l9n/ New Jersey

Joseph F. Vitale

Bills in the 2010–2011 Session, Senate.

All of Joseph F. Vitale's terms

Sponsored

Became law9

  • Senate Bill 812

    Concerns dispensation by an optometrist or ophthalmologist to a patient of drugs delivered to the eye through a contact lens.

  • Senate Bill 817

    Permits certain patient data to be reported to DHSS under "Health Care Facility-Associated Infection Reporting and Prevention Act".

  • Senate Bill 947

    Concerns eligibility for Catastrophic Illness in Children Relief fund assistance when more than one child in family has catastrophic illness.

  • Senate Bill 958

    Permits limited pharmacy sales of syringes and needles without a prescription.

  • Senate Bill 1828

    Requires Division of Taxation to regularly provide certain information to municipalities concerning hotel occupancy taxes.

  • Senate Bill 2077

    Eliminates minimum threshold for municipal calculation of reserve for uncollected taxes by alternate method when tax appeal judgments reduce the tax levy.

  • Senate Bill 2214

    Restores income eligibility level for AIDS Drug Distribution Program to 500% of the federal poverty level.

  • Senate Bill 2443

    Establishes Medicaid Accountable Care Organization Demonstration Project in DHS.

  • Senate Bill 3038

    Restores eligibility of New Jersey Health ACCESS recipients for NJ FamilyCare effective August 1, 2011.

Vetoed4

  • Senate Bill 799

    Permits adoptees and certain others access to adoptee's original birth certificate and other related information. *

  • Senate Bill 2134

    Supplemental appropriation of $24.6 million in State funds and $45.7 million in federal funds to the DHS.

  • Senate Bill 2373

    Allows corporation business tax credit and gross income tax credit for certain wages paid to qualified interns in tax years 2012 and 2013.

  • Senate Bill 2780

    Requires surgical practices to be licensed by DHSS as ambulatory care facilities.

Passed the Senate2

  • Senate Bill 805

    Clarifies intent of Legislature to protect certain senior tenants; aligns housing age restrictions with federal law.

  • Senate Bill 956

    Provides for the continuation of health insurance coverage for certain employees and their dependents when an employer ceases to exist. *

Out of committee23

  • Senate Bill 814

    Permits candidate in any election to sign own nominating petition and be circulator therof.

  • Senate Bill 816

    Clarifies that insurance broker transparency requirement only applies to sale of health benefits plans.

  • Senate Bill 818

    Revises requirements for emergency medical services delivery.

  • Senate Bill 1333

    Provides for educational stability of children placed in resource family homes and that school district of residence for the child shall be present district of residence of parent or guardian.

  • Senate Bill 1735

    Increases specialized care nursing facility beds for persons with Huntington's Disease.

  • Senate Bill 1829

    "Sara's Law;" requires Motor Vehicle Commission to establish next-of-kin program.

  • Senate Bill 1929

    Authorizes State Treasurer to sell as surplus certain land and improvements thereon now part of East Jersey Prison to Woodbridge Township in Middlesex County.

  • Senate Bill 2009

    Requires DHSS to post on website information concerning hospital emergency department staffing and services for pediatric patients. *

  • Senate Bill 2074

    Establishes deadlines for filing financial disclosure statements with State Ethics Commission.

  • Senate Bill 2180

    Permits DOT to contract with county or municipality for certain work on highways to prevent public hazards.

  • Senate Bill 2278

    Authorizes zero-interest loans to local governments for certain brownfield remediations; changes priorities for financial assistance from Hazardous Discharge Site Remediation Fund. *

  • Senate Bill 2395

    "Revised State Medical Examiner Act"; establishes Office of the Chief State Medical Examiner in DHSS.

  • Senate Bill 2405

    Removes statute of limitations in civil actions for sexual abuse pursuant to "Child Sexual Abuse Act"; expands the categories of persons potentially liable in such actions.*

  • Senate Bill 2444

    Requires certain owners of foreclosed property to file contact information with municipality and common interest community.*

  • Senate Bill 2445

    Appropriates $1.047 million in 2003 bond act monies for Sayreville flood control project.*

  • Senate Bill 2544

    Establishes the Workforce Shortage Loan Redemption Program.

  • Senate Bill 2643

    Appropriates $1,000,000 for outreach and enrollment activities in Medicaid and NJ FamilyCare programs.

