I 
116TH CONGRESS 
1ST SESSION H. R. 2468 
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. 
IN THE HOUSE OF REPRESENTATIVES 
MAY 2, 2019 
Mr. HOYER (for himself and Mr. DAVID P. ROE of Tennessee) 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 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, 
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘School-Based Allergies 
and Asthma Management Program Act’’. 
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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), by amending subpara-
graph (F) to read as follows: 
‘‘(F) SCHOOL
PERSONNEL
ADMINISTRA-
TION OF RESCUE MEDICATIONS FOR ALLERGIES 
AND ASTHMA.—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 
‘‘(ii) has in place under the direction 
of a school nurse a comprehensive school- 
based allergies and asthma management 
program that includes— 
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‘‘(I) a method to identify all stu-
dents of such school with a diagnosis 
of allergies and asthma; 
‘‘(II) an individual student aller-
gies and asthma action plan for each 
student of such school with a diag-
nosis of allergies and asthma; 
‘‘(III) allergies and asthma edu-
cation 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 manage-
ment, and comprehensive emergency 
responses with respect to allergies and 
asthma; 
‘‘(IV) efforts to reduce the pres-
ence of environmental triggers of al-
lergies and asthma; and 
‘‘(V) a system to support stu-
dents with a diagnosis of allergies or 
asthma through coordination with 
family members of such students, pri-
mary care providers of such students, 
and others as necessary.’’; and 
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(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’’. 
Æ 
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