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Student Health Services

NYC Admin. Code tit. 21-A, ch. 8
in effect

NYC Admin. Code § 21-965 Student health services.

§ 21-965 Student health services. a. Definitions. As used in this chapter, the following terms have the following meanings: Automated student health record database. The term "automated student health record database" means a database maintained by the department of health and mental hygiene to record information about students' medical care. NYC FITNESSGRAM. The term "NYC FITNESSGRAM" means an annual fitness assessment used to determine students' overall physical fitness. Reside in temporary housing. The term "reside in temporary housing" means satisfying the definition of "homeless child" as set forth in chancellor's regulation A-780. School based health center. The term "school based health center" means on-site health care services provided to students within the school building, which are operated by independent institutions including, but not limited to, hospitals and community based organizations. Student. The term "student" means any pupil under the age of twenty-one as of September first of the academic period being reported, who does not have a high school diploma and who is enrolled in a district school or pre-kindergarten program in a district school within the city school district. Student health encounter. The term "student health encounter" means any student visit to a school medical room recorded in the automated student health record database. b. Not later thanDecember 31, 2024, and no later than December 31 annually thereafter, the department shall submit to the speaker of the council a report regarding information on health services provided to students for the preceding school year. Such report shall include, but not be limited to: 1. The number of school buildings where full time nurses are employed by the office of school health and the number of school buildings where part time nurses are employed by such office; the ratio of students to nurses in such school buildings; and the average number of student health encounters per nurse in such school buildings; 2. The total number of student health encounters; 3. The total number of NYC FITNESSGRAMS performed, and the percentage of students assessed who had a body mass index: (i) below the 5th percentile; (ii) in the 5th to 84th percentile; (iii) in the 85th to 94th percentile; and (iv) equal to or above the 95th percentile, to the extent such information is collected by the department. 4. The total number of medication orders reviewed by the office of school health and recorded in the automated student health record database; 5. The total number of students reported to the office of school health as having a diagnosis of allergies, asthma, diabetes type 1, diabetes type 2, sickle cell disease, or sickle cell trait; and 6. The total number of school based health centers disaggregated by the type of provider including, but not limited to, hospital and federally qualified health centers; and the total number of students enrolled in the school or schools served by each school based health center. c. All information required to be reported by this section shall be disaggregated by: 1. Community school district; and 2. For students in kindergarten through grade eight, whether such students reside in temporary housing. d. No information that is otherwise required to be reported pursuant to this section shall be reported in a manner that would violate any applicable provision of federal, state, or local law or the New York city health code relating to the privacy of student information or that would interfere with law enforcement investigations or otherwise conflict with the interest of law enforcement. If the category contains between one and five students, or allows another category to be narrowed to be between one and five students, the number shall be replaced with a symbol. A category that contains zero students shall be reported as zero, unless such reporting would violate any applicable provision of federal, state or local law or the New York city health code relating to the privacy of student information. (L.L. 2016/012, 2/8/2016, eff. 2/8/2016; Am. L.L. 2021/156, 12/24/2021, eff. 12/24/2021; Am. L.L. 2024/066, 6/15/2024, eff. 6/15/2024)

NYC Admin. Code § 21-966 Reporting on health education.

§ 21-966 Reporting on health education. a. For the purposes of this section, the following term has the following meaning: Health education. The term "health education" means health education instruction, including sexual health education and HIV/AIDS education, consistent with learning standards for health education found in regulations promulgated by the New York state commissioner of education and in the department's requirements. b. Not later than December 1, 2016, and on or before December 1 annually thereafter, the department shall submit to the speaker of the council and post conspicuously on the department's website in a manner searchable by individual school, a report for the preceding academic year for each community school district and school within such district, which shall include, but not be limited to the following: 1. The total number and percentage of students in grades six through twelve who have completed at least one semester of health education; 2. Starting in the report for the 2019-2020 school year and for every subsequent school year thereafter, for each grade level in each school containing any combination of grades six through 12, data specifying the number and percentage of students who are receiving the amount of HIV/AIDS instruction required by section 135.3 of titles 8 of the New York codes, rules and regulations; 3. Information regarding the implementation of health education instruction including, but not limited to: (i) how the department tracks compliance with health education and HIV/AIDS education requirements; (ii) how principals monitor teacher compliance with the sexual health knowledge benchmarks as outlined by the department; (iii) how the efficacy of the health education curriculum recommended by the department is evaluated; and (iv) what methods the department employs to solicit student feedback regarding health education; 4. Information regarding health education which specifically addresses lesbian, gay, bisexual, transgender, and questioning (LGBTQ) students, and other non-heterosexual sexual orientations or non-cisgender gender identities, including but not limited to, sexual health knowledge for same-sex relationships; 5. The number of instructors providing health education instruction at each school; 6. The number of full-time licensed health instructors providing health education at each school; 7. The number of part-time licensed health instructors providing health education at each school; and 8. The number of instructors providing health education at each school on an incidental basis in accordance with section 80-5.3 of title 8 of the New York codes, rules and regulations; and 9. The total number, disaggregated by community school district, of the following: (a) Incidental teaching applications submitted to the commissioner of state education pursuant to section 80-5.3 of title 8 of the New York codes, rules and regulations; (b) Such applications denied by the commissioner of state education; (c) Incidental teaching renewal applications submitted to the commissioner of state education pursuant to section 80-5.3 of title 8 of the New York codes, rules and regulations; and (d) Such renewal applications denied by the commissioner of state education; and c. All information required to be reported by this section shall be aggregated citywide, as well as disaggregated by city council district, community school district and school. d. No information that is otherwise required to be reported pursuant to this section shall be reported in a manner that would violate any applicable provision of federal, state or local law relating to the privacy of student information or that would interfere with law enforcement investigations or otherwise conflict with the interests of law enforcement. If a category contains between one and five students, or allows another category to be narrowed to between one and five students, the number shall be replaced with a symbol. A category that contains zero students shall be reported as zero, unless such reporting would violate any applicable provision of federal, state or local law relating to the privacy of student information. (L.L. 2016/014, 2/8/2016, eff. 2/8/2016; Am. L.L. 2019/175, 10/13/2019, eff. 10/13/2019)

