TX SB1174

Expands existing medication administration policies to include open-enrollment charter schools and private schools, in addition to school districts, granting these institutions and their employees immunity from civil liability when administering medications according to adopted policies

Allows school employees, including nurses, to administer nonprescription medications to students without additional authorization from a health care provider if the school has written parental consent, the medication is unexpired and in its original properly labeled container, and the dose matches label instructions

Permits volunteer licensed physicians and registered nurses to administer nonprescription medications or prescribed medications to students, provided the school provides them liability insurance

Amends the Occupations Code definition of "professional nursing" to explicitly include administration of nonprescription medications to public and private school students under the Education Code provisions

Takes effect beginning with the 2025-2026 school year, with immediate effect if passed by two-thirds vote of both chambers, otherwise September 1, 2025