Use of Substances Affecting Cognitive Function
Summary
Use of Substances Affecting Cognitive Function; Requiring medical examiners to take specified actions when performing an autopsy on a decedent who is a violent offender; requiring that autopsy reports for such individuals include certain findings and information; authorizing the release of certain patient records to law enforcement agencies without patient authorization under certain circumstances; requiring school safety specialists to provide school district staff with certain training on the adverse effects of specified substances, etc.
Bill status
died
3 of 5 stages cleared
Introduction
Jan 2026
Committee Review
Feb 2026
Senate Passage
Feb 2026
House Passage
Governor
Introduced Jan 13, 2026
Last action Mar 13, 2026
Maddy AI version diff · 2 comparisons
What changed between versions
S 54 c1
→
S 54 c2
·
4 edits
MODERATE
The bill was amended to expand the scope of medical record releases to include any records relevant to a suspect's mental state, not just those confirming psychotropic drug use. Additionally, the requirements for school safety specialists and safe-school officers were updated to include specific training on substance effects and revised duties regarding security assessments and inspections.
Scope change
The bill's scope regarding medical record disclosure was broadened from a narrow focus on psychotropic drug history to a broader inclusion of any records relevant to mental or psychological state. The scope of training requirements for school personnel was also expanded to explicitly cover intoxicating substances alongside psychotropic drugs.
REQUIREMENT
Medical record releases to law enforcement now include any records relevant to a suspect's mental or psychological state, expanding beyond the previous requirement to only confirm psychotropic drug treatment.
Training requirements for school safety specialists and safe-school officers were updated to include instruction on the adverse effects of both psychotropic drugs and intoxicating substances.
Duties for school safety specialists were revised to include specific responsibilities for conducting annual security risk assessments and unannounced safety inspections.
DEFINITION
The legislative title and summary were updated to reflect the broader inclusion of 'substances affecting cognitive function' rather than just psychotropic drugs.
Floor votes · Senate Feb 19, 2026
How they voted
37–2
Passed · 1 other
Total votes 40
Feb 19, 2026
D
Democratic11
90% Yea
I
Independent1
100% Yea
R
Republican28
92% Yea
Vote distribution
All Yea
All Nay
Mixed
No data
Full legislative history
Actions timeline
Total actions
23
Key actions
9
Committee
9
Feb 19, 2026
Upper · Passed
CS passed; YEAS 37 NAYS 1
upper
Feb 10, 2026
Upper · Passed
Favorable by- Rules; YEAS 24 NAYS 0
upper
Feb 5, 2026
Upper · Passed
On Committee agenda-- Rules, 02/10/26, 9:00 am, 412 Knott Building
upper
Jan 16, 2026
Upper · Passed
Pending reference review under Rule 4.7(2) - (Committee Substitute)
upper
Jan 14, 2026
Upper · Passed
CS/CS by Appropriations Committee on Criminal and Civil Justice; YEAS 6 NAYS 1
upper
Jan 13, 2026
Introduced
Introduced
upper
Jan 9, 2026
Upper · Passed
On Committee agenda-- Appropriations Committee on Criminal and Civil Justice, 01/14/26, 2:00 pm, 37 Senate Building
upper
Dec 11, 2025
Upper · Passed
Now in Appropriations Committee on Criminal and Civil Justice
upper
Dec 10, 2025
Upper · Passed
Pending reference review under Rule 4.7(2) - (Committee Substitute)
upper
Dec 1, 2025
Upper · Passed
On Committee agenda-- Criminal Justice, 12/09/25, 10:00 am, 37 Senate Building
upper
Oct 6, 2025
Committee
Referred to Criminal Justice; Appropriations Committee on Criminal and Civil Justice; Rules
upper
1 primary · 3 co-sponsors
Sponsors
Role
Legislator
Party
State
District
P
Barbara Sharief
DDemocratic
Co
Darryl Rouson
DDemocratic
Co
Mack Bernard
DDemocratic
Co
Rosalind Osgood
DDemocratic
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