurses_in_the_Nation.pdf\"\u003e39.3 percent of schools\u003c/a\u003e had a full time school nurse). Now, school nurses have become responsible for administering COVID-19 tests; helping with vaccination clinics; facilitating \u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8047512/\"\u003eimmunizations and health screenings\u003c/a\u003e that had been disrupted during remote learning; conducting \u003ca href=\"https://journals.sagepub.com/doi/pdf/10.1177/1059840521992054\"\u003econtact tracing; enforcing general COVID protocols\u003c/a\u003e; and \u003ca href=\"https://higherlogicdownload.s3.amazonaws.com/NASN/658e97be-9aae-4759-b5fe-feb712c1871d/UploadedImages/School_Nurses_Valuable_Role_in_Addressing_COVID-19_During_2020-21.pdf\"\u003eproviding COVID-19 education\u003c/a\u003e to students, staff, and families—all in addition to their regular duties.\u003c/p\u003e\n\u003cp\u003eState statutes and regulations dictate not only whether schools are required to employ a school nurse, but also what qualifications they must have and what they must do once they arrive in school buildings. Moreover, state policies highlight whether and how the role of a school nurse is valued, particularly as \u003ca href=\"https://onlinelibrary.wiley.com/doi/full/10.1002/pits.22708\"\u003ean expert in the wake of public health crises\u003c/a\u003e like COVID-19. Understanding the current landscape of state statutes and regulations that govern school nursing is critical to identifying opportunities to better support and elevate school nurses’ role as longstanding pillars of public health.\u003c/p\u003e\n\u003cp\u003eChild Trends, in partnership with EMT Associates, analyzed the landscape of state statutes and regulations as of October 2021 to better understand how such policies define the role of school nurses (see Methodology). This brief presents our findings.\u003c/p\u003e\n\u003chr /\u003e\n","moduleWysiwygModuleWysiwygQuoteGroup":{"__typename":"ModuleWysiwygModuleWysiwygModuleWysiwygQuoteGroup","quote":null,"author":null},"moduleWysiwygModuleWysiwygSidebarWysiwyg":null,"moduleWysiwygModuleWysiwygPositionOfSideModule":["none"],"style":["default"],"moduleWysiwygSidebarTitle":null,"moduleWysiwygSidebarLinks":null},{"__typename":"PageBuilderPageBuilder2ModuleWysiwygLayout","moduleWysiwygModuleWysiwygWysiwyg":"\u003ch2\u003eFindings\u003c/h2\u003e\n\u003ch3\u003eState policies on whether districts must employ school nurses\u003c/h3\u003e\n\u003cp\u003e\u003cstrong\u003eThirty-five states and the District of Columbia (DC) have policies requiring (“must,” “shall”) the employment of school nurses, while another seven states authorize (“may”), encourage (“should”), or address making school nurses available to students\u003c/strong\u003e (Appendix A). However, even among states that require making school nurses available, those requirements range from full-time nurses in each school to part-time nurses providing services to several schools to nurses employed at the LEA level. For example, two states (\u003ca href=\"https://delcode.delaware.gov/title14/c013/index.html#1310.\"\u003eDelaware\u003c/a\u003e and \u003ca href=\"https://education.vermont.gov/sites/aoe/files/documents/edu-state-board-rules-series-2000.pdf\"\u003eVermont\u003c/a\u003e) \u003ca href=\"https://statepolicies.nasbe.org/health/categories/health-services/school-nurse-availability\"\u003erequire full-time nurses in every school\u003c/a\u003e, and an additional twelve states (\u003ca href=\"https://codes.findlaw.com/al/title-16-education/al-code-sect-16-22-16.html#:~:text=(a)%20The%20State%20Department%20of,nurse%20within%20each%20school%20system.\"\u003eAlabama\u003c/a\u003e, \u003ca href=\"https://codes.findlaw.com/ar/title-6-education/ar-code-sect-6-18-706.html#:~:text=(a)%20In%20order%20to%20improve,healthcare%20needs%20of%20these%20children.\"\u003eArkansas\u003c/a\u003e, \u003ca href=\"http://ga.elaws.us/law/section20-2-186\"\u003eGeorgia\u003c/a\u003e, \u003ca href=\"https://casetext.com/regulation/indiana-administrative-code/title-511-indiana-state-board-of-education/article-4-pupil-personnel-services-student-health-testing-food-and-nutrition-programs-extended-services/rule-511-iac-4-15-student-services/section-511-iac-4-15-2-personnel\"\u003eIndiana\u003c/a\u003e, \u003ca href=\"https://www.legis.iowa.gov/docs/code/256.11.pdf\"\u003eIowa\u003c/a\u003e, \u003ca href=\"https://oregon.public.law/statutes/ors_336.201\"\u003eOregon\u003c/a\u003e, \u003ca href=\"https://www.pacodeandbulletin.gov/Display/pacode?file=/secure/pacode/data/028/chapter23/s23.53.html\u0026amp;d=reduce%27)\"\u003ePennsylvania\u003c/a\u003e, \u003ca href=\"https://codes.findlaw.com/tn/title-68-health-safety-and-environmental-protection/tn-code-sect-68-1-1203.html\"\u003eTennessee\u003c/a\u003e, \u003ca href=\"https://le.utah.gov/xcode/Title53G/Chapter9/53G-9-S204.html?v=C53G-9-S204_2018012420180124\"\u003eUtah\u003c/a\u003e, \u003ca href=\"https://regulations.justia.com/states/vermont/agency-22/sub-agency-000/chapter-003/section-22-000-003/\"\u003eVermont\u003c/a\u003e, \u003ca href=\"https://law.lis.virginia.gov/vacode/title22.1/chapter14/section22.1-274/\"\u003eVirginia\u003c/a\u003e, and \u003ca href=\"http://www.wvlegislature.gov/WVCODE/ChapterEntire.cfm?chap=18\u0026amp;art=5\u0026amp;section=22#5\"\u003eWest Virginia\u003c/a\u003e) set recommended or required nurse-to-student ratios, though these ratios go \u003ca href=\"https://www.washingtonpost.com/education/2020/08/26/school-nurse-shortage-makes-fight-against-covid-19-harder/\"\u003eunheeded by many districts\u003c/a\u003e. Notably, those ratios range from 1:500 (Alabama, Vermont) to 1:3,000 (Tennessee), while the \u003ca href=\"https://www.cdc.gov/healthyschools/professional_development/e-learning/shg/page13.html\"\u003eCenters for Disease Control and Prevention recommends\u003c/a\u003e a ratio of one school nurse for every 750 students. Eight states (Alaska, Arizona, Idaho, Maryland, Montana, Nevada, New Mexico, and North Dakota) do not address requirements for school districts to employ school nurses.\u003c/p\u003e\n\u003chr /\u003e\n\u003cp\u003e\u003cstrong\u003eState\u003c/strong\u003e\u003cstrong\u003e policies on whether districts must employ school nurses\u003c/strong\u003e\u003c/p\u003e\n","moduleWysiwygModuleWysiwygQuoteGroup":{"__typename":"ModuleWysiwygModuleWysiwygModuleWysiwygQuoteGroup","quote":null,"author":null},"moduleWysiwygModuleWysiwygSidebarWysiwyg":null,"moduleWysiwygModuleWysiwygPositionOfSideModule":["none"],"style":["default"],"moduleWysiwygSidebarTitle":null,"moduleWysiwygSidebarLinks":null},{"__typename":"PageBuilderPageBuilder2ModuleImageFullWidthLayout","moduleImageFullWidthModuleImage":{"__typename":"AcfMediaItemConnectionEdge","node":{"__typename":"MediaItem","altText":"CDC map1 must employ nurses 150-01","blurDataUrl":"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","mediaDetails":{"__typename":"MediaDetails","height":691,"width":1100},"sourceUrl":"https://cms.childtrends.org/wp-content/uploads/2022/08/CDC-map1-must-employ-nurses-150-01-2.png"}},"moduleImageFullWidthModuleImageCaptionOptions":{"__typename":"ModuleImageFullWidthModuleImageFullWidthModuleImageCaptionOptions","detailBackgroundColor":"#0A355B","detailText":null,"detailTextColor":"#FFFFFF","headingBackgroundColor":"#B3DBF2","headingText":null,"headingTextColor":"#0A355B"},"moduleImageFullWidthModuleImageDecorative":{"__typename":"ModuleImageFullWidthModuleImageFullWidthModuleImageDecorative","addCopyOnTopOfThisImage":null,"heading":null,"innerShadow":["none"],"paragraphColumn1":null,"paragraphColumn2":null},"moduleImageFullWidthModuleImageCaptionStyle":["none"],"moduleImageFullWidthModuleImageHowWouldYouLikeToUseThisImage":["standalone"],"moduleImageFullWidthModuleImageParallax":["full"],"moduleImageFullWidthModuleImageWidthStyle":["image"]},{"__typename":"PageBuilderPageBuilder2ModuleWysiwygLayout","moduleWysiwygModuleWysiwygWysiwyg":"\u003chr /\u003e\n\u003ch3\u003eState policies on school nurses’ qualifications\u003c/h3\u003e\n","moduleWysiwygModuleWysiwygQuoteGroup":{"__typename":"ModuleWysiwygModuleWysiwygModuleWysiwygQuoteGroup","quote":null,"author":null},"moduleWysiwygModuleWysiwygSidebarWysiwyg":null,"moduleWysiwygModuleWysiwygPositionOfSideModule":["none"],"style":["default"],"moduleWysiwygSidebarTitle":null,"moduleWysiwygSidebarLinks":null},{"__typename":"PageBuilderPageBuilder2ModuleWysiwygLayout","moduleWysiwygModuleWysiwygWysiwyg":"\u003cp\u003e\u003cstrong\u003eThirty-one states and DC have policies that require specific educational qualifications or licenses/certifications for school nurses, while another nine states discuss licensing, certification, and educational qualifications by encouraging (discussing the benefits of) or addressing (by defining) such qualifications \u003c/strong\u003e(Appendix B). Most states require school nurses to be licensed as a registered nurse (RN) by the state board of nursing with a bachelor’s or master’s degree from an accredited institution. Other \u003ca href=\"https://www.ncsbn.org/nursing-terms.htm\"\u003epermitted licenses and certifications\u003c/a\u003e for school nurses include licensed practical nurses (LPNs) (\u003ca href=\"https://codes.findlaw.com/al/title-16-education/al-code-sect-16-22-16.html\"\u003eAlabama\u003c/a\u003e, \u003ca href=\"https://www.sos.ms.gov/adminsearch/ACCode/00000382c.pdf\"\u003eMississippi\u003c/a\u003e, \u003ca href=\"https://casetext.com/regulation/new-hampshire-administrative-code/title-ed-board-of-education/chapter-ed-300-administration-of-minimum-standards-in-public-schools/part-ed-306-minimum-standards-for-public-school-approval/section-ed-30612-school-health-services\"\u003eNew Hampshire\u003c/a\u003e, \u003ca href=\"https://ed.sc.gov/state-board/state-board-of-education/about-state-board/regulations-table-of-contents/sbe-regulaiton-43-205-administrative-and-professional-personnel-qualifications-duties-and-workloads/#:~:text=Schools%20with%20more%20than%20600,services%20for%20every%20100%20students.\"\u003eSouth Carolina\u003c/a\u003e), \u003ca href=\"https://www.phnurse.org/what-is-a-phn-\"\u003elicensed public health nurses\u003c/a\u003e (\u003ca href=\"https://app.leg.wa.gov/rcw/default.aspx?cite=28A.210.300\"\u003eWashington\u003c/a\u003e, \u003ca href=\"https://docs.legis.wisconsin.gov/statutes/statutes/120/i/13/11\"\u003eWisconsin\u003c/a\u003e), certified nursing assistants (CNAs) (\u003ca href=\"https://casetext.com/regulation/new-hampshire-administrative-code/title-ed-board-of-education/chapter-ed-300-administration-of-minimum-standards-in-public-schools/part-ed-306-minimum-standards-for-public-school-approval/section-ed-30612-school-health-services\"\u003eNew Hampshire\u003c/a\u003e), and \u003ca href=\"https://www.aanp.org/advocacy/advocacy-resource/position-statements/scope-of-practice-for-nurse-practitioners\"\u003ecertified nurse practitioners\u003c/a\u003e (CNPs) (\u003ca href=\"https://casetext.com/regulation/tennessee-administrative-code/title-1200-health-environment-and-conservation/subtitle-1200-11-bureau-of-health-services/chapter-1200-11-05-rules-and-regulations-governing-the-tennessee-public-school-nurse-program/section-1200-11-05-05-staffing\"\u003eTennessee\u003c/a\u003e). Fourteen states’ departments of education (\u003ca href=\"https://www.law.cornell.edu/regulations/california/5-CCR-Sec-80050\"\u003eCalifornia\u003c/a\u003e, \u003ca href=\"https://www.law.cornell.edu/regulations/connecticut/Regs-Conn-State-Agencies-SS-10-212-2\"\u003eConnecticut\u003c/a\u003e, \u003ca href=\"https://regulations.delaware.gov/AdminCode/title14/1500/1582.shtml\"\u003eDelaware\u003c/a\u003e, \u003ca href=\"https://www.law.cornell.edu/regulations/illinois/IL-Admin-Code-23-23-120\"\u003eIllinois\u003c/a\u003e, \u003ca href=\"https://casetext.com/regulation/indiana-administrative-code/title-511-indiana-state-board-of-education/article-15-school-settings-and-license-content-areas/rule-511-iac-15-6-licensure-content-areas/section-511-iac-15-6-35-school-services-school-nurse\"\u003eIndiana\u003c/a\u003e, \u003ca href=\"https://www.law.cornell.edu/regulations/michigan/Mich-Admin-Code-R-340-1166\"\u003eMichigan\u003c/a\u003e, \u003ca href=\"https://www.leg.state.nv.us/nac/nac-391.html#NAC391Sec305\"\u003eNevada\u003c/a\u003e, \u003ca href=\"http://www.gencourt.state.nh.us/rsa/html/XV/200/200-29.htm\"\u003eNew Hampshire\u003c/a\u003e, \u003ca href=\"https://casetext.com/statute/new-jersey-statutes/title-18a-education/chapter-18a40-employment-of-medical-inspectors-optometrists-and-nurses-salaries-terms-rules/section-18a40-37-requirements-for-school-nurse-endorsement\"\u003eNew Jersey\u003c/a\u003e, \u003ca href=\"https://www.srca.nm.gov/parts/title06/06.063.0002.html\"\u003eNew Mexico\u003c/a\u003e, \u003ca href=\"https://codes.ohio.gov/ohio-administrative-code/rule-3301-24-05\"\u003eOhio\u003c/a\u003e, \u003ca href=\"https://oregon.public.law/statutes/ors_342.475\"\u003eOregon\u003c/a\u003e, \u003ca href=\"https://education.vermont.gov/sites/aoe/files/documents/Rules%20Governing%20the%20Licensing%20of%20Educators_9_20_2019.pdf\"\u003eVermont\u003c/a\u003e, \u003ca href=\"https://casetext.com/regulation/west-virginia-administrative-code/agency-126-education/title-126-legislative-rule-board-of-education/series-126-025a-standards-for-basic-and-specialized-health-care-procedures-policy-24227/section-126-25a-9-staffing-requirements\"\u003eWest Virginia\u003c/a\u003e) require additional educational course work to receive and then maintain a state certification as a school nurse, in addition to the RN state license. Other common qualifications for school nurses include certification in first aid, cardiopulmonary resuscitation (CPR), and automatic external defibrillator (AED) use.\u003c/p\u003e\n\u003cp\u003eSome states’ policies authorize non-certified staff to provide supplemental services, such as medication administration, emergency care, or health screenings, if they are trained and supervised by a registered school nurse.