2023 Colorado Revised Statutes › Title 25 - PUBLIC HEALTH AND ENVIRONMENT (§§ 25-1-101 — 25-59-106) › ADMINISTRATION (§§ 25-1-101 — 25-1.5-701) › Article 1.5 - POWERS AND DUTIES OF THE DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT (§§ 25-1.5-101 — 25-1.5-701) › Part 4 - PRIMARY CARE OFFICE (§§ 25-1.5-401 — 25-1.5-407) › Section 25-1.5-406 - School nurse grant program - creation - eligibility - award of grants - rules - report - legislative declaration - definitions

(1)
(a)
The general assembly finds that:
(I)
School nurses play a vital role in a child's health and educational welfare in school, acting as a health-care safety net for children;
(II)
When a school nurse is in a school, fewer children are sent home sick or miss school, fewer children are sent to emergency rooms for asthma, fewer 911 calls are made, and teachers and principals have more time to teach and lead;
(III)
School nurses are trained to handle medical emergencies and to provide advanced first aid, as well as to provide advanced care to children who depend on medical devices, medication, or medical interventions to remain in school;
(IV)
School nurses are also crucial to children's mental health and spend nearly one-third of their time on the mental health concerns of children, including referring children for critical mental health services; and
(V)
In addition to providing services in schools, school nurses provide education and training to school staff, promoting healthy behaviors and creating a safe and healthy school environment for children, including children with chronic conditions such as asthma, diabetes, and severe allergies.
(b)
The general assembly further finds that:
(I)
Despite the demonstrated benefit to students and school staff of having school nurses in schools, according to the Colorado department of education, there are approximately only six hundred thirty school nurses in Colorado serving over nine hundred thousand school-aged children;
(II)
On average, this requires one full-time school nurse to serve fifteen hundred students, with some nurses serving fewer students and some nurses serving up to three thousand students; and
(III)
The number of school nurses serving students is determined by the school district and largely paid for from limited school district funding.
(c)
Therefore, the general assembly declares that providing critical funding to increase children's access to school nurses is vital to the health and well-being of Colorado's school children.
(2)
As used in this section, unless the context otherwise requires:
(a)
"Grant program" means the school nurse grant program created in subsection (3) of this section.
(b)
"Local education provider" means a school district, other than a local college district, organized and existing pursuant to law; a board of cooperative services; a charter school authorized by a school district pursuant to part 1 of article
30.5
of title
22
; or a charter school authorized by the state charter school institute pursuant to part 5 of article
30.5
of title
22
.
(c)
"Rural school district" means a school district in Colorado that the department of education, created in section
24-1-115
, determines is rural, based on the geographic size of the school district and the distance of the school district from the nearest large, urbanized area.
(d)
"School" means a public elementary, middle, junior high, or high school.
(e)
"School nurse" means a registered nurse who holds a current nursing license through the department of regulatory agencies and who has applied for or holds a special services license from the department of education pursuant to article
60.5
of title
22
.
(f)
"Small rural school district" means a school district in Colorado that the department of education, created in section
24-1-115
, determines is rural, based on the geographic size of the school district and the distance of the school district from the nearest large, urbanized area, and that enrolls fewer than one thousand two hundred students in kindergarten through twelfth grade.
(3)
There is created in the department the school nurse grant program to award grants to local education providers to increase the number of school nurses in Colorado public schools. The grant program is administered by the primary care office in the department. The state board may promulgate rules, as necessary, to implement the grant program.
(4)
(a)
Except as provided in subsection (4)(b) of this section, a local education provider awarded a grant pursuant to this section shall use the grant money to hire a school nurse or nurses in the selected school or schools. The grant shall supplement, not supplant, a local education provider's funding for school nurse positions and student health-care services existing in the local education provider's most recent fiscal year prior to the year of the application to the grant program.
