I 

114TH CONGRESS 

2D SESSION H. R. 4662 

To amend the Public Health Service Act to increase the preference given, 

in awarding certain asthma-related grants, to States that allow trained 

school personnel to administer asthma-related rescue medications, and 

for other purposes. 

IN THE HOUSE OF REPRESENTATIVES 

MARCH 2, 2016 

Mr. ROE of Tennessee (for himself and Mr. HOYER) introduced the following 

bill; which was referred to the Committee on Energy and Commerce 

A BILL 

To amend the Public Health Service Act to increase the 

preference given, in awarding certain asthma-related 

grants, to States that allow trained school personnel 

to administer asthma-related rescue medications, and for 

other purposes. 

1 Be it enacted by the Senate and House of Representa2 tives of the United States of America in Congress assembled, 

3 SECTION 1. SHORT TITLE. 

4 This Act may be cited as the ‘‘School-Based Asthma 

5 Management Program Act’’. 


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1 SEC. 2. ADDITIONAL PREFERENCE TO CERTAIN STATES 

2 THAT ALLOW TRAINED SCHOOL PERSONNEL 

3 TO ADMINISTER EPINEPHRINE AND ASTHMA4 RELATED RESCUE MEDICATIONS. 

5 Section 399L(d) of the Public Health Service Act (42 

6 U.S.C. 280g(d)) is amended— 

7 (1) in paragraph (1)— 

8 (A) by amending subparagraph (F) to read 

9 as follows: 

10 ‘‘(F) SCHOOL PERSONNEL ADMINISTRA11 TION OF EPINEPHRINE AND ASTHMA-RELATED

12 RESCUE MEDICATIONS.—In determining the 

13 preference (if any) to be given to a State under 

14 this subsection, the Secretary shall give addi15 tional preference to a State that provides to the 

16 Secretary the certification described in subpara17 graph (G) and that requires that each public el18 ementary school and secondary school in the 

19 State— 

20 ‘‘(i) permits trained personnel of the 

21 school to administer epinephrine to any 

22 student of the school reasonably believed to 

23 be having an anaphylactic reaction; 

24 ‘‘(ii) maintains a supply of epineph25 rine in a secure location that is easily ac26 cessible to trained personnel of the school 


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1 for the purpose of administration to any 

2 student of the school reasonably believed to 

3 be having an anaphylactic reaction; 

4 ‘‘(iii) permits trained personnel of the 

5 school to administer asthma-related rescue 

6 medication to any student of the school 

7 reasonably believed to have an asthma di8 agnosis; 

9 ‘‘(iv) maintains a supply of asthma-re10 lated rescue medication and modes of de11 livery, such as spacers or nebulizers, in a 

12 secure location that is easily accessible to 

13 trained personnel of the school for the pur14 pose of administration to any student of 

15 the school reasonably believed to have an 

16 asthma diagnosis; 

17 ‘‘(v) has in place a plan for having on 

18 the premises of the school during all oper19 ating hours of the school a school nurse or 

20 one or more other individuals who are 

21 trained personnel of the school; and 

22 ‘‘(vi) has in place under the direction 

23 of a school nurse a comprehensive school24 based asthma management program that 

25 includes— 


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1 ‘‘(I) a method to identify all stu2 dents of such school with a diagnosis 

3 of asthma; 

4 ‘‘(II) an individual student asth5 ma action plan for each student of 

6 such school with a diagnosis of asth7 ma; 

8 ‘‘(III) asthma education for 

9 school staff who are directly respon10 sible for students who have been iden11 tified as asthmatic, such as education 

12 regarding asthma basics, asthma 

13 management, trigger management, 

14 and comprehensive emergency re15 sponses to asthma attacks; 

16 ‘‘(IV) asthma medication and 

17 emergency policies that are specific to 

18 the school; 

19 ‘‘(V) efforts to reduce the pres20 ence of environmental triggers of 

21 asthma; and 

22 ‘‘(VI) a system to support stu23 dents with a diagnosis of asthma 

24 through coordination with family 

25 members of such students, primary 


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1 care providers of such students, and 

2 others as necessary.’’; and 

3 (B) in subparagraph (G), by inserting ‘‘or 

4 asthma-related rescue medication to a student 

5 reasonably believed to have an asthma diag6 nosis,’’ after ‘‘epinephrine to a student reason7 ably believed to be having an anaphylactic reac8 tion’’; and 

9 (2) in paragraph (3)— 

10 (A) in subparagraph (C)— 

11 (i) by striking ‘‘The term’’ and insert12 ing ‘‘(i) The term’’; and 

13 (ii) by adding at the end the following 

14 new clause: 

15 ‘‘(ii) The term ‘asthma-related rescue 

16 medication’ means short-acting bronchodilators, 

17 such as albuterol and levalbuterol.’’; and 

18 (B) in subparagraph (E)— 

19 (i) in the matter preceding clause (i), 

20 by inserting ‘‘, such as the school nurse’’ 

21 after ‘‘individual’’; 

22 (ii) in clause (i)— 

23 (I) by inserting ‘‘school nurse or’’ 

24 before ‘‘principal’’; and 


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1 (II) by inserting ‘‘and asthma-re2 lated rescue medication’’ after ‘‘epi3 nephrine’’; 

4 (iii) in clause (ii), by inserting ‘‘and 

5 asthma-related rescue medication’’ after 

6 ‘‘epinephrine’’; and 

7 (iv) in clause (iii), by inserting ‘‘and 

8 asthma-related rescue medication’’ after 

9 ‘‘epinephrine’’. 

Æ 


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