During the previous House Session, HB 360 was introduced by Free Stater/Liberty Alliance member Rep. Kristin Noble. It was co-sponsored by six fellow group members. It ended up being retained in the Education Policy and Administration Committee but has now resurfaced in an amended form. The original bill would “bar school nurses and doctors from performing surgeries, diagnostic procedures or prescribe pharmaceutical drugs in schools.” As amended the words “diagnostic procedures” have been removed.
Noble has claimed this is a preventative bill, as this happens in school-based clinics all over the country! Finding that hard to believe, the search was on to find what schools allow this.
Spoiler alert: I couldn’t find any . . .
Let’s be clear, school nurses and physicians DO NOT perform surgeries or prescribe pharmaceutical drugs in schools. Nurses are responsible for health support and dispensing medication. Physicians provide medical care OUTSIDE the schools in a clinical setting.
According to the American Academy of Pediatrics, some kids have acute and chronic health conditions which require medication to be given during the school day. Therefore, school medication administration protocols were developed to help prevent medication errors. More than 25% of students manage chronic conditions such as asthma, diabetes, and epilepsy, requiring the presence of a school nurse. ensures these children can thrive in a safe and supportive environment. School nurses play an important role in supporting the health, safety and wellness of students nationwide.
Some examples of school nurse responsibility:
- Assessing the severity of illness or injury in students.
- Giving medications to students provided and approved by parents and healthcare providers.
- Caring for students with chronic conditions such as diabetes, epilepsy/seizures, asthma, allergies/anaphylaxis, and others.
- Making sure all students are up to date on vaccinations/immunizations.
- Directing the provision of health services within the school.
- Screening for vision, hearing and other potential health issues.
- Preventing and controlling the spread of communicable diseases.
- Connecting students and families to relevant health resources.
- Providing mental health support to students in need.
- Collecting health data in school for local, state, and national officials.
- Promotion of overall school community health through education and wellness initiatives.
Nowhere in there is mention of being able to “perform surgeries” or “dispense drugs.” While Rep. Noble acknowledges this is “preventative” legislation, it’s really a “solution” in search of a non-existent problem.
By the way, here’s another one Rep. Noble would like to see happen, repealing the reading recovery training program. This training is for educators in order to better help their students learn. You can find more here on the Literacy Council of North America.
“Behind every successful student, there’s a school nurse who helped them during tough times.”

