1 | 1 | | By: Cole, et al. (Senate Sponsor - Johnson) H.B. No. 3338 |
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2 | 2 | | (In the Senate - Received from the House May 3, 2023; |
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3 | 3 | | May 5, 2023, read first time and referred to Subcommittee on Higher |
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4 | 4 | | Education; May 18, 2023, reported favorably from Committee on |
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5 | 5 | | Education by the following vote: Yeas 13, Nays 0; May 18, 2023, |
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6 | 6 | | sent to printer.) |
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7 | 7 | | Click here to see the committee vote |
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8 | 8 | | |
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9 | 9 | | |
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10 | 10 | | A BILL TO BE ENTITLED |
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11 | 11 | | AN ACT |
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12 | 12 | | relating to measures to prevent and respond to opioid-related drug |
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13 | 13 | | overdoses, including policies and training regarding the use of |
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14 | 14 | | opioid antagonists, at student residences on campuses of public |
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15 | 15 | | institutions of higher education; providing immunity. |
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16 | 16 | | BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
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17 | 17 | | SECTION 1. Chapter 51, Education Code, is amended by adding |
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18 | 18 | | Subchapter Y-2 to read as follows: |
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19 | 19 | | SUBCHAPTER Y-2. PROVIDING OPIOID ANTAGONISTS AT CAMPUS RESIDENCE |
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20 | 20 | | HALLS |
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21 | 21 | | Sec. 51.891. DEFINITIONS. In this subchapter: |
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22 | 22 | | (1) "Campus" means an educational unit under the |
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23 | 23 | | management and control of an institution of higher education and |
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24 | 24 | | may include, in addition to the main campus, off-campus and |
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25 | 25 | | secondary locations, such as branch campuses, teaching locations, |
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26 | 26 | | and regional centers. |
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27 | 27 | | (2) "Employee" means an employee of an institution of |
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28 | 28 | | higher education. |
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29 | 29 | | (3) "Institution of higher education" has the meaning |
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30 | 30 | | assigned by Section 61.003. |
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31 | 31 | | (4) "Opioid antagonist" and "opioid-related drug |
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32 | 32 | | overdose" have the meanings assigned by Section 483.101, Health and |
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33 | 33 | | Safety Code. |
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34 | 34 | | (5) "Physician" means a person who holds a license to |
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35 | 35 | | practice medicine in this state. |
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36 | 36 | | Sec. 51.892. REQUIRED POLICY REGARDING OPIOID ANTAGONISTS |
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37 | 37 | | IN RESIDENCE HALLS. (a) Each institution of higher education shall |
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38 | 38 | | adopt and implement a policy providing for: |
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39 | 39 | | (1) the availability of opioid antagonists at each |
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40 | 40 | | residence hall on the institution's campus, including provisions |
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41 | 41 | | for the acquisition, maintenance, storage, administration, and |
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42 | 42 | | disposal of those devices; and |
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43 | 43 | | (2) the training of resident advisors in the proper |
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44 | 44 | | use of those devices. |
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45 | 45 | | (b) The policy adopted under Subsection (a) must provide |
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46 | 46 | | that resident advisors who are authorized and trained may |
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47 | 47 | | administer an opioid antagonist to a person who is reasonably |
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48 | 48 | | believed to be experiencing an opioid-related drug overdose in a |
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49 | 49 | | residence hall on the institution's campus. |
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50 | 50 | | (c) The commissioner of the Texas Higher Education |
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51 | 51 | | Coordinating Board with advice from the commissioner of state |
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52 | 52 | | health services shall adopt rules regarding the maintenance, |
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53 | 53 | | storage, administration, and disposal of an opioid antagonist to be |
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54 | 54 | | used in residence halls on the campus of an institution of higher |
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55 | 55 | | education subject to a policy adopted under Subsection (a). The |
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56 | 56 | | rules must establish: |
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57 | 57 | | (1) the process for each institution of higher |
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58 | 58 | | education to check the inventory of opioid antagonists at regular |
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59 | 59 | | intervals for expiration and replacement; and |
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60 | 60 | | (2) the amount of training required for resident |
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61 | 61 | | advisors to administer an opioid antagonist. |
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62 | 62 | | (d) Each institution of higher education: |
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63 | 63 | | (1) must require that all resident advisors be |
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64 | 64 | | authorized and trained to administer an opioid antagonist; and |
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65 | 65 | | (2) shall include the policy in the institution's |
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66 | 66 | | student handbook or similar publication and publish the policy on |
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67 | 67 | | the institution's Internet website. |
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68 | 68 | | (e) The supply of opioid antagonists at a campus must be |
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69 | 69 | | stored in a secure location at each residence hall, and be easily |
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70 | 70 | | accessible to resident advisors and other employees or volunteers |
