School nurses monitor each pupil for this compliance. Nurses also monitor each child's weight. In 2016, the Pennsylvania Department of Health made available to each Pennsylvania high school, including Bloomsburg Area High School, the overdose antidote drug naloxone in a nasal spray. School nurses were also provided with educational materials and training developed by the National Association of School Nurses. The cost was covered by a grant from a private foundation. In 2011, the schools in Bloomsburg Area School District received $10,000 in grant funding through a Highmark Healthy High 5 grant. There funds were used to purchase equipment to complement the existing physical education curriculum and to be able to monitor heart rates and evaluate through fitnessgram testing. Beginning in 2006, Highmark Foundation engaged in a 5-year, $100 million program to promote lifelong healthy behaviors in children and adolescents through local nonprofits and schools. Pennsylvania public school districts budget and expend funds according to procedures mandated by the General Assembly and the Pennsylvania Department of Education (PDE). An annual operating budget is prepared by school district administrative officials. A uniform form is furnished by the PDE and submitted to the board of school directors for approval prior to the beginning of each fiscal year on July 1. Under Pennsylvania's Taxpayer Relief Act, Act 1 of the Special Session of 2006, all school districts of the first class A, second class, third class and fourth class must adopt a preliminary budget proposal. The proposal must include estimated revenues and expenditures and the proposed tax rates. This proposed budget must be considered by the Board no later than 90 days prior to the date of the election immediately preceding the fiscal year. The preliminary budget proposal must also be printed and made available for public inspection at least 20 days prior to its adoption. The board of school directors may hold a public hearing on the budget, but are not required to do so. The board must give at least 10 days’ public notice of its intent to adopt the final budget according to Act 1 of 2006. In 2013, the average teacher salary in Bloomsburg Area School District was $47,557 a year, while the cost of the benefits teachers receive was $17,287 per employee, for a total annual average teacher compensation of $64,845. Bloomsburg Area School District teacher and administrator retirement benefits are equal to at least 2.00% x Final Average Salary x Total Credited Service. (Some teachers benefits utilize a 2.50% benefit factor.) After 40 years of service, a teacher can retire with 100% of the average salary of their final 3 years of employment.