NYC Admin. Code § 21-967 Instructors receiving sexual health training.

§ 21-967 Instructors receiving sexual health training. a. For the purposes of this section, "school" means a school of the city school district of the city of New York. b. Not later than December 1, 2016, and on or before December 1 annually thereafter, the department shall submit to the speaker and post on the department's website information regarding the provision of sexual health education training to instructors in schools for the preceding school year. Such information shall include: (i) the total number of licensed health instructors employed by the department, disaggregated by full-time and part-time instructors; (ii) the total number of instructors assigned to teach at least one health education class; (iii) the total number and percentage of instructors who received professional development training provided by the department on sexual health education in the preceding two school years; and (iv) the total number and percentage of instructors who attended multiple sessions of professional development training provided by the department on sexual health education in the preceding two school years, disaggregated by the number of trainings attended. c. All information required to be reported by this section shall be aggregated citywide, as well as disaggregated by city council district and community school district and, when available, by school. (L.L. 2016/015, 2/8/2016, eff. 2/8/2016)

NYC Admin. Code § 21-967.1 Public school medical personnel competency training.

§ 21-967.1 Public school medical personnel competency training. a. For purposes of this section, the following terms have the following meanings: Gender-affirming health care. The term “gender-affirming health care” has the same meaning as the term “gender-affirming care” as set forth in paragraph 2 of subdivision a of section 10-184.1. Gender expression. The term “gender expression” means the representation of gender as expressed through one’s name, pronoun, clothing, hairstyle, behavior, voice, or similar characteristics that may or may not conform to gender stereotypes, norms, and expectations. Gender identity. The term “gender identity” means an individual’s sense of their own gender which may be the same as or different from their sex assigned at birth. Intersex. The term “intersex” has the same meaning as set forth in subdivision a of section 17-199.29. Sex characteristics. The term “sex characteristics” means the biological or physical features associated with an individual’s sex that may appear in their chromosomes, genitals, reproductive organs such as testes or ovaries, or as physical features such as facial hair, breast development, or voice tone, and that may be identified at birth, at puberty, or later in life. Sexual orientation. The term “sexual orientation” means an individual’s actual or perceived romantic, physical, or sexual attraction to other persons, or lack thereof, on the basis of gender. b. Physicians and nurses employed by, or working pursuant to a contract with, the department of health and mental hygiene and working in public schools through the office of school health shall complete annual competency training on health concerns related to sexual orientation, gender identity, gender expression, and sex characteristics. Such training shall also be offered to all other medical personnel working in public schools through the office of school health. Such training shall include, but not be limited to, use of affirming language, information related to prevention and treatment of sexually transmitted infections, information related to variations in sex characteristics including intersex traits, health concerns related to gender-affirming health care, and a list of referrals and resources to better assist medical personnel to connect students with such gender-affirming health care. c. No later than March 1, 2026, and annually by March 1 thereafter, the chancellor, in coordination with the commissioner of health and mental hygiene, shall submit to the mayor and the speaker of the council, and post on the department’s website, a report on the training provided pursuant to this section. Such report shall include, but not be limited to, the number of physicians, nurses, and other medical personnel trained, disaggregated by whether such personnel are employees of the department, the department of health and mental hygiene, another city agency, or contractors of a city agency. (L.L. 2025/131, 9/13/2025, eff. 9/13/2025)

NYC Admin. Code § 21-968 Provision of menstrual products in schools.

