; and (B) administered as prescribed by a licensed physician or other qualified health professional acting under the scope of the authority of a health professional under State law. (4) Direct supervision The term direct supervision means a student is physically in the same location as a school official and such student is under the care of the school official or school. (5) Disability The term disability means a mental or physical disability that meets the conditions set forth in clauses (i) and (ii) of section 602(3)(A) of the Individuals with Disabilities Education Act ( 20 U.S.C. 1401(3)(A)(i) and (ii)). (6) Elementary and Secondary Education Act terms The terms elementary school , English learner , local educational agency , secondary school , and State educational agency has the meanings given such terms in section 8101 of the Elementary and Secondary Education Act of 1965 ( 20 U.S.C. 7801 ). (7) Gender identity The term gender identity means the gender-related identity, appearance, mannerisms, or other gender-related characteristics of an individual regardless of the designated sex at birth of the individual. (8) Indian tribe The term Indian tribe has the meaning given the term in section 4(e) of the Indian Self-Determination and Education Assistance Act ( 25 U.S.C. 5304(e) ). (9) In-school suspension The term in-school suspension means an instance in which a student is temporarily removed from a regular classroom for at least half a day but remains under the direct supervision of a school official. (10) Mechanical restraint The term mechanical restraint has the meaning given the term in section 595(d)(1) of the Public Health Service Act ( 42 U.S.C. 290jj(d)(1) ), except that the meaning shall be applied by substituting student for resident . (11) Multi-tier system of supports The term multi-tier system of supports means a comprehensive continuum of evidence-based, systemic practices to support a rapid response to the needs of students, with regular observation to facilitate data-based instructional