\u003c/p\u003e\n\u003chr /\u003e\n\u003cp\u003e\u003cstrong\u003eState policies on school nurses’ qualifications\u003c/strong\u003e\u003c/p\u003e\n","moduleWysiwygModuleWysiwygQuoteGroup":{"__typename":"ModuleWysiwygModuleWysiwygModuleWysiwygQuoteGroup","quote":null,"author":null},"moduleWysiwygModuleWysiwygSidebarWysiwyg":null,"moduleWysiwygModuleWysiwygPositionOfSideModule":["right"],"style":["default"],"moduleWysiwygSidebarTitle":"Related Content","moduleWysiwygSidebarLinks":[{"__typename":"ModuleWysiwygModuleWysiwygSidebarLinks","linkType":["internal"],"link":{"__typename":"AcfLink","title":"State Policymakers Can Support Equitable School-based Telemental Health Services","url":"https://cms.childtrends.org/publications/state-policymakers-can-support-equitable-school-based-telemental-health-services"},"file":null},{"__typename":"ModuleWysiwygModuleWysiwygSidebarLinks","linkType":["internal"],"link":{"__typename":"AcfLink","title":"Bridging the Mental Health Care Gap for Black Children Requires a Focus on Racial Equity and Access","url":"https://cms.childtrends.org/bridging-the-mental-health-care-gap-for-black-children-requires-a-focus-on-racial-equity-and-access"},"file":null},{"__typename":"ModuleWysiwygModuleWysiwygSidebarLinks","linkType":["internal"],"link":{"__typename":"AcfLink","title":"More Comprehensive State Guidance Can Support the Whole Child during COVID-19","url":"https://cms.childtrends.org/publications/more-comprehensive-state-guidance-support-whole-child-covid-19"},"file":null}]},{"__typename":"PageBuilderPageBuilder2ModuleImageFullWidthLayout","moduleImageFullWidthModuleImage":{"__typename":"AcfMediaItemConnectionEdge","node":{"__typename":"MediaItem","altText":"CDC map 2 nurse qualifications 150-01","blurDataUrl":"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","mediaDetails":{"__typename":"MediaDetails","height":700,"width":1100},"sourceUrl":"https://cms.childtrends.org/wp-content/uploads/2022/08/CDC-map-2-nurse-qualifications-150-01.png"}},"moduleImageFullWidthModuleImageCaptionOptions":{"__typename":"ModuleImageFullWidthModuleImageFullWidthModuleImageCaptionOptions","detailBackgroundColor":"#0A355B","detailText":null,"detailTextColor":"#FFFFFF","headingBackgroundColor":"#B3DBF2","headingText":null,"headingTextColor":"#0A355B"},"moduleImageFullWidthModuleImageDecorative":{"__typename":"ModuleImageFullWidthModuleImageFullWidthModuleImageDecorative","addCopyOnTopOfThisImage":null,"heading":null,"innerShadow":["none"],"paragraphColumn1":null,"paragraphColumn2":null},"moduleImageFullWidthModuleImageCaptionStyle":["none"],"moduleImageFullWidthModuleImageHowWouldYouLikeToUseThisImage":["standalone"],"moduleImageFullWidthModuleImageParallax":["full"],"moduleImageFullWidthModuleImageWidthStyle":["image"]},{"__typename":"PageBuilderPageBuilder2ModuleWysiwygLayout","moduleWysiwygModuleWysiwygWysiwyg":"\u003chr /\u003e\n\u003ch3\u003eState policies on school nurses’ role in managing chronic conditions\u003c/h3\u003e\n\u003cp\u003e\u003cstrong\u003eForty-eight states have policies that describe school nurses’ role in managing chronic conditions, including allergies, diabetes, and seizures \u003c/strong\u003e(Appendix C). Responsibilities include storing and administering medication; developing and implementing student health plans related to these conditions; and training other school personnel on chronic disease care (e.g., recognizing symptoms, emergency administration of medication). Of these, 39 states require (“must,” “shall”) a registered (or otherwise properly licensed or certified) nurse to perform these services, while eight states authorize (“may”) but do not require school nurses to fill these roles, giving some flexibility to who performs these duties. Oregon addresses the non-liability of school nurses, school administrators, teachers, or other school staff related to administering medication or supervising student self-administration of medication. Notably, there is a \u003ca href=\"https://www.nea.org/advocating-for-change/new-from-nea/school-nurses-were-not-ok\"\u003enationwide school nurse shortage\u003c/a\u003e, which may mean that schools are \u003ca href=\"https://www.frontlineeducation.com/blog/school-nurse-shortage/\"\u003easking staff without proper medical training\u003c/a\u003e to perform these duties, even when the state requires proper licensure or certification. Schools may put students at risk when non-nurses perform duties that should be performed by qualified individuals.\u003c/p\u003e\n\u003chr /\u003e\n\u003cp\u003e\u003cstrong\u003eState policies on school nurses’ role in managing chronic conditions\u003c/strong\u003e\u003c/p\u003e\n","moduleWysiwygModuleWysiwygQuoteGroup":{"__typename":"ModuleWysiwygModuleWysiwygModuleWysiwygQuoteGroup","quote":null,"author":null},"moduleWysiwygModuleWysiwygSidebarWysiwyg":null,"moduleWysiwygModuleWysiwygPositionOfSideModule":["none"],"style":["default"],"moduleWysiwygSidebarTitle":null,"moduleWysiwygSidebarLinks":null},{"__typename":"PageBuilderPageBuilder2ModuleImageFullWidthLayout","moduleImageFullWidthModuleImage":{"__typename":"AcfMediaItemConnectionEdge","node":{"__typename":"MediaItem","altText":"cdc map3 chronic conditions 150-01","blurDataUrl":"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","mediaDetails":{"__typename":"MediaDetails","height":702,"width":1100},"sourceUrl":"https://cms.childtrends.org/wp-content/uploads/2022/08/cdc-map3-chronic-conditions-150-01.png"}},"moduleImageFullWidthModuleImageCaptionOptions":{"__typename":"ModuleImageFullWidthModuleImageFullWidthModuleImageCaptionOptions","detailBackgroundColor":"#0A355B","detailText":null,"detailTextColor":"#FFFFFF","headingBackgroundColor":"#B3DBF2","headingText":null,"headingTextColor":"#0A355B"},"moduleImageFullWidthModuleImageDecorative":{"__typename":"ModuleImageFullWidthModuleImageFullWidthModuleImageDecorative","addCopyOnTopOfThisImage":null,"heading":null,"innerShadow":["none"],"paragraphColumn1":null,"paragraphColumn2":null},"moduleImageFullWidthModuleImageCaptionStyle":["none"],"moduleImageFullWidthModuleImageHowWouldYouLikeToUseThisImage":["standalone"],"moduleImageFullWidthModuleImageParallax":["full"],"moduleImageFullWidthModuleImageWidthStyle":["image"]},{"__typename":"PageBuilderPageBuilder2ModuleWysiwygLayout","moduleWysiwygModuleWysiwygWysiwyg":"\u003chr /\u003e\n\u003ch3\u003eState policies on school nurses’ role in administering medication\u003c/h3\u003e\n\u003cp\u003e\u003cstrong\u003eTwenty-five states have policies that describe school nurses’ role in administering medication beyond what is specifically required for managing chronic conditions \u003c/strong\u003e(Appendix D). These responsibilities include storing and administering students’ prescription medicine, managing students’ health records and parental consents, training other school personnel to administer prescription medication as permitted by parents or guardians, and assessing students’ ability to self-administer medication. Of states with policies addressing medication administration, 18 specifically require (“must,” “shall”) school nurses to perform these duties, while five states authorize (“may”) but do not require school nurses to fill these roles, which allows unlicensed assistive personnel, school administrators, teachers, or other school staff to perform these duties.\u003c/p\u003e\n\u003chr /\u003e\n\u003cp\u003e\u003cstrong\u003eState policies on school nurses’ role in administering medication\u003c/strong\u003e\u003c/p\u003e\n","moduleWysiwygModuleWysiwygQuoteGroup":{"__typename":"ModuleWysiwygModuleWysiwygModuleWysiwygQuoteGroup","quote":null,"author":null},"moduleWysiwygModuleWysiwygSidebarWysiwyg":null,"moduleWysiwygModuleWysiwygPositionOfSideModule":["none"],"style":["default"],"moduleWysiwygSidebarTitle":null,"moduleWysiwygSidebarLinks":null},{"__typename":"PageBuilderPageBuilder2ModuleImageFullWidthLayout","moduleImageFullWidthModuleImage":{"__typename":"AcfMediaItemConnectionEdge","node":{"__typename":"MediaItem","altText":"","blurDataUrl":"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","mediaDetails":{"__typename":"MediaDetails","height":694,"width":1100},"sourceUrl":"https://cms.childtrends.org/wp-content/uploads/2022/08/cdc-map-4-medication-150-01.png"}},"moduleImageFullWidthModuleImageCaptionOptions":{"__typename":"ModuleImageFullWidthModuleImageFullWidthModuleImageCaptionOptions","detailBackgroundColor":"#0A355B","detailText":null,"detailTextColor":"#FFFFFF","headingBackgroundColor":"#B3DBF2","headingText":null,"headingTextColor":"#0A355B"},"moduleImageFullWidthModuleImageDecorative":{"__typename":"ModuleImageFullWidthModuleImageFullWidthModuleImageDecorative","addCopyOnTopOfThisImage":null,"heading":null,"innerShadow":["none"],"paragraphColumn1":null,"paragraphColumn2":null},"moduleImageFullWidthModuleImageCaptionStyle":["none"],"moduleImageFullWidthModuleImageHowWouldYouLikeToUseThisImage":["standalone"],"moduleImageFullWidthModuleImageParallax":["full"],"moduleImageFullWidthModuleImageWidthStyle":["image"]},{"__typename":"PageBuilderPageBuilder2ModuleWysiwygLayout","moduleWysiwygModuleWysiwygWysiwyg":"\u003chr /\u003e\n\u003ch3\u003eState policies on school nurses’ role in developing and managing student health plans\u003c/h3\u003e\n\u003cp\u003e\u003cstrong\u003eTwenty-one states have policies that describe school nurses’ role in developing and managing student health plans for chronic conditions such as allergies, asthma, diabetes, and seizures as well as other individualized health care needs \u003c/strong\u003e(Appendix E). Responsibilities addressed include training other school personnel and volunteer health aides on proper procedures of care; collaborating with students, parents or guardians, and primary care physicians; developing protocol for emergency response; and storing emergency stock medication. Of the states that govern school nurses’ role in student health plans, 17 require (“must,” “shall”) a registered nurse to be involved in creating individualized student health and emergency action plans, while two states authorize (“may”) but do not require school nurses to assist students who require individualized health care services. Importantly, the assessment and care planning can be done only by an RN—assessment is not in the scope of practice for LPNs. In cases where an RN is not present, student care plans may not exist or are provided from outside healthcare providers, often without proper adaption to the school setting or school-specific needs.\u003c/p\u003e\n\u003chr /\u003e\n\u003cp\u003e\u003cstrong\u003eState policies on school nurses’ role in developing and managing student health plans\u003c/strong\u003e\u003c/p\u003e\n","moduleWysiwygModuleWysiwygQuoteGroup":{"__typename":"ModuleWysiwygModuleWysiwygModuleWysiwygQuoteGroup","quote":null,"author":null},"moduleWysiwygModuleWysiwygSidebarWysiwyg":null,"moduleWysiwygModuleWysiwygPositionOfSideModule":["none"],"style":["default"],"moduleWysiwygSidebarTitle":null,"moduleWysiwygSidebarLinks":null},{"__typename":"PageBuilderPageBuilder2ModuleImageFullWidthLayout","moduleImageFullWidthModuleImage":{"__typename":"AcfMediaItemConnectionEdge","node":{"__typename":"MediaItem","altText":"cdc map 5 managing health plans 150-01","blurDataUrl":"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","mediaDetails":{"__typename":"MediaDetails","height":706,"width":1100},"sourceUrl":"https://cms.childtrends.org/wp-content/uploads/2022/08/cdc-map-5-managing-health-plans-150-01.png"}},"moduleImageFullWidthModuleImageCaptionOptions":{"__typename":"ModuleImageFullWidthModuleImageFullWidthModuleImageCaptionOptions","detailBackgroundColor":"#0A355B","detailText":null,"detailTextColor":"#FFFFFF","headingBackgroundColor":"#B3DBF2","headingText":null,"headingTextColor":"#0A355B"},"moduleImageFullWidthModuleImageDecorative":{"__typename":"ModuleImageFullWidthModuleImageFullWidthModuleImageDecorative","addCopyOnTopOfThisImage":null,"heading":null,"innerShadow":["none"],"paragraphColumn1":null,"paragraphColumn2":null},"moduleImageFullWidthModuleImageCaptionStyle":["none"],"moduleImageFullWidthModuleImageHowWouldYouLikeToUseThisImage":["standalone"],"moduleImageFullWidthModuleImageParallax":["full"],"moduleImageFullWidthModuleImageWidthStyle":["image"]},{"__typename":"PageBuilderPageBuilder2ModuleWysiwygLayout","moduleWysiwygModuleWysiwygWysiwyg":"\u003chr /\u003e\n\u003ch3\u003eState policies on school nurses’ role in student health screenings\u003c/h3\u003e\n\u003cp\u003e\u003cstrong\u003eTwenty-five states have policies that describe school nurses’ roles in health screenings—including vision, hearing, dental, BMI, scoliosis, dyslexia, lead exposure, and general physical health \u003c/strong\u003e(Appendix F). Their responsibilities range from scheduling, facilitating, documenting results, and/or referring students for follow-up care. Nineteen states require (“must,” “shall”) school nurses to conduct or oversee these screenings, receive training on specific screenings or examinations, or train other personnel to conduct the screenings, while six states authorize (“may”) or encourage (“recommend,” “should”) but do not require school nurses to fill these roles.\u003c/p\u003e\n\u003chr /\u003e\n\u003cp\u003e\u003cstrong\u003eState policies on school nurses’ role in student health screenings\u003c/strong\u003e\u003c/p\u003e\n","moduleWysiwygModuleWysiwygQuoteGroup":{"__typename":"ModuleWysiwygModuleWysiwygModuleWysiwygQuoteGroup","quote":null,"author":null},"moduleWysiwygModuleWysiwygSidebarWysiwyg":null,"moduleWysiwygModuleWysiwygPositionOfSideModule":["none"],"style":["default"],"moduleWysiwygSidebarTitle":null,"moduleWysiwygSidebarLinks":null},{"__typename":"PageBuilderPageBuilder2ModuleImageFullWidthLayout","moduleImageFullWidthModuleImage":{"__typename":"AcfMediaItemConnectionEdge","node":{"__typename":"MediaItem","altText":"cdc map 6 health screenings 150-01","blurDataUrl":"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","mediaDetails":{"__typename":"MediaDetails","height":706,"width":1100},"sourceUrl":"https://cms.childtrends.org/wp-content/uploads/2022/08/cdc-map-6-health-screenings-150-01.png"}},"moduleImageFullWidthModuleImageCaptionOptions":{"__typename":"ModuleImageFullWidthModuleImageFullWidthModuleImageCaptionOptions","detailBackgroundColor":"#0A355B","detailText":null,"detailTextColor":"#FFFFFF","headingBackgroundColor":"#B3DBF2","headingText":null,"headingTextColor":"#0A355B"},"moduleImageFullWidthModuleImageDecorative":{"__typename":"ModuleImageFullWidthModuleImageFullWidthModuleImageDecorative","addCopyOnTopOfThisImage":null,"heading":null,"innerShadow":["none"],"paragraphColumn1":null,"paragraphColumn2":null},"moduleImageFullWidthModuleImageCaptionStyle":["none"],"moduleImageFullWidthModuleImageHowWouldYouLikeToUseThisImage":["standalone"],"moduleImageFullWidthModuleImageParallax":["full"],"moduleImageFullWidthModuleImageWidthStyle":["image"]},{"__typename":"PageBuilderPageBuilder2ModuleWysiwygLayout","moduleWysiwygModuleWysiwygWysiwyg":"\u003chr /\u003e\n\u003ch3\u003eState policies on school nurses’ role in student immunizations\u003c/h3\u003e\n\u003cp\u003e\u003cstrong\u003eTwelve states have policies that describe school nurses’ role in facilitating and/or keeping records of student immunizations \u003c/strong\u003e(Appendix G). Of these, ten states detail requirements for school nurses to administer immunizations, facilitate immunization programs or clinics, or keep or access records of student immunizations. \u003ca href=\"https://law.justia.com/codes/new-mexico/2019/chapter-24/article-5/section-24-5-9/\"\u003eNew Mexico\u003c/a\u003e authorizes school nurses to access the immunization registry, while \u003ca href=\"https://texreg.sos.state.tx.us/public/readtac$ext.TacPage?sl=R\u0026amp;app=9\u0026amp;p_dir=\u0026amp;p_rloc=\u0026amp;p_tloc=\u0026amp;p_ploc=\u0026amp;pg=1\u0026amp;p_tac=\u0026amp;ti=25\u0026amp;pt=1\u0026amp;ch=97\u0026amp;rl=65\"\u003eTexas\u003c/a\u003e authorizes school nurses to submit a written statement of a student’s immunity or disease history in lieu of a vaccine record for varicella.