(b)
A small rural school district or rural school district awarded a grant pursuant to this section shall first make reasonable efforts to use the grant money to hire a school nurse for the selected school or schools. If a small rural school district or rural school district can demonstrate to the department that it is unable to find a school nurse to fill the school nurse position, the small rural school district or rural school district may use the grant money to contract with a local public health agency established pursuant to section
25-1-506
, a federally qualified health center as defined in section
25-3-101 (2)(a)(III)(A)
, or other similar community health-care provider, or a registered nurse, to provide health services to the selected school or schools. The person providing health services must meet or exceed the academic and professional qualifications of a school nurse.
(5)
In applying for a grant, in addition to complying with the application process and requirements established by the department or state board rule, a local education provider seeking a grant shall include the following information in the grant application:
(a)
The ratio of school nurses to the number of students served by the local education provider in all schools and in each school of the local education provider;
(b)
The local education provider's number and percentage of schools that are eligible to receive money under Title I, part A of the federal "Elementary and Secondary Education Act of 1965",
20 U.S.C. sec. 6301
et seq.;
(c)
Whether a school district applicant is a small rural school district or rural school district;
(d)
The school or schools in which the local education provider intends to use the grant money to hire a school nurse;
(e)
The amount of money necessary to attract and retain a school nurse in the school or schools of the local education provider for the grant cycle and whether the local education provider intends to supplement a grant with any additional money to hire the school nurse position or positions; and
(f)
The local education provider's plan for continuing to fund the increases in school nursing services following expiration or nonrenewal of the grant.
(6)
(a)
Subject to available appropriations, the department shall annually award grants in the grant program. The department may fund more than one school nurse position per grant recipient. The amount of the grant must cover up to the cost of hiring a school nurse position or positions in the local education provider's selected school or schools.
(b)
(Deleted by amendment, L. 2022.)
(c)
The department shall give preference to an applicant that:
(I)
Is a small rural school district or rural school district; or
(II)
Is eligible to receive money under Title I, part A of the federal "Elementary and Secondary Education Act of 1965",
20 U.S.C. sec. 6301
et seq.
(7)
The department may expend a portion of the grant money to offset the department's reasonable and necessary expenses in administering the grant program.
(8)
(a)
In any fiscal year in which the general assembly makes an appropriation to the department for the grant program, each local education provider that receives a grant pursuant to the program shall provide information to the department on or before June 30 concerning the number of school nurse positions hired through the grant program, the number of students served through the school nurse position, an explanation of services provided by the school nurse, and the impact of the grant program-funded school nurse position on the local education provider and the students it serves.
(b)
Notwithstanding the provisions of section
24-1-136 (11)(a)(I)
to the contrary, on or before September 1, 2020, and on or before September 1 in each fiscal year thereafter in which the state board has awarded grants in the prior fiscal year, the department shall submit a report to the education and the health and insurance committees of the house of representatives and the education and the health and human services committees of the senate, or any successor committees, that includes, at a minimum, a summary of the information reported by grant recipients pursuant to subsection (8)(a) of this section.
(9)
The general assembly shall appropriate three million dollars from the economic recovery and relief cash fund created in section
24-75-228
to the department for the grant program. Any money remaining at the end of the 2022-23 state fiscal year from this appropriation is further appropriated to the department for the purposes of this section. The department shall obligate and spend the money received pursuant to this subsection (9) in accordance with section
24-75-226 (4)(d)
.
(10)
The department and any person who receives money from the department shall comply with the compliance, reporting, record-keeping, and program evaluation requirements established by the office of state planning and budgeting and the state controller in accordance with section
24-75-226 (5)
.
Amended by 2024 Ch. 429,§ 28, eff. 6/5/2024.
Amended by 2023 Ch. 199,§ 8, eff. 5/16/2023.
Amended by 2022 Ch. 179, § 9, eff. 5/18/2022.
Added by 2019 Ch. 325, § 1, eff. 5/29/2019.
L. 2019: Entire section added, (HB 19-1203), ch. 3000, p. 3000, § 1, effective May 29.