I 

112TH CONGRESS 

1ST SESSION H. R. 1692 

To amend part D of title V of the Elementary and Secondary Education 

Act of 1965 to provide grants to schools for the development of asthma 

management plans and the purchase of asthma medications and devices 

for emergency use, as necessary. 

IN THE HOUSE OF REPRESENTATIVES 

MAY 3, 2011 

Ms. HIRONO introduced the following bill; which was referred to the 

Committee on Education and the Workforce 

A BILL 

To amend part D of title V of the Elementary and Secondary 

Education Act of 1965 to provide grants to schools for 

the development of asthma management plans and the 

purchase of asthma medications and devices for emergency use, as necessary. 

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 ‘‘Asthma Management 

5 Plans in School Act’’. 


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1 SEC. 2. ASTHMA MANAGEMENT PLANS. 

2 (a) AMENDMENT.—Part D of title V of the Elemen3 tary and Secondary Education Act of 1965 (20 U.S.C. 

4 7241 et seq.) is amended by adding at the end the fol5 lowing: 

6 ‘‘Subpart 22—Asthma Management Plans 

7 ‘‘SEC. 5621. ASTHMA MANAGEMENT PLANS. 

8 ‘‘(a) GRANTS AUTHORIZED.— 

9 ‘‘(1) IN GENERAL.—The Secretary is authorized 

10 to award a grant to a school that receives funding 

11 under part A of title I and is located in an area that 

12 the Secretary determines has a high prevalence of 

13 asthma (using such indicators as emergency depart14 ment visits due to asthma, asthma hospitalization 

15 rates, or the Behavioral Risk Factor Surveillance 

16 System), to enable the school to— 

17 ‘‘(A) develop and implement an asthma 

18 management plan; and 

19 ‘‘(B) purchase asthma inhalers, nebulizer 

20 machines, valved holding chambers (VHCs), 

21 spacers, and auto-injectable epinephrine and ap22 propriate supplies determined necessary by the 

23 Secretary, for students, so that every student 

24 served by the school who suffers from asthma 

25 has access to the relief and treatment the stu26 dent needs during the school day. 


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1 ‘‘(2) ALTERNATIVE GRANTEES.—The Secretary 

2 may award a grant under this section to a local 

3 health or education department to carry out the ac4 tivities described in this section if the Secretary de5 termines that in such local area such department is 

6 the entity that would routinely carry out such activi7 ties. 

8 ‘‘(b) APPLICATION.—A school or department that de9 sires to receive a grant under this section shall submit an 

10 application at such time, in such manner, and accom11 panied by such information as the Secretary may require. 

12 ‘‘(c) USE OF GRANT FUNDS.—A school or depart13 ment that receives a grant under this section shall develop 

14 and implement a comprehensive school asthma manage15 ment plan, and may purchase asthma inhalers, nebulizer 

16 machines, valved holding chambers (VHCs), spacers, and 

17 auto-injectable epinephrine for emergency use, for stu18 dents served by the school or department, as needed, as 

19 well as devices that measure pulmonary function or asth20 ma education tools, or both. Such management plan shall 

21 include the following: 

22 ‘‘(1) A method to identify all students with a 

23 diagnosis of asthma. 

24 ‘‘(2) An asthma action plan for each student 

25 with a diagnosis of asthma. 


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1 ‘‘(3) Asthma education for all school staff. 

2 ‘‘(4) Access to medication and to methods to 

3 administer medication, for all students served by the 

4 school or department who have asthma, based on the 

5 student’s prescription and individual needs. 

6 ‘‘(5) Asthma medication and emergency policies 

7 that are specific to the school. 

8 ‘‘(6) Protocols and training to support clinical 

9 management of acute symptoms of asthma and on10 going management of asthma. 

11 ‘‘(7) A system to support ongoing coordination 

12 of asthma care with the family, the primary care 

13 provider, and others as necessary. 

14 ‘‘(8) A method to monitor the quality and out15 comes of the care provided to each student served by 

16 the school or department who has asthma, including 

17 how often treatment is needed and what treatment 

18 students get. 

19 ‘‘(d) GRANT RECIPIENT ACTIONS.—A school or de20 partment that receives a grant under this section shall— 

21 ‘‘(1) utilize existing systems, when possible, in22 cluding the use of forms developed in accordance 

23 with section 504 forms of the Rehabilitation Act of 

24 1973 (20 U.S.C. 794); 

25 ‘‘(2) find innovative ways— 


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1 ‘‘(A) to encourage bidirectional commu2 nication between schools and students’ physi3 cians in a rapid manner; and 

4 ‘‘(B) to encourage adherence to asthma 

5 treatment by students; and 

6 ‘‘(3) ensure that a nurse or another individual 

7 who is trained to administer emergency asthma care 

8 is on staff. 

9 ‘‘(e) AUTHORIZATION OF APPROPRIATIONS.—There 

10 are authorized to be appropriated to carry out this section 

11 $100,000,000 for fiscal year 2012 and each of the 4 suc12 ceeding fiscal years.’’. 

13 (b) TABLE OF CONTENTS.—The table of contents in 

14 section 2 of such Act is amended by inserting after the 

15 item relating to section 5618 the following: 

‘‘SUBPART 22—ASTHMA MANAGEMENT PLANS

‘‘Sec. 5621. Asthma management plans.’’. 

Æ 


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