§ 21-968 Provision of menstrual products in schools. a. Definitions. As used in this section, the following terms have the following meanings: Menstrual products. The term “ menstrual products” means menstrual cups, tampons, and menstrual pads for use in connection with the menstrual cycle. School building. The term “school building” means any facility that is leased by the department or over which the department has care, custody, and control, in which there is a public school, including a charter school, serving students who menstruate in any combination of grades from grade 4 through grade 12. b. The department shall make menstrual products available at no cost to students in bathrooms of school buildings. c. No later than 180 days after the effective date of the local law that added this subdivision, and annually thereafter, the department shall submit to the mayor and the speaker of the council and post on its website a report on schools’ provision of menstrual products, as required by subdivision b of this section. Such report shall include, but need not be limited to, the following information for the previous year: 1. The number of schools that provided only 1 type of menstrual product to students, including the brand names and types of products provided; 2. The number of schools that provided 2 or more types of menstrual products to students, including the brand names and types of products provided; 3. For schools that provided menstrual products to students, the number of bathrooms or areas in each school where such products were made available to students, including how they were dispensed or otherwise made available; and 4. The number of schools that did not provide menstrual products to students, and the reasons why the products were not provided. (L.L. 2016/084, 7/13/2016, eff. 11/10/2016; Am. L.L. 2024/008, 1/6/2024, eff. 1/6/2024; Am. L.L. 2024/009, 1/6/2024, eff. 1/6/2024)

NYC Admin. Code § 21-968.1 Education on menstrual products in schools.

§ 21-968.1 Education on menstrual products in schools. a. Definitions. As used in this section, the following terms have the following meanings: Menstrual products. The term “menstrual products” means menstrual cups, tampons, and menstrual pads for use in connection with the menstrual cycle. School. The term “school” means a school of the city school district or any public school or charter school located in a facility that is leased by the department or over which the department has care, custody, and control serving students in grades 4 through 12. b. No later than 270 days after the effective date of the local law that added this section, the department, in collaboration with the commission on gender equity, shall develop informational materials about menstrual products to be shared with every student in grades 4 through 12. Such informational materials shall include: 1. A description of each product; 2. Information on how to use each product; 3. Health information associated with each product; and 4. Information about students’ right to products at no cost in school buildings. c. The department shall post the informational materials required by subdivision b of this section on its website and update such materials as necessary. d. No later than 1 year after the effective date of the local law that added this section, and annually thereafter, the department shall submit to the mayor and the speaker of the council and post on its website a report on the department’s distribution of informational materials required by subdivision b of this section. Such report shall include a table in which each separate row references a school building. Each such row shall include the following information set forth in separate columns for the previous 6 months: 1. The school name; 2. The school ID; 3. The number of students in grades 4 through 12; 4. Whether the department provided the school with written materials created pursuant to subdivision b of this section; and 5. Whether the department provided the school with such informational materials as a result of a request made by a school official, including but not limited to a principal, or whether the department provided the school such informational materials in the absence of a request for such materials. (L.L. 2024/011, 1/6/2024, eff. 1/6/2024)

NYC Admin. Code § 21-969 Distribution of educational materials on drugs and opiates awareness and prevention.

§ 21-969 Distribution of educational materials on drugs and opiates awareness and prevention. a. Definitions. For the purposes of this section, the following terms have the following meanings: Middle and high school. The term "middle and high school" means any school of the city school district that contains any combination of grades from grade 6 through grade 12. Student. The term "student" means any pupil under the age of 21 as of September 1 of the relevant academic year, who does not have a high school diploma and who is enrolled in grade 6 or higher. b. Each academic year, the department shall make available educational materials on drugs and opiates awareness and prevention developed by the department of health and mental hygiene pursuant to section 17-199.9 to students at each middle and high school. c. The department shall make available such educational materials in English and in each of the designated citywide languages as defined in section 23-1101 in each middle and high school and on the department's website. (L.L. 2018/125, 6/26/2018, eff. 9/24/2018)

NYC Admin. Code § 21-969.1 Distribution of student wellness club toolkits and reporting on student wellness clubs.