\u003c/p\u003e\n\u003chr /\u003e\n\u003cp\u003e\u003cstrong\u003eState policies on school nurses’ role in student immunizations\u003c/strong\u003e\u003c/p\u003e\n","moduleWysiwygModuleWysiwygQuoteGroup":{"__typename":"ModuleWysiwygModuleWysiwygModuleWysiwygQuoteGroup","quote":null,"author":null},"moduleWysiwygModuleWysiwygSidebarWysiwyg":null,"moduleWysiwygModuleWysiwygPositionOfSideModule":["none"],"style":["default"],"moduleWysiwygSidebarTitle":null,"moduleWysiwygSidebarLinks":null},{"__typename":"PageBuilderPageBuilder2ModuleImageFullWidthLayout","moduleImageFullWidthModuleImage":{"__typename":"AcfMediaItemConnectionEdge","node":{"__typename":"MediaItem","altText":"","blurDataUrl":"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","mediaDetails":{"__typename":"MediaDetails","height":704,"width":1100},"sourceUrl":"https://cms.childtrends.org/wp-content/uploads/2022/08/cdc-map-7-immunizations-150-01.png"}},"moduleImageFullWidthModuleImageCaptionOptions":{"__typename":"ModuleImageFullWidthModuleImageFullWidthModuleImageCaptionOptions","detailBackgroundColor":"#0A355B","detailText":null,"detailTextColor":"#FFFFFF","headingBackgroundColor":"#B3DBF2","headingText":null,"headingTextColor":"#0A355B"},"moduleImageFullWidthModuleImageDecorative":{"__typename":"ModuleImageFullWidthModuleImageFullWidthModuleImageDecorative","addCopyOnTopOfThisImage":null,"heading":null,"innerShadow":["none"],"paragraphColumn1":null,"paragraphColumn2":null},"moduleImageFullWidthModuleImageCaptionStyle":["none"],"moduleImageFullWidthModuleImageHowWouldYouLikeToUseThisImage":["standalone"],"moduleImageFullWidthModuleImageParallax":["full"],"moduleImageFullWidthModuleImageWidthStyle":["image"]},{"__typename":"PageBuilderPageBuilder2ModuleWysiwygLayout","moduleWysiwygModuleWysiwygWysiwyg":"\u003chr /\u003e\n\u003ch3\u003eState policies on school nurses’ role in infectious disease control\u003c/h3\u003e\n\u003cp\u003e\u003cstrong\u003eEighteen states and DC have policies that \u003c/strong\u003e\u003cstrong\u003edescribe school nurses’ role in mitigating the spread of contagious diseases \u003c/strong\u003e(Appendix H). Of these, five states (\u003ca href=\"https://www.maine.gov/sos/cec/rules/10/144/144c261.docx\"\u003eMaine\u003c/a\u003e, \u003ca href=\"https://govt.westlaw.com/nycrr/Document/I365c05e4c22211ddb29d8bee567fca9f?bhcp=1\u0026amp;transitionType=Default\u0026amp;contextData=%28sc.Default%29\"\u003eNew York\u003c/a\u003e, \u003ca href=\"https://oregon.public.law/statutes/ors_433.260\"\u003eOregon\u003c/a\u003e, \u003ca href=\"https://www.pacodeandbulletin.gov/Display/pacode?file=/secure/pacode/data/028/chapter27/s27.71.html\"\u003ePennsylvania\u003c/a\u003e, \u003ca href=\"https://regulations.justia.com/states/west-virginia/agency-126/title-126/series-126-051/section-126-51-9/\"\u003eWest Virginia\u003c/a\u003e) and \u003ca href=\"https://dcregs.dc.gov/Common/DCMR/SectionList.aspx?SectionNumber=22-B209\"\u003eDC\u003c/a\u003e require schools to exclude students from school who have been exposed to a communicable disease or who are showing signs of illness as reported to them by school nurses, while four states (\u003ca href=\"https://malegislature.gov/Laws/GeneralLaws/Parti/Titlexii/Chapter71/Section55a\"\u003eMassachusetts\u003c/a\u003e, \u003ca href=\"https://casetext.com/statute/new-jersey-statutes/title-18a-education/chapter-18a40-employment-of-medical-inspectors-optometrists-and-nurses-salaries-terms-rules/section-18a40-8-exclusion-of-pupils-whose-presence-is-detrimental-to-health-and-cleanliness#:~:text=Section%2018A%3A40%2D8%20%2D,health%20and%20cleanliness%2C%20N.J.%20Stat.\"\u003eNew Jersey\u003c/a\u003e, \u003ca href=\"http://okrules.elaws.us/oac/310:520-1-4\"\u003eOklahoma\u003c/a\u003e, \u003ca href=\"https://docs.legis.wisconsin.gov/statutes/statutes/252/21\"\u003eWisconsin\u003c/a\u003e) authorize but do not require schools to do so. \u003ca href=\"https://oregon.public.law/statutes/ors_433.260\"\u003eOregon\u003c/a\u003e and \u003ca href=\"https://www.pacodeandbulletin.gov/Display/pacode?file=/secure/pacode/data/028/chapter27/s27.71.html\"\u003ePennsylvania’s\u003c/a\u003e policies require nurses to determine when excluded students are no longer communicable and may be readmitted, while \u003ca href=\"https://www.law.cornell.edu/regulations/idaho/IDAPA-16.02.10.090\"\u003eIdaho\u003c/a\u003e, \u003ca href=\"http://okrules.elaws.us/oac/310:520-1-4\"\u003eOklahoma\u003c/a\u003e, and \u003ca href=\"https://govt.westlaw.com/nycrr/Document/I365c05e4c22211ddb29d8bee567fca9f?bhcp=1\u0026amp;transitionType=Default\u0026amp;contextData=%28sc.Default%29\"\u003eNew York\u003c/a\u003e authorize but do not require school nurses to perform this duty. Three states (\u003ca href=\"https://casetext.com/regulation/georgia-administrative-code/department-160-rules-of-georgia-department-of-education/chapter-160-1/subject-160-1-3-rules-of-general-applicability/rule-160-1-3-03-infectious-diseases\"\u003eGeorgia\u003c/a\u003e, \u003ca href=\"https://www.maine.gov/sos/cec/rules/10/144/144c261.docx\"\u003eMaine\u003c/a\u003e, \u003ca href=\"https://www.pacodeandbulletin.gov/Display/pacode?file=/secure/pacode/data/028/chapter27/s27.71.html\"\u003ePennsylvania\u003c/a\u003e) and \u003ca href=\"https://dcregs.dc.gov/Common/DCMR/SectionList.aspx?SectionNumber=22-B209\"\u003eDC\u003c/a\u003e require school personnel to consult with the school nurse when a student is suspected of having a communicable disease, while nine states (\u003ca href=\"https://www.law.cornell.edu/regulations/idaho/IDAPA-16.02.10.020\"\u003eIdaho\u003c/a\u003e, \u003ca href=\"https://www.legis.iowa.gov/docs/iac/rule/02-01-2017.641.1.4.pdf\"\u003eIowa\u003c/a\u003e, \u003ca href=\"http://mdrules.elaws.us/comar/10.06.01.04\"\u003eMaryland\u003c/a\u003e, \u003ca href=\"https://malegislature.gov/Laws/GeneralLaws/Parti/Titlexii/Chapter71/Section55a\"\u003eMassachusetts\u003c/a\u003e, \u003ca href=\"https://www.law.cornell.edu/regulations/nebraska/173-Neb-Admin-Code-ch-1-SS-007\"\u003eNebraska\u003c/a\u003e, \u003ca href=\"https://www.srca.nm.gov/parts/title07/07.004.0003.html\"\u003eNew Mexico\u003c/a\u003e, \u003ca href=\"https://oregon.public.law/statutes/ors_433.260\"\u003eOregon\u003c/a\u003e, \u003ca href=\"https://regulations.justia.com/states/west-virginia/agency-126/title-126/series-126-051/section-126-51-9/\"\u003eWest Virginia\u003c/a\u003e, \u003ca href=\"https://docs.legis.wisconsin.gov/statutes/statutes/252/21\"\u003eWisconsin\u003c/a\u003e) and \u003ca href=\"https://dcregs.dc.gov/Common/DCMR/SectionList.aspx?SectionNumber=22-B209\"\u003eDC\u003c/a\u003e require school nurses to report suspected cases of communicable diseases to state and local public health agencies.\u003c/p\u003e\n\u003chr /\u003e\n\u003cp\u003e\u003cstrong\u003eState policies on school nurses’ role in infectious disease control\u003c/strong\u003e\u003c/p\u003e\n","moduleWysiwygModuleWysiwygQuoteGroup":{"__typename":"ModuleWysiwygModuleWysiwygModuleWysiwygQuoteGroup","quote":null,"author":null},"moduleWysiwygModuleWysiwygSidebarWysiwyg":null,"moduleWysiwygModuleWysiwygPositionOfSideModule":["none"],"style":["default"],"moduleWysiwygSidebarTitle":null,"moduleWysiwygSidebarLinks":null},{"__typename":"PageBuilderPageBuilder2ModuleImageFullWidthLayout","moduleImageFullWidthModuleImage":{"__typename":"AcfMediaItemConnectionEdge","node":{"__typename":"MediaItem","altText":"","blurDataUrl":"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","mediaDetails":{"__typename":"MediaDetails","height":695,"width":1100},"sourceUrl":"https://cms.childtrends.org/wp-content/uploads/2022/08/cdc-map-8-disease-control-150-01.png"}},"moduleImageFullWidthModuleImageCaptionOptions":{"__typename":"ModuleImageFullWidthModuleImageFullWidthModuleImageCaptionOptions","detailBackgroundColor":"#0A355B","detailText":null,"detailTextColor":"#FFFFFF","headingBackgroundColor":"#B3DBF2","headingText":null,"headingTextColor":"#0A355B"},"moduleImageFullWidthModuleImageDecorative":{"__typename":"ModuleImageFullWidthModuleImageFullWidthModuleImageDecorative","addCopyOnTopOfThisImage":null,"heading":null,"innerShadow":["none"],"paragraphColumn1":null,"paragraphColumn2":null},"moduleImageFullWidthModuleImageCaptionStyle":["none"],"moduleImageFullWidthModuleImageHowWouldYouLikeToUseThisImage":["standalone"],"moduleImageFullWidthModuleImageParallax":["full"],"moduleImageFullWidthModuleImageWidthStyle":["image"]},{"__typename":"PageBuilderPageBuilder2ModuleWysiwygLayout","moduleWysiwygModuleWysiwygWysiwyg":"\u003chr /\u003e\n\u003ch3\u003eState policies on school nurses’ role in COVID-19\u003c/h3\u003e\n\u003cp\u003e\u003cstrong\u003eAs of October 2021, policies in three states explicitly addressed school nurses’ role in COVID-19. \u003c/strong\u003eNew Mexico requires school nurses to use the Centers for Disease Control and Prevention (CDC) \u003ca href=\"https://www.srca.nm.gov/parts/title06/06.012.0014.html#:~:text=6.12.14.8%C2%A0%C2%A0%C2%A0%C2%A0%C2%A0%C2%A0%C2%A0%C2%A0%C2%A0%C2%A0%C2%A0%C2%A0%C2%A0%C2%A0%20REQUIREMENTS%20FOR%20SCHOOLS%3A\"\u003erecommended transmission-based precautions\u003c/a\u003e when caring for sick people. New York allowed health examinations, including hearing, vision, and scoliosis \u003ca href=\"https://govt.westlaw.com/nycrr/Document/I365c05e4c22211ddb29d8bee567fca9f?transitionType=Default\u0026amp;contextData=%28sc.Default%29#:~:text=136.3%20School%20health%20services.,trustees%20and%20boards%20of%20education.\u0026amp;text=(9)%20to%20provide%20health%20examinations,certificates%20and%20street%20trades%20badges.\"\u003escreenings to be waived during the 2020-2021 school year\u003c/a\u003e due to COVID-19. Maine also updated an existing regulation on comprehensive health and safety and emergency management plans to require involving school nurses, physicians, and public health staff in developing and annually updating those plans. Four additional states (\u003ca href=\"https://regulations.delaware.gov/AdminCode/title14/800/804.shtml\"\u003eDelaware\u003c/a\u003e, \u003ca href=\"https://casetext.com/regulation/maryland-administrative-code/title-10-maryland-department-of-health/part-1/subtitle-06-diseases/chapter-100601-communicable-diseases-and-related-conditions-of-public-health-importance/section-10060104-reporting-procedures\"\u003eMaryland\u003c/a\u003e, \u003ca href=\"https://legislature.vermont.gov/statutes/section/18/021/01129\"\u003eVermont\u003c/a\u003e, and \u003ca href=\"https://apps.sos.wv.gov/adlaw/csr/readfile.aspx?DocId=52997\u0026amp;Format=PDF\"\u003eWest Virginia\u003c/a\u003e) updated policies referencing either immunization or communicable disease between March 2020 and October 2021; however, these policies do not specifically mention COVID-19. Delaware also passed emergency legislation on \u003ca href=\"https://casetext.com/regulation/delaware-administrative-code/title-14-education/health-and-safety/health-examinations-and-screening/section-815-60-effective-until-512022-covid-19-mitigation-and-prevention\"\u003eCOVID-19 Mitigation and Prevention\u003c/a\u003e requiring mask use by all students, faculty, staff, and visitors inside school buildings; however, the policy does not delegate a person responsible for ensuring that the policy is implemented or enforced.