The TEC §28.002(r) and the TAC §74.35(b) both state that TEA must provide a list of evidence based alcohol awareness curricula. School districts and open-enrollment charter schools must
choose a program from the list to use in the middle school, junior high school, and high school health education curriculum that is “evidence-based” for alcohol awareness instruction for students. For a list of programs please visit

http://tea.texas.gov/Curriculum_and_Instructional_Programs/Subject_Areas/EvidenceBased_Programs_for_Alcohol_Awareness/. 

The p.a.p.a. curriculum materials and training are provided at no cost to school districts by the Office of the Attorney General (OAG) of Texas. For additional information regarding the p.a.p.a. curriculum and training, contact your regional education service center (ESC) Health Program Specialist or the OAG at (512) 463-2100, or visit
https://www.texasattorneygeneral.gov/cs/parenting-and-paternity-awareness-p.a.p.a. 

The TAC §74.35(a)(2) states that the p.a.p.a. program must address parenting skills and responsibilities, including child support and other legal rights and responsibilities that come with parenthood; address relationship skills, including money management, communication skills, and marriage preparation; and skills relating to the prevention of family violence, only if the school district's middle, junior high, or high schools do not have a family violence prevention program.

The p.a.p.a. curriculum identified in TEC §28.002(p) and TAC §74.35(a) shall be offered in all public schools and open enrollment charter schools and incorporated in the district's middle or junior high and high school health curriculum. At the discretion of the district, a teacher may modify the suggested sequence and pace of the program at any grade level. A student under 14 years of age may not participate without parental permission.

The TEC §28.004(i) and (j) state the requirements for informing parents about the school district’s human sexuality instruction. School districts must provide written notice regarding whether human sexuality will be taught, and, if so, include a summary of the course content and the parental rights. In addition, school districts are required to make all the curriculum. materials utilized in the district's human sexuality instruction available for reasonable public inspection and inform parents about their right to remove the student from any part of the district's human sexuality instruction

The TAC §74.1 states that school districts offering K-12 instruction must offer an enrichment curriculum that includes health education. Age appropriate topics related to human sexuality instruction are components of the TEKS for middle and high school health education. A school
district may add elements at its discretion but may not delete or omit instruction in the enrichment curriculum, including human sexuality instruction. School districts should consult with the local SHAC for guidance on the curriculum or programs that may be selected for human sexuality instruction.

Cardiopulmonary resuscitation (CPR) instruction must be provided to each student at least once
before graduation from high school according to TEC §28.0023 and TAC §74.38, which state a
school district or an open-enrollment charter school shall provide instruction to students in
Grades 7-12 in cardiopulmonary resuscitation (CPR).
Delivery of Instruction

 CPR instruction may be provided as a part of any course. The instruction must include
training developed by the American Heart Association or the American Red Cross, or use
nationally recognized, evidence-based guidelines for emergency cardiovascular care and
incorporate hands-on practice to support cognitive learning.
Approved Instructors

 A school district or an open-enrollment charter school may use emergency medical technicians, paramedics, police officers, firefighters, representatives of the American Heart Association or the American Red Cross, teachers, other school employees, or other similarly qualified individuals to provide instruction and training. Certificates of Completion

 The required CPR instruction does not have to result in certification. If the instruction is intended to result in certification in CPR, the course instructor must be authorized to provide the instruction by the American Heart Association, the American Red Cross, or a
similar nationally recognized association.
Waivers

 A school district or an open-enrollment charter school may waive the requirement under this section for a student, who due to a disability, is unable to complete the requirement. The determination regarding a student's ability to complete the CPR requirement will be made by: 

 the student's admission, review, and dismissal (ARD) committee if the student receives special education services under the Texas Education Code (TEC), Chapter 29,Subchapter A

 the committee established for the student under Section 504, Rehabilitation Act of 1973 (29 United States Code, §794) if the student does not receive special education services under the TEC, Chapter 29, Subchapter A, but is covered by the Rehabilitation Act of1973.

The rule further states that this section applies to any student who entered Grade 7 in the
2010-2011 school year and thereafter. 

No. Health education is not required for high school graduation but a local school district may offer additional opportunities for students to select health education as an elective course. 

Yes. According to TEC §28.002(a)(2)(B) and TAC §74.1(a)(2)(B) and §74.3(a), 6-8 campuses must teach the TEKS for health education. A school district may add elements at its discretion but must not delete or omit instruction.

All of the TEKS for grade 6 must be taught and students must demonstrate proficiency. For grades 7-8,all TEKS must be taught and students must demonstrate proficiency as well; however, districts have the flexibility of when and how to offer the course in whatever instructional arrangement
they choose.

Yes. According to Texas Education Code (TEC) §28.002(a)(2)(B) and Texas Administrative Codes
(TAC) §74.1(a)(2)(B) and §74.2(a), K-5 campuses must teach the Texas Essential Knowledge and
Skills (TEKS) for health education. A school district may add elements at its discretion but must
not delete or omit instruction.