Monitoring the Session

HB 3397

School Medication Bill Shields Nurses From The Nursing Board

Died in committee

Verdict: Smells

SmellsInitial review
Rep. James FrankRHouse 69
Why it's charged
Caption mismatch

THE TEXT

…“of professional nursing or vocational nursing , except as provided”…

Bill text, introduced version (I)

The caption speaks of schools and school employees giving medication. It does not say the bill carves out of the nursing board's power to decide what counts as nursing practice, which shields licensed nurses from board review.

Caption mismatch

Initial review · graded Oct 20, 2026 · Headline, summary and grade are analysis of the bill text, not a finding about any person · How we grade

Caption

relating to the administration of medication by open-enrollment charter schools, private schools, and school employees.

Caption from analyzed text · version I.

Summary

Caption: schools giving medication. Bill: the nursing board can’t call it nursing.

The bill extends the legal shield public school districts already have for giving students medicine to open-enrollment charter schools and private schools, and widens that shield to also block administrative discipline, not just lawsuits. It covers the school, its governing board, and its employees when medicine is given with a parent's written request from a properly labeled container, but it does not cover gross negligence. It also stops the state nursing board from treating those protected acts as the practice of nursing, so school nurses and staff cannot be disciplined by that board for giving medication under these rules.

Corrected Oct 26, 2026 · We checked this summary against the bill text and fixed it.

Receipt

The receipt

89R-HB3397 · 2025-02-26

SOLD BY

ITEM

relating to the administration of medication by open-enrollment charter schools, private schools, and school employees.

WHAT IT DOES

Caption: schools giving medication. Bill: the nursing board can’t call it nursing.

The bill extends the legal shield public school districts already have for giving students medicine to open-enrollment charter schools and private schools, and widens that shield to also block administrative discipline, not just lawsuits. It covers the school, its governing board, and its employees when medicine is given with a parent's written request from a properly labeled container, but it does not cover gross negligence. It also stops the state nursing board from treating those protected acts as the practice of nursing, so school nurses and staff cannot be disciplined by that board for giving medication under these rules.

Corrected Oct 26, 2026 · We checked this summary against the bill text and fixed it.

CHARGES

[x] CAPTION MISMATCHanalysis confidence 40%

THE TEXT

…“of professional nursing or vocational nursing , except as provided”…

Bill text, introduced version (I)

The caption speaks of schools and school employees giving medication. It does not say the bill carves out of the nursing board's power to decide what counts as nursing practice, which shields licensed nurses from board review.

TOTAL

No fiscal note in the loaded record.

HISTORY

  1. Filed
  2. Read first time
  3. Referred to Public Education
FILED UNDER

SPEECH AND LAWFARE

THE TEXT

…“school, its governing board, and its employees are immune from”…

Bill text, introduced version (I)

The bill gives charter and private schools and their staff a shield from lawsuits and administrative discipline over giving students medication.

Smells

THANK YOU FOR CHECKING THE RECEIPT

CAMPAIGN PAID FOR BY

CAMPAIGN PAID FOR BY

Donors

Not tied to this bill.

Sources

The author's campaign account only. Own money and internal transfers are separate on the member page.

Derived itemized flow · Oct 28, 2024 to Oct 23, 2026. State data as of Nov 4, 2026.

Derived itemized contributions on live regular reports and uncovered special-session dates. Internal account transfers and daily reports are excluded.

Texans for Lawsuit Reform PAC$20,000.00

Texans for Lawsuit Reform PAC

$20,000.00

Cash
$20,000.00
Paid by others
$0.00
Total
$20,000.00

Also funds 124 other sitting lawmakers.

Derived recipient stock · Jul 10, 2024 to Oct 23, 2026. State data as of Nov 4, 2026.

TEC account match.

Team
Sources

Derived itemized flow · Jun 30, 2025 to Oct 19, 2026. State data as of Nov 4, 2026.

Derived itemized contributions on live regular reports and uncovered special-session dates. Internal account transfers and daily reports are excluded.

Report IDs: 101007594, 101028399, 101073104.

Kickapoo Traditional Tribe of Texas$10,000.00

Kickapoo Traditional Tribe of Texas

$10,000.00

Cash
$10,000.00
Paid by others
$0.00
Total
$10,000.00

Also funds 53 other sitting lawmakers.

Derived recipient stock · Aug 15, 2024 to Sep 21, 2026. State data as of Nov 4, 2026.

Name match, not a verified identity: normalized filed name and state.

Team
Sources

Derived itemized flow · Nov 25, 2024 to Aug 18, 2026. State data as of Nov 4, 2026.

Derived itemized contributions on live regular reports and uncovered special-session dates. Internal account transfers and daily reports are excluded.

Report IDs: 100992188, 101068805.

PROVIDER COALITION FOR CARE PAC (NURSING HOME COALITION)$5,000.00

PROVIDER COALITION FOR CARE PAC (NURSING HOME COALITION)

$5,000.00

Cash
$5,000.00
Paid by others
$0.00
Total
$5,000.00

Also funds 0 other sitting lawmakers.

Derived recipient stock · on Sep 19, 2025. State data as of Nov 4, 2026.

Name match, not a verified identity: normalized filed name and state.

Sources

Derived itemized flow · on Sep 19, 2025. State data as of Nov 4, 2026.

Derived itemized contributions on live regular reports and uncovered special-session dates. Internal account transfers and daily reports are excluded.

Report IDs: 101028399.

Money

Missing data does not establish zero giving. Display amounts are rounded.