\u003c/p\u003e\n\u003chr /\u003e\n\u003cp\u003e\u003cstrong\u003eState policies on school nurses’ role in COVID-19\u003c/strong\u003e\u003c/p\u003e\n","moduleWysiwygModuleWysiwygQuoteGroup":{"__typename":"ModuleWysiwygModuleWysiwygModuleWysiwygQuoteGroup","quote":null,"author":null},"moduleWysiwygModuleWysiwygSidebarWysiwyg":null,"moduleWysiwygModuleWysiwygPositionOfSideModule":["none"],"style":["default"],"moduleWysiwygSidebarTitle":null,"moduleWysiwygSidebarLinks":null},{"__typename":"PageBuilderPageBuilder2ModuleImageFullWidthLayout","moduleImageFullWidthModuleImage":{"__typename":"AcfMediaItemConnectionEdge","node":{"__typename":"MediaItem","altText":"","blurDataUrl":"/9j/4AAQSkZJRgABAQEAYABgAAD//gA7Q1JFQVRPUjogZ2QtanBlZyB2MS4wICh1c2luZyBJSkcgSlBFRyB2NjIpLCBxdWFsaXR5ID0gMjAK/9sAQwAoHB4jHhkoIyEjLSsoMDxkQTw3Nzx7WF1JZJGAmZaPgIyKoLTmw6Cq2q2KjMj/y9ru9f///5vB////+v/m/f/4/9sAQwErLS08NTx2QUF2+KWMpfj4+Pj4+Pj4+Pj4+Pj4+Pj4+Pj4+Pj4+Pj4+Pj4+Pj4+Pj4+Pj4+Pj4+Pj4+Pj4+Pj4/8AAEQgABQAIAwEiAAIRAQMRAf/EAB8AAAEFAQEBAQEBAAAAAAAAAAABAgMEBQYHCAkKC//EALUQAAIBAwMCBAMFBQQEAAABfQECAwAEEQUSITFBBhNRYQcicRQygZGhCCNCscEVUtHwJDNicoIJChYXGBkaJSYnKCkqNDU2Nzg5OkNERUZHSElKU1RVVldYWVpjZGVmZ2hpanN0dXZ3eHl6g4SFhoeIiYqSk5SVlpeYmZqio6Slpqeoqaqys7S1tre4ubrCw8TFxsfIycrS09TV1tfY2drh4uPk5ebn6Onq8fLz9PX29/j5+v/EAB8BAAMBAQEBAQEBAQEAAAAAAAABAgMEBQYHCAkKC//EALURAAIBAgQEAwQHBQQEAAECdwABAgMRBAUhMQYSQVEHYXETIjKBCBRCkaGxwQkjM1LwFWJy0QoWJDThJfEXGBkaJicoKSo1Njc4OTpDREVGR0hJSlNUVVZXWFlaY2RlZmdoaWpzdHV2d3h5eoKDhIWGh4iJipKTlJWWl5iZmqKjpKWmp6ipqrKztLW2t7i5usLDxMXGx8jJytLT1NXW19jZ2uLj5OXm5+jp6vLz9PX29/j5+v/aAAwDAQACEQMRAD8A1dpJxuOKKKKAP//Z","mediaDetails":{"__typename":"MediaDetails","height":710,"width":1100},"sourceUrl":"https://cms.childtrends.org/wp-content/uploads/2022/08/cdc-map-9-covid-150-01.png"}},"moduleImageFullWidthModuleImageCaptionOptions":{"__typename":"ModuleImageFullWidthModuleImageFullWidthModuleImageCaptionOptions","detailBackgroundColor":"#0A355B","detailText":null,"detailTextColor":"#FFFFFF","headingBackgroundColor":"#B3DBF2","headingText":null,"headingTextColor":"#0A355B"},"moduleImageFullWidthModuleImageDecorative":{"__typename":"ModuleImageFullWidthModuleImageFullWidthModuleImageDecorative","addCopyOnTopOfThisImage":null,"heading":null,"innerShadow":["none"],"paragraphColumn1":null,"paragraphColumn2":null},"moduleImageFullWidthModuleImageCaptionStyle":["none"],"moduleImageFullWidthModuleImageHowWouldYouLikeToUseThisImage":["standalone"],"moduleImageFullWidthModuleImageParallax":["full"],"moduleImageFullWidthModuleImageWidthStyle":["image"]},{"__typename":"PageBuilderPageBuilder2ModuleWysiwygLayout","moduleWysiwygModuleWysiwygWysiwyg":"\u003chr /\u003e\n\u003ch2\u003eDiscussion and Conclusion\u003c/h2\u003e\n\u003cp\u003eOur analysis examined how states govern the roles, responsibilities, and requirements for school nurses through policy. These policies often determine the availability of nurses in school buildings, the daily responsibilities they perform in service to their students, and expectations for how they will contribute to public health. The COVID-19 pandemic added significantly to existing responsibilities as school nurses stepped in to administer COVID-19 tests; conduct contact tracing; educate staff, students, and families on COVID-19 precautions, such as proper mask wearing, hand washing and hygiene, and physical distancing; update school-based health protocols and safety plans; and support decision making for school closing/reopening plans. The pandemic has increased the need for school nurses—who address and support efforts related to chronic absenteeism and the impact of health conditions on academic outcomes—and added to school nurses’ direct care responsibilities as students return to school demonstrating \u003ca href=\"https://journals.sagepub.com/doi/pdf/10.1177/15598276211006657\"\u003eworsened physical\u003c/a\u003e and \u003ca href=\"https://www.hhs.gov/sites/default/files/surgeon-general-youth-mental-health-advisory.pdf\"\u003emental health\u003c/a\u003e.\u003c/p\u003e\n\u003cp\u003eOur analysis was necessarily limited: although we examined the landscape of state policies, we did not evaluate their effect in practice. The presence or absence of state-level policy pertaining to school nurses does not preclude the existence of non-codified guidance, nor does it indicate whether or how well policies are being implemented. However, from what is codified, we can assess the baseline expectations of school nurses. School nurses are required to fulfill numerous codified responsibilities around coordinating care or providing direct health services in all 50 states and DC and have been asked to take on even more during the COVID-19 pandemic. Despite these copious and ever-increasing demands, few states have policies that set a strong floor for school nurse capacity in schools—just twelve states have policies addressing recommended or required nurse-to-student ratios and only two require a full-time nurse in every school. By establishing policies that improve school nurses’ capacity, states can vest power in nurses’ deep expertise to lead their school communities’ health and wellness efforts on behalf of students and staff.\u003c/p\u003e\n","moduleWysiwygModuleWysiwygQuoteGroup":{"__typename":"ModuleWysiwygModuleWysiwygModuleWysiwygQuoteGroup","quote":null,"author":null},"moduleWysiwygModuleWysiwygSidebarWysiwyg":null,"moduleWysiwygModuleWysiwygPositionOfSideModule":["none"],"style":["default"],"moduleWysiwygSidebarTitle":null,"moduleWysiwygSidebarLinks":null},{"__typename":"PageBuilderPageBuilder2ModuleWysiwygLayout","moduleWysiwygModuleWysiwygWysiwyg":"\u003chr /\u003e\n\u003ch2\u003eMethodology\u003c/h2\u003e\n\u003cp\u003eTo analyze the current landscape of state statutes and regulations related to school nursing practice, Child Trends and EMT Associates identified codified policies using a series of keyword Boolean searches in LexisNexis and Westlaw that reference school nursing. Policies repealed before October 2021 were not included in the search, nor were policies passed after this date or pending legislative action. Based on the content of each identified policy, researchers at EMT Associates conducted memoing to describe unique categories of policies. They then coded each identified policy based on its degree of prescriptiveness (addressed, encouraged, authorized, or required). Our analysis focused on the following research questions:\u003c/p\u003e\n\u003cul\u003e\n\u003cli\u003eHow do states govern the availability of school nurses?\u003c/li\u003e\n\u003cli\u003eHow do states govern certifications or qualifications for school nurses?\u003c/li\u003e\n\u003cli\u003eWhat are school nurses authorized to do?\u003c/li\u003e\n\u003cli\u003eWhat are school nurses required to do?\u003c/li\u003e\n\u003cli\u003eHow are school nurses engaged in public health efforts?\u003c/li\u003e\n\u003cli\u003eWhat specific responsibilities do school nurses have with respect to the COVID-19 pandemic?\u003c/li\u003e\n\u003c/ul\u003e\n\u003chr /\u003e\n","moduleWysiwygModuleWysiwygQuoteGroup":{"__typename":"ModuleWysiwygModuleWysiwygModuleWysiwygQuoteGroup","quote":null,"author":null},"moduleWysiwygModuleWysiwygSidebarWysiwyg":null,"moduleWysiwygModuleWysiwygPositionOfSideModule":["none"],"style":["default"],"moduleWysiwygSidebarTitle":null,"moduleWysiwygSidebarLinks":null},{"__typename":"PageBuilderPageBuilder2ModuleFeaturedTextboxLayout","moduleFeaturedTextboxBackgroundColor":"#ECECEC","moduleFeaturedTextboxBodyTextColor":"#272727","moduleFeaturedTextboxHeaderBackgroundColor":null,"moduleFeaturedTextboxContent":"\u003ch2\u003eSuggested Citation\u003c/h2\u003e\n\u003cp\u003eSteed, H., O’Toole, D., Lao, K., Nuñez, B., Surani, K., \u0026amp; Stuart-Cassel, V. (2022). State laws on school nursing outline copious responsibilities for nurses. Child Trends. \u003ca href=\"https://doi.org/10.56417/2161j1674h\"\u003ehttps://doi.org/10.56417/2161j1674h\u003c/a\u003e\u003c/p\u003e\n","moduleFeaturedTextboxHeaderTextColor":"#272727","moduleFeaturedTextboxHeadline":null,"moduleFeaturedTextboxStyle":["plain"],"moduleFeaturedTextboxTag":["h3"]},{"__typename":"PageBuilderPageBuilder2ModuleWysiwygLayout","moduleWysiwygModuleWysiwygWysiwyg":"\u003chr /\u003e\n\u003cp\u003e\u003cem\u003eThis publication is supported by cooperative agreement NU87PS004367-01-01 funded by the Centers for Disease Control and Prevention (CDC). Its contents are solely the responsibility of the authors and do not necessarily represent the official views or endorsement of the CDC or the Department of Health and Human Services.\u003c/em\u003e\u003c/p\u003e\n\u003chr /\u003e\n\u003ch2\u003eAppendices\u003c/h2\u003e\n","moduleWysiwygModuleWysiwygQuoteGroup":{"__typename":"ModuleWysiwygModuleWysiwygModuleWysiwygQuoteGroup","quote":null,"author":null},"moduleWysiwygModuleWysiwygSidebarWysiwyg":null,"moduleWysiwygModuleWysiwygPositionOfSideModule":["none"],"style":["default"],"moduleWysiwygSidebarTitle":null,"moduleWysiwygSidebarLinks":null},{"__typename":"PageBuilderPageBuilder2ModuleAccordionLayout","moduleAccordionShowCollapseAllButton":false,"moduleAccordionIncludeDropShadows":false,"moduleAccordionAccordionItems":[{"__typename":"ModuleAccordionModuleAccordionAccordionItems","contentType":["text"],"headlineLink":null,"hiddenContent":"\u003ctable width=\"1037\"\u003e\n\u003ctbody\u003e\n\u003ctr\u003e\n\u003ctd width=\"122\"\u003e\u003cstrong\u003eState\u003c/strong\u003e\u003c/td\u003e\n\u003ctd width=\"279\"\u003e\u003cstrong\u003eCode\u003c/strong\u003e\u003c/td\u003e\n\u003ctd width=\"636\"\u003e\u003cstrong\u003eCitation(s)\u003c/strong\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eAlabama\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eAla. Code § 16-22-16\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eAlaska\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eArizona\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eArkansas\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eArk. Code Ann. § 6-18-706 ; Ark. Code Ann. § 6-20-2517\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eCalifornia\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eCal. Educ. Code § 49426\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eColorado\u003c/td\u003e\n\u003ctd\u003eAuthorized\u003c/td\u003e\n\u003ctd\u003eColo. Rev. Stat. Ann. § 25-1.5-406\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eConnecticut\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eConn. Gen. Stat. Ann. § 10-212\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eDelaware\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eDel. Code Ann. tit. 14, § 1310\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eDistrict of Columbia\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eD.C. Code Ann. § 38-621\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eFlorida\u003c/td\u003e\n\u003ctd\u003eAddressed\u003c/td\u003e\n\u003ctd\u003eFla. Stat. § 381.0057\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eGeorgia\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eGa. Code Ann. § 20-2-771.2; Ga. Code Ann. § 20-2-186\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eHawaii\u003c/td\u003e\n\u003ctd\u003eAddressed\u003c/td\u003e\n\u003ctd\u003eHAR 11-146-2\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eIdaho\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eIllinois\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003e105 ILCS 5/10-22.23; Ill. Admin. Code tit. 23, § 1.760\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eIndiana\u003c/td\u003e\n\u003ctd\u003eRequired; Authorized; Encouraged; Addressed\u003c/td\u003e\n\u003ctd\u003e511 Ind. Admin. Code 4-1.5-2; 511 Ind. Admin. Code 4-1.5-6; Burns Ind. Code Ann. § 16-22-8-34; Burns Ind. Code Ann. § 16-46-3-2; Burns Ind. Code Ann. § 20-34-3-6; Burns Ind. Code Ann. § 20-34-3-7; Burns Ind. Code Ann. § 20-34-4.5-4\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eIowa\u003c/td\u003e\n\u003ctd\u003eRequired; Authorized\u003c/td\u003e\n\u003ctd\u003e281 IAC 12.4; Iowa Code § 249A.32B; Iowa Code § 256.11\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eKansas\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eKan. Admin. Regs. 60-15-101\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eKentucky\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eKRS § 156.501\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eLouisiana\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eLAC 28:CXV.503; La. Stat. Ann. § 17:28\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eMaine\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eMe. Rev. Stat. tit. 20-A, § 6403-A; CMR 05-071-125\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eMaryland\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eMassachusetts\u003c/td\u003e\n\u003ctd\u003eRequired; Authorized\u003c/td\u003e\n\u003ctd\u003eMass. Gen. Laws Ann. ch. 71, § 53; Mass. Gen. Laws Ann. ch. 71, § 53A ; 105 CMR 201.015; 603 CMR 18.05; 603 CMR 50.06\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eMichigan\u003c/td\u003e\n\u003ctd\u003eRequired; Authorized\u003c/td\u003e\n\u003ctd\u003eMich. Admin. Code R 340.1163; Mich. Comp. Laws Ann. § 380.1252\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eMinnesota\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eMinn. R. 8710.6100; Minn. Stat. § 121A.21; Minn. Stat. § 125A.29\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eMississippi\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eMiss. Code Ann. § 37-14-1; Miss. Code Ann. § 37-14-3; Miss. Code Ann. § 41-79-5; Miss. Code Ann. § 41-79-53\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eMissouri\u003c/td\u003e\n\u003ctd\u003eAuthorized\u003c/td\u003e\n\u003ctd\u003eMo. Ann. Stat. § 168.171\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eMontana\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eNebraska\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eNebraska Admin. Code Title 471, Ch. 25\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eNevada\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eNew Hampshire\u003c/td\u003e\n\u003ctd\u003eRequired; Encouraged; Addressed\u003c/td\u003e\n\u003ctd\u003eRSA 21-N:6-a; RSA 186:13; RSA 189:49; RSA 200:27; RSA 200:29; RSA 200:31\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eNew Jersey\u003c/td\u003e\n\u003ctd\u003eRequired; Encouraged; Addressed\u003c/td\u003e\n\u003ctd\u003eN.J. Stat. § 18A:40-1; N.J. Stat. § 18A:40-3.1; N.J. Stat. § 18A:40-3.2; N.J. Stat. § 18A:40-3.3; N.J. Stat. § 18A:40-3.4; N.J.A.C. 6A:16-2.3\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eNew Mexico\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eNew York\u003c/td\u003e\n\u003ctd\u003eRequired; Encouraged\u003c/td\u003e\n\u003ctd\u003eNY CLS Educ § 901; NY CLS Educ § 902; NY CLS Educ § 912; NY CLS Educ § 1950; NY CLS Educ § 2503; NY CLS Pub Health § 356; 8 NYCRR § 136.2\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eNorth Carolina\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003e16 N.C.A.C. 6D.0402\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eNorth Dakota\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eOhio\u003c/td\u003e\n\u003ctd\u003eEncouraged\u003c/td\u003e\n\u003ctd\u003eORC Ann. 3313.68; ORC Ann. 3313.72\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eOklahoma\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eO.A.C. § 210:35-3-107; 70 Okl. St. § 3-129.11\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eOregon\u003c/td\u003e\n\u003ctd\u003eRequired; Authorized\u003c/td\u003e\n\u003ctd\u003eOAR 581-022-2220; ORS § 336.201; ORS § 678.038\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003ePennsylvania\u003c/td\u003e\n\u003ctd\u003eRequired; Encouraged; Addressed\u003c/td\u003e\n\u003ctd\u003e24 P.S. § 14-1402; 24 P.S. § 14-1405; 24 P.S. § 14-1410; 28 Pa. Code § 23.51; 28 Pa. Code § 23.52; 28 Pa. Code § 23.53; 28 Pa. Code § 23.62\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eRhode Island\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eR.I. Gen. Laws § 