New Texas law requires parental consent for routine care in schools: Uneven rollout questions student safety in the US

A sweeping new Texas law, Senate Bill 12 (SB 12), is reshaping the work of school nurses and district health staff, who are now required to secure parental consent before offering even the most basic forms of care.

Enforced just days before the 2025–26 school year began, the law has created widespread confusion and operational disruption across more than 1,200 public school districts, according to the Associated Press.

Parental consent now required for routine care

SB 12 was enacted as part of a broader Republican effort to reshape public education. Alongside bans on diversity, equity, and inclusion (DEI) initiatives and LGBTQ+ student clubs, the law mandates parental approval for campus health services.

Schools must now collect signed forms before staff can distribute bandages, apply ice packs, or perform minor evaluations, with disciplinary measures required for any violation.

Widespread confusion for nurses

The law’s vague wording has left nurses uncertain about what level of care is permitted without documentation. Guidance from the Texas Education Agency arrived only days before implementation, and districts have adopted inconsistent approaches.

Some allow standard first-aid, while others forbid any non-emergency care unless written consent is on file.

Impact on students and families

In districts with restrictive interpretations, students may be denied basic health assistance until parents can be reached. This has raised concerns about delays in care and uneven access across communities. Families are also encountering a patchwork of consent procedures—ranging from detailed opt-in forms for every service to broad approvals or, in some cases, no clear guidance at all.

Risks for student safety and staff wellbeing

Health organizations warn that, without urgent adjustments, SB 12 could result in long-term challenges. Nurses are navigating a difficult balance between professional liability and their duty of care, while students—particularly those without reliable parental engagement—risk losing timely access to essential health services.The Associated Press reports that the hurried rollout of SB 12 highlights how broad, rapidly implemented legislation can destabilize essential school operations, leaving health staff exposed and students vulnerable to gaps in care.