  • Senate Bill 2750

    Requires NJ FamilyCare to treat earned and unearned income in same manner when calculating gross family income for parents and caretakers.

  • Senate Bill 2751

    Supplemental appropriation of $6.4 million in State funds and $11.9 million in federal funds to DHS to restore eligibility to parents in NJ FamilyCare.

  • Senate Bill 2956

    Allows all municipalities to sell and lease unneeded public property for "urban" farming and gardening purposes.

  • Senate Bill 2984

    Requires certain health care facilities to offer, and health care workers to receive, annual influenza vaccination.*

  • Senate Bill 3110

    Prohibits municipal library trustees from transferring donated funds to municipality.

  • Senate Bill 3147

    Eliminates permit requirement for home production of wine and beer for personal use.

In committee79

  • Senate Bill 796

    Revises statutory mental health coverage requirements and requires all health insurers and SHBP to cover treatment for alcoholism and other substance-use disorders under same terms and conditions as for other diseases or illnesses.

  • Senate Bill 797

    Increases additional penalty assessment for drunk driving; dedicates revenue to VCCB.

  • Senate Bill 798

    Creates an integrated State medical examiner system by increasing the authority of the State Medical Examiner regarding forensic investigations, establishing regional medical examiner offices, and eliminating the county medical examiner system.

  • Senate Bill 800

    Regulates expiration dates and dormancy fees for certain prepaid bank cards, such as mall gift cards.

  • Senate Bill 801

    Exempts senior homeowners from municipal building permit fees.

  • Senate Bill 802

    Regulates teen nights by requiring security provided by police officers, prohibiting persons under age 15 from attending, and disqualifying registered sex offenders from employment.

  • Senate Bill 803

    Requires newly licensed registered professional nurse to attain baccalaureate degree in nursing within 10 years of initial licensure.

  • Senate Bill 804

    Establishes procedures for operation of air ambulance services.

  • Senate Bill 806

    Makes it a crime of the third degree to practice psychology without a license and prohibits certain unlicensed employees of certain entities from using title of psychologist.

  • Senate Bill 807

    Allows disabled veteran's surviving spouse to claim property tax exemption when veteran's disability declaration is granted after death.

  • Senate Bill 808

    Requires "just compensation" for condemnation of single-family residence to be based on cost of comparable relocation properties within 20 mile radius.

  • Senate Bill 809

    "Dietitian/Nutritionist Licensing Act."

  • Senate Bill 810

    Permits municipalities to recover certain costs and fees from alcoholic beverage licensees charged with violations.

  • Senate Bill 811

    Provides a plan to rebalance State resources to provide community services and supports for persons with developmental disabilities.

  • Senate Bill 813

    Provides that the school district of residence for a child in a foster home shall be the present district of residence of the parent or guardian.

  • Senate Bill 815

    Requires public utilities to set bill due date to no earlier than 28 days past postmarked date if mailed by regular mail, or 28 days past sent date if sent electronically.

  • Senate Bill 819

    Permits water and sewerage service sub-metering in multi-family dwellings.

  • Senate Bill 820

    Makes various changes to current system for approval, issuance, administration, and discontinuance of various types of special license plates.

  • Senate Bill 852

    Defines "mobile home park" as "multiple dwelling" for inspection purposes.

  • Senate Bill 853

    Requires all State firefighter training to be accredited.

  • Senate Bill 933

    "New Jersey Public Water Supply Fluoridation Act."

  • Senate Bill 948

    Requires health insurers and SHBP to provide certain mental health benefits for eating disorders under same terms and conditions as for other illnesses and diseases.

  • Senate Bill 949

    Extends Medical Malpractice Liability Insurance Premium Assistance Fund and collection of annual surcharges for 5 years.

  • Senate Bill 950

    Requires notification of rape care advocate under certain circumstances by law enforcement, prosecutors and medical providers.

  • Senate Bill 951

    Expands the means to obtain a protective order for a minor.

  • Senate Bill 952

    Designates September 11 each year "September 11 Remembrance Day" in New Jersey.

  • Senate Bill 953

    Makes technical corrections to individual health coverage and small employer health benefits programs and to NJ FamilyCare.

  • Senate Bill 954

    Supplemental appropriation of $2 million for grants to certain nursing schools to address shortage of nursing faculty.

