88R14483 GCB-D
 
  By: Zwiener H.B. No. 3602
 
 
 
A BILL TO BE ENTITLED
 
AN ACT
  relating to the maintenance, administration, and disposal of opioid
  antagonists at school district campuses serving students in grades
  six and above.
         BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
         SECTION 1.  Chapter 38, Education Code, is amended by adding
  Subchapter E-1 to read as follows:
  SUBCHAPTER E-1. MAINTENANCE, ADMINISTRATION, AND DISPOSAL OF
  OPIOID ANTAGONISTS
         Sec. 38.221.  DEFINITIONS. In this subchapter:
               (1)  "Opioid antagonist" and "opioid-related drug
  overdose" have the meanings assigned by Section 483.101, Health and
  Safety Code.
               (2)  "Physician" means a person who holds a license to
  practice medicine in this state.
         Sec. 38.222.  MAINTENANCE, ADMINISTRATION, AND DISPOSAL OF
  OPIOID ANTAGONISTS.  (a)  Each school district shall adopt and
  implement a policy regarding the maintenance, administration, and
  disposal of opioid antagonists at each campus in the district that
  serves students in grades 6 through 12.
         (b)  A policy adopted under this section must:
               (1)  provide that school personnel and school
  volunteers who are authorized and trained may administer an opioid
  antagonist to a person who is reasonably believed to be
  experiencing an opioid-related drug overdose; and
               (2)  require that each school district campus subject
  to a policy adopted under this section have one or more school
  personnel members or school volunteers authorized and trained to
  administer an opioid antagonist present during regular school
  hours.
         (c)  The supply of opioid antagonists at each school district
  campus subject to a policy adopted under this section must be stored
  in a secure location and be easily accessible to school personnel
  and school volunteers authorized and trained to administer an
  opioid antagonist.
         (d)  The executive commissioner of the Health and Human
  Services Commission, in consultation with the commissioner of
  education, shall adopt rules regarding the maintenance,
  administration, and disposal of opioid antagonists at a school
  district campus subject to a policy adopted under this
  section.  The rules must establish:
               (1)  the number of opioid antagonists available at each
  district campus;
               (2)  the process for checking the inventory of opioid
  antagonists at regular intervals for expiration and replacement;
  and
               (3)  the amount of training required for school
  personnel and school volunteers to administer an opioid antagonist.
         Sec. 38.223.  TRAINING.  (a)  Each school district is
  responsible for training school personnel and school volunteers in
  the administration of an opioid antagonist.
         (b)  Training required under this section must:
               (1)  include information on:
                     (A)  recognizing the signs and symptoms of an
  opioid-related drug overdose;
                     (B)  administering an opioid antagonist;
                     (C)  implementing emergency procedures, if
  necessary, after administering an opioid antagonist; and
                     (D)  properly disposing of used or expired opioid
  antagonists;
               (2)  be provided in a formal training session or
  through online education; and
               (3)  be provided in accordance with the policy adopted
  under Section 21.4515.
         (c)  Each school district shall maintain records on the
  training required under this section.
         Sec. 38.224.  PRESCRIPTION OF OPIOID ANTAGONISTS.  (a)  A
  physician or person who has been delegated prescriptive authority
  under Chapter 157, Occupations Code, may prescribe opioid
  antagonists in the name of a school district.
         (b)  A physician or other person who prescribes opioid
  antagonists under Subsection (a) shall provide the school district
  with a standing order for the administration of an opioid
  antagonist to a person reasonably believed to be experiencing an
  opioid-related drug overdose.
         (c)  The standing order under Subsection (b) is not required
  to be patient-specific, and the opioid antagonist may be
  administered to a person without a previously established
  physician-patient relationship.
         (d)  Notwithstanding any other provisions of law,
  supervision or delegation by a physician is considered adequate if
  the physician:
               (1)  periodically reviews the order; and
               (2)  is available through direct telecommunication as
  needed for consultation, assistance, and direction.
         (e)  An order issued under this section must contain:
               (1)  the name and signature of the prescribing
  physician or other person;
               (2)  the name of the school district to which the order
  is issued;
               (3)  the quantity of opioid antagonists to be obtained
  and maintained under the order; and
               (4)  the date of issue.
         (f)  A pharmacist may dispense an opioid antagonist to a
  school district without requiring the name or any other identifying
  information relating to the user.
         Sec. 38.225.  NOTICE TO PARENTS. A school district shall
  provide written notice to a parent or guardian of each student
  enrolled at a campus in the district subject to a policy adopted
  under Section 38.222. Notice required under this section must be
  provided before a policy is implemented by the district and before
  the start of each school year.
         Sec. 38.226.  GIFTS, GRANTS, AND DONATIONS. A school
  district may accept gifts, grants, donations, and federal and local
  funds to implement this subchapter.
         Sec. 38.227.  IMMUNITY FROM LIABILITY. (a) A person who in
  good faith takes, or fails to take, any action under this subchapter
  is immune from civil or criminal liability or disciplinary action
  resulting from that action or failure to act, including:
               (1)  issuing an order for opioid antagonists;
               (2)  supervising or delegating the administration of an
  opioid antagonist;
               (3)  possessing, maintaining, storing, or disposing of
  an opioid antagonist;
               (4)  prescribing an opioid antagonist;
               (5)  dispensing an opioid antagonist;
               (6)  administering, or assisting in administering, an
  opioid antagonist;
               (7)  providing, or assisting in providing, training,
  consultation, or advice in the development, adoption, or
  implementation of policies, guidelines, rules, or plans; or
               (8)  undertaking any other act permitted or required
  under this subchapter.
         (b)  The immunities and protections provided by this
  subchapter are in addition to other immunities or limitations of
  liability provided by law.
         (c)  Notwithstanding any other law, this subchapter does not
  create a civil, criminal, or administrative cause of action or
  liability or create a standard of care, obligation, or duty that
  provides a basis for a cause of action for an act or omission under
  this subchapter.
         (d)  A cause of action does not arise from an act or omission
  described by this section.
         (e)  A school district and school personnel and school
  volunteers are immune from suit resulting from an act, or failure to
  act, under this subchapter, including an act or failure to act under
  related policies and procedures.
         (f)  An act or failure to act by school personnel or a school
  volunteer under this subchapter, including an act or failure to act
  under related policies and procedures, is the exercise of judgment
  or discretion on the part of the school personnel or school
  volunteer and is not considered to be a ministerial act for purposes
  of liability of the school district.
         Sec. 38.228.  RULES. Except as otherwise provided by this
  subchapter, the commissioner of education and the executive
  commissioner of the Health and Human Services Commission shall
  jointly adopt rules necessary to implement this subchapter.
         SECTION 2.  Not later than November 1, 2023:
               (1)  the executive commissioner of the Health and Human
  Services Commission shall, in consultation with the commissioner of
  education, adopt rules required under Section 38.222, Education
  Code, as added by this Act; and
               (2)  the commissioner of education and the executive
  commissioner of the Health and Human Services Commission shall
  jointly adopt rules necessary to implement Subchapter E-1, Chapter
  38, Education Code, as added by this Act.
         SECTION 3.  Notwithstanding the effective date of this Act,
  a school district is not required to comply with Section 38.222,
  Education Code, as added by this Act, before January 1, 2024.
         SECTION 4.  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, 2023.