Resolve, To Ensure That Emerqency Medical Help Is Available to All School Children Further amend the bill by striking out everything after the title and before the summary and inserting in its place the following: Preamble. Whereas, the Legislature recognizes that the heal th and safety of students in our schools is a preeminent concern of school officials and educational personnel across the State; and Whereas, having a medical emergency response plan in place to effectively respond to inevitable medical emergencies resulting from sudden cardiac events is both prudent and necessary for our schools; and Whereas, the Cardiopulmonary Resuscitation and Automated External Defibrillators for Maine Schools Workgroup convened by the Department of Education has acknowledged the important Page l-LR0240(2) COMMITTEE AMENDMENT
Maine Legislature, Session 121, LD 0177
Committee Amendment CA_A_H723 (House)

COMMITTEE AMENDMENT 
.. If .. 
Act to Ensure that Emergency 
School Children and Personnel" 
to H.P. 136, L.D. 177, Bill, "An 
Medical Help is Available to All 
Amend the bill by striking out the title and substituting 
the following: 
'Resolve, To Ensure That Emerqency Medical Help Is Available to 
All School Children' 
Further amend the bill by striking out everything after the 
title and before the 
summary and inserting in its place the 
following: 
'Preamble. Whereas, the 
Legislature 
recognizes 
that 
the 
heal th and safety of students in our schools is a preeminent 
concern of school officials and educational personnel across the 
State; and 
Whereas, having a medical emergency response plan in place 
to 
effectively 
respond 
to 
inevitable 
medical 
emergencies 
resulting 
from 
sudden 
cardiac 
events 
is 
both 
prudent 
and 
necessary for our schools; and 
Whereas, the 
Cardiopulmonary 
Resuscitation 
and 
Automated 
External Defibrillators for Maine Schools Workgroup convened by 
the 
Department 
of 
Education 
has 
acknowledged 
the 
important 
Page l-LR0240(2) 
COMMITTEE AMENDMENT 
~~,fb, 
.~\{:)\-
COMMITTEE AMENDMENT "~,, to H.P. 136, L.D. 177 
progress that many of Maine's school administrative units have 
made in establishing emergency response teams comprised of school 
personnel 
who 
hold 
valid 
certifications 
in 
cardiopulmonary 
resuscitation and whose 
roles include providing an 
immediate 
response to a medical emergency in order to stabilize the medical 
emergency until emergency medical services arrives at the scene 
of the emergency; and 
Whereas, 
a 
survey 
of 
state 
school 
nurse 
consultants 
regarding their states' requirements for CPR-certified personnel 
in schools found that a number of states specify that certain 
school personnel, including school health staff, athletic coaches 
and bus drivers, be certified in CPR and further discovered that 
several states specify 
a 
formula 
for 
the 
number 
of 
school 
personnel to be certified on a per student or per building basis 
in order to increase the number of people able to respond to a 
medical emergency resulting from a sudden cardiac event; and 
Whereas, 
the 
public 
has 
a 
justifiable 
and 
legitimate 
interest in ensuring that every student has 
adequate access 
during the school day to school personnel who are certified in 
cardiopulmonary 
resuscitation 
and 
who 
can 
serve 
as 
first 
responders in medical emergencies resulting from sudden cardiac 
events; now, therefore, be it 
Sec. 1. Survey. Resolved: 
That the Department of Education, 
working together with the school nurse consultant under the Maine 
Revised Statutes, Title 22, 
section 1971, 
the School Health 
Advisory Committee and other appropriate organizations, 
shall 
review the recommendations of the Cardiopulmonary Resuscitation 
and Automated External Defibrillators for Maine Schools Workgroup 
and shall design a survey of school administrative units and 
private schools enrolling more than 60% of their students at 
public expense in the State regarding the extent to which these 
school administrative units and private schools have medical 
emergency . response plans in place and have developed emergency 
response 
teams 
comprised of school personnel 
who 
hold valid 
certifications in cardiopulmonary resuscitation and whose roles 
include providing an immediate response to a medical emergency, 
including a medical emergency resulting from a 
sudden cardiac 
event. 
In 
reviewing 
the 
recommendations 
of 
the 
Cardiopulmonary 
Resuscitation and Automated External Defibrillators for Maine 
Schools 
Workgroup 
prior 
to 
designing 
the 
survey 
of 
school 
administrative units and private schools in accordance with this 
section, 
the 
department 
shall 
also 
review 
the 
most 
recent 
guidance 
provided by the American Heart Association and 
the 
National 
Association 
of 
School 
Nurses 
regarding 
emergency 
preparedness planning in kindergarten through grade 12 public 
schools. 
COMMITTEE AMENDMENT 
~~I 
~ 
~ 
~ 
COMMITTEE AMENDMENT "~,, to H.P. 136, L.D. 177 
The survey developed by the department must assess the following: 
1. 
