H 451

GENERAL ASSEMBLY OF NORTH CAROLINA
  SESSION 2025
 H  2
  HOUSE BILL 451
  Committee Substitute Favorable 5/19/26
 Short Title:   Diabetes Education for Parents.  (Public)
 Sponsors:
 Referred to:
  March 20, 2025
1A BILL TO BE ENTITLED
2 AN ACT TO REQUIRE PUBLIC SCHOOL UNITS TO PROVIDE INFORMATION ABOUT
3     DIABETES TO PARENTS AND LEGAL GUARDIANS.
4 The General Assembly of North Carolina enacts:
5SECTION 1. G.S. 115C-375.3 reads as rewritten:
6 "§ 115C-375.3. Guidelines to support and assist students with diabetes.Diabetes support
7and awareness.
8     (a)     Local boards of education and boards of directors of charter schools Governing bodies
9 of public school units shall ensure that the guidelines adopted by the State Board of Education
10 under G.S. 115C-12(31) are implemented in schools in which students with diabetes are enrolled.
11 In particular, the boards governing bodies shall require the implementation of the procedures set
12 forth in those guidelines for the development and implementation of individual diabetes care
13 plans. The boards governing bodies also shall make available necessary information and staff
14 development to teachers and school personnel in order to appropriately support and assist
15 students with diabetes in accordance with their individual diabetes care plans.
16     (b)     Governing bodies of public school units shall ensure that each school provides parents
17 and legal guardians with information about Type 1 and Type 2 diabetes at the beginning of every
18 school year. This information shall include all of the following:
19(1)     A description of Type 1 and Type 2 diabetes.
20(2)     A description of the risk factors and warning signs associated with Type 1 and
21Type 2 diabetes.
22(3)     A recommendation that if a student is displaying warning signs associated
23with diabetes, the parent or guardian of the student consult with the primary
24care provider of the student to determine if immediate screening for diabetes
25is appropriate.
26(4)     A description of the screening process for and stages of diabetes.
27(5)     A recommendation that if a student receives a diabetes diagnosis, the parent
28or guardian of the student consult with the primary care provider of the student
29to develop an appropriate treatment plan.
30(6)     Notification that the school is required to assist students with diabetes in
31accordance with the guidelines adopted by the State Board of Education
32pursuant to G.S. 115C-12(31)."
33SECTION 2.(a) G.S. 115C-150.12C(15) reads as rewritten:
34"(15) Health and safety. – The board of trustees shall require that the school meet
35the same health and safety standards required of a local school administrative
  *H451-v-2*
 General Assembly Of North Carolina  Session 2025
1unit. The board shall comply with the requirements of Article 25A of this
2Chapter, including the following:
3a.     The board shall ensure that the school provides parents with
4information about cervical cancer, cervical dysplasia, human
5papillomavirus, and the vaccines available to prevent these diseases.
6This information shall be provided at the beginning of the school year
7to parents of children entering grades five through 12. This
8information shall include the causes and symptoms of these diseases,
9how they are transmitted, how they may be prevented by vaccination,
10including the benefits and possible side effects of vaccination, and
11places parents may obtain additional information and vaccinations for
12their children.
13b.     The board shall adopt policies to ensure that students in grades nine
14through 12 receive information annually on the manner in which a
15parent may lawfully abandon a newborn baby with a responsible
16person, in accordance with G.S. 7B-500.
17c.     The board shall ensure that the school complies with G.S. 115C-375.3,
18including the guidelines for individual diabetes care plans adopted by
19the State Board of Education for assisting and supporting students
20enrolled in the school with diabetes and the annual notification
21requirements related to Type 1 and Type 2 diabetes awareness."
22SECTION 2.(b) G.S. 115C-238.66(7) reads as rewritten:
23"(7) Health and safety. – The board of directors shall require that the regional
24school meet the same health and safety standards required of a local school
25administrative unit.unit, including the following:
26a.     The Department of Public Instruction shall ensure that regional
27schools comply with G.S. 115C-375.2A. The board of directors of a
28regional school shall provide the school with a supply of emergency
29epinephrine delivery systems necessary to carry out the provisions of
30G.S. 115C-375.2A.
31b.     The board of directors shall ensure that the regional school complies
32with G.S. 115C-375.3, including the guidelines for individual diabetes
33care plans adopted by the State Board of Education for assisting and
34supporting students enrolled in the school with diabetes and the annual
35notification requirements related to Type 1 and Type 2 diabetes
36awareness."
37SECTION 2.(c) G.S. 116-239.8(b)(9) reads as rewritten:
38"(9) Health and safety. – The chancellor shall require that the laboratory school
39meet the same health and safety standards required of a local school
40administrative unit.unit, including the following:
41a.     The Department of Public Instruction shall ensure that laboratory
42schools comply Chancellor shall ensure that the laboratory school
43complies with G.S. 115C-375.2A. The chancellor shall provide the
44laboratory school with a supply of emergency epinephrine delivery
45systems necessary to carry out the provisions of G.S. 115C-375.2A.
46b.     The Chancellor shall ensure that the laboratory school complies with
47G.S. 115C-375.3, including the guidelines for individual diabetes care
48plans adopted by the State Board of Education for assisting and
49supporting students enrolled in the school with diabetes and the annual
50notification requirements related to Type 1 and Type 2 diabetes
51awareness."
 Page 2  House Bill 451-Second Edition
General Assembly Of North Carolina  Session 2025
1SECTION 3. There is appropriated from the General Fund to the Department of
2 Public Instruction the sum of ten thousand dollars ($10,000) in nonrecurring funds for the
3 2026-2027 fiscal year to assist the Department in developing and distributing guidance to public
4 school units on implementing the provisions of this act.
5SECTION 4. This act becomes effective July 1, 2026, and applies beginning with
6 the 2026-2027 school year.
House Bill 451-Second Edition  Page 3