I 
114TH CONGRESS 
2D SESSION 
H. R. 4662 
To amend the Public Health Service Act to increase the preference given, 
in awarding certain asthma-related grants, to States that allow trained 
school personnel to administer asthma-related rescue medications, and 
for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
MARCH 2, 2016 
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 asthma-related 
grants, to States that allow trained school personnel 
to administer asthma-related rescue medications, 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 Asthma 
Management Program Act’’. 
VerDate Sep 11 2014 
01:11 Mar 03, 2016
Jkt 059200
PO 00000
Frm 00001
Fmt 6652
Sfmt 6201
E:\BILLS\H4662.IH
H4662
emcdonald on DSK67QTVN1PROD with BILLS
SEC. 2. ADDITIONAL PREFERENCE TO CERTAIN STATES 
THAT ALLOW TRAINED SCHOOL PERSONNEL 
TO ADMINISTER EPINEPHRINE AND ASTHMA- 
RELATED RESCUE MEDICATIONS. 
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 EPINEPHRINE AND ASTHMA-RELATED 
RESCUE
MEDICATIONS.—In determining the 
preference (if any) to be given to a State under 
this subsection, the Secretary shall give addi-
tional preference to a State that provides to the 
Secretary the certification described in subpara-
graph (G) and that requires that each public el-
ementary school and secondary school in the 
State— 
‘‘(i) permits trained personnel of the 
school to administer epinephrine to any 
student of the school reasonably believed to 
be having an anaphylactic reaction; 
‘‘(ii) maintains a supply of epineph-
rine in a secure location that is easily ac-
cessible to trained personnel of the school 
VerDate Sep 11 2014 
01:11 Mar 03, 2016
Jkt 059200
PO 00000
Frm 00002
Fmt 6652
Sfmt 6201
E:\BILLS\H4662.IH
H4662
emcdonald on DSK67QTVN1PROD with BILLS
for the purpose of administration to any 
student of the school reasonably believed to 
be having an anaphylactic reaction; 
‘‘(iii) permits trained personnel of the 
school to administer asthma-related rescue 
medication to any student of the school 
reasonably believed to have an asthma di-
agnosis; 
‘‘(iv) maintains a supply of asthma-re-
lated rescue medication and modes of de-
livery, such as spacers or nebulizers, in a 
secure location that is easily accessible to 
trained personnel of the school for the pur-
pose of administration to any student of 
the school reasonably believed to have an 
asthma diagnosis; 
‘‘(v) 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 
‘‘(vi) has in place under the direction 
of a school nurse a comprehensive school- 
based asthma management program that 
includes— 
VerDate Sep 11 2014 
01:11 Mar 03, 2016
Jkt 059200
PO 00000
Frm 00003
Fmt 6652
Sfmt 6201
E:\BILLS\H4662.IH
H4662
emcdonald on DSK67QTVN1PROD with BILLS
‘‘(I) a method to identify all stu-
dents of such school with a diagnosis 
of asthma; 
‘‘(II) an individual student asth-