NASHVILLE, Tenn. (AP) _ Tennessee is a step closer to joining more than 20 states and the District of Columbia that have approved laws that add insulin to medications that school staff may volunteer to be trained to administer.

The House overwhelmingly approved the legislation 76-11 on Thursday, a few days after the Senate unanimously approved it. The measure now goes to the governor, who is likely to sign it into law.

Kentucky made the legislation a law this month, and other states proposing similar bills are Alabama, New York, Ohio and Pennsylvania.

Even if a child is able to self-administer the insulin dosage, supporters of the proposal say a nurse _ or specially trained individual _ should be available to assist if necessary. However, a group representing school nurses says the experience of a nurse is needed in case a dosage needs to be adjusted.