(a) The board of trustees of each school district shall establish a local school health advisory council to assist the district in ensuring that local community values are reflected in the district's health education instruction.
(b) A school district must consider the recommendations of the local school health advisory council before changing the district's health education curriculum or instruction.
(c) The local school health advisory council's duties include recommending:
(1) the number of hours of instruction to be provided in:
(A) health education in kindergarten through grade eight; and
(B) if the school district requires health education for high school graduation, health education, including physical health education and mental health education, in grades 9 through 12;
(2) policies, procedures, strategies, and curriculum appropriate for specific grade levels designed to prevent physical health concerns, including obesity, cardiovascular disease, Type 2 diabetes, and mental health concerns through coordination of:
(A) health education, which must address physical health concerns and mental health concerns to ensure the integration of physical health education and mental health education;
(B) physical education and physical activity;
(C) nutrition services;
(D) parental involvement;
(E) instruction on substance abuse prevention;
(F) school health services, including mental health services;
(G) a comprehensive school counseling program under Section 33.005 ;
(H) a safe and healthy school environment; and
(I) school employee wellness;
(3) appropriate grade levels and methods of instruction for human sexuality instruction;
(4) strategies for integrating the curriculum components specified by Subdivision (2) with the following elements in a coordinated school health program for the district:
(A) school health services, including physical health services and mental health services, if provided at a campus by the district or by a third party under a contract with the district;
(B) a comprehensive school counseling program under Section 33.005 ;
(C) a safe and healthy school environment; and
(D) school employee wellness;
(5) if feasible, joint use agreements or strategies for collaboration between the school district and community organizations or agencies; and
(6) appropriate grade levels and curriculum for instruction regarding opioid addiction and abuse and methods of administering an opioid antagonist, as defined by Section 483.101, Health and Safety Code .
(6) strategies to increase parental awareness regarding:
(A) risky behaviors and early warning signs of suicide risks and behavioral health concerns, including mental health disorders and substance use disorders; and
(B) available community programs and services that address risky behaviors, suicide risks, and behavioral health concerns.
(d) The board of trustees shall appoint at least five members to the local school health advisory council. A majority of the members must be persons who are parents of students enrolled in the district and who are not employed by the district. One of those members shall serve as chair or co-chair of the council. The board of trustees also may appoint one or more persons from each of the following groups or a representative from a group other than a group specified under this subsection:
(1) classroom teachers employed by the district;
(2) school counselors certified under Subchapter B, Chapter 21, employed by the district;
(3) school administrators employed by the district;
(4) district students;
(5) health care professionals licensed or certified to practice in this state, including medical or mental health professionals;
(6) the business community;
(7) law enforcement;
(8) senior citizens;
(9) the clergy;
(10) nonprofit health organizations; and
(11) local domestic violence programs.
(d-1) The local school health advisory council shall meet at least four times each year.
(e) Any course materials and instruction relating to human sexuality, sexually transmitted diseases, or human immunodeficiency virus or acquired immune deficiency syndrome shall be selected by the board of trustees with the advice of the local school health advisory council and must:
(1) present abstinence from sexual activity as the preferred choice of behavior in relationship to all sexual activity for unmarried persons of school age;
(2) devote more attention to abstinence from sexual activity than to any other behavior;
(3) emphasize that abstinence from sexual activity, if used consistently and correctly, is the only method that is 100 percent effective in preventing pregnancy, sexually transmitted diseases, infection with human immunodeficiency virus or acquired immune deficiency syndrome, and the emotional trauma associated with adolescent sexual activity;
(4) direct adolescents to a standard of behavior in which abstinence from sexual activity before marriage is the most effective way to prevent pregnancy, sexually transmitted diseases, and infection with human immunodeficiency virus or acquired immune deficiency syndrome; and
(5) teach contraception and condom use in terms of human use reality rates instead of theoretical laboratory rates, if instruction on contraception and condoms is included in curriculum content.
(f) A school district may not distribute condoms in connection with instruction relating to human sexuality.
(g) A school district that provides human sexuality instruction may separate students according to sex for instructional purposes.
(h) The board of trustees shall determine the specific content of the district's instruction in human sexuality, in accordance with Subsections (e), (f), and (g).
(i) Before each school year, a school district shall provide written notice to a parent of each student enrolled in the district of the board of trustees' decision regarding whether the district will provide human sexuality instruction to district students. If instruction will be provided, the notice must include:
(1) a summary of the basic content of the district's human sexuality instruction to be provided to the student, including a statement informing the parent of the instructional requirements under state law;
(2) a statement of the parent's right to:
(A) review curriculum materials as provided by Subsection (j); and
(B) remove the student from any part of the district's human sexuality instruction without subjecting the student to any disciplinary action, academic penalty, or other sanction imposed by the district or the student's school; and
(3) information describing the opportunities for parental involvement in the development of the curriculum to be used in human sexuality instruction, including information regarding the local school health advisory council established under Subsection (a).
(i-1) A parent may use the grievance procedure adopted under Section 26. 011 concerning a complaint of a violation of Subsection (i).
(j) A school district shall make all curriculum materials used in the district's human sexuality instruction available for reasonable public inspection.
(k) A school district shall publish in the student handbook and post on the district's Internet website, if the district has an Internet website:
(1) a statement of the policies and procedures adopted to promote the physical health and mental health of students, the physical health and mental health resources available at each campus, contact information for the nearest providers of essential public health services under Chapter 121, Health and Safety Code, and the contact information for the nearest local mental health authority;
(2) a statement of the policies adopted to ensure that elementary school, middle school, and junior high school students engage in at least the amount and level of physical activity required by Section 28.002(l) ;
(3) a statement of:
(A) the number of times during the preceding year the district's school health advisory council has met;
(B) whether the district has adopted and enforces policies to ensure that district campuses comply with agency vending machine and food service guidelines for restricting student access to vending machines; and
(C) whether the district has adopted and enforces policies and procedures that prescribe penalties for the use of e-cigarettes, as defined by Section 38.006 , and tobacco products by students and others on school campuses or at school-sponsored or school-related activities;
(4) a statement providing notice to parents that they can request in writing their child's physical fitness assessment results at the end of the school year; and
(5) for each campus in the district, a statement of whether the campus has a full-time nurse or full-time school counselor.
(l) The local school health advisory council shall consider and make policy recommendations to the district concerning the importance of daily recess for elementary school students. The council must consider research regarding unstructured and undirected play, academic and social development, and the health benefits of daily recess in making the recommendations. The council shall ensure that local community values are reflected in any policy recommendation made to the district under this subsection.
(l-1) The local school health advisory council shall establish a physical activity and fitness planning subcommittee to consider issues relating to student physical activity and fitness and make policy recommendations to increase physical activity and improve fitness among students.
(m) In addition to performing other duties, the local school health advisory council shall submit to the board of trustees, at least annually, a written report that includes:
(1) any council recommendation concerning the school district's health education curriculum and instruction or related matters that the council has not previously submitted to the board;
(2) any suggested modification to a council recommendation previously submitted to the board;
(3) a detailed explanation of the council's activities during the period between the date of the current report and the date of the last prior written report; and
(4) any recommendations made by the physical activity and fitness planning subcommittee.
(n) Any joint use agreement that a school district and community organization or agency enter into based on a recommendation of the local school health advisory council under Subsection (c)(5) must address liability for the school district and community organization or agency in the agreement.
(o) The local school health advisory council shall make policy recommendations to the district to increase parental awareness of suicide-related risk factors and warning signs and available community suicide prevention services.
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