IB 

Union Calendar No. 430 

116TH CONGRESS 

2D SESSION H. R. 2468 

[Report No. 116–530] 

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

in awarding certain allergies and asthma-related grants, to States that 

require certain public schools to have allergies and asthma management 

programs, and for other purposes. 

IN THE HOUSE OF REPRESENTATIVES 

MAY 2, 2019 

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

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

SEPTEMBER 22, 2020 

Additional sponsors: Ms. NORTON, Mr. FITZPATRICK, Mr. COX of California, 

Ms. WILD, Mr. KHANNA, Ms. MOORE, Ms. PRESSLEY, Ms. SCANLON, Mr. 

POCAN, Mr. WELCH, Ms. CLARKE of New York, Mr. RUSH, Mr. TONKO, 

Mrs. DAVIS of California, Mr. CA ́RDENAS, Mr. GONZALEZ of Texas, Mr. 

KINZINGER, Ms. SCHAKOWSKY, Mr. COLLINS of New York, Mr. ENGEL, 

Ms. BARRAGA ́N, Ms. DEGETTE, Mr. YOUNG, Mr. SERRANO, Ms. CASTOR

of Florida, Mr. ROSE of New York, Mr. CUMMINGS, Ms. JOHNSON of 

Texas, Mr. NADLER, Mr. HASTINGS, Mr. LUJA ́N, Mr. BUTTERFIELD, Mr. 

HARDER of California, Mr. LIPINSKI, Mr. RASKIN, Ms. BLUNT ROCHESTER, Mrs. AXNE, Ms. KELLY of Illinois, Ms. MATSUI, Mrs. BEATTY, 

Ms. VELA ́ZQUEZ, Mr. SUOZZI, Mr. KEATING, Mr. PAPPAS, Mr. VARGAS, 

and Mr. VAN DREW

SEPTEMBER 22, 2020 

Reported with an amendment, committed to the Committee of the Whole 

House on the State of the Union, and ordered to be printed 

[Strike out all after the enacting clause and insert the part printed in italic] 

[For text of introduced bill, see copy of bill as introduced on May 2, 2019] 


pamtmann on DSKBC07HB2PROD with BILLS
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•HR 2468 RH

A BILL 

To amend the Public Health Service Act to increase the 

preference given, in awarding certain allergies and asthma-related grants, to States that require certain public 

schools to have allergies and asthma management programs, and for other purposes. 


pamtmann on DSKBC07HB2PROD with BILLS
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•HR 2468 RH

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 Allergies 

5 and Asthma Management Program Act’’. 

6 SEC. 2. ADDITIONAL PREFERENCE TO CERTAIN STATES 

7 THAT REQUIRE CERTAIN PUBLIC SCHOOLS 

8 TO HAVE ALLERGIES AND ASTHMA MANAGE9 MENT PROGRAMS. 

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

11 U.S.C. 280g(d)) is amended— 

12 (1) in paragraph (1)(F)— 

13 (A) by redesignating clauses (i), (ii), and 

14 (iii) as subclauses (I), (II), and (III), respec15 tively, and moving each of such subclauses (as so 

16 redesignated) 2 ems to the right; 

17 (B) by striking ‘‘EPINEPHRINE.—In deter18 mining’’ and inserting ‘‘EPINEPHRINE OR

19 SCHOOL COMPREHENSIVE ALLERGIES AND ASTH20 MA MANAGEMENT PROGRAM.— 

21 ‘‘(i) IN GENERAL.—In determining’’; 

22 (C) by striking ‘‘in the State—’’ and insert23 ing ‘‘in the State satisfy the criteria described in 

24 clause (ii) or clause (iii). 


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1 ‘‘(ii) CRITERIA FOR SCHOOL PER2 SONNEL ADMINISTRATION OF EPINEPH3 RINE.—For purposes of clause (i), the cri4 teria described in this clause, with respect 

5 to each public elementary school and sec6 ondary school in the State, are that each 

7 such school—’’; and 

8 (D) by adding at the end the following new 

9 clause: 

10 ‘‘(iii) CRITERIA FOR SCHOOL COM11 PREHENSIVE ALLERGIES AND ASTHMA MAN12 AGEMENT PROGRAM.—For purposes of 

13 clause (i), the criteria described in this 

14 clause, with respect to each public elemen15 tary school and secondary school in the 

16 State, are that each such school— 

17 ‘‘(I) has in place a plan for hav18 ing on the premises of the school dur19 ing all operating hours of the school a 

20 school nurse or one or more other indi21 viduals who are designated by the 

22 principal (or other appropriate admin23 istrative staff) of the school to direct 

24 and apply the program described in 


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1 subclause (II) on a voluntary basis 

2 outside their scope of employment; and 

3 ‘‘(II) has in place, under the di4 rection of a school nurse or other indi5 vidual designated under subclause (I), 

6 a comprehensive school-based allergies 

7 and asthma management program that 

8 includes— 

9 ‘‘(aa) a method to identify 

10 all students of such school with a 

11 diagnosis of allergies and asthma; 

12 ‘‘(bb) an individual student 

13 allergies and asthma action plan 

14 for each student of such school 

15 with a diagnosis of allergies and 

16 asthma; 

17 ‘‘(cc) allergies and asthma 

18 education for school staff who are 

19 directly responsible for students 

20 who have been identified as hav21 ing allergies or asthma, such as 

22 education regarding basics, man23 agement, trigger management, 

24 and comprehensive emergency reVerDate Sep 11 2014 23:35 Sep 22, 2020 Jkt 099200 PO 00000 Frm 00005 Fmt 6652 Sfmt 6203 E:\BILLS\H2468.RH H2468

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1 sponses with respect to allergies 

2 and asthma; 

3 ‘‘(dd) efforts to reduce the 

4 presence of environmental triggers 

5 of allergies and asthma; and 

6 ‘‘(ee) a system to support 

7 students with a diagnosis of aller8 gies or asthma through coordina9 tion with family members of such 

10 students, primary care providers 

11 of such students, primary asthma 

12 or allergy care providers of such 

13 students, and others as nec14 essary.’’; and 

15 (2) in paragraph (3)(E)— 

16 (A) in the matter preceding clause (i), by 

17 inserting ‘‘, such as the school nurse’’ after ‘‘in18 dividual’’; and 

19 (B) in clause (i), by inserting ‘‘school nurse 

20 or’’ before ‘‘principal’’. 


pamtmann on DSKBC07HB2PROD with BILLS

pamtmann on DSKBC07HB2PROD with BILLS
Union Calendar No. 430 

116TH CONGRESS 

2D SESSION H. R. 2468 

[Report No. 116–530] 

A BILL 

To amend the Public Health Service Act to increase 

purposes. asthma management programs, and for other quire certain public schools to have allergies and gies and asthma-related grants, to States that rethe preference given, in awarding certain allerSEPTEMBER 22, 2020 

Reported with an amendment, committed to the Comand ordered to be printed mittee of the Whole House on the State of the Union, 


pamtmann on DSKBC07HB2PROD with BILLS