<?xml version="1.0"?>
<law><site_title>Virginia Decoded</site_title><site_url>https://vacode.org</site_url><law_id>81947</law_id><section_number>22.1-274.4:1</section_number><catch_line>Opioid antagonist procurement, placement, maintenance, and administration; staff and faculty training; policies and requirements</catch_line><edition url="https://vacode.org/2025/" slug="2025" current="TRUE" last_updated="">2025</edition><structure><unit label="title" level="1" order_by="1" identifier="22.1">Education</unit><unit label="chapter" level="2" order_by="1" identifier="14">Pupils</unit><unit label="article" level="3" order_by="1" identifier="2">Health Provisions</unit></structure><text>
						<section id="A"><p><span class="prefix-number">A.</span> Each local <span class="dictionary">school board</span> shall develop a plan, in accordance with subsection Y of &#xA7;&#xA0;<a class="law" title="Professional use by practitioners" href="/54.1-3408/">54.1-3408</a> and the guidelines developed by the <span class="dictionary">Department</span> of Health in collaboration with the <span class="dictionary">Department</span> of Education, for the procurement, placement, and maintenance in each public <span class="dictionary">elementary</span> and secondary school of a supply of opioid antagonists in an amount equivalent to at least two unexpired doses for the purposes of opioid overdose reversal. Such plan shall provide for the development and implementation of policies and procedures relating to the procurement, placement, and maintenance of such supply of opioid antagonists in each such school, including policies and procedures: <a id="paragraph-293628" class="section-permalink" href="https://vacode.org/22.1-274.4_1/#A"><i class="fa fa-link"/></a></p></section>
						<section id="A1" class="indent-1"><p><span class="prefix-number">1.</span> Providing for the placement and maintenance in each public <span class="dictionary">elementary</span> and secondary school of a supply of opioid antagonists in an amount equivalent to at least two unexpired doses, including policies and procedures by which each such school shall request a replacement dose of an opioid antagonist any time a dose has expired, is administered for overdose reversal, or is otherwise rendered unusable and by which each such request shall be timely fulfilled; <a id="paragraph-293629" class="section-permalink" href="https://vacode.org/22.1-274.4_1/#A1"><i class="fa fa-link"/></a></p></section>
						<section id="A2" class="indent-1"><p><span class="prefix-number">2.</span> Requiring each such school to inspect its opioid antagonist supply at least annually and maintain a record of the date of inspection, the expiration date on each dose, and, in the event that a dose of such opioid antagonist is administered for overdose reversal to a person who is believed to be experiencing or about to experience a life-threatening opioid overdose, the date of such administration; and <a id="paragraph-293630" class="section-permalink" href="https://vacode.org/22.1-274.4_1/#A2"><i class="fa fa-link"/></a></p></section>
						<section id="A3" class="indent-1"><p><span class="prefix-number">3.</span> Relating to the proper and safe storage of such opioid antagonist supply in each such school. <a id="paragraph-293631" class="section-permalink" href="https://vacode.org/22.1-274.4_1/#A3"><i class="fa fa-link"/></a></p></section>
						<section id="B"><p><span class="prefix-number">B.</span> Each local <span class="dictionary">school board</span> shall, in accordance with the provisions of subsection Y of &#xA7;&#xA0;<a class="law" title="Professional use by practitioners" href="/54.1-3408/">54.1-3408</a> and the guidelines developed by the <span class="dictionary">Department</span> of Health in collaboration with the <span class="dictionary">Department</span> of Education, develop policies and procedures relating to the <span class="dictionary">possession</span> and administration of opioid antagonists by any school nurse or employee of the <span class="dictionary">school board</span> who is authorized by a prescriber and trained in the administration of an opioid antagonist to any student, faculty, or staff member who is believed to be experiencing or about to experience a life-threatening opioid overdose, including: <a id="paragraph-293632" class="section-permalink" href="https://vacode.org/22.1-274.4_1/#B"><i class="fa fa-link"/></a></p></section>
						<section id="B1" class="indent-1"><p><span class="prefix-number">1.</span> Policies requiring each public <span class="dictionary">elementary</span> and secondary school to ensure that at least one employee (i) is authorized by a prescriber and has been trained and is certified in the administration of an opioid antagonist by a program administered or approved by the <span class="dictionary">Department</span> of Health to provide training in opioid antagonist administration and (ii) has the means to access at all times during regular school hours any such opioid antagonist supply that is stored in a locked or otherwise generally inaccessible container or area; and <a id="paragraph-293633" class="section-permalink" href="https://vacode.org/22.1-274.4_1/#B1"><i class="fa fa-link"/></a></p></section>
						<section id="B2" class="indent-1"><p><span class="prefix-number">2.</span> Policies and procedures for (i) partnering with a program administered or approved by the <span class="dictionary">Department</span> of Health to provide training in opioid antagonist administration for the purpose of organizing and providing the training and certification required pursuant to subdivision 1 and (ii) maintaining records of each employee of each such public <span class="dictionary">elementary</span> and secondary school who is trained and certified in the administration of an opioid antagonist pursuant to subdivision 1. <a id="paragraph-293634" class="section-permalink" href="https://vacode.org/22.1-274.4_1/#B2"><i class="fa fa-link"/></a></p></section>
						<section id="C"><p><span class="prefix-number">C.</span> Any employee of any public <span class="dictionary">elementary</span> or secondary school, <span class="dictionary">school board</span>, or local health <span class="dictionary">department</span> who, during regular school hours, on school premises, or during a school-sponsored activity, in good faith administers an opioid antagonist for opioid overdose reversal to any individual who is believed to be experiencing or about to experience a life-threatening opioid overdose, regardless of whether such employee was trained in administration of an opioid antagonist pursuant to subsection B, shall be immune from any disciplinary action or civil or criminal liability for any act or omission made in connection with the administration of an opioid antagonist in such incident, unless such act or omission was the result of gross <span class="dictionary">negligence</span> or willful misconduct. <a id="paragraph-293635" class="section-permalink" href="https://vacode.org/22.1-274.4_1/#C"><i class="fa fa-link"/></a></p></section>
						<section id="D"><p><span class="prefix-number">D.</span> Each <span class="dictionary">school board</span> shall adopt and each public <span class="dictionary">elementary</span> and secondary school shall implement policies and procedures in accordance with the provisions of this section. Each <span class="dictionary">school board</span> and each public <span class="dictionary">elementary</span> and secondary school shall, in adopting and implementing the policies set forth in this section, utilize to the fullest extent possible programs offered by the <span class="dictionary">Department</span> of Health for the provision of opioid antagonist administration training and certification and the procurement of opioid antagonists for placement in each public <span class="dictionary">elementary</span> and secondary school. <a id="paragraph-293636" class="section-permalink" href="https://vacode.org/22.1-274.4_1/#D"><i class="fa fa-link"/></a></p></section></text><history>2024, cc. 451, 519; 2025, c. 277.</history><metadata></metadata></law>
