H. R. 2468 

One Hundred Sixteenth Congress 

of the 

United States of America 

AT THE SECOND SESSION 

Begun and held at the City of Washington on Friday, 

the third day of January, two thousand and twenty 

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. 

Be it enacted by the Senate and House of Representatives of 

the United States of America in Congress assembled, 

SECTION 1. SHORT TITLE. 

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

Asthma Management Program Act’’. 

SEC. 2. ADDITIONAL PREFERENCE TO CERTAIN STATES THAT 

REQUIRE CERTAIN PUBLIC SCHOOLS TO HAVE ALLERGIES 

AND ASTHMA MANAGEMENT PROGRAMS. 

Section 399L(d) of the Public Health Service Act (42 U.S.C. 

280g(d)) is amended— 

(1) in paragraph (1)(F)— 

(A) by redesignating clauses (i), (ii), and (iii) as subclauses (I), (II), and (III), respectively, and moving each 

of such subclauses (as so redesignated) 2 ems to the right; 

(B) by striking ‘‘EPINEPHRINE.—In determining’’ and 

inserting ‘‘EPINEPHRINE OR SCHOOL COMPREHENSIVE ALLERGIES AND ASTHMA MANAGEMENT PROGRAM.— 

‘‘(i) IN GENERAL.—In determining’’; 

(C) by striking ‘‘in the State—’’ and inserting ‘‘in the 

State satisfy the criteria described in clause (ii) or clause 

(iii). 

‘‘(ii) CRITERIA FOR SCHOOL PERSONNEL ADMINISTRATION OF EPINEPHRINE.—For purposes of clause (i), the 

criteria described in this clause, with respect to each 

public elementary school and secondary school in the 

State, are that each such school—’’; and 

(D) by adding at the end the following new clause: 

‘‘(iii) CRITERIA FOR SCHOOL COMPREHENSIVE ALLER- GIES AND ASTHMA MANAGEMENT PROGRAM.—For purposes of clause (i), the criteria described in this clause, 

with respect to each public elementary school and secondary school in the State, are that each such school— 

‘‘(I) has in place a plan for having on the 

premises of the school during all operating hours 

of the school a school nurse or one or more other 

individuals who are designated by the principal 

(or other appropriate administrative staff) of the 

school to direct and apply the program described 
H. R. 2468—2 

in subclause (II) on a voluntary basis outside their 

scope of employment; and 

‘‘(II) has in place, under the direction of a 

school nurse or other individual designated under 

subclause (I), a comprehensive school-based allergies and asthma management program that 

includes— 

‘‘(aa) a method to identify all students 

of such school with a diagnosis of allergies 

and asthma; 

‘‘(bb) an individual student allergies and 

asthma action plan for each student of such 

school with a diagnosis of allergies and 

asthma; 

‘‘(cc) allergies and asthma education for 

school staff who are directly responsible for 

students who have been identified as having 

allergies or asthma, such as education 

regarding basics, management, trigger 

management, and comprehensive emergency 

responses with respect to allergies and 

asthma; 

‘‘(dd) efforts to reduce the presence of 

environmental triggers of allergies and 

asthma; and 

‘‘(ee) a system to support students with 

a diagnosis of allergies or asthma through 

coordination with family members of such students, primary care providers of such students, 

primary asthma or allergy care providers of 

such students, and others as necessary.’’; and 

(2) in paragraph (3)(E)— 

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

‘‘, such as the school nurse’’ after ‘‘individual’’; and 

(B) in clause (i), by inserting ‘‘school nurse or’’ before 

‘‘principal’’. 

Speaker of the House of Representatives. 

Vice President of the United States and

President of the Senate.