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71 | 71 | | authorized and trained to administer an opioid antagonist. |
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72 | 72 | | Sec. 51.893. REPORT ON ADMINISTERING OPIOID ANTAGONIST. |
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73 | 73 | | (a) Not later than the 10th business day after the date a resident |
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74 | 74 | | advisor, employee, or volunteer administers an opioid antagonist in |
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75 | 75 | | accordance with a policy adopted under Section 51.892, the |
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76 | 76 | | institution of higher education shall report the information |
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77 | 77 | | required under Subsection (b) to the physician who prescribed the |
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78 | 78 | | opioid antagonist. |
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79 | 79 | | (b) The report required under this section must include the |
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80 | 80 | | following information: |
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81 | 81 | | (1) the age of the person who received the |
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82 | 82 | | administration of the opioid antagonist; |
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83 | 83 | | (2) whether the person who received the administration |
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84 | 84 | | of the opioid antagonist was a student, employee, or visitor; |
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85 | 85 | | (3) the physical location where the opioid antagonist |
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86 | 86 | | was administered; |
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87 | 87 | | (4) the number of doses of opioid antagonist |
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88 | 88 | | administered; |
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89 | 89 | | (5) the title of the person who administered the |
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90 | 90 | | opioid antagonist; and |
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91 | 91 | | (6) any other information required by the commissioner |
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92 | 92 | | of higher education. |
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93 | 93 | | Sec. 51.894. TRAINING. (a) Each institution of higher |
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94 | 94 | | education is responsible for training resident advisors in the |
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95 | 95 | | administration of an opioid antagonist. |
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96 | 96 | | (b) Training required under this section must: |
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97 | 97 | | (1) include information on: |
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98 | 98 | | (A) recognizing the signs and symptoms of an |
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99 | 99 | | opioid-related drug overdose; |
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100 | 100 | | (B) administering an opioid antagonist; |
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101 | 101 | | (C) implementing emergency procedures, if |
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102 | 102 | | necessary, after administering an opioid antagonist; |
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103 | 103 | | (D) the required alerting of emergency medical |
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104 | 104 | | services during or immediately after the administration of the |
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105 | 105 | | opioid antagonist; and |
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106 | 106 | | (E) properly disposing of used or expired opioid |
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107 | 107 | | antagonists; |
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108 | 108 | | (2) be provided to resident advisors along with any |
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109 | 109 | | other mandatory training the institution imposes, in a formal |
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110 | 110 | | training session or through online education, and be completed |
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111 | 111 | | annually; and |
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112 | 112 | | (3) provide an opportunity to address frequently asked |
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113 | 113 | | questions. |
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114 | 114 | | (c) Each institution of higher education shall maintain |
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115 | 115 | | records on the training required under this section. |
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116 | 116 | | Sec. 51.895. PRESCRIPTION OF OPIOID ANTAGONISTS. (a) A |
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117 | 117 | | physician may prescribe opioid antagonists in the name of an |
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118 | 118 | | institution of higher education. The physician shall provide the |
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119 | 119 | | institution with a standing order for the administration of an |
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120 | 120 | | opioid antagonist to a person reasonably believed to be |
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121 | 121 | | experiencing an opioid-related drug overdose. |
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122 | 122 | | (b) The standing order under Subsection (a) is not required |
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123 | 123 | | to be patient-specific, and the opioid antagonist may be |
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124 | 124 | | administered to a person without an established physician-patient |
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125 | 125 | | relationship. |
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126 | 126 | | (c) Notwithstanding any other provisions of law, |
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127 | 127 | | supervision or delegation by a physician is considered adequate if |
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128 | 128 | | the physician: |
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129 | 129 | | (1) periodically reviews the order; and |
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130 | 130 | | (2) is available through direct telecommunication as |
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131 | 131 | | needed for consultation, assistance, and direction. |
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132 | 132 | | (d) An order issued under this section must contain: |
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133 | 133 | | (1) the name and signature of the prescribing |
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134 | 134 | | physician; |
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135 | 135 | | (2) the name of the institution of higher education to |
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136 | 136 | | which the order is issued; |
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137 | 137 | | (3) the quantity of opioid antagonists to be obtained |
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138 | 138 | | and maintained under the order; and |
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139 | 139 | | (4) the date of issue. |
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140 | 140 | | (e) A pharmacist may dispense an opioid antagonist to an |
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141 | 141 | | institution of higher education for purposes of this subchapter |
