89R15469 KJE-D By: Paxton S.B. No. 2019 A BILL TO BE ENTITLED AN ACT relating to the availability and instruction on the use of automated external defibrillators and a cardiac emergency response plan at public schools and certain private schools in this state. BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: SECTION 1. Section 22.902(c), Education Code, is amended to read as follows: (c) Each school nurse, assistant school nurse, athletic coach or sponsor, physical education instructor, marching band director, cheerleading coach, and any other school employee specified by the commissioner and each student who serves as an athletic trainer must participate in the instruction in the use of an automated external defibrillator. A person described by this subsection must receive and maintain certification in the use of an automated external defibrillator from [the American Heart Association, the American Red Cross, or] a [similar] nationally recognized, guidelines-based organization focused on emergency cardiovascular care [association]. SECTION 2. Section 38.017(a), Education Code, is amended to read as follows: (a) Each school district shall make available at each campus in the district the number of [at least one] automated external defibrillators [defibrillator], as defined by Section 779.001, Health and Safety Code, necessary for a defibrillator to be accessible from any location on campus so that a person may provide emergency care to a person in cardiac arrest within three minutes of being notified of a possible medical emergency involving cardiac arrest. A campus defibrillator must be readily available during any University Interscholastic League athletic competition held on the campus. In determining the placement of [location at which to store] a campus defibrillator, the principal of the campus shall consider guidelines from an organization with expertise in emergency cardiovascular care and ensure that the defibrillator is clearly marked [the primary location on campus where students engage in athletic activities]. SECTION 3. Section 38.018, Education Code, is amended to read as follows: Sec. 38.018. [PROCEDURES REGARDING RESPONSE TO] CARDIAC EMERGENCY RESPONSE PLAN [ARREST]. (a) Each school district and private school shall develop and implement a cardiac emergency response plan that establishes safety procedures for a district or school employee or other appropriate personnel [student] to follow in responding to a medical emergency involving cardiac arrest on district or school grounds[, including the appropriate response time in administering cardiopulmonary resuscitation, using an automated external defibrillator, as defined by Section 779.001, Health and Safety Code, or calling a local emergency medical services provider]. (b) In developing the plan, the district or school shall: (1) work directly with local emergency services providers to integrate the plan with the providers' protocols; and (2) incorporate evidence-based practices of a nationally recognized, guidelines-based organization focused on emergency cardiovascular care. (c) The plan must include at a minimum: (1) the establishment of a cardiac emergency response team; (2) procedures for activating the cardiac emergency response team in response to a medical emergency involving cardiac arrest; (3) the dissemination of the plan throughout each district or school campus; (4) ongoing training in first aid, cardiopulmonary resuscitation, and the use of automated external defibrillators, as defined by Section 779.001, Health and Safety Code, using evidence-based guidelines, for appropriate district or school employees, including school coaches, school nurses, and athletic trainers; (5) annual practice drills in responding to a medical emergency involving cardiac arrest; and (6) annual review, evaluation, and, if necessary, modification of the plan. (d) A private school is required to develop a cardiac emergency response plan [safety procedures] under this section only if the school receives an automated external defibrillator from the agency or receives funding from the agency to purchase or lease an automated external defibrillator. (e) The commissioner shall establish a grant program to award grants to districts and schools to assist with the implementation of a cardiac emergency response plan. In awarding grants, the commissioner shall prioritize districts or schools at which at least 50 percent of enrolled students are educationally disadvantaged. SECTION 4. Not later than the first instructional day of the 2027-2028 school year, each public school and private school to which Sections 38.017 and 38.018, Education Code, as amended by this Act, apply shall make available the number of automated external defibrillators and implement a cardiac emergency response plan as required by those sections. 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.