  • Senate Bill 955

    Requires DHSS to make list of drugs with "black box" warnings accessible through its website.

  • Senate Bill 957

    "Group Home Fire Safety Act."

  • Senate Bill 959

    Allows gross income tax deduction for 50% of contributions of $100 or more to domestic violence shelters.

  • Senate Bill 960

    "Community Health Service Pilot Initiative Act."

  • Senate Bill 961

    Prohibits substitution of prescribed epilepsy drugs by pharmacists without prior notification to and written consent of physician and patient.

  • Senate Bill 962

    Establishes Medication Management, Outreach and Support Program in DHS; appropriates $8 million.

  • Senate Bill 963

    Establishes minimum registered professional nurse staffing standards for hospitals and ambulatory surgery facilities and certain DHS facilities.

  • Senate Bill 964

    Permits county, county college, or municipality to offer additional retirement benefits to certain employees; permits issuance of refunding bonds to fund benefits.

  • Senate Bill 965

    Requires party bidding on, or performing, a State contract to provide employee health care benefits.

  • Senate Bill 966

    Eliminates statute of limitations for kidnapping and increases statute of limitations for other serious crimes to 10 years.

  • Senate Bill 967

    Extends exemption from charitable immunity for certain civil actions to persons of any age who are beneficiaries of the nonprofit corporation.

  • Senate Bill 1334

    Regulates physician profiling programs used by managed care networks.

  • Senate Bill 1346

    Requires policy on use of alternative dispute resolution for State agencies; expands duties of Dispute Settlement Office of Department of Public Advocate.

  • Senate Bill 1347

    Increases loss ratio reporting and disclosure requirements for carriers offering individual and group health insurance plans; applies loss ratio requirement to large group health insurance plans.

  • Senate Bill 1348

    Provides premium assistance to certain small employers who purchase health benefits plans; appropriates $10 million.

  • Senate Bill 1349

    Allows health maintenance organizations to include charity care assessments for purposes of meeting certain loss ratio requirements.

  • Senate Bill 1350

    Concerns the delivery and oversight of coverage under certain health benefits plans; establishes Health Care Patient Ombudsperson.

  • Senate Bill 1408

    Concerns contributions to special funds made through the gross income tax return.

  • Senate Bill 1409

    Clarifies deadline to request mail-in ballot application.

  • Senate Bill 1539

    Establishes Center for the Study of Health Care Billing Data.

  • Senate Bill 1930

    Revises the statutes concerning oaths and affidavits.

  • Senate Bill 2123

    Requires physicians to complete survey as condition for biennial registration with Board of Medical Examiners and requires board to maintain and disseminate survey data as appropriate.

  • Senate Bill 2213

    Requires State Board of Education to promulgate policy regarding outside employment of superintendents of schools.

  • Senate Bill 2276

    Revises "Local Bond Law" provisions to exempt certain energy projects from appropriation requirement for five percent down payment.

  • Senate Bill 2279

    Revises standard of value for the purposes of real property assessment where property owner is responsible for environmental damage to real property.

  • Senate Bill 2280

    Establishes gross income tax credit for cost of certain postage for sending goods to members of United States Armed Forces and National Guard who are serving their country away from home.

  • Senate Bill 2281

    Requires audits of managed care plan provider networks.

  • Senate Bill 2325

    Prohibits retail motor fuel dealer from charging a credit card customer in excess of four percent of purchase price for same fuel to customer paying by cash.

  • Senate Bill 2372

    Clarifies out-of-network payment responsibilities under health benefits plans; requires certain coverage and procedure disclosures to consumers; revises procedures for changes to managed care plan contracts.

  • Senate Bill 2396

    Authorizes creation of economic recovery districts; authorizes certain economic recovery district management corporations to issue bonds secured by incentive grants.

  • Senate Bill 2462

    Clarifies that criminal impersonation committed by any means including electronic communications or Internet website shall be subject to criminal penalties.

  • Senate Bill 2463

    Concerns eligible municipalities under the urban transit hub credit.

  • Senate Bill 2553

    "New Jersey Health Benefit Exchange Act"

  • Senate Bill 2583

    "Healthcare Transparency and Disclosure Act." *

  • Senate Bill 2661

    Provides for transfer and sale of inactive liquor licenses for use in qualifying smart growth municipalities.

