116TH CONGRESS 

2D SESSION H. R. 2468 

AN ACT 

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. 

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

2 This Act may be cited as the ‘‘School-Based Allergies 

3 and Asthma Management Program Act’’. 

4 SEC. 2. ADDITIONAL PREFERENCE TO CERTAIN STATES 

5 THAT REQUIRE CERTAIN PUBLIC SCHOOLS 

6 TO HAVE ALLERGIES AND ASTHMA MANAGE7 MENT PROGRAMS. 

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

9 U.S.C. 280g(d)) is amended— 

10 (1) in paragraph (1)(F)— 

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

12 (iii) as subclauses (I), (II), and (III), respec13 tively, and moving each of such subclauses (as 

14 so redesignated) 2 ems to the right; 

15 (B) by striking ‘‘EPINEPHRINE.—In deter16 mining’’ and inserting ‘‘EPINEPHRINE OR

17 SCHOOL COMPREHENSIVE ALLERGIES AND

18 ASTHMA MANAGEMENT PROGRAM.— 

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

20 (C) by striking ‘‘in the State—’’ and in21 serting ‘‘in the State satisfy the criteria de22 scribed in clause (ii) or clause (iii). 

23 ‘‘(ii) CRITERIA FOR SCHOOL PER24 SONNEL ADMINISTRATION OF EPINEPH25 RINE.—For purposes of clause (i), the cri26 teria described in this clause, with respect 
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1 to each public elementary school and sec2 ondary school in the State, are that each 

3 such school—’’; and 

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

5 clause: 

6 ‘‘(iii) CRITERIA FOR SCHOOL COM7 PREHENSIVE ALLERGIES AND ASTHMA

8 MANAGEMENT PROGRAM.—For purposes of 

9 clause (i), the criteria described in this 

10 clause, with respect to each public elemen11 tary school and secondary school in the 

12 State, are that each such school— 

13 ‘‘(I) has in place a plan for hav14 ing on the premises of the school dur15 ing all operating hours of the school a 

16 school nurse or one or more other in17 dividuals who are designated by the 

18 principal (or other appropriate admin19 istrative staff) of the school to direct 

20 and apply the program described in 

21 subclause (II) on a voluntary basis 

22 outside their scope of employment; 

23 and 

24 ‘‘(II) has in place, under the di25 rection of a school nurse or other indi-
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1 vidual designated under subclause (I), 

2 a comprehensive school-based allergies 

3 and asthma management program 

4 that includes— 

5 ‘‘(aa) a method to identify 

6 all students of such school with a 

7 diagnosis of allergies and asthma; 

8 ‘‘(bb) an individual student 

9 allergies and asthma action plan 

10 for each student of such school 

11 with a diagnosis of allergies and 

12 asthma; 

13 ‘‘(cc) allergies and asthma 

14 education for school staff who 

15 are directly responsible for stu16 dents who have been identified as 

17 having allergies or asthma, such 

18 as education regarding basics, 

19 management, trigger manage20 ment, and comprehensive emer21 gency responses with respect to 

22 allergies and asthma; 

23 ‘‘(dd) efforts to reduce the 

24 presence of environmental trig25 gers of allergies and asthma; and 
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1 ‘‘(ee) a system to support 

2 students with a diagnosis of al3 lergies or asthma through coordi4 nation with family members of 

5 such students, primary care pro6 viders of such students, primary 

7 asthma or allergy care providers 

8 of such students, and others as 

9 necessary.’’; and 

10 (2) in paragraph (3)(E)— 

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

12 inserting ‘‘, such as the school nurse’’ after ‘‘in13 dividual’’; and 

14 (B) in clause (i), by inserting ‘‘school 

15 nurse or’’ before ‘‘principal’’. 

Passed the House of Representatives September 29, 

2020. 

Attest: 

Clerk. 
116TH CONGRESS 

2D SESSION H. R. 2468 

AN ACT 

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 aller-