16-21-7; R.I. Gen. Laws § 16-21-8; R.I. Gen. Laws § 23-17-4.1\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eSouth Carolina\u003c/td\u003e\n\u003ctd\u003eRequired; Addressed\u003c/td\u003e\n\u003ctd\u003eS.C. Code Ann. § 43-5-1235; S.C. Code Ann. § 59-10-210\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eSouth Dakota\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eS.D. Codified Laws § 13-33A-1\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eTennessee\u003c/td\u003e\n\u003ctd\u003eRequired; Authorized; Encouraged; Addressed\u003c/td\u003e\n\u003ctd\u003eTenn. Comp. R. \u0026amp; Regs. R. 1200-11-05-.02; Tenn. Comp. R. \u0026amp; Regs. R. 1200-11-05-.05; Tenn. Code Ann. § 49-3-359; Tenn. Code Ann. § 68-1-1201; Tenn. Code Ann. § 68-1-1203\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eTexas\u003c/td\u003e\n\u003ctd\u003eRequired; Authorized\u003c/td\u003e\n\u003ctd\u003eTex. Educ. Code § 21.002; Tex. Health \u0026amp; Safety Code § 281.0465\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eUtah\u003c/td\u003e\n\u003ctd\u003eRequired; Encouraged\u003c/td\u003e\n\u003ctd\u003eUtah Code Ann. § 53F-2-415; Utah Code Ann. § 53G-9-204\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eVermont\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eCVR 22-000-003\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eVirginia\u003c/td\u003e\n\u003ctd\u003eRequired; Encouraged\u003c/td\u003e\n\u003ctd\u003eVa. Code Ann. § 22.1-253.13:2; Va. Code Ann. § 22.1-274\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eWashington\u003c/td\u003e\n\u003ctd\u003eAuthorized; Encouraged\u003c/td\u003e\n\u003ctd\u003eRev. Code Wash. (ARCW) § 28A.210.300; Rev. Code Wash. (ARCW) § 28A.210.305\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eWest Virginia\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eW. Va. Code § 18-5-22; W. Va. CSR § 126-25A-7; W. Va. CSR § 126-25A-9\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eWisconsin\u003c/td\u003e\n\u003ctd\u003eRequired; Encouraged\u003c/td\u003e\n\u003ctd\u003eWis. Adm. Code PI 8.01; Wis. Stat. § 120.13\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eWyoming\u003c/td\u003e\n\u003ctd\u003eEncouraged\u003c/td\u003e\n\u003ctd\u003eWyo. Stat. § 21-2-202\u003c/td\u003e\n\u003c/tr\u003e\n\u003c/tbody\u003e\n\u003c/table\u003e\n","hiddenPostContent":null,"visibleContent":"Appendix A - Availability"},{"__typename":"ModuleAccordionModuleAccordionAccordionItems","contentType":["text"],"headlineLink":null,"hiddenContent":"\u003ctable width=\"887\"\u003e\n\u003ctbody\u003e\n\u003ctr\u003e\n\u003ctd width=\"122\"\u003e\u003cstrong\u003eState\u003c/strong\u003e\u003c/td\u003e\n\u003ctd width=\"206\"\u003e\u003cstrong\u003eCode\u003c/strong\u003e\u003c/td\u003e\n\u003ctd width=\"559\"\u003e\u003cstrong\u003eCitation(s)\u003c/strong\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eAlabama\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eAla. Code § 16-22-16\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eAlaska\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eArizona\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eArkansas\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eCalifornia\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eCal. Educ. Code § 44267.5; Cal. Educ. Code § 44877; Cal. Code Regs. tit. 5, § 80050\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eColorado\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003e1 Colo. Code Regs. § 301-101:7.05\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eConnecticut\u003c/td\u003e\n\u003ctd\u003eRequired; Encouraged\u003c/td\u003e\n\u003ctd\u003eConn. Agencies Regs. 10-212-2; Conn. Agencies Regs. 10-212-4; Conn. Agencies Regs. 10-212-5; Conn. Agencies Regs. 10-212-6\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eDelaware\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eCode Del. Regs. 1582\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eDistrict of Columbia\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eD.C. Code Ann. § 38-621\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eFlorida\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eFla. Stat. § 1012.55\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eGeorgia\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eHawaii\u003c/td\u003e\n\u003ctd\u003eAddressed\u003c/td\u003e\n\u003ctd\u003eHAR 11-146-2\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eIdaho\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eIdaho Code § 33-1201\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eIllinois\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eIll. Admin. Code tit. 23, § 23.120\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eIndiana\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003e511 Ind. Admin. Code 15-6-35\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eIowa\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003e281 IAC 12.4\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eKansas\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eK.S.A. § 72-255\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eKentucky\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eKRS § 156.501\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eLouisiana\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eLAC 28:CXXXI.411\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eMaine\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eCMR 05-071-125\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eMaryland\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eCOMAR 13A.05.05.13\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eMassachusetts\u003c/td\u003e\n\u003ctd\u003eRequired; Authorized\u003c/td\u003e\n\u003ctd\u003eMass. Gen. Laws Ann. ch. 71, § 53; Mass. Gen. Laws Ann. ch. 71, § 53A\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eMichigan\u003c/td\u003e\n\u003ctd\u003eRequired; Addressed\u003c/td\u003e\n\u003ctd\u003eMich. Admin. Code R 340.1161; Mich. Admin. Code R 340.1164; Mich. Admin. Code R 340.1166; Mich. Admin. Code R 340.1167; Mich. Admin. Code R 340.1168; Mich. Admin. Code R 340.1169\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eMinnesota\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eMinn. Stat. § 121A.21\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eMississippi\u003c/td\u003e\n\u003ctd\u003eAddressed\u003c/td\u003e\n\u003ctd\u003eCMSR 07-000-003\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eMissouri\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eMontana\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eNebraska\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eNevada\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eNev. Admin. Code 391.305; Nev. Admin. Code 391.310\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eNew Hampshire\u003c/td\u003e\n\u003ctd\u003eRequired; Encouraged\u003c/td\u003e\n\u003ctd\u003eN.H. Admin. Rules, Ed 306.12; RSA 200:29\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eNew Jersey\u003c/td\u003e\n\u003ctd\u003eRequired; Addressed\u003c/td\u003e\n\u003ctd\u003eN.J. Stat. § 18A:40-3.3; N.J. Stat. § 18A:40-3.7; N.J. Stat. § 18A:40-3.8\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eNew Mexico\u003c/td\u003e\n\u003ctd\u003eAddressed\u003c/td\u003e\n\u003ctd\u003eN.M. Admin. Code 6.63.2; N.M. Stat. Ann. § 22-34-2\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eNew York\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003e8 NYCRR § 136.2\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eNorth Carolina\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003e16 N.C.A.C. 6D.0402\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eNorth Dakota\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eOhio\u003c/td\u003e\n\u003ctd\u003eAddressed\u003c/td\u003e\n\u003ctd\u003eOAC Ann. 3301-24-05\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eOklahoma\u003c/td\u003e\n\u003ctd\u003eAddressed\u003c/td\u003e\n\u003ctd\u003e70 Okl. St. § 1-116\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eOregon\u003c/td\u003e\n\u003ctd\u003eRequired; Encouraged; Addressed\u003c/td\u003e\n\u003ctd\u003eORS § 342.455; ORS § 342.465; ORS § 342.475; ORS § 342.485; ORS § 342.495; OAR 584-021-0110\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003ePennsylvania\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003e28 Pa. Code § 23.54\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eRhode Island\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003e216 RICR 020-10-4\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eSouth Carolina\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eS.C. Code Regs. 43-205\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eSouth Dakota\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eS.D. Codified Laws § 13-33A-1\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eTennessee\u003c/td\u003e\n\u003ctd\u003eRequired; Encouraged\u003c/td\u003e\n\u003ctd\u003eTenn. Comp. R. \u0026amp; Regs. R. 1200-11-05-.05; Tenn. Code Ann. § 49-3-359\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eTexas\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eUtah\u003c/td\u003e\n\u003ctd\u003eEncouraged\u003c/td\u003e\n\u003ctd\u003eUtah Code Ann. § 53G-9-204\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eVermont\u003c/td\u003e\n\u003ctd\u003eAddressed\u003c/td\u003e\n\u003ctd\u003e7-1 Vt. Code R. § 13\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eVirginia\u003c/td\u003e\n\u003ctd\u003eEncouraged\u003c/td\u003e\n\u003ctd\u003eVa. Code Ann. § 22.1-274\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eWashington\u003c/td\u003e\n\u003ctd\u003eEncouraged\u003c/td\u003e\n\u003ctd\u003eRev. Code Wash. (ARCW) § 28A.210.300\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eWest Virginia\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eW. Va. Code § 18-5-22; W. Va. CSR § 126-25A-9\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eWisconsin\u003c/td\u003e\n\u003ctd\u003eRequired; Encouraged\u003c/td\u003e\n\u003ctd\u003eWis. Adm. Code PI 8.01; Wis. Stat. § 120.13\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eWyoming\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003c/tbody\u003e\n\u003c/table\u003e\n","hiddenPostContent":null,"visibleContent":"Appendix B - Certification"},{"__typename":"ModuleAccordionModuleAccordionAccordionItems","contentType":["text"],"headlineLink":null,"hiddenContent":"\u003ctable width=\"946\"\u003e\n\u003ctbody\u003e\n\u003ctr\u003e\n\u003ctd width=\"122\"\u003e\u003cstrong\u003eState\u003c/strong\u003e\u003c/td\u003e\n\u003ctd width=\"279\"\u003e\u003cstrong\u003eCode\u003c/strong\u003e\u003c/td\u003e\n\u003ctd width=\"545\"\u003e\u003cstrong\u003eCitation(s)\u003c/strong\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eAlabama\u003c/td\u003e\n\u003ctd\u003eRequired; Authorized; Addressed\u003c/td\u003e\n\u003ctd\u003eAla. Code § 16-1-48; Ala. Code § 16-30A-3; Ala. Code § 16-30A-5; Ala. Code § 16-30C-2; Ala. Code § 16-30C-4; Ala. Admin. Code 610-X-7-.10\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eAlaska\u003c/td\u003e\n\u003ctd\u003eAuthorized\u003c/td\u003e\n\u003ctd\u003eAlaska Stat. Ann. § 14.30.141\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eArizona\u003c/td\u003e\n\u003ctd\u003eRequired; Authorized\u003c/td\u003e\n\u003ctd\u003eAriz. Admin. Code R7-2-809; Ariz. Admin. Code R7-2-810; Ariz. Rev. Stat. Ann. § 15-157; Ariz. Rev. Stat. Ann. § 15-158; Ariz. Rev. Stat. Ann. § 15-342; Ariz. Rev. Stat. Ann. § 15-344.01\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eArkansas\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eCode Ark. R. 005.28.42-4.00; Code Ark. R. 005.28.42-7.00; 067 00 CARR 009; Ark. Code Ann. § 6-18-707\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eCalifornia\u003c/td\u003e\n\u003ctd\u003eRequired; Authorized\u003c/td\u003e\n\u003ctd\u003eCal. Educ. Code § 49414; Cal. Educ. Code § 49414.5; Cal. Educ. Code § 49423.1\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eColorado\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eColo. Rev. Stat. Ann. § 22-1-119.5; Colo. Rev. Stat. Ann. § 22-1-132; Colo. Rev. Stat. Ann. § 22-2-135; 1 Colo. Code Regs. § 301-68:2.00; 1 Colo. Code Regs. § 301-68:3.00; 1 Colo. Code Regs. § 301-68:4.00; 1 Colo. Code Regs. § 301-68:5.00\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eConnecticut\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eConn. Agencies Regs. 10-212a-2\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eDelaware\u003c/td\u003e\n\u003ctd\u003eRequired; Addressed\u003c/td\u003e\n\u003ctd\u003eCode Del. Regs. 612; Del. Code Ann. tit. 16, § 3003E; Del. Code Ann. tit. 16, § 3007E\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eDistrict of Columbia\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eFlorida\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eFla. Admin. Code Ann. r. 6A-6.0251; Fla. Admin. Code Ann. r. 6A-6.0253\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eGeorgia\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eGa. Code Ann. § 20-2-776; Ga. Code Ann. § 20-2-779\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eHawaii\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eIdaho\u003c/td\u003e\n\u003ctd\u003eRequired; Addressed\u003c/td\u003e\n\u003ctd\u003eIdaho Code § 33-520; Idaho Code § 33-520A\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eIllinois\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003e105 ILCS 5/2-3.182; 105 ILCS 145/15; 105 ILCS 145/27; Ill. Admin. Code tit. 23, § 1.540\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eIndiana\u003c/td\u003e\n\u003ctd\u003eRequired; Authorized\u003c/td\u003e\n\u003ctd\u003eBurns Ind. Code Ann. § 20-34-3-26; Burns Ind. Code Ann. § 20-34-5-12; Burns Ind. Code Ann. § 20-34-5-13; Burns Ind. Code Ann. § 20-34-5-14; Burns Ind. Code Ann. § 20-34-5-15; Burns Ind. Code Ann. § 20-34-5-17\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eIowa\u003c/td\u003e\n\u003ctd\u003eRequired; Authorized\u003c/td\u003e\n\u003ctd\u003e281 IAC 14.3(256); Iowa Code § 280.16; Iowa Code § 280.16A\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eKansas\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eK.S.A. § 