  • Senate Bill 2662

    Authorizes immediate euthanasia of impounded stray animals that are injured or ill beyond hope of recovery.

  • Senate Bill 2823

    Requires all personal audio players distributed in New Jersey to contain warning about volume and hearing loss.

  • Senate Bill 2824

    Clarifies the effective date of the "New Jersey False Claims Act."

  • Senate Bill 2873

    Establishes Sex Offender Management Commission; amends Megan's Law in response to federal Adam Walsh Child Protection and Safety Act of 2006.

  • Senate Bill 2884

    Directs NJTA to study and report on potential revenue generating services of NJTA rest areas and service plazas.

  • Senate Bill 2885

    Clarifies that conversions of housing cooperatives into condominiums are subject to notice provisions of "The Planned Real Estate Development Full Disclosure Act."

  • Senate Bill 2983

    Regulates certain service contracts to perform maintenance, repair, replacement, or service of property used for personal, family, or household purposes.

  • Senate Bill 2993

    Conforms Megan's law to requirements of federal Sex Offender Registration and Notification Act.

  • Senate Bill 3011

    Creates new taxable category of alcoholic beverages called flavored malt beverages, imposes separate rate of taxation on new category pursuant to alcoholic beverages tax and allocates associated revenue.

  • Senate Bill 3070

    Requires health benefits coverage for mammograms for women under 40 who lack access to family medical history due to their or their parent's adoption.

  • Senate Bill 3071

    Prohibits the restraint of prisoners during and immediately after childbirth.

  • Senate Bill 3130

    Extends limited protection from certain penalties if medical assistance is sought for drug overdose victim in certain cases.

  • Senate Bill 3131

    Provides immunity from civil liability to certain individuals who acquire or use an automated external defibrillator.

  • Senate Bill 3132

    Allows any licensed healthcare provider trained in evaluation and management of concussions to provide written return to play clearance for student-athlete who has sustained a head injury.

  • Senate Bill 3133

    Prohibits municipal library trustees from transferring donated funds to municipality.

  • Senate Bill 3168

    Establishes moratorium on licensing of certain emergency medical service helicopter response units pending evaluation and report.

Co-sponsored

Became law · 6
  • Senate Bill 2

    Makes various pension system changes concerning eligibility, retirement allowance formula, compensation definition, position eligible for service credit, non-forfeitable rights, prosecutors part, PFRS special retirement, employer contributions. *

  • Senate Bill 3

    Makes various changes to SHBP and SEHBP concerning eligibility, cost sharing, plan choice, benefit change application, coverage waiver, multiple coverage; requires contributions toward health care benefits by public employees and certain retirees. *

  • Senate Bill 4

    Makes various changes concerning payments to public employees for unused sick leave, sick leave injury in State service, and PERS and TPAF disability retirement.

  • Senate Bill 1982

    Changes references of "mental retardation" to "intellectual disability" or "developmental disability" and uses person-first language for persons with disabilities.

  • Senate Bill 2197

    "Physician Orders for Life-Sustaining Treatment Act"; provides for use of Physician Orders for Life-Sustaining Treatment forms and requires physicians and advanced practice nurses to pursue continuing education in end-of life care. *

  • Senate Bill 2199

    Establishes NJ Advisory Council on End-of-Life Care in DHSS.

Vetoed · 2
  • Senate Bill 2139

    Makes FY 2011 supplemental appropriation of $7,453,000 for Women's Health and Family Planning Services, reduces FY 2011 appropriation for State Employees' Prescription Drug Program by $7,453,000, and requires filing of application for expansion of Medica

  • Senate Bill 2707

    Permits attending advanced practice nurse to determine cause of death and execute death certification when physician is not available.

Passed the Senate · 7
  • Senate Bill 358

    Requires managed care plans, SHBP, and SEHBP to provide for reasonable accommodation in accessing providers for persons with physical disabilities. **

  • Senate Bill 1353

    Revises statutes concerning permissible length of time between certain public questions in certain municipalities.

  • Senate Bill 1696

    Permits a student to participate in a voluntary survey if the district sends prior written notification to the student's parents.

  • Senate Bill 2659

    Revises membership of Public Health Council and fully restores functions, powers, and duties of council.

