Updated August 4, 2023 3
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.
Academic Achievement Record—The 19 TAC §74.5(j) states that a student who completes the
required instruction in CPR as specified in 19 TAC §74.38 in grade 9, 10, 11, or 12 must have
completion of the CPR instruction clearly indicated on the academic achievement record.
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; or
• 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 of
1973.
The CPR requirements apply to any student who entered grade 7 in the 2010-2011 school year
and thereafter.
Coordinated School Health Programs
8. What is a coordinated school health (CSH) program?
The TEC §38.013 states that the agency must make available to each school district one or more
coordinated school health (CSH) programs in elementary school, middle school, and junior high
school.
Each CSH program must provide for coordinating education and services related to:
1) physical health education, including programs designed to prevent obesity,
cardiovascular disease, oral diseases, and Type 2 diabetes and programs designed to
promote the role of proper nutrition;