This bill amends RCW 28A.210.370 and requires the superintendent of public instruction and the secretary of the Department of Health to develop a uniform in‑service training policy for school staff on symptoms, treatment, and monitoring of students with asthma, including training standards and required skills. It requires all school districts to adopt asthma rescue procedure policies for each school and to ensure each school is supplied with an operating pulse oximeter kept in an easily accessible location for asthma or anaphylaxis emergencies. The bill creates procedural requirements and permissions: school districts must authorize students to self‑administer prescribed asthma or anaphylaxis medication when specified conditions are met, and that authorization must allow possession and use at school, at school‑sponsored activities, and in transit to or from school; authorizations are valid only for the same school and school year and must be renewed by a parent or guardian each subsequent year. Schools must keep backup medication (if provided by a parent/guardian) in an immediately accessible location and keep the health care practitioner’s written treatment plan and required parent/guardian documentation on file in an easily accessible place. The bill also provides civil liability immunity for persons who use a pulse oximeter at the scene of an emergency and for other persons or entities providing services under this section, except for acts or omissions constituting gross negligence or willful or wanton misconduct. The extracted text does not define key terms (for example, “pulse oximeter,” “health care practitioner,” “professional registered nurse,” or “school‑sponsored activity”), does not provide implementation timelines, funding, procurement, maintenance standards, the number of devices required per school, forms or templates for required documentation, enforcement mechanisms or penalties for noncompliance, or a clear list of who qualifies as “all other persons and entities” providing services under the section. Prefiled 12/16/2025 and read for the first time 01/12/2026; referred to the Committee on Early Learning & K‑12 Education.

If enacted, state education and health officials would have to create a standard training policy and every school district would have to put in place asthma rescue procedures, keep an operating pulse oximeter in an accessible spot, maintain written treatment plans and parent paperwork at the school, and allow eligible students to carry and use their asthma or anaphylaxis medication during school, school activities, and transit, with annual parental renewal. This shifts clear responsibility and likely modest costs onto districts and schools for buying oximeters, storing backup medication, training staff, and maintaining accessible records, while reducing legal risk for people who use an oximeter in an emergency except in cases of gross negligence or willful misconduct. Key details are missing that affect implementation: the bill text does not specify funding, how many oximeters per school, maintenance or storage standards, exact training timelines or who counts as covered service providers, so districts may face uncertainty about scope and costs.