×

Texans for Lawsuit Reform PAC

$20,000.00

Cash
$20,000.00
Paid by others
$0.00
Total
$20,000.00

Also funds 124 other sitting lawmakers.

Derived recipient stock · Jul 10, 2024 to Oct 23, 2026. State data as of Nov 4, 2026.

TEC account match.

Team
Sources

Derived itemized flow · Jun 30, 2025 to Oct 19, 2026. State data as of Nov 4, 2026.

Derived itemized contributions on live regular reports and uncovered special-session dates. Internal account transfers and daily reports are excluded.

Report IDs: 101007594, 101028399, 101073104.

×

Kickapoo Traditional Tribe of Texas

$10,000.00

Cash
$10,000.00
Paid by others
$0.00
Total
$10,000.00

Also funds 53 other sitting lawmakers.

Derived recipient stock · Aug 15, 2024 to Sep 21, 2026. State data as of Nov 4, 2026.

Name match, not a verified identity: normalized filed name and state.

Team
Sources

Derived itemized flow · Nov 25, 2024 to Aug 18, 2026. State data as of Nov 4, 2026.

Derived itemized contributions on live regular reports and uncovered special-session dates. Internal account transfers and daily reports are excluded.

Report IDs: 100992188, 101068805.

×

PROVIDER COALITION FOR CARE PAC (NURSING HOME COALITION)

$5,000.00

Cash
$5,000.00
Paid by others
$0.00
Total
$5,000.00

Also funds 0 other sitting lawmakers.

Derived recipient stock · on Sep 19, 2025. State data as of Nov 4, 2026.

Name match, not a verified identity: normalized filed name and state.

Sources

Derived itemized flow · on Sep 19, 2025. State data as of Nov 4, 2026.

Derived itemized contributions on live regular reports and uncovered special-session dates. Internal account transfers and daily reports are excluded.

Report IDs: 101028399.

Votes

No floor vote loaded for this bill.

Fiscal

No fiscal note in the loaded record.

How this was graded

Analysis of text version I by claude-opus-5-5, Oct 20, 2026, against the published rubric.

Sources

Texas House · Filed Feb 26, 2025

03/21/2025 H Referred to Public Education: Mar 21 2025 9:52AM

Texas Legislature Online · Introduced

Data snapshot Oct 26, 2026 at 11:01 AM CDT. Grades, charges, quotes and corrections follow the published record.

House committee · Public Education · Final status: Died in committee

Companion

SB 920 by Sparks (identical)

Subjects

Education--Primary & Secondary--Charter Schools

Education--Primary & Secondary--General

Education--Primary & Secondary--Other School Personnel

Education--Primary & Secondary--Private

Minors--Health & Safety

MEDICINE & PRESCRIPTION DRUGS

Text

The text as introduced · 532 words

By: Frank
H.B. No. 3397

A BILL TO BE ENTITLED

AN ACT

relating to the administration of medication by open-enrollment

charter schools, private schools, and school employees.

BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:

SECTION 1. Section 22.052(a), Education Code, is amended to

read as follows:

(a) On the adoption of policies concerning the

administration of medication to students by school district

employees, the school district, its board of trustees, and its

employees are immune from civil liability and administrative

disciplinary action for [ from ] damages or injuries resulting from

the administration of medication to a student if:

(1) the school district has received a written request

to administer the medication from the parent, legal guardian, or

other person having legal control of the student; and

(2) when administering prescription medication, the

medication is administered either:

(A) from a container that appears to be:

(i) the original container; and

(ii) properly labeled; or

(B) from a properly labeled unit dosage container

filled by a registered nurse or another qualified district

employee, as determined by district policy, from a container

described by Paragraph (A).

SECTION 2. Subchapter B, Chapter 22, Education Code, is

amended by adding Section 22.0521 to read as follows:

Sec. 22.0521. ADMINISTRATION OF MEDICATION BY

OPEN-ENROLLMENT CHARTER SCHOOL OR PRIVATE SCHOOL. (a) In this

section, "school" means a private school or open-enrollment charter

school.

(b) On the adoption of policies concerning the

administration of medication to students by school employees, the

school, its governing board, and its employees are immune from

civil liability and administrative disciplinary action for damages

or injuries resulting from the administration of medication to a

student if:

(1) the school has received a written request to

administer the medication from the parent, legal guardian, or other

person having legal control of the student; and

(2) when administering prescription medication, the

medication is administered either:

(A) from a container that appears to be:

(i) the original container; and

(ii) properly labeled; or

(B) from a properly labeled unit dosage container

filled by a registered nurse or another qualified school employee,

as determined by school policy, from a container described by

Paragraph (A).

(c) The governing board may allow a licensed physician or

registered nurse who provides volunteer services to the school and

for whom the school provides liability insurance to administer to a

student:

(1) nonprescription medication; or

(2) medication currently prescribed for the student by

the student's personal physician.

(d) This section may not be construed as granting immunity

from civil liability or administrative disciplinary action for

injuries resulting from gross negligence.

SECTION 3. Section 301.151, Occupations Code, is amended to

read as follows:

Sec. 301.151. GENERAL RULEMAKING AUTHORITY. The board may

adopt and enforce rules consistent with this chapter and necessary

to:

(1) perform its duties and conduct proceedings before

the board;

(2) regulate the practice of professional nursing and

vocational nursing;

(3) establish standards of professional conduct for

license holders under this chapter; and

(4) determine whether an act constitutes the practice

of professional nursing or vocational nursing , except as provided

by Sections 22.052(a) and 22.0521(b), Education Code .

SECTION 4. This Act takes effect September 1, 2025.