I 
115TH CONGRESS 
1ST SESSION H. R. 2285 
To amend the Public Health Service Act to increase the preference given, 
in awarding certain allergies and reversible lower airway disorders-related 
grants, to States that allow trained school personnel to administer rescue 
medications for allergies and reversible lower airway disorders, and for 
other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
MAY 2, 2017 
Mr. ROE of Tennessee (for himself and Mr. HOYER) introduced the following 
bill; which was referred to the Committee on Energy and Commerce 
A BILL 
To amend the Public Health Service Act to increase the 
preference given, in awarding certain allergies and re-
versible lower airway disorders-related grants, to States 
that allow trained school personnel to administer rescue 
medications for allergies and reversible lower airway dis-
orders, and for other purposes. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘School-Based Res-
piratory Health Management Act’’. 
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SEC. 2. ADDITIONAL PREFERENCE TO CERTAIN STATES 
THAT ALLOW TRAINED SCHOOL PERSONNEL 
TO ADMINISTER RESCUE MEDICATIONS FOR 
ALLERGIES AND REVERSIBLE LOWER AIR-
WAY DISORDERS. 
Section 399L(d) of the Public Health Service Act (42 
U.S.C. 280g(d)) is amended— 
(1) in paragraph (1)— 
(A) by amending subparagraph (F) to read 
as follows: 
‘‘(F) SCHOOL
PERSONNEL
ADMINISTRA-
TION OF RESCUE MEDICATIONS FOR ALLERGIES 
AND
REVERSIBLE
LOWER
AIRWAY
DIS-
ORDERS.—In determining the preference (if 
any) to be given to a State under this sub-
section, the Secretary shall give additional pref-
erence to a State that provides to the Secretary 
the certification described in subparagraph (G) 
and that requires that each public elementary 
school and secondary school in the State— 
‘‘(i) has in place a plan for having on 
the premises of the school during all oper-
ating hours of the school a school nurse or 
one or more other individuals who are 
trained personnel of the school; and 
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‘‘(ii) has in place under the direction 
of a school nurse a comprehensive school- 
based allergies and reversible lower airway 
disorders management program that in-
cludes— 
‘‘(I) a method to identify all stu-
dents of such school with a diagnosis 
of allergies and reversible lower air-
way disorders; 
‘‘(II) an individual student aller-
gies and reversible lower airway dis-
orders action plan for each student of 
such school with a diagnosis of aller-
gies and reversible lower airway dis-
orders; 
‘‘(III) allergies and reversible 
lower airway disorders education for 
school staff who are directly respon-
sible for students who have been iden-
tified as having allergies or reversible 
lower airway disorders, such as edu-
cation regarding basics, management, 
trigger management, and comprehen-
sive emergency responses with respect 
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to allergies and reversible lower air-
way disorders; 
‘‘(IV) rescue medications for al-
lergies or reversible lower airway dis-
orders and emergency policies that are 
specific to the school; 
‘‘(V) efforts to reduce the pres-
ence of environmental triggers of al-
lergies and reversible lower airway 
disorders; and 
‘‘(VI) a system to support stu-
dents with a diagnosis of allergies or 
reversible 
lower 
airway 
disorders 
through 
coordination 
with 
family 
members of such students, primary 
care providers of such students, and 
others as necessary.’’; and 
(B) in subparagraph (G), by inserting ‘‘or 
rescue medication for allergies or reversible 
lower airway disorders to a student reasonably 
believed to have a diagnosis of allergies or re-
versible lower airway disorders,’’ after ‘‘to a 
student reasonably believed to be having an 
anaphylactic reaction’’; and 
(2) in paragraph (3)— 
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(A) in subparagraph (C)— 
(i) by striking ‘‘The term’’ and insert-
ing ‘‘(i) The term’’; and 
(ii) by adding at the end the following 
new clause: 
‘‘(ii) The term ‘rescue medications for al-
lergies and reversible lower airway disorders’ in-
cludes at least short-acting bronchodilators.’’; 
and 
(B) in subparagraph (E)— 
(i) in the matter preceding clause (i), 
by inserting ‘‘, such as the school nurse’’ 
after ‘‘individual’’; 
(ii) in clause (i)— 
(I) by inserting ‘‘school nurse or’’ 
before ‘‘principal’’; and 
(II) by inserting ‘‘and rescue 
medications for allergies and revers-
ible lower airway disorders’’ before 
‘‘on a voluntary basis’’; 
(iii) in clause (ii), by inserting ‘‘and 
rescue medications for allergies and revers-
ible lower airway disorders’’ before the 
semicolon; and 
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(iv) in clause (iii), by inserting ‘‘and 
rescue medications for allergies and revers-
ible lower airway disorders’’ before ‘‘meets 
appropriate medical standards’’. 
Æ 
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