SB 1374 expands requirements for Texas public and private schools regarding the administration of emergency medications for anaphylaxis and respiratory distress. It allows schools to maintain and administer epinephrine in various forms, including auto-injectors and nasal sprays, and mandates training for staff in recognizing and responding to severe allergic reactions and respiratory distress. The bill requires school districts to have staff trained to administer these medications present during school hours and at off-campus events.