§ 21-969.1 Distribution of student wellness club toolkits and reporting on student wellness clubs. a. Definitions. For purposes of this section, the following terms have the following meanings: Middle and high school. The term "middle and high school" means any school of the city school district that contains any combination of grades from grade 6 through grade 12. Student. The term "student" means any pupil under the age of 21 as of September 1 of the relevant academic year who does not have a high school diploma and who is enrolled in grade 6 or higher. b. Distribution of student wellness club toolkits. Each academic year, the department shall make available in each middle and high school, on the department’s website, and on any online student portal the student wellness club toolkits developed by the department of health and mental hygiene as required by section 17-199.27. The department shall make available such toolkits in English and in each of the designated citywide languages as defined in section 23-1101. Each middle and high school shall publicize the availability of such toolkit to its students. c. Reporting requirement. 1. By June 30 of each year, the chancellor shall submit to the speaker of the council and shall post conspicuously on the department’s website a report regarding the distribution of student wellness club toolkits and the formation of student wellness clubs. 2. The report shall include, but need not be limited to, the following information and any additional information the chancellor deems appropriate: (a) A list of all middle and high schools, if any, where such student wellness club toolkit was not distributed, and the reason such toolkit was not distributed; and (b) A table in which each row references each individual student wellness club and that includes the following information set forth in separate columns: (1) The school where such club operates; (2) The year such club was founded; (3) The faculty advisor and mental health professional advisor of such club, if applicable; (4) The frequency of meetings of such club, if applicable; and (5) The number of student members and the average number of attendees at meetings. 3. No information that is required to be reported pursuant to this section shall be reported in a manner that would violate any applicable provision of federal, state, or local law relating to the privacy of student information or that would interfere with law enforcement investigations or otherwise conflict with the interests of law enforcement. If a category contains between 1 and 5 students, or contains an amount that would allow another category that contains between 1 and 5 students to be deduced, the number shall be replaced with a symbol. A category that contains zero shall be reported as zero, unless such reporting would violate any applicable provision of federal, state, or local law relating to the privacy of student information. (L.L. 2025/016, 2/22/2025, eff. 2/22/2025)

NYC Admin. Code § 21-969.2 Distribution of informational materials on peer-based mental health literacy trainings for students.

§ 21-969.2 Distribution of informational materials on peer-based mental health literacy trainings for students. a. Definitions. For purposes of this section, the following terms have the following meanings: Middle and high school. The term “middle and high school” means any school of the city school district that contains any combination of grades from grade 6 through grade 12. Student. The term “student” means any pupil under the age of 21 as of September 1 of the relevant academic year who does not have a high school diploma and who is enrolled in grade 6 or higher. b. 1. Each academic year, the department shall distribute to each middle and high school, for distribution to each student of such school, materials containing information on the peer-based mental health literacy training offering facilitated by the commissioner of health and mental hygiene pursuant to section 17-199.28. 2. Such materials shall include, but need not be limited to, the following information: (a) An overview of such training, including its purpose and the scope of topics covered; (b) Details on where middle and high school students can participate in such training and any steps such students need to take in order to participate in such training; and (c) Contact information for relevant staff at the department of health and mental hygiene who can provide additional information on such training. 3. The department shall post such materials on its website. 4. The department shall make all such materials available in English and in each of the designated citywide languages, as such term is defined in section 23-1101. (L.L. 2025/017, 2/22/2025, eff. 2/22/2025)

NYC Admin. Code § 21-969.3 Distribution of informational materials on vaccines.

§ 21-969.3 Distribution of informational materials on vaccines. a. Definitions. For purposes of this section, the following terms have the following meanings: Home language. The term “home language” means the language most frequently used in a student's home, as indicated by the response provided by the student’s parent or person in parental relation, as such term is defined in subdivision 10 of section 2 of the education law, on the home language questionnaire as such term is defined in section 154-2.2 of title 8 of the New York codes, rules and regulations, regarding services for English language learners, or a successor provision. Preschool. The term “preschool” means an early childhood education program operated by, or pursuant to a contract with, the department that serves children aged 2 to 5 not enrolled in kindergarten. School. The term “school” means a school of the city school district of the city of New York that contains any combination of grades from and including preschool through grade 12. School-based health center. The term “school-based health center” means a facility that is operated by independent institutions, including, but not limited to, hospitals and community based organizations, that is located within a school building operated by the department, and that provides on-site health care services to students within such school building. b. Distribution of materials. No later than September 1, 2026, and by September 1 in each academic year thereafter, the department shall distribute to each school, for distribution to the parents of each student attending such school, the materials developed in collaboration with the department of health and mental hygiene pursuant to section 17-199.4.2. Such distribution shall be in hard copy or electronically, if distribution of other similar documents occurs electronically, using plain and simple language. Hard copies of the materials shall also be made available in the main or central office of each school and in each school-based health center. c. Availability of materials. The materials developed pursuant to section 17-199.4.2 shall, upon request, be made available electronically to charter and nonpublic schools in the city. d. Language accessibility. The materials required to be distributed pursuant to subdivision b of this section shall be made available in English, the 9 most common home languages of students enrolled in schools, and any additional languages as determined by the department. (L.L. 2026/095, 5/30/2026, eff. 5/30/2026)
Source: City of New York, Charter, Administrative Code and Rules (American Legal Publishing XML export, codelibrary.amlegal.com)URL: https://codelibrary.amlegal.com/codes/newyorkcity/latest/NYCadmin/0-0-0-38655Fetched: 10/24/2026

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