IIB 
116TH CONGRESS 
2D SESSION 
H. R. 2468 
IN THE SENATE OF THE UNITED STATES 
SEPTEMBER 30 (legislative day, SEPTEMBER 29), 2020 
Received; read twice and referred to the Committee on Health, Education, 
Labor, and Pensions 
AN ACT 
To amend the Public Health Service Act to increase the 
preference given, in awarding certain allergies and asth-
ma-related grants, to States that require certain public 
schools to have allergies and asthma management pro-
grams, and for other purposes. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
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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 MANAGE-
MENT 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), respec-
tively, and moving each of such subclauses (as 
so redesignated) 2 ems to the right; 
(B) by striking ‘‘EPINEPHRINE.—In deter-
mining’’ and inserting ‘‘EPINEPHRINE
OR 
SCHOOL
COMPREHENSIVE
ALLERGIES
AND 
ASTHMA MANAGEMENT PROGRAM.— 
‘‘(i) IN GENERAL.—In determining’’; 
(C) by striking ‘‘in the State—’’ and in-
serting ‘‘in the State satisfy the criteria de-
scribed in clause (ii) or clause (iii). 
‘‘(ii) CRITERIA
FOR
SCHOOL
PER-
SONNEL
ADMINISTRATION
OF
EPINEPH-
RINE.—For purposes of clause (i), the cri-
teria described in this clause, with respect 
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to each public elementary school and sec-
ondary school in the State, are that each 
such school—’’; and 
(D) by adding at the end the following new 
clause: 
‘‘(iii) CRITERIA
FOR
SCHOOL
COM-
PREHENSIVE
ALLERGIES
AND
ASTHMA 
MANAGEMENT PROGRAM.—For purposes of 
clause (i), the criteria described in this 
clause, with respect to each public elemen-
tary school and secondary school in the 
State, are that each such school— 
‘‘(I) has in place a plan for hav-
ing on the premises of the school dur-
ing all operating hours of the school a 
school nurse or one or more other in-
dividuals who are designated by the 
principal (or other appropriate admin-
istrative staff) of the school to direct 
and apply the program described in 
subclause (II) on a voluntary basis 
outside their scope of employment; 
and 
‘‘(II) has in place, under the di-
rection of a school nurse or other indi-
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vidual 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 stu-
dents who have been identified as 
having allergies or asthma, such 
as education regarding basics, 
management, 
trigger 
manage-
ment, and comprehensive emer-
gency responses with respect to 
allergies and asthma; 
‘‘(dd) efforts to reduce the 
presence of environmental trig-
gers of allergies and asthma; and 
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‘‘(ee) a system to support 
students with a diagnosis of al-
lergies or asthma through coordi-
nation with family members of 
such students, primary care pro-
viders 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 ‘‘in-
dividual’’; and 
(B) in clause (i), by inserting ‘‘school 
nurse or’’ before ‘‘principal’’. 
Passed the House of Representatives September 29, 
2020. 
Attest: 
CHERYL L. JOHNSON, 
Clerk. 
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