Diabetes at school, by state

Type 1 diabetes at school in Oregon

What Oregon law and the state’s own guidance say about insulin, glucagon, supplies and phones at school, with each source quoted. Checked 2026-10-06.

Can trained school staff give insulin?

With limits

Oregon State Board of Nursing rules let a registered nurse delegate medication administration to unlicensed persons in a community-based setting, and the decision to delegate rests only with the nurse (Or. Admin. R. 851-047-0030). The rule does not name insulin. (secure.sos.state.or.us)

The American Diabetes Association’s Oregon page reads this differently: ADA answers yes, citing older rule text on delegated subcutaneous injections and an Attorney General opinion on insulin; the current rule text makes delegation the nurse's decision and does not name insulin.

Can trained school staff give glucagon?

With limits

A person who completes the state glucagon training may give a student's prescribed glucagon for a severe hypoglycemic reaction in an emergency when a licensed health care professional is not immediately available (ORS 433.815, 433.825). (oregonlegislature.gov)

The American Diabetes Association’s Oregon page reads this differently: ADA answers yes; it quotes the same emergency-only limit, which this entry counts as partial.

Can a student carry supplies and manage diabetes at school?

With limits

District policy must let a student self-administer medication if the student shows the ability and has permission from a school building administrator and a prescriber or school nurse; self-carry is set by a district process (Or. Admin. R. 581-021-0037). (secure.sos.state.or.us; oregon.gov (PDF))

Does the state publish a diabetes care plan form or guidelines?

No source found

No Oregon Department of Education or Oregon Health Authority diabetes medical management plan form or school diabetes guideline was found. The Department of Education publishes general medication forms and a medication administration training manual. We found no statute or state agency page that answers this for Oregon. Ask the school nurse or the state Department of Education, and see the American Diabetes Association’s Oregon page.

Can a student keep a phone for the CGM in class?

Yes

Governor's Executive Order 25-09 requires district personal electronic device policies to allow a student's device use that follows a medical provider's order for the care and treatment of a medical condition, or the student's IEP or 504 plan. (oregon.gov (PDF))

Also in Oregon

Oregon's glucagon program is ORS 433.800 to 433.830, which requires training by a licensed health care professional on glucagon for severe hypoglycemia. (oregonlegislature.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

• secure.sos.state.or.us: “(a) The registered nurse (RN) may delegate, to other than licensed nursing personnel, tasks relating to the administration of medication and patient care tasks that are ordered or prescribed by a physician licensed under ORS chapter 677, a CNS or NP;” (the site blocks automated checks; checked by hand)
• secure.sos.state.or.us: “(7) The decision to delegate or not delegate remains solely with the RN.” (the site blocks automated checks; checked by hand)
• oregonlegislature.gov: “The person may possess the glucagon and administer the glucagon to the student for whom the glucagon is prescribed if the student is suffering a severe hypoglycemic reaction in an emergency situation when a licensed health care professional is not immediately available and other treatment has failed or cannot be initiated.”
• secure.sos.state.or.us: “(a) Permit a student to administer prescription or nonprescription medication to themselves where the student can demonstrate the ability, developmentally and behaviorally, to self- administer medication and has permission to self-administer medication from a school building administrator, and a prescriber or registered nurse practicing in a district setting;” (the site blocks automated checks; checked by hand)
• oregon.gov (PDF): “Example: some students are permitted to self-carry emergency medications or medications for diabetes but still require assistance by school personnel.”
• oregon.gov (PDF): “The policy must provide for the use of a personal electronic device by a student when the use complies with the terms of: 1. The student's medical provider's order for the care and treatment of a medical condition.”
• oregonlegislature.gov: “(c) Proper administration of a subcutaneous injection of glucagon for severe hypoglycemia when other treatment has failed or cannot be initiated; and (d) Necessary follow-up treatment.”

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).