The local school health advisory council's duties now include recommending:

• the number of hours of instruction to be provided in health education in kindergarten through grade eight, and if the school district requires health education for high school graduation, health education, including physical health education and mental health education, in grades 9 through 12;
• policies, procedures, strategies, and curriculum appropriate for specific grade levels designed to prevent physical health concerns, including obesity, cardiovascular disease, Type 2 diabetes, and mental health concerns, including suicide, through coordination of:
  • health education, which must address physical health concerns and mental health concerns to ensure the integration of physical health education and mental health education;
  • physical education and physical activity;
  • nutrition services;
  • parental involvement;
  • instruction on substance abuse prevention;
  • school health services, including mental health services;
  • a comprehensive school counseling program under Section 33.005;
  • a safe and healthy school environment; and
  • school employee wellness;
• appropriate grade levels and methods of instruction for human sexuality instruction;
• strategies for integrating the curriculum components specified by Subdivision (2) with the following elements in a coordinated school health program for the district:
  • school health services, including physical health services and mental health services, if provided at a campus by the district or by a third party under a contract with the district;
  • a comprehensive school counseling program under Section 33.005;
  • a safe and healthy school environment; and
  • school employee wellness;
• if feasible, joint use agreements or strategies for collaboration between the school district and community organizations or agencies;
• strategies to increase parental awareness regarding:
  • risky behaviors and early warning signs of suicide risks and behavioral health concerns, including mental health disorders and substance use disorders; and
  • available community programs and services that address risky behaviors, suicide risks, and behavioral health concerns;
• appropriate grade levels and curriculum for instruction regarding the dangers of opioids, including instruction on:
  • opioid addiction and abuse, including addiction to and abuse of synthetic opioids such as fentanyl; and
  • methods of administering an opioid antagonist, as defined by Section 483.101, Health and Safety Code; and
• appropriate grade levels and curriculum for instruction regarding child abuse, family violence, dating violence, and sex trafficking, including likely warning signs that a child may be at risk for sex trafficking, provided that the local school health advisory councils recommendations under this subdivision do not conflict with the essential knowledge and skills developed by the State Board of Education under this subchapter.