As of the end of the 2003-2004 school year, the number 
of school administrative units and private schools enrolling more 
than 60 0/0 of their students at public expense in the State that 
have written local policies and procedures for ensuring that 
every student has adequate access during the school day to school 
personnel that are certified in cardiopulmonary resuscitation; 
2. 
As of the end of the 2003-2004 school year, the number 
of school administrative units and private schools enrolling more 
than 60% of their students at public expense in the State whose 
adopted local policies include the following: 
A. 
Guidelines regarding the appropriate number of school 
personnel at each campus of the school administrative unit 
or the private school that are certified in cardiopulmonary 
resuscitation; 
B. 
Requirements that school personnel that are certified in 
cardiopulmonary 
resuscitation 
receive 
training 
from 
a 
cardiopulmonary resuscitation training program approved by 
the Department of Public Safety, Bureau of Emergency Medical 
Services and taught according to current emergency cardiac 
care standards; 
C. 
Requirements that school personnel that are certified in 
cardiopulmonary 
resuscitation 
be 
available 
at 
school-sponsored athletic events and other extracurricular 
events, including field trips requiring transportation on a 
school bus, held after normal school hours; 
D. 
Requirements 
that 
an 
emergency 
response 
team 
be 
established 
for 
each 
school 
campus 
in 
the 
school 
administrative unit or for the private school, including a 
description of the role of each emergency response team in 
providing an immediate response to medical emergencies be 
described; and 
E. 
Requirements that the school administrative unit or the 
private school acquire an automated external defibrillator 
and that any related standards for the implementation of 
such requirements be related to compliance with state laws, 
training policies 
and 
procedures 
for 
the 
use 
of 
this 
equipment; 
3. 
The need of CPR training for school personnel and, if a 
need for training was identified, the plan developed to address 
the necessary training; and 
COMMITTEE. AMENDMENT 
,,, e, 
,. \\\~' 
'P 
COMMITTEE AMENDMENT .~ 
.. to H.P. 136, L.D. 177 
4. 
The cost to develop the local policies and to implement 
the policies on an annual basis; and be it further 
Sec. 2. Report. Resolved: 
That the Department of Education 
shall 
submit 
a 
report, 
including 
findings 
and 
recommended 
legislation, to the joint standing committee of the Legislature 
having 
jurisdiction over 
education matters 
during 
the First 
Regular Session of the 122nd Legislature by November 3, 2004. 
The 
joint 
standing 
committee 
of 
the 
Legislature 
having 
jurisdiction 
over 
education 
matters 
has 
the 
authority 
to 
introduce a bill based on the recommendations of the Department 
of Education report during the First Regular Session of the l22nd 
Legislature .• 
SUMMARY 
This amendment strikes and replaces the bill and changes it 
to a resolve. 
The amendment directs the Department of Education, 
working together with the school nurse consultant, the School 
Health Advisory Committee and other appropriate organizations, to 
review the recommendations of the Cardiopulmonary Resuscitation 
and Automated External Defibrillators for Maine Schools Workgroup 
and to design a survey of school administrative units and private 
schools enrolling more than 60% of their students at public 
expense in the State regarding the extent to which schools have 
medical emergency response plans in place and have developed 
emergency response teams comprised of school personnel who hold 
valid certification in cardiopulmonary resuscitation and whose 
roles 
include 
providing 
an 
immediate 
response 
to 
a 
medical 
emergency, including a medical emergency resulting from sudden 
cardiac events. 
The amendment also proposes that the Department of Education 
submit a report, including findings and recommended legislation, 
by November 3, 
2004 to the joint standing committee of the 
Legislature having jurisdiction over education matters during the 
The amendment 
further 
proposes 
that 
the 
joint 
standing 
committee 
of 
the 
Legislature having jurisdiction over education matters has the 
authority to introduce a bill based on the recommendations of the 
Department of Education report during the First Regular Session 
of the l22nd Legislature. 
FISCAL NOTE REQUIRED 
(See attached) 
COMMITTEE AMENDMENT 
Fiscal Detail and Notes 
Approved: 02/09/04 ;?dac:.. 
Office of Fiscal and Program Review 
LD177 
An Act to Ensure that Emergency Medical Help is Available to All 
School Children and Personnel 
LR0240(02) 
Fiscal Note for Bill as Amended by Committee Amendment" " 
Committee: Education and Cultural Mfairs 
Fiscal Note Required: Yes 
Fiscal Note 
Minor cost increase - General Fund 
The additional costs to the Department of Education to work with other organizations to develop a survey and submit 
the required report can be absorbed utilizing existing budgeted resources. 
LR0240(2) - Fiscal Note - Page 1 of 1