72-6282\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eKentucky\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eKRS § 158.834; KRS § 158.836\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eLouisiana\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eLAC 28:CLVII.307; La. Stat. Ann. § 17:436.1; La. Stat. Ann. § 17:436.3\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eMaine\u003c/td\u003e\n\u003ctd\u003eRequired; Authorized\u003c/td\u003e\n\u003ctd\u003eMe. Rev. Stat. tit. 20-A, § 254; 20-A M.R.S. § 6305\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eMaryland\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eMd. Code Ann., Educ. § 7-426.2; Md. Code Ann., Educ. § 7-426.4\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eMassachusetts\u003c/td\u003e\n\u003ctd\u003eRequired; Addressed\u003c/td\u003e\n\u003ctd\u003eMass. Gen. Laws Ann. ch. 71, § 54B; 105 CMR 210.100\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eMichigan\u003c/td\u003e\n\u003ctd\u003eAuthorized\u003c/td\u003e\n\u003ctd\u003eMich. Comp. Laws Ann. § 333.17744a\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eMinnesota\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eMinn. Stat. § 121A.24; Minn. Stat. § 121A.221\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eMississippi\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eMiss. Code Ann. § 37-11-71; Miss. Code Ann. § 41-79-1; Miss. Code Ann. § 41-79-3\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eMissouri\u003c/td\u003e\n\u003ctd\u003eRequired; Authorized\u003c/td\u003e\n\u003ctd\u003eMo. Code Regs. Ann. tit. 5, § 20-200.300; Mo. Ann. Stat. § 167.630; Mo. Ann. Stat. § 167.635; Mo. Ann. Stat. § 167.803; Mo. Ann. Stat. § 167.809\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eMontana\u003c/td\u003e\n\u003ctd\u003eRequired; Authorized\u003c/td\u003e\n\u003ctd\u003eMont. Code Ann. § 20-5-420; Mont. Code Ann. § 20-5-421\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eNebraska\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eNeb. Rev. Stat. Ann. § 79-224; Neb. Rev. Stat. Ann. § 79-3203\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eNevada\u003c/td\u003e\n\u003ctd\u003eAuthorized\u003c/td\u003e\n\u003ctd\u003eNev. Rev. Stat. Ann. § 386.870; Nev. Rev. Stat. Ann. § 392.425\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eNew Hampshire\u003c/td\u003e\n\u003ctd\u003eRequired; Encouraged; Authorized; Addressed\u003c/td\u003e\n\u003ctd\u003eRSA 200:42; RSA 200:43; RSA 200:44; RSA 200:44-a; RSA 200:45; RSA 200:46; RSA 200:54; RSA 200:55; RSA 200:57\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eNew Jersey\u003c/td\u003e\n\u003ctd\u003eRequired; Authorized; Addressed\u003c/td\u003e\n\u003ctd\u003eN.J. Stat. § 18A:40-12.5; N.J. Stat. § 18A:40-12.6; N.J. Stat. § 18A:40-12.6c; N.J. Stat. § 18A:40-12.6d; N.J. Stat. § 18A:40-12.7; N.J. Stat. § 18A:40-12.8; N.J. Stat. § 18A:40-12.11; N.J. Stat. § 18A:40-12.13; N.J. Stat. § 18A:40-12.14; N.J. Stat. § 18A:40-12.35; N.J.A.C. 6A:16-2.1; N.J.A.C. 6A:16-2.2\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eNew Mexico\u003c/td\u003e\n\u003ctd\u003eRequired; Authorized\u003c/td\u003e\n\u003ctd\u003e6.12.2.9 NMAC; 6.12.8.8 NMAC; 6.12.11.10 NMAC; 7.30.12.10 NMAC; N.M. Stat. Ann. § 22-5-4.3; N.M. Stat. Ann. § 22-33-3; N.M. Stat. Ann. § 22-33-4; N.M. Stat. Ann. § 22-34-5\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eNew York\u003c/td\u003e\n\u003ctd\u003eRequired; Authorized\u003c/td\u003e\n\u003ctd\u003eNY CLS Educ § 902-a; NY CLS Educ § 902-b; NY CLS Educ § 916; NY CLS Educ § 916-a; NY CLS Educ § 916-b; NY CLS Educ § 921; NY CLS Pub Health § 2500-h; 8 NYCRR § 136.7\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eNorth Carolina\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eN.C. Gen. Stat. § 115C-12; N.C. Gen. Stat. § 115C-375.2; N.C. Gen. Stat. § 115C-375.2A\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eNorth Dakota\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eOhio\u003c/td\u003e\n\u003ctd\u003eRequired; Authorized\u003c/td\u003e\n\u003ctd\u003eORC Ann. 3313.718; ORC Ann. 3313.719; ORC Ann. 3313.7110; ORC Ann. 3313.7112; ORC Ann. 3313.7113; ORC Ann. 3313.7115\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eOklahoma\u003c/td\u003e\n\u003ctd\u003eRequired; Authorized\u003c/td\u003e\n\u003ctd\u003e70 Okl. St. § 1-116.3; 70 Okl. St. § 1210.196.3; 70 Okl. St. § 1210.196.4; 70 Okl. St. § 1210.196.5\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eOregon\u003c/td\u003e\n\u003ctd\u003eAddressed\u003c/td\u003e\n\u003ctd\u003eORS § 339.871\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003ePennsylvania\u003c/td\u003e\n\u003ctd\u003eRequired; Authorized\u003c/td\u003e\n\u003ctd\u003e24 P.S. § 14-1414.1; 24 P.S. § 14-1414.2; 24 Pa. Stat. Ann. § 14-1414.3\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eRhode Island\u003c/td\u003e\n\u003ctd\u003eRequired; Authorized\u003c/td\u003e\n\u003ctd\u003eR.I. Gen. Laws Ann. § 16-21-22; R.I. Gen. Laws § 16-21-32; 216 RICR 020-10-4\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eSouth Carolina\u003c/td\u003e\n\u003ctd\u003eAuthorized\u003c/td\u003e\n\u003ctd\u003eS.C. Code Ann. § 59-63-95\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eSouth Dakota\u003c/td\u003e\n\u003ctd\u003eAuthorized\u003c/td\u003e\n\u003ctd\u003eS.D. Codified Laws § 13-33A-6\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eTennessee\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eTenn. Code Ann. § 49-50-1602; Tenn. Comp. R. \u0026amp; Regs. R. 0520-01-13-.03\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eTexas\u003c/td\u003e\n\u003ctd\u003eRequired; Authorized\u003c/td\u003e\n\u003ctd\u003eTex. Educ. Code § 38.015; Tex. Educ. Code § 38.208; Tex. Health \u0026amp; Safety Code § 168.003; Tex. Health \u0026amp; Safety Code § 168.005; Tex. Health \u0026amp; Safety Code § 168.007; 25 TAC § 40.44; 25 TAC § 40.46; 25 TAC § 40.47\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eUtah\u003c/td\u003e\n\u003ctd\u003eRequired; Authorized\u003c/td\u003e\n\u003ctd\u003eUtah Code Ann. § 26-41-104; Utah Code Ann. § 26-41-105; Utah Code Ann. § 53G-9-504; Utah Code Ann. § 53G-9-505\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eVermont\u003c/td\u003e\n\u003ctd\u003eAuthorized\u003c/td\u003e\n\u003ctd\u003e16 V.S.A. § 1388\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eVirginia\u003c/td\u003e\n\u003ctd\u003eRequired; Authorized\u003c/td\u003e\n\u003ctd\u003e8 VAC 20-131-260; Va. Code Ann. § 22.1-274.01:1; Va. Code Ann. § 22.1-274.2; Va. Code Ann. § 22.1-274.6; Va. Code Ann. § 54.1-3408\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eWashington\u003c/td\u003e\n\u003ctd\u003eRequired; Encouraged\u003c/td\u003e\n\u003ctd\u003eWash. Rev. Code Ann. § 28A.210.355; Rev. Code Wash. (ARCW) § 28A.210.370; Rev. Code Wash. (ARCW) § 28A.210.380; Rev. Code Wash. (ARCW) § 28A.210.383\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eWest Virginia\u003c/td\u003e\n\u003ctd\u003eRequired; Authorized\u003c/td\u003e\n\u003ctd\u003eW. Va. Code § 18-2K-2; W. Va. Code § 18-5-22b; W. Va. Code § 18-5-22c; W. Va. CSR § 126-25A-11; W. Va. CSR § 126-25A-12; W. Va. CSR § 126-27-9; W. Va. CSR § 126-27-10\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eWisconsin\u003c/td\u003e\n\u003ctd\u003eAuthorized\u003c/td\u003e\n\u003ctd\u003eWis. Stat. § 118.2925\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eWyoming\u003c/td\u003e\n\u003ctd\u003eAuthorized\u003c/td\u003e\n\u003ctd\u003eWyo. Stat. § 21-4-316\u003c/td\u003e\n\u003c/tr\u003e\n\u003c/tbody\u003e\n\u003c/table\u003e\n","hiddenPostContent":null,"visibleContent":"Appendix C - Services - Chronic"},{"__typename":"ModuleAccordionModuleAccordionAccordionItems","contentType":["text"],"headlineLink":null,"hiddenContent":"\u003ctable style=\"border-collapse: collapse; width: 748pt;\" width=\"997\"\u003e\n\u003ctbody\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd class=\"xl16\" style=\"width: 92pt; height: 14.25pt;\" width=\"122\" height=\"19\"\u003e\u003ca name=\"D - Services - MA!A1:C52\"\u003e\u003c/a\u003e\u003cstrong\u003eState\u003c/strong\u003e\u003c/td\u003e\n\u003ctd class=\"xl16\" style=\"width: 164pt;\" width=\"218\"\u003e\u003cstrong\u003eCode\u003c/strong\u003e\u003c/td\u003e\n\u003ctd class=\"xl16\" style=\"width: 493pt;\" width=\"657\"\u003e\u003cstrong\u003eCitation(s)\u003c/strong\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eAlabama\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eAlaska\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eArizona\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eArkansas\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eArk. Code Ann. § 6-18-718\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eCalifornia\u003c/td\u003e\n\u003ctd\u003eRequired; Authorized\u003c/td\u003e\n\u003ctd\u003eCal. Educ. Code § 49423; Cal. Code Regs. tit. 5, § 600; Cal. Code Regs. tit. 5, § 604\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eColorado\u003c/td\u003e\n\u003ctd\u003eAddressed\u003c/td\u003e\n\u003ctd\u003eColo. Rev. Stat. Ann. § 12-255-132\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eConnecticut\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eConn. Gen. Stat. Ann. § 10-212a ; Conn. Agencies Regs. 10-212a-3; Conn. Agencies Regs. 10-212a-4; Conn. Agencies Regs. 10-212a-5; Conn. Agencies Regs. 10-212a-7; Conn. Agencies Regs. 10-212a-8; Conn. Agencies Regs. 10-212a-9\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eDelaware\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eDel. Code Ann. tit. 16, § 3004E; Del. Code Ann. tit. 16, § 3006E; Code Del. Regs. 817\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eDistrict of Columbia\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eFlorida\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eGeorgia\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eHawaii\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eIdaho\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eIllinois\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003e105 ILCS 5/10-22.21b; 105 ILCS 5/22-30; 105 ILCS 5/34-18.61\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eIndiana\u003c/td\u003e\n\u003ctd\u003eAuthorized; Addressed\u003c/td\u003e\n\u003ctd\u003eBurns Ind. Code Ann. § 20-34-4.5-2; Burns Ind. Code Ann. § 20-34-4.5-4\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eIowa\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eKansas\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eKan. Admin. Regs. 60-15-104; K.S.A. § 72-6282\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eKentucky\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eLouisiana\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eLAC 28:CLVII.305\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eMaine\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eCode Me. R. tit. 05-071 Ch. 40, § 2; Code Me. R. tit. 05-071 Ch. 40, § 3\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eMaryland\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eMd. Code Ann., Educ. § 7-421\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eMassachusetts\u003c/td\u003e\n\u003ctd\u003eRequired; Addressed\u003c/td\u003e\n\u003ctd\u003e105 CMR 210.001; 105 CMR 210.003; 105 CMR 210.004; 105 CMR 210.005; 105 CMR 210.006; 105 CMR 210.007; 105 CMR 210.008; 105 CMR 210.009; 603 CMR 18.05\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eMichigan\u003c/td\u003e\n\u003ctd\u003eAddressed\u003c/td\u003e\n\u003ctd\u003eMich. Comp. Laws Ann. § 380.1178\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eMinnesota\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eMississippi\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eMissouri\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eMo. Ann. Stat. § 167.627\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eMontana\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eNebraska\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eNevada\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eNev. Admin. Code 632.226\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eNew Hampshire\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eN.H. Admin. Rules, Ed 311.02\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eNew Jersey\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eN.J. Stat. § 18A:40-12.30; N.J. Stat. § 18A:40-12.32\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eNew Mexico\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eNew York\u003c/td\u003e\n\u003ctd\u003eAuthorized\u003c/td\u003e\n\u003ctd\u003eNY CLS Educ § 919\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eNorth Carolina\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eNorth Dakota\u003c/td\u003e\n\u003ctd\u003eAuthorized; Encouraged; Addressed\u003c/td\u003e\n\u003ctd\u003eN.D. Cent. Code, § 15.1-19-23; N.D. Cent. Code, § 23-44-03; N.D. Cent. Code, § 43-12.1-04; N.D. Cent. Code, § 43-12.1-16; N.D. Cent. Code, § 43-12.1-16.1\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eOhio\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eOklahoma\u003c/td\u003e\n\u003ctd\u003eAuthorized\u003c/td\u003e\n\u003ctd\u003e70 Okl. St. § 1-116.2\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eOregon\u003c/td\u003e\n\u003ctd\u003eRequired; Addressed\u003c/td\u003e\n\u003ctd\u003eOAR 581-021-0037; ORS § 339.873\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003ePennsylvania\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eRhode Island\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eSouth Carolina\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eSouth Dakota\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eS.D. Codified Laws § 13-33A-1\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eTennessee\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eTexas\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eUtah\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eUtah Code Ann. § 53G-9-502\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eVermont\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eVirginia\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eWashington\u003c/td\u003e\n\u003ctd\u003eAuthorized\u003c/td\u003e\n\u003ctd\u003eRev. Code Wash. (ARCW) § 28A.210.305\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eWest