Requiring school districts to provide fentanyl abuse education programs and maintain a supply of naloxone in all schools, requiring the department of education to establish guidelines for active shooter drills conducted by public and accredited nonpublic elementary and secondary schools, regulating active shooter simulations in such schools and modifying the requirements for student cohorts and achievement goals in school district at-risk student accountability plans.

All provisions regarding fentanyl education programs, naloxone stockpiles, and active shooter drills were removed.

New provisions were added to establish the Respiratory Care Interstate Compact, creating a legal framework for respiratory therapists to practice in multiple states.

New definitions were introduced for terms such as 'compact privilege,' 'home state,' and 'domicile' to facilitate the new interstate practice rules.

Removed all provisions related to the respiratory care interstate compact, including definitions, licensing privileges, and commission structures.

Added a requirement for the state board of education to create guidance on fentanyl prevention and for school districts to implement age-appropriate fentanyl education programs for grades 9-12.

Added a mandate for every school to maintain a stock supply of naloxone, with specific rules on storage, inventory monitoring, and authorized administration by nurses or designated personnel.

Added requirements for school districts to publish naloxone administration policies and allow acceptance of donations for naloxone supplies.

Added detailed definitions distinguishing between 'active shooter drills' (instructional, non-sensory) for students and 'active shooter simulations' (realistic, sensory) for staff.

Set a deadline of October 1, 2026, for the state department of education to publish best practice guidelines for active shooter drills.