House committee substitute to the 2nd edition rewrites the bill as follows.  

Section 1.

Amends GS 115C-357.1 as follows. Requires the State Board of Education (Board) to adopt a medical action plan (Plan) with three required components, including detailed instructions to ensure that all individuals designated by the principal or if there is no principal, the staff member with the highest decision-making authority, to provide medical care for a student at risk for a medical emergency as diagnosed by a doctor, know how to address the medical emergency. Directs governing bodies of a public school unit to implement the MAP for each student at risk of a medical emergency as diagnosed by a doctor. Requires that at least one public school unit employee per school be trained in first aid and lifesaving techniques, including seizure recognition. Exempts school administrators from the statute’s bar on requiring public school unit employees to administer medication or attend lifesaving techniques programs. Modifies the indemnity provisions for authorized volunteers administering emergency health care so that the governing body of a public school unit is the entity authorizing the provision of those measures. Specifies that the immunity applies when the emergency health care is given when reasonably apparent circumstances indicate that any delay would seriously worsen the physical condition or endanger the life of the student. Allows the staff member with the highest decision-making authority to determine the staff members who will participate in the medical care program if a school does not have a principal at the beginning of the school year. Makes technical and conforming changes, including to statute’s title.  

Tasks the Board in GS 115C-12 with adopting a rule establishing the MAP and, in consultation with the Department of Public Instruction (DPI) and the Department of Health and Human Services (DHHS), adopt a rule establishing the required response of public school unit employees when a student has a medical emergency not otherwise covered by a MAP. Requires DPI to provide each public school unit with a copy of the rule and each unit to implement the rule. Authorizes the Board to adopt temporary rules to implement Section 1.

Section 2.

Modifies the duties of local boards of education in GS 115C-47 so that they have to implement the MAP and the emergency action plan adopted by the Board. Requires charter schools (GS 115C-218.75), regional schools (GS 115C-238.66), laboratory schools (GS 116-239.8), and renewal school systems (Section 6(d) to SL 2018-32) to implement the MAP and emergency action plan adopted by the Board.

Applies beginning with the 2025-26 school year.

Removes provisions specifying the name of the act, enacting new GS 115C-375.7, making provisions applicable to the school for deaf and blind students and to UNC, and the appropriation to the Department of Public Instruction.