Virginia\u003c/td\u003e\n\u003ctd\u003eRequired; Addressed\u003c/td\u003e\n\u003ctd\u003eW. Va. CSR § 126-25A-10; W. Va. CSR § 126-27-3; W. Va. CSR § 126-27-6; W. Va. CSR § 126-27-7; W. Va. CSR § 126-27-8\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eWisconsin\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eWyoming\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003c/tbody\u003e\n\u003c/table\u003e\n","hiddenPostContent":null,"visibleContent":"Appendix D - Services - MA"},{"__typename":"ModuleAccordionModuleAccordionAccordionItems","contentType":["text"],"headlineLink":null,"hiddenContent":"\u003ctable width=\"691\"\u003e\n\u003ctbody\u003e\n\u003ctr\u003e\n\u003ctd width=\"122\"\u003e\u003cstrong\u003eState\u003c/strong\u003e\u003c/td\u003e\n\u003ctd width=\"129\"\u003e\u003cstrong\u003eCode\u003c/strong\u003e\u003c/td\u003e\n\u003ctd width=\"440\"\u003e\u003cstrong\u003eCitation(s)\u003c/strong\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eAlabama\u003c/td\u003e\n\u003ctd\u003eAddressed\u003c/td\u003e\n\u003ctd\u003eAla. Code § 16-30A-2\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eAlaska\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eArizona\u003c/td\u003e\n\u003ctd\u003eAuthorized\u003c/td\u003e\n\u003ctd\u003eAriz. Rev. Stat. Ann. § 15-344.01\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eArkansas\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eArk. Code Ann. § 6-18-718\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eCalifornia\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eColorado\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003e1 Colo. Code Regs. § 301-68:2.00\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eConnecticut\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eDelaware\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eDistrict of Columbia\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eFlorida\u003c/td\u003e\n\u003ctd\u003eRequired; Addressed\u003c/td\u003e\n\u003ctd\u003eFla. Admin. Code Ann. r. 6A-6.0251; Fla. Admin. Code Ann. r. 6A-6.0252\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eGeorgia\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eGa. Comp. R. \u0026amp; Regs. 160-4-8-.18\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eHawaii\u003c/td\u003e\n\u003ctd\u003eAuthorized\u003c/td\u003e\n\u003ctd\u003eHAR 11-146-6\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eIdaho\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eIllinois\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003e105 ILCS 145/15\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eIndiana\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eBurns Ind. Code Ann. § 20-34-5-12; Burns Ind. Code Ann. § 20-34-5-13; Burns Ind. Code Ann. § 20-34-5-16; Burns Ind. Code Ann. § 20-34-5-17\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eIowa\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eKansas\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eKentucky\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eLouisiana\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eLAC 28:CLVII.307; La. Stat. Ann. § 17:436.3\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eMaine\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eMaryland\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eMassachusetts\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eMichigan\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eMinnesota\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eMississippi\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eMissouri\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eMontana\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eNebraska\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eNeb. Rev. Stat. Ann. § 79-3203\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eNevada\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eNew Hampshire\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eNew Jersey\u003c/td\u003e\n\u003ctd\u003eAddressed\u003c/td\u003e\n\u003ctd\u003eN.J. Stat. Ann. § 18A:40-12.34\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eNew Mexico\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003e6.12.2.9 NMAC\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eNew York\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eNorth Carolina\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eN.C. Gen. Stat. § 115C-12; 16 N.C.A.C. 6D.0402\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eNorth Dakota\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eOhio\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eOklahoma\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003e70 Okl. St. § 1210.196.3\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eOregon\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003ePennsylvania\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eRhode Island\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eR.I. Gen. Laws § 16-21-32; 216 RICR 020-10-4\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eSouth Carolina\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eS.C. Code Ann. § 59-63-80\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eSouth Dakota\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eTennessee\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eTenn. Code Ann. § 49-50-1601; Tenn. Code Ann. § 49-50-1602; Tenn. Comp. R. \u0026amp; Regs. R. 0520-01-13-.03\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eTexas\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eTex. Health \u0026amp; Safety Code § 168.003; Tex. Health \u0026amp; Safety Code § 168.007\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eUtah\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eVermont\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eVirginia\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eWashington\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eWash. Rev. Code Ann. § 28A.210.355\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eWest Virginia\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eW. Va. Code § 18-2K-2; W. Va. CSR § 126-25A-6\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eWisconsin\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eWyoming\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003c/tbody\u003e\n\u003c/table\u003e\n","hiddenPostContent":null,"visibleContent":"Appendix E - Services - SHP"},{"__typename":"ModuleAccordionModuleAccordionAccordionItems","contentType":["text"],"headlineLink":null,"hiddenContent":"\u003ctable style=\"border-collapse: collapse; width: 788pt;\" width=\"1051\"\u003e\n\u003ctbody\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd class=\"xl16\" style=\"width: 92pt; height: 14.25pt;\" width=\"122\" height=\"19\"\u003e\u003cstrong\u003e\u003ca name=\"F - Services - Screenings!A1:C52\"\u003e\u003c/a\u003eState\u003c/strong\u003e\u003c/td\u003e\n\u003ctd class=\"xl16\" style=\"width: 108pt;\" width=\"144\"\u003e\u003cstrong\u003eCode\u003c/strong\u003e\u003c/td\u003e\n\u003ctd class=\"xl16\" style=\"width: 589pt;\" width=\"785\"\u003e\u003cstrong\u003eCitation(s)\u003c/strong\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eAlabama\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eAlaska\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eAlaska Stat. Ann. § 14.30.127\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eArizona\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eAriz. Rev. Stat. Ann. § 36-899.10\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eArkansas\u003c/td\u003e\n\u003ctd\u003eRequired; Authorized\u003c/td\u003e\n\u003ctd\u003eCode Ark. R. 005.28.18-8.0; Code Ark. R. 005.28.43-12.00; Ark. Code Ann. § 6-18-701; Ark. Code Ann. § 6-18-1501\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eCalifornia\u003c/td\u003e\n\u003ctd\u003eRequired; Authorized\u003c/td\u003e\n\u003ctd\u003eCal. Educ. Code § 33319; Cal. Educ. Code § 49452.5; Cal. Educ. Code § 49455; Cal. Code Regs. tit. 5, § 591; Cal. Code Regs. tit. 5, § 596\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eColorado\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eConnecticut\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eConn. Agencies Regs. 10-214-2; Conn. Agencies Regs. 10-214-3; Conn. Agencies Regs. 10-214-4; Conn. Gen. Stat. Ann. § 10-206\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eDelaware\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eCode Del. Regs. 815\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eDistrict of Columbia\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eFlorida\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eGeorgia\u003c/td\u003e\n\u003ctd\u003eAuthorized\u003c/td\u003e\n\u003ctd\u003eGa. Comp. R. \u0026amp; Regs. r. 511-5-6-.04\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eHawaii\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eIdaho\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eIllinois\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eIll. Admin. Code tit. 23, § 1.760\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eIndiana\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eIowa\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eKansas\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eKentucky\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eLouisiana\u003c/td\u003e\n\u003ctd\u003eAuthorized\u003c/td\u003e\n\u003ctd\u003eLAC 28:CLVII.301; LAC 48:V.2103; La. Stat. Ann. § 17:2112\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eMaine\u003c/td\u003e\n\u003ctd\u003eRequired; Authorized\u003c/td\u003e\n\u003ctd\u003eCMR 10-144-281; Code Me. R. tit. 05-071 Ch. 45, § 2; Code Me. R. tit. 05-071 Ch. 45, § 4\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eMaryland\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eMassachusetts\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003e105 CMR 200.400\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eMichigan\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eMinnesota\u003c/td\u003e\n\u003ctd\u003eAuthorized\u003c/td\u003e\n\u003ctd\u003eMinn. Stat. § 121A.17\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eMississippi\u003c/td\u003e\n\u003ctd\u003eEncouraged; Addressed\u003c/td\u003e\n\u003ctd\u003eMiss. Code Ann. § 37-23-15; CMSR 07-000-007\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eMissouri\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eMontana\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eNebraska\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eNevada\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eNev. Admin. Code 385B.336; Nev. Rev. Stat. Ann. § 392.420\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eNew Hampshire\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eNew Jersey\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eN.J.A.C. 6A:16-2.2; N.J. Stat. § 18A:40-4.3; N.J. Stat. § 18A:40A-23; N.J. Stat. § 18A:40-41.7\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eNew Mexico\u003c/td\u003e\n\u003ctd\u003eRequired; Authorized\u003c/td\u003e\n\u003ctd\u003eN.M. Code R. § 7.30.11.8; N.M. Stat. Ann. § 22-13-30\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eNew York\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eNY CLS Educ § 903; NY CLS Educ § 904; 8 NYCRR § 136.3\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eNorth Carolina\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eNorth Dakota\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eOhio\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eOklahoma\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eOregon\u003c/td\u003e\n\u003ctd\u003eRequired; Authorized\u003c/td\u003e\n\u003ctd\u003eORS § 336.211; OAR 581-021-0031\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003ePennsylvania\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003e28 Pa. Code § 23.11; 28 Pa. Code § 23.71; 28 Pa. Code § 23.73; 28 Pa. Code § 23.78\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eRhode Island\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eR.I. Gen. Laws § 16-21-10; 216 RICR 020-10-4\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eSouth Carolina\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eS.C. Code Ann. § 44-29-195\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eSouth Dakota\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eTennessee\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eTexas\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eUtah\u003c/td\u003e\n\u003ctd\u003eRequired; Authorized\u003c/td\u003e\n\u003ctd\u003eUtah Code Ann. § 53G-9-403; Utah Code Ann. § 53G-9-404; U.A.C. R384-201-8; U.A.C. R384-201-9; U.A.C. R384-201-10\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eVermont\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eVirginia\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eWashington\u003c/td\u003e\n\u003ctd\u003eAuthorized\u003c/td\u003e\n\u003ctd\u003eWAC § 246-760-080; WAC § 246-760-100\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eWest Virginia\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eW. Va. CSR § 126-51-5\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eWisconsin\u003c/td\u003e\n\u003ctd\u003eAuthorized\u003c/td\u003e\n\u003ctd\u003eWis. Stat. Ann. § 118.25\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eWyoming\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003c/tbody\u003e\n\u003c/table\u003e\n","hiddenPostContent":null,"visibleContent":"Appendix F - Services - Screenings"},{"__typename":"ModuleAccordionModuleAccordionAccordionItems","contentType":["text"],"headlineLink":null,"hiddenContent":"\u003ctable style=\"border-collapse: collapse; width: 587pt;\" width=\"783\"\u003e\n\u003ctbody\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd class=\"xl16\" style=\"width: 92pt; height: 14.25pt;\" width=\"122\" height=\"19\"\u003e\u003ca name=\"G - Immunization!A1:C52\"\u003e\u003c/a\u003e\u003cstrong\u003eState\u003c/strong\u003e\u003c/td\u003e\n\u003ctd class=\"xl16\" style=\"width: 98pt;\" width=\"131\"\u003e\u003cstrong\u003eCode\u003c/strong\u003e\u003c/td\u003e\n\u003ctd class=\"xl16\" style=\"width: 