The bill creates a new section in chapter 28A.210 RCW and amends RCW 28A.210.370 to authorize school districts and private schools to maintain a supply of albuterol beginning in the 2027-28 school year. It allows donated albuterol only if accompanied by a prescription, permits a licensed health professional to prescribe albuterol in the name of the school with a standing order for administration of school/district supply, and clarifies that the term "albuterol" used in RCW 28A.210.370 has the same meaning as in the new section. It retains existing rules for student self-administration and requires annual renewal of self-administration authorizations for each school year. The bill changes procedures for access and administration of albuterol: if a student has an albuterol prescription on file, a school nurse or designated trained school personnel may administer it; if no prescription is on file, only a school nurse may administer it. School/district albuterol may be kept and administered on school property, on buses, and during field trips; nurses and designated trained personnel may carry a reasonable quantity on trips. The measure also creates liability protections: prescribing health professionals and pharmacists are not liable for injury from school-prescribed albuterol unless the prescription was issued with conscious disregard for safety, and school nurses or other school employees/contractors who administer albuterol in substantial compliance with a prescription and school written policies are protected from criminal or civil liability, with similar protections for their employing district or school leadership. The superintendent of public instruction and the secretary of the department of health must develop a uniform in-service training policy on asthma symptoms, treatment, and monitoring and must update it by January 1, 2027 to include a uniform procedure for accessing and administering school/district albuterol supplies. All school districts must adopt asthma rescue procedures; districts that adopt policies governing district albuterol supplies must include the statewide uniform procedure. The new section applies to charter schools and state-tribal education compact schools. Important details are not provided in the extracted text: the specific section number added to chapter 28A.210 is not given, key terms such as "designated trained school personnel" and the content of required written school policies are not defined here, and the final content and operational details of the required statewide uniform procedure and standing order process are not included.

If enacted, beginning in the 2027–28 school year public school districts, private schools, charter schools, and state-tribal compact schools can keep a supply of albuterol on site and use it for students in respiratory distress. Schools will need to adopt asthma rescue procedures, arrange standing orders or prescriptions in the school’s name, train staff under a uniform policy the Office of the Superintendent of Public Instruction and Department of Health must update by January 1, 2027, and keep treatment plans and backup parent-provided medication accessible. Practically, that means new recurring costs and administrative work to purchase and store medication, secure prescriptions/standing orders with local health providers, provide in-service training, update policies, and prepare for staff to carry meds on field trips. The people most affected are school districts and private schools (including governing boards and administrators), school nurses and any designated trained personnel, students with asthma, and prescribing clinicians and pharmacists. Districts gain an option to respond to asthma emergencies on site and face lower legal risk when staff follow the new policies, while nurses and trained staff will have expanded duties; some nonlicensed employees may opt out in writing without employment penalty. Key implementation details are unclear from the text provided—definitions of “designated trained personnel,” the exact content of the required uniform procedure, and how standing orders will be operationalized are not specified, which could affect costs and how quickly districts can implement the program.