  • Senate Bill 2762

    Permits municipality to pay commercial and industrial property tax refunds for tax years 2010 through 2011 over subsequent three local budget years. *

  • Senate Bill 2826

    Concerns workers' compensation insurance requirements for certain corporations.

  • Senate Bill 2899

    Supplemental appropriation to DHSS for $7,453,000 for family planning services, and requires filing of State Plan Amendment to extend Medicaid coverage for family planning services to persons with incomes up to 200% of federal poverty level.

Out of committee · 21
  • Senate Bill 90

    Provides for county welfare agency monitoring of welfare emergency assistance motel placements, annual inspection of hotels used for emergency assistance recipients and notice of mobile health van services.

  • Senate Bill 290

    Requires State Treasurer to disseminate information about organ and tissue donation; designates April each year as "Donate Life Month." *

  • Senate Bill 621

    Provides bill of rights for persons receiving services under Congregate Housing Services Program.

  • Senate Bill 659

    "Historic Property Reinvestment Act"; provides credits against certain taxes for certain costs of rehabilitating historic properties.

  • Senate Bill 665

    Directs Medicaid to establish medical home demonstration project.

  • Senate Bill 1259

    Revises Newborn Screening program in DHSS.

  • Senate Bill 1466

    Provides one-third of motor vehicle fine moneys generated through State Police issued tickets go to municipality where violation occurred.

  • Senate Bill 1774

    Provides loan redemption for certain physicians who work in State 10 years.*

  • Senate Bill 2035

    Allows gross income tax deduction for first $200,000 earned by certain new physicians and dentists in first seven taxable years of practice in NJ. *

  • Senate Bill 2038

    Jaden's Law; requires DHSS to prepare online brochure about the option to donate bone marrow.

  • Senate Bill 2060

    Provides for voluntary contributions by taxpayers on gross income tax returns to the "American Red Cross-NJ Fund".

  • Senate Bill 2106

    Requires development of interscholastic athletic head injury safety training program; requires certain measures to protect student athletes with concussions; and requires continuing education for athletic trainers.*

  • Senate Bill 2309

    Permits advertising on exterior of school buses.

  • Senate Bill 2314

    Creates State contract set-aside program for businesses owned and operated by veterans.

  • Senate Bill 2393

    Amends Fiscal Year 2011 annual appropriations act to require filing of application for expansion of Medicaid coverage for family planning services.

  • Senate Bill 2625

    Clarifies statutory exemptions from mandatory immunizations for students.

  • Senate Bill 2704

    Revises provisions of "Franchise Practices Act" relating to motor vehicle franchises. *

  • Senate Bill 2752

    Requires birthing facilities to screen newborns for congenital heart defects prior to discharge.

  • Senate Bill 2834

    Restores benefit under State earned income credit program to 25 percent of federal credit beginning in Tax Year 2011.

  • Senate Bill 2970

    Provides State school aid to districts in amount consistent with provisions of "School Funding Reform Act of 2008."

  • Senate Bill 3010

    "Caylee's Law;" upgrades penalties for failing to report a death; criminalizes failure to report disappearance of child within 24 hours.

In committee · 45
  • Senate Bill 116

    Broadens eligibility for certain veterans' benefits by eliminating requirement of service during specified dates or in specified locations.

  • Senate Bill 160

    Authorizes proportional property tax exemption for honorably discharged veterans having a service-connected permanent disability.

  • Senate Bill 170

    Prohibits use of education and occupation as rating factors in automobile insurance underwriting.

  • Senate Bill 179

    Establishes advocacy pilot program for mentally ill offenders.

  • Senate Bill 203

    "Ricci's Law;" revises ignition interlock device requirements for certain drunk driving offenses.

  • Senate Bill 228

    Authorizes special Gold Star Family license plates.

  • Senate Bill 308

    Requires insurers, Medicaid, and NJ FamilyCare to reimburse for childhood immunizations at levels specified by regulation.

  • Senate Bill 312

    Designates "I'm From New Jersey" as State song.

  • Senate Bill 393

    "Janet's Law"; requires public and nonpublic schools, recreational fields and youth camps to have defibrillators for youth athletic events, and public schools to train pupils in use thereof and in cardio-pulmonary resuscitation.

  • Senate Bill 423

    Eliminates smoking ban exemption for casinos and simulcasting facilities.

  • Senate Bill 507

    Expands eligibility for veterans' civil service preference; creates additional preference benefits.