398pt;\" width=\"530\"\u003e\u003cstrong\u003eCitation(s)\u003c/strong\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eAlabama\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eAlaska\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eArizona\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eAriz. Rev. Stat. Ann. § 36-673; Ariz. Rev. Stat. Ann. § 36-674\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eArkansas\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eCalifornia*\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eCal. Educ. Code § 49426\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eColorado\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eConnecticut\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eDelaware\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eCode Del. Regs. 804\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eDistrict of Columbia\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eFlorida\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eFla. Stat. § 1003.22\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eGeorgia\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eHawaii\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eIdaho\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eIllinois\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eIndiana\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eIowa\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eKansas\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eKentucky\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eLouisiana\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eMaine*\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eCode Me. R. tit. 05-071 Ch. 126, § 7; Code Me. R. tit. 10-144 Ch. 261, § 7; Code Me. R. tit. 10-144-261\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eMaryland\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eMassachusetts*\u003c/td\u003e\n\u003ctd\u003eRequired; Authorized\u003c/td\u003e\n\u003ctd\u003e105 CMR 300.191; Mass. Gen. Laws Ann. ch. 76, § 15\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eMichigan\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eMinnesota\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eMississippi\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eMissouri\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eMo. Ann. Stat. § 167.181\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eMontana\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eNebraska\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eNevada\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eNev. Rev. Stat. Ann. § 391.292\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eNew Hampshire\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eRSA 200:38\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eNew Jersey\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eNew Mexico\u003c/td\u003e\n\u003ctd\u003eAuthorized\u003c/td\u003e\n\u003ctd\u003eN.M. Stat. Ann. § 24-5-9\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eNew York\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eNorth Carolina\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eNorth Dakota\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eOhio\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eOklahoma\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eOregon\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003ePennsylvania\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eRhode Island\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eSouth Carolina\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eSouth Dakota\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eTennessee\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eTexas\u003c/td\u003e\n\u003ctd\u003eAuthorized\u003c/td\u003e\n\u003ctd\u003e25 Tex. Admin. Code § 97.65\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eUtah\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eVermont\u003c/td\u003e\n\u003ctd\u003eRequired; Authorized\u003c/td\u003e\n\u003ctd\u003e18 V.S.A. § 1124; 18 V.S.A. § 1129; 12-5 Vt. Code R. § 5; CVR 13-140-021\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eVirginia\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eWashington\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eWest Virginia\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eWisconsin\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eWyoming\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003c/tbody\u003e\n\u003c/table\u003e\n","hiddenPostContent":null,"visibleContent":"Appendix G - Immunization"},{"__typename":"ModuleAccordionModuleAccordionAccordionItems","contentType":["text"],"headlineLink":null,"hiddenContent":"\u003ctable style=\"border-collapse: collapse; width: 608pt;\" width=\"810\"\u003e\n\u003ctbody\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd class=\"xl16\" style=\"width: 92pt; height: 14.25pt;\" width=\"122\" height=\"19\"\u003e\u003cstrong\u003eState\u003c/strong\u003e\u003c/td\u003e\n\u003ctd class=\"xl16\" style=\"width: 98pt;\" width=\"131\"\u003e\u003cstrong\u003eCode\u003c/strong\u003e\u003c/td\u003e\n\u003ctd class=\"xl16\" style=\"width: 370pt;\" width=\"493\"\u003e\u003cstrong\u003eCitation(s)\u003c/strong\u003e\u003c/td\u003e\n\u003ctd style=\"width: 48pt;\" width=\"64\"\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eConnecticut\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eConn. Agencies Regs. 19a-36-A8\u003c/td\u003e\n\u003ctd\u003eRcol-N\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eDistrict of Columbia\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eD.C. Mun. Regs. tit. 22-B, § 209\u003c/td\u003e\n\u003ctd\u003eRC-N; REx-N; RR-N\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eGeorgia\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eGa. Comp. R. \u0026amp; Regs. 160-1-3-.03\u003c/td\u003e\n\u003ctd\u003eRC-N\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eIdaho\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eIdaho Admin. Code r. 16.02.10.020; Idaho Admin. Code r. 16.02.10.090\u003c/td\u003e\n\u003ctd\u003eRR-N; A-RA-N\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eIllinois\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eIll. Admin. Code tit. 23, § 1.760\u003c/td\u003e\n\u003ctd\u003eRcol-N\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eIowa\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003e641 IAC 1.4; 641 IAC 1.6\u003c/td\u003e\n\u003ctd\u003eRR-N\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eMaine*\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eMe. Rev. Stat. tit. 20-A, § 6301; Me. Rev. Stat. tit. 20-A, § 6402-A; Code Me. R. tit. 05-071 Ch. 126, § 6; Code Me. R. tit. 10-144 Ch. 261, § 6\u003c/td\u003e\n\u003ctd\u003eRC-N; REx-S; AEx-N\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eMaryland\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eCOMAR 10.06.01.04\u003c/td\u003e\n\u003ctd\u003eRR-N\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eMassachusetts*\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eMass. Gen. Laws Ann. ch. 71, § 55A\u003c/td\u003e\n\u003ctd\u003eAEx-N; RR-N\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eNebraska\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003e173 Neb. Admin. Code Ch. 1, 1-007; 173 Neb. Admin. Code Ch. 3, 3-004\u003c/td\u003e\n\u003ctd\u003eRR-N\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eNew Mexico\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003e6.12.14.8 NMAC; 7.4.3.8 NMAC\u003c/td\u003e\n\u003ctd\u003eRR-N\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eNew York\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003e8 NYCRR § 136.3\u003c/td\u003e\n\u003ctd\u003eREx-S\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eOregon\u003c/td\u003e\n\u003ctd\u003eRequired; Addressed\u003c/td\u003e\n\u003ctd\u003eOAR 581-022-2220; ORS § 433.260\u003c/td\u003e\n\u003ctd\u003eR-RA-N; REd-N; RR-N; REx-S\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003ePennsylvania\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003e28 Pa. Code § 27.71; 28 Pa. Code § 27.72; 28 Pa. Code § 27.73\u003c/td\u003e\n\u003ctd\u003eREx-S; R-RA-N; RC-N\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eWest Virginia\u003c/td\u003e\n\u003ctd\u003eRequired; Addressed\u003c/td\u003e\n\u003ctd\u003eW. VA. CSR § 126-42-7; W. Va. CSR § 126-51-3; W. Va. CSR § 126-51-9\u003c/td\u003e\n\u003ctd\u003eREx-N; RR-N; REd-BoE\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eWisconsin\u003c/td\u003e\n\u003ctd\u003eRequired\u003c/td\u003e\n\u003ctd\u003eWis. Stat. § 252.21\u003c/td\u003e\n\u003ctd\u003eAEx-N; RR-N\u003c/td\u003e\n\u003c/tr\u003e\n\u003c/tbody\u003e\n\u003c/table\u003e\n","hiddenPostContent":null,"visibleContent":"Appendix H - Communicable"},{"__typename":"ModuleAccordionModuleAccordionAccordionItems","contentType":["text"],"headlineLink":null,"hiddenContent":"\u003ctable style=\"border-collapse: collapse; width: 369pt;\" width=\"492\"\u003e\n\u003ctbody\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd class=\"xl16\" style=\"width: 92pt; height: 14.25pt;\" width=\"122\" height=\"19\"\u003e\u003cstrong\u003e\u003ca name=\"I - COVID!A1:C52\"\u003e\u003c/a\u003eState\u003c/strong\u003e\u003c/td\u003e\n\u003ctd class=\"xl16\" style=\"width: 95pt;\" width=\"126\"\u003e\u003cstrong\u003eCode\u003c/strong\u003e\u003c/td\u003e\n\u003ctd class=\"xl16\" style=\"width: 183pt;\" width=\"244\"\u003e\u003cstrong\u003eCitation(s)\u003c/strong\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eAlabama\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eAlaska\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eArizona\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eArkansas\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eCalifornia\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eColorado\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eConnecticut\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eDelaware\u003c/td\u003e\n\u003ctd\u003eUpdated\u003c/td\u003e\n\u003ctd\u003eCode Del. Regs. 804; Code Del. Regs. 815\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eDistrict of Columbia\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eFlorida\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eGeorgia\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eHawaii\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eIdaho\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eIllinois\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eIndiana\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eIowa\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eKansas\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eKentucky\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eLouisiana\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eMaine\u003c/td\u003e\n\u003ctd\u003eAddressed\u003c/td\u003e\n\u003ctd\u003eMe. Rev. Stat. tit. 20-A, § 1001\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eMaryland\u003c/td\u003e\n\u003ctd\u003eUpdated\u003c/td\u003e\n\u003ctd\u003eCOMAR 10.06.01.04\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eMassachusetts\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eMichigan\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eMinnesota\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eMississippi\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eMissouri\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eMontana\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eNebraska\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eNevada\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eNew Hampshire\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eNew Jersey\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eNew Mexico\u003c/td\u003e\n\u003ctd\u003eAddressed\u003c/td\u003e\n\u003ctd\u003e6.12.14.8 NMAC\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eNew York\u003c/td\u003e\n\u003ctd\u003eAddressed\u003c/td\u003e\n\u003ctd\u003e8 NYCRR § 136.3\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eNorth Carolina\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eNorth Dakota\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eOhio\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eOklahoma\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eOregon\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003ePennsylvania\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eRhode Island\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eSouth Carolina\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eSouth Dakota\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eTennessee\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eTexas\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eUtah\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eVermont\u003c/td\u003e\n\u003ctd\u003eUpdated\u003c/td\u003e\n\u003ctd\u003e18 V.S.A. § 1129\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eVirginia\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eWashington\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eWest Virginia\u003c/td\u003e\n\u003ctd\u003eUpdated\u003c/td\u003e\n\u003ctd\u003eW. VA. CSR § 126-42-7\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eWisconsin\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.25pt;\"\u003e\n\u003ctd style=\"height: 14.25pt;\" height=\"19\"\u003eWyoming\u003c/td\u003e\n\u003ctd\u003eNot Addressed\u003c/td\u003e\n\u003ctd\u003e\u003c/td\u003e\n\u003c/tr\u003e\n\u003c/tbody\u003e\n\u003c/table\u003e\n","hiddenPostContent":null,"visibleContent":"Appendix I - COVID"}],"moduleAccordionHeadline":null,"moduleAccordionHeadlineHtmlTag":["h3"],"moduleAccordionItemBackgroundColor":"#ebf5fa","moduleAccordionTextColor":"#0a355b","moduleAccordionToggleButtonColor":"#f26721"}]}}}}}},"__N_SSG":true},"page":"/[...wordpressNode]","query":{"wordpressNode":["publications","state-laws-on-school-nursing-outline-copious-responsibilities-for-nurses"]},"buildId":"RifhAqCX6eFwXxtZ4qD66","isFallback":false,"isExperimentalCompile":false,"gsp":true,"locale":"en","locales":["en","es"],"defaultLocale":"en","domainLocales":[{"domain":"www.childtrends.org","defaultLocale":"en"},{"domain":"es.childtrends.org","defaultLocale":"es"}],"scriptLoader":[]}</script></body></html>