89R3963 RAL-F By: Lalani H.B. No. 856 A BILL TO BE ENTITLED AN ACT relating to a policy regarding the maintenance, administration, and disposal of medication for respiratory distress by public and private schools. BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: SECTION 1. Sections 38.208(a-1), (b-1), (c), and (d-1), Education Code, are amended to read as follows: (a-1) Each school district, open-enrollment charter school, and private school shall [may] adopt and implement a policy regarding the maintenance, administration, and disposal of medication for respiratory distress at each campus in the district or school. (b-1) A [If a] policy [is] adopted under Subsection (a-1)[, the policy] must: (1) require the school district, open-enrollment charter school, or private school to maintain and make available at each school campus a supply of medication for respiratory distress; and (2) provide that school personnel and school volunteers who are authorized and trained may administer medication for respiratory distress to a person reasonably believed to be experiencing respiratory distress on a school campus, or at a school-sponsored or school-related activity on or off school property. (c) The executive commissioner of the Health and Human Services Commission, in consultation with the commissioner of education, and with advice from the advisory committee as appropriate, shall adopt rules regarding the maintenance, administration, and disposal of an epinephrine auto-injector at a school campus subject to a policy adopted under Subsection (a) and the maintenance, administration, and disposal of medication for respiratory distress at a school campus [subject to a policy adopted under Subsection (a-1)]. The rules must establish: (1) the number of epinephrine auto-injectors available at each campus; (2) the amount of medication for respiratory distress available at each campus; (3) the process for each school district, open-enrollment charter school, and private school to check the inventory of epinephrine auto-injectors and medication for respiratory distress at regular intervals for expiration and replacement; (4) the amount of training required for school personnel and school volunteers to administer: (A) an epinephrine auto-injector; or (B) medication for respiratory distress; and (5) the types of medication that may be administered under Subsection (b-1) to persons experiencing respiratory distress, based on a review of the best available medical evidence. (d-1) A [Each school district, open-enrollment charter school, and private school that adopts a] policy adopted under Subsection (a-1) must require that each school campus have one or more school personnel or school volunteers authorized and trained to administer medication for respiratory distress present during regular school hours. SECTION 2. Section 38.210(a-1), Education Code, is amended to read as follows: (a-1) Each school district, open-enrollment charter school, and private school [that adopts a policy under Section 38.208(a-1)] is responsible for training school personnel and school volunteers in the administration of medication for respiratory distress. The training must include information on: (1) recognizing the signs and symptoms of respiratory distress; (2) administering medication for respiratory distress; (3) implementing emergency procedures, if necessary, after administering medication for respiratory distress; and (4) proper sanitization, reuse, and disposal of medication for respiratory distress. SECTION 3. Section 38.212(a), Education Code, is amended to read as follows: (a) A [If a] school district, open-enrollment charter school, or private school [implements a policy under this subchapter, the district or school] shall provide [written notice of the policy] to a parent or guardian of each student enrolled in the district or school written notice of each policy implemented by the district or school under this subchapter. SECTION 4. Section 38.208(f), Education Code, is repealed. SECTION 5. This Act takes effect immediately if it receives a vote of two-thirds of all the members elected to each house, as provided by Section 39, Article III, Texas Constitution. If this Act does not receive the vote necessary for immediate effect, this Act takes effect September 1, 2025.