The Committee on Education and Public Works proposes the following amendment (LC-3974.WAB0001H):
Amend the bill, as and if amended, SECTION 1, by striking Section 59-10-510(1), (2), (3), (4), and (5) and inserting:
(1) "Evaluation" includes, but is not limited to, the following criteria:(a) diagnosis;
(b) determination of intervention type;
(c) determination of intervention length;
(d) identification of the goals of a student;
(e) identification of the impact of student behavior on the student's educational program; and
(f) planning for involvement of the student's family in the student's treatment plan.
(2) "Private provider" means a provider who renders health, behavioral health, or therapeutic services and is licensed by this State and in good standing or, if state licensure is not available, a provider who is certified by and in good standing with a national certification or accreditation organization. A private provider includes, but is not limited to:
(a) speech language pathologists, occupational therapists, and physical therapists;
(b) psychiatrists;
(c) psychologists;
(d) clinical social workers;
(e) licensed professional counselors and licensed marriage and family therapists; and
(f) behavioral interventionists and specialists including, but not limited to:
(i) board certified behavior analysts;
(ii) board certified assistant behavior analysts;
(iii) board certified assistant behavior analyst doctoral practitioners; and
(iv) certified registered behavior technicians under the appropriate supervision of a board certified behavior analyst or board certified assistant behavior analyst.
(3) "Classroom aide" means a private paraprofessional who works under the supervision of a private provider to assist students with disabilities and deliver direct services to such students at school during the school day. A classroom aide is not a teacher aide as defined in Section 59-1-140 or other employee of a school district.
(4) "Evaluator" means a private provider who is:
(a) licensed to perform a medical, behavioral, or therapeutic evaluation at a parent or guardian's request;
(b) not an employee of a public school district or the State Department of Education; and
(c) licensed by this State and in good standing or, if state licensure is not available, a provider who is certified by and in good standing with a national certification or accreditation organization.
(5) "Medically necessary service" means a service recommended or ordered by a healthcare provider who is:
(a) licensed in this State or another state and provides services within twenty-five miles of the border of this State;
(b) acting within the scope of the provider's license; and
(c) covered by an independent third-party payor.(1) "Private provider" means a provider who:
(a) renders Applied Behavior Analysis therapy or performs an evaluation or observation pursuant to such therapy, and includes:
(i) board certified behavior analysts;
(ii) board certified assistant behavior analysts;
(iii) board certified behavior analyst-doctoral; and
(iv) registered behavior technicians under the appropriate supervision of a board certified behavior analyst or board certified assistant behavior analyst;
(b) provides or seeks to provide services in a South Carolina public school;
(c) is licensed by this State and in good standing or, if state licensure is not available, is certified by and in good standing with a national certification or accreditation organization; and
(d) is not an employee of a public school district or the State Department of Education.
(2) "Medically necessary service" means services that meet the following requirements:
(a) ordered by a health care provider within the scope of the health care provider's license for the treatment or remediation of functional impairments associated with a diagnosis of autism spectrum disorder;
(b) not for experimental or investigational purposes;
(c) within the generally accepted standards of medical care in the community;
(d) not solely for the convenience or personal preference of the insured, the insured's family, or the provider; and
(e) is medically necessary during school hours in the school setting.
(3) "Third party payor" includes, but is not limited to, Medicaid, self-funded health plans, and commercial insurance.
(4) "Undue burden" has the same meaning as Section 504 of the Rehabilitation Act of 1973, 29 U.S.C. section 793, as amended, and Title II of the Americans with Disabilities Act (ADA) of 1990, 42 U.S.C. section 12101, et seq., as amended.
(5) "Fundamental alteration" has the same meaning as Section 504 of the Rehabilitation Act of 1973, 29 U.S.C. section 793, as amended, and Title II of the Americans with Disabilities Act (ADA) of 1990, 42 U.S.C. section 12101, et seq., as amended.
Amend the bill further, SECTION 1, Section 59-10-520, by striking the MACROBUTTON NoMacro <
(1) an evaluator from performing an evaluation of a student at a public school during school hours if the parent or legal guardian of the student requests such an evaluation from the evaluator; or
(2) a private provider or classroom aide from providing medically necessary services authorized by an independent third-party payor to a student at a public school during school hours if the parent or legal guardian of the student requests such services from the provider or aide. For purposes of this section, an independent third-party payor includes, but is not limited to, Medicaid and commercial insurance.Districts must consider on a case-by-case basis a request from a parent or legal guardian of a student for a private provider to provide medically necessary services authorized by an independent third-party payor to a student at a public school during school hours, including the ability of a private provider to observe or evaluate the student and the environment where services will be provided.
