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 pur-
poses. 
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 sub-
clauses (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 ALLER-
GIES 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 ADMINISTRA-
TION 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 pur-
poses of clause (i), the criteria described in this clause, 
with respect to each public elementary school and sec-
ondary 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 aller-
gies 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 stu-
dents, 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.