Passed by the Senate April 21, 2003 YEAS 45 NAYS 0 BRAD OWEN ________________________________________ President of the Senate Passed by the House April 8, 2003 YEAS 95 NAYS 0 FRANK CHOPP ________________________________________ Speaker of the House of Representatives		CERTIFICATE I, Milton H. Doumit, Jr., Secretary of the Senate of the State of Washington, do hereby certify that the attached is SUBSTITUTE SENATE BILL 5237 as passed by the Senate and the House of Representatives on the dates hereon set forth. MILTON H. DOUMIT JR. ________________________________________ Secretary
Approved May 9, 2003. GARY F. LOCKE ________________________________________ Governor of the State of Washington		FILED May 9, 2003 - 3:28 p.m. Secretary of State State of Washington

AN ACT Relating to regulating the catheterization of students; amending RCW 28A.210.280; and adding a new section to chapter 28A.210 RCW.

Sec. 1   RCW 28A.210.280 and 1994 sp.s. c 9 s 721 are each amended to read as follows:
     (1) Public school districts and private schools that offer classes for any of grades kindergarten through twelve ((~~may~~)) must provide for clean, intermittent bladder catheterization of students, or assisted self- catheterization of students pursuant to RCW 18.79.290((~~, if the catheterization is provided for~~)). The catheterization must be provided in substantial compliance with:
     (a) Rules adopted by the state nursing care quality assurance commission and the instructions of a registered nurse or advanced registered nurse practitioner issued under such rules; and
     (b) Written policies of the school district or private school which shall be adopted in order to implement this section and shall be developed in accordance with such requirements of chapters 41.56 and 41.59 RCW as may be applicable.
     (2) ((~~This section does not require school districts to provide intermittent bladder catheterization of students.~~)) School district employees, except those licensed under chapter 18.79 RCW, who have not agreed in writing to perform clean, intermittent bladder catheterization as a specific part of their job description, may file a written letter of refusal to perform clean, intermittent bladder catheterization of students. This written letter of refusal may not serve as grounds for discharge, nonrenewal, or other action adversely affecting the employee's contract status.
     (3) Any public school district or private school that provides clean, intermittent bladder catheterization shall document the provision of training given to employees who perform these services. These records shall be made available for review at any audit.

NEW SECTION. Sec. 2 A new section is added to chapter 28A.210 RCW to read as follows:
Any employee of a public school district or private school that performs health services, such as catheterization, must have a job description that lists all of the health services that the employee may be required to perform for students.