  • Senate Bill 517

    Permits payments in subsidized adoption until child becomes 21 years of age under certain circumstances.

  • Senate Bill 539

    Establishes crimes of dog fighting and leader of a dog fighting network; amends RICO to add leader of a dog fighting network.

  • Senate Bill 586

    Provides "Patriots Corner" tribute in State House to New Jersey residents serving in US Armed Forces, reserve components and New Jersey National Guard.

  • Senate Bill 626

    "Tree Experts and Tree Care Operators Licensing Act."

  • Senate Bill 679

    Repeals cosmetic medical procedure gross receipts tax.

  • Senate Bill 723

    Requires health insurance coverage for hair headpieces for patients receiving chemotherapy treatment for cancer.

  • Senate Bill 727

    Prohibits motor fuel wholesaler from increasing price more than once in 24-hour period.

  • Senate Bill 731

    Increases funding of Senior Citizen and Disabled Resident Transportation Program.

  • Senate Bill 779

    Requires DMVA to send Servicemembers' Advisory Notice to members of National Guard called to active duty.

  • Senate Bill 786

    Establishes New Jersey Student Athlete Cardiac Screening Task Force.

  • Senate Bill 1185

    Prohibits telecommunications, utility or cable television companies from charging certain customers prior to actual billing due date.

  • Senate Bill 1385

    Allows application for PERS accidental disability benefit for injury sustained while employed at State psychiatric institution or correctional facility immediately prior to PERS membership.

  • Senate Bill 1742

    Requires health care provider participating in carrier network to give notice to covered person of provider's referral to out-of-network provider.

  • Senate Bill 1743

    Establishes waiver, rebate or payment of insured's deductible, copayment, or coinsurance by health care practitioner as a form of insurance fraud subject to criminal and civil penalties.

  • Senate Bill 1944

    Requires health insurers to disclose broker commissions to purchasers.

  • Senate Bill 2103

    Requires development of interscholastic athletic head injury safety training program; requires certain measures to protect student athletes with concussions; and limits liability of districts and nonpublic schools for certain actions by youth sports team

  • Senate Bill 2243

    Requires voter approval at the annual school election or by the board of school estimate prior to the establishment of a charter school.

  • Senate Bill 2386

    Establishes the number of students to be supported under the veterinary medicine education program and a service requirement for students who participate in the program.

  • Senate Bill 2397

    Establishes and enhances certain insurance fraud prevention measures.

  • Senate Bill 2407

    Exempts stored value cards usable solely for telephone services from State's escheatment processes.

  • Senate Bill 2447

    Establishes the "Study Commission on the Cost-Effectiveness of Contracting with Nonprofit Organizations."

  • Senate Bill 2597

    "New Jersey Healthcare Exchange Act."

  • Senate Bill 2624

    Amends law concerning conversion of age-restricted communities to define substantial detriment and makes other clarifications.

  • Senate Bill 2648

    Requires wireless cell phone company to inform subscribers that cell phone GPS capability may be deactivated.

  • Senate Bill 2761

    Creates special license plates supporting Autism Awareness.

  • Senate Bill 2973

    Establishes "Emergency Department Triage Referral Pilot Program" in DHSS.

  • Senate Bill 2999

    Provides for competitive contracting for health benefits plans by certain local units of government and boards of education.

  • Senate Bill 3013

    Supplements FY2012 annual appropriations act to require filing of application for expansion of Medicaid coverage for family planning services and appropriates $1 million.

  • Senate Bill 3037

    Requires hospitals implement Methicillin-resistant Staphylococcus aureus (MRSA) infection prevention programs in all units except inpatient psychiatric units.

  • Senate Bill 3086

    Establishes New Jersey Task Force to Address the Nurse Faculty Shortage.

  • Senate Bill 3096

    Expands jurisdiction of Division of Rate Counsel.

  • Senate Bill 3112

    Requires hearing and approval of premium changes for individual and small employer health benefits plans; expands jurisdiction of Division of Rate Counsel.

  • Senate Bill 3170

    Requires schools that participate in Statewide interscholastic sports programs to annually inform student-athletes about National Collegiate Athletic Association eligibility standards for participation in collegiate athletics.

  • Senate Bill 3175

    Establishes standards of practice for clinical nursing services providers for medically fragile students.