Type 1 diabetes at school in Nebraska
What Nebraska law and the state’s own guidance say about insulin, glucagon, supplies and phones at school, with each source quoted. Checked 2026-10-06.
| Insulin by trained staff | Yes |
| Glucagon by trained staff | No source found |
| Self-carry | Yes |
| State plan or guidelines | Yes |
| Phone for the CGM | Yes |
Can trained school staff give insulin?
Yes
The Nebraska Department of Education's insulin delegation guide says a registered nurse may delegate insulin injections to trained unlicensed school staff, through nurse delegation, when a health care provider gives written directions (Neb. Rev. Stat. § 71-6723; Department of Education Rule 59). The RN decides for each student. (education.ne.gov (PDF); nebraskalegislature.gov)
The American Diabetes Association’s Nebraska page reads this differently: ADA says the law is unclear (no barrier); the Department of Education's 2024 insulin delegation guide says insulin may be delegated.
Can trained school staff give glucagon?
No source found
No Nebraska statute or state guidance names glucagon. Neb. Rev. Stat. § 71-6723 lets competent school staff give as-needed (PRN) medication and medication by other routes with written direction from a licensed health care professional. We found no statute or state agency page that answers this for Nebraska. Ask the school nurse or the state Department of Education, and see the American Diabetes Association’s Nebraska page.
Can a student carry supplies and manage diabetes at school?
Yes
Under Neb. Rev. Stat. § 79-225, a student with a diabetes medical management plan may self-manage diabetes in the classroom, anywhere in the school or on school grounds, and at school activities. A school may restrict supplies if the student misuses them. (nebraskalegislature.gov)
Does the state publish a diabetes care plan form or guidelines?
Yes
The Nebraska Department of Education publishes an insulin delegation guide and a diabetes training presentation for school staff. No state DMMP form was found; Neb. Rev. Stat. § 79-225 requires the school and parent to develop a diabetes medical management plan for a self-managing student. (education.ne.gov (PDF); education.ne.gov; nebraskalegislature.gov)
Can a student keep a phone for the CGM in class?
Yes
LB 140 (2025) requires each public school board to prohibit student device use at school, but a policy may not prohibit device use when necessary to monitor or manage a student's health care. (nebraskalegislature.gov (PDF))
Also in Nebraska
Under Neb. Rev. Stat. § 79-225 (LB 1107, 2006), the parent of a self-managing student signs a statement that the school is not liable for injury from the student's self-management. (nebraskalegislature.gov)
Federal law applies in every state
Section 504 and the Americans with Disabilities Act can cover a student with diabetes at a public school in every state, whatever the state law says; a 504 plan is where the student’s care at school is written down. The federal rules, with sources.
Sources, quoted
- education.ne.gov (PDF): “If all conditions are met, then the unlicensed school personnel (UAP) may be trained in administration of injected medications including insulin and the RN will supervise and evaluate.”
- education.ne.gov (PDF): “Ultimately, the RN determines whether delegating insulin is the right call for the specific student and situation.”
- nebraskalegislature.gov: “(b) It has been determined by a licensed health care professional and placed in writing that these activities can be done safely for a specified recipient.”
- nebraskalegislature.gov: “(2) A medication aide, a person licensed to operate a child care facility or a staff member of a child care facility, or staff member of a school may provide medication by additional routes not listed in subsection (1) of this section, provide PRN medication, or participate in observing and reporting for monitoring medications only under the following conditions:”
- nebraskalegislature.gov: “(3) Pursuant to the diabetes medical management plan developed under subsection (2) of this section, a student with a diabetic condition shall be permitted to self-manage his or her diabetic condition in the classroom or any part of the school or on school grounds during any school-related activity or in any private location specified in the plan.”
- nebraskalegislature.gov: “(4)(a) A school may prohibit a student from possessing the necessary medical supplies to self-manage his or her diabetic condition or place other necessary and appropriate restrictions or conditions on the student's self-management of his or her diabetic condition if the school determines that the student has endangered himself, herself, or others through the misuse or threatened misuse of such medical supplies.”
- education.ne.gov (PDF): “Can insulin be delegated to an unlicensed school staff person? A reference and decision making guide for schools in Nebraska”
- education.ne.gov: “To help schools manage this condition, Children's Endocrinology team created a PowerPoint schools may use to educate staff.”
- nebraskalegislature.gov: “(2) Upon receipt of a written request and authorization under subsection (1) of this section, the school and the parent or guardian, in consultation with the student's physician, shall develop a diabetes medical management plan for the student for the current school year.”
- nebraskalegislature.gov (PDF): “(b) A policy adopted pursuant to this section shall not prohibit a student from using an electronic communication device while on school property or”
- nebraskalegislature.gov (PDF): “(iv) When necessary to monitor or manage a student's health care;”
- nebraskalegislature.gov: “(5) The parent or guardian of a student for whom a diabetes medical management plan has been developed under this section shall sign a statement acknowledging that (a) the school and its employees and agents are not liable for any injury or death arising from a student's self-management of his or her diabetic condition”
Legal information, not legal advice. Laws change; the source page is the authority when it differs, and this page is rechecked each July. For help with a school, the American Diabetes Association’s legal advocates answer at 1-800-DIABETES (1-800-342-2383).