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142 | 142 | | without requiring the name or any other identifying information |
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143 | 143 | | relating to the user. |
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144 | 144 | | Sec. 51.896. GIFTS, GRANTS, AND DONATIONS. An institution |
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145 | 145 | | of higher education may accept gifts, grants, donations, and |
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146 | 146 | | federal funds to implement this subchapter. |
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147 | 147 | | Sec. 51.897. RULES. The commissioner of higher education |
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148 | 148 | | shall adopt rules necessary to implement this subchapter. |
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149 | 149 | | Sec. 51.898. IMMUNITIES. (a) A person who in good faith |
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150 | 150 | | takes, or fails to take, any action under this subchapter is immune |
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151 | 151 | | from civil or criminal liability or disciplinary action resulting |
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152 | 152 | | from that act or failure to act, including: |
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153 | 153 | | (1) issuing an order for opioid antagonists; |
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154 | 154 | | (2) supervising or delegating the administration of an |
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155 | 155 | | opioid antagonist; |
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156 | 156 | | (3) possessing an opioid antagonist; |
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157 | 157 | | (4) maintaining an opioid antagonist; |
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158 | 158 | | (5) storing an opioid antagonist; |
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159 | 159 | | (6) disposing of an opioid antagonist; |
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160 | 160 | | (7) prescribing an opioid antagonist; |
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161 | 161 | | (8) dispensing an opioid antagonist; |
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162 | 162 | | (9) administering, or assisting in administering, an |
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163 | 163 | | opioid antagonist; |
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164 | 164 | | (10) providing, or assisting in providing, training, |
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165 | 165 | | consultation, or advice in the development, adoption, or |
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166 | 166 | | implementation of policies, guidelines, rules, or plans regarding |
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167 | 167 | | the availability and use of an opioid antagonist; or |
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168 | 168 | | (11) undertaking any other act permitted or required |
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169 | 169 | | under this subchapter. |
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170 | 170 | | (b) The immunity provided by Subsection (a) is in addition |
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171 | 171 | | to other immunity or limitations of liability provided by law. |
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172 | 172 | | (c) Notwithstanding any other law, this subchapter does not |
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173 | 173 | | create a civil, criminal, or administrative cause of action or |
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174 | 174 | | liability or create a standard of care, obligation, or duty that |
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175 | 175 | | provides the basis for a cause of action for an act or omission |
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176 | 176 | | under this subchapter. |
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177 | 177 | | (d) An institution of higher education is immune from suit |
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178 | 178 | | resulting from an act, or failure to act, of any person under this |
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179 | 179 | | subchapter, including an act or failure to act under related |
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180 | 180 | | policies and procedures. |
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181 | 181 | | (e) A cause of action does not arise from an act or omission |
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182 | 182 | | described by this section. |
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183 | 183 | | (f) A person acting in good faith who reports or requests |
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184 | 184 | | emergency medical assistance for a person who is reasonably |
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185 | 185 | | believed to be experiencing an opioid-related drug overdose in a |
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186 | 186 | | residence hall on campus: |
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187 | 187 | | (1) is immune from civil liability, and from criminal |
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188 | 188 | | liability for offenses under Section 481.115(b), 481.1151(b)(1), |
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189 | 189 | | 481.116(b), 481.1161(b)(1), 481.1161(b)(2), 481.117(b), |
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190 | 190 | | 481.118(b), 481.119(b), 481.121(b)(1), 481.121(b)(2), 481.125(a), |
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191 | 191 | | 483.041(a), or 485.031(a), Health and Safety Code, that might |
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192 | 192 | | otherwise be incurred or imposed as a result of those actions; and |
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193 | 193 | | (2) may not be subjected to any disciplinary action by |
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194 | 194 | | the institution of higher education at which the person is enrolled |
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195 | 195 | | or employed for any violation by the person of the institution's |
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196 | 196 | | code of conduct reasonably related to the incident unless |
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197 | 197 | | suspension or expulsion from the institution is a possible |
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198 | 198 | | punishment. |
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199 | 199 | | SECTION 2. Each institution of higher education to which |
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200 | 200 | | Subchapter Y-2, Chapter 51, Education Code, as added by this Act, |
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201 | 201 | | applies shall implement that subchapter as soon as practicable, but |
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202 | 202 | | not later than the 2024 fall semester. |
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203 | 203 | | SECTION 3. This Act takes effect immediately if it receives |
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204 | 204 | | a vote of two-thirds of all the members elected to each house, as |
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205 | 205 | | provided by Section 39, Article III, Texas Constitution. If this |
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206 | 206 | | Act does not receive the vote necessary for immediate effect, this |
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207 | 207 | | Act takes effect September 1, 2023. |
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208 | 208 | | * * * * * |
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