(1) If a parent or legal guardian of a student requests medically necessary services in excess of what the district has determined is appropriate pursuant to its obligations under the IDEA and the child's IEP and is providing to the student, the school must review the medically necessary service pursuant to an ADA analysis, which would allow a private provider to render the service as a reasonable accommodation as long as it does not impose an undue burden on or fundamental alteration to school operations as contemplated by the ADA and Section 504 of the Rehabilitation Act.
(2) The collaboration of school personnel and private providers is intended to enhance but not supplant or replace the obligations or responsibilities of districts under the IDEA.
(3) Districts may not apply or use a district's determination about its obligations in a child's IEP pursuant to the IDEA to deny or limit a student's access to medically necessary services from a private provider pursuant to the ADA.
(4) Districts may utilize existing review processes or create new ones to review a request for medically necessary services pursuant to the ADA. Requests may be reviewed by a student's IEP team or 504 committee or another group convened to review the request; however, the participants must apply the appropriate ADA standards to review a request for medically necessary services.
(5) If a parent or legal guardian requests a medically necessary service pursuant to the ADA for a student who does not currently have an IEP or 504 plan, the district must initiate the appropriate evaluation to determine if the child is entitled to services under the IDEA or Section 504 in addition to evaluating the ADA request.
Amend the bill further, SECTION 1, by striking Section 59-10-530(A) and inserting:
(A) The State Board of Education shall develop a model policy setting the parameters for evaluators to perform evaluations and for private providers and classroom aidesprivate providers to observe and evaluate a student or to provide medically necessary services during the school day, including during instructional time, in compliance with this chapter.:(1) the Individuals with Disabilities Education Act (IDEA), 20 U.S.C. Section 1400, et seq.;
(2) Section 504 of the Rehabilitation Act of 1973, 29 U.S.C. Section 701; and
(3) the Americans with Disabilities Act (ADA) of 1990, 42 U.S.C. Section 12101.
Amend the bill further, SECTION 1, by striking Section 59-10-530(B)(2), (3), (4), (5), (6), (7), and (8) and inserting:
(2) clarify the types of evaluators and private providers covered by the model policyset forth a process for evaluating a request for medically necessary, disability-based services and supports pursuant to the ADA, which is a separate determination not limited to or determined by what is necessary for a Free and Appropriate Public Education (FAPE) under the IDEA or Section 504;(3) require evaluators, private providers, and classroom aides to complete and pay for a criminal background check conducted by SLED unless such background check is already required for licensure as a private provider or evaluatorrequire private providers to submit documentation of completed background to checks to the district prior to entering a school building;
(4) determine the appropriate amount of generalprofessional liability insurance coverage for evaluators, private providers, and classroom aides and require them to maintain general professional liability insurance coverage;
(5) allow for services to be provided during instructional time if:in English/language arts, mathematics, or science if the school district and the private provider agree that doing so is in the best interest of the student
(a) the team, committee, or group convened to review the ADA request determines those services appropriate at that time; and
(b) services can be provided in a manner that does not interfere with the delivery of instruction to other students or otherwise prevent a classroom teacher from effectively managing and implementing classroom policies and procedures;
(6) require any instructional time missed due to services being provided must be forgiven and may not require the student to make up missed instruction;
(7)(6) require the parent or legal guardian of a student receiving a service from a private provider to execute and submit to the district:
(a) a written confirmation of the funding source for services provided by the private provider;
(b) a parent or guardian authorization for the provision of services at school during the school day; and
(c) a consent to release information form between the private provider and the school district; and
(7) require private providers to complete a written agreement with a school district that, at minimum, outlines:
(a) the school, teacher, and district's responsibilities;
(b) the duration and type of services to be provided;
(c) that the medically necessary services do not interfere with or impede other mandated services without collaboration and agreement between the service providers;
(d) expectations and requirements related to FERPA and any other applicable state and federal law;
(e) guidelines for any missed instructional time and assignments;
(f) expectations and guidelines for providers when interacting with students other than those receiving services with a goal of minimizing such interactions to the greatest extent possible;
(g) that a private provider must not be listed on a federal, state, or other child abuse or sex offender registries or otherwise be prohibited by state law from working in a school;
(h) expectations that the private provider must follow school policies and procedures; and
(i) allocation of liability between or among the parties; and
(8) provide procedures for a school district to establish sanctions, including termination of the authorization to provide services on any school campus, against an evaluator, a private provider, or classroom aide for failure to comply with the policy of the district.
Amend the bill further, SECTION 1, by striking Section 59-10-540 and inserting:
Section 59-10-540. The board shall finalize its model policy by November 1, 2025January 6, 2026. Districts must adopt the model policy or develop their own policy that meets the minimum requirements of the model policy and is subject to department approval by JanuaryJuly 1, 2026.Renumber sections to conform.
Amend title to conform.