Unlicensed persons cannot give insulin to school children in California, ruled a state court in November 2008. This ruling upheld California's Nursing Practice Act, which prohibits people other than nurses from administering insulin. Although the case focused on delegation of insulin, it's really about who has control over nursing practice in public health arenas, according to Amy Garcia, executive director of the National Association of School Nurses. "The question is whether a school district can override the Nursing Practice Act because of convenience or cost," she said. "This ruling upholds the tradition that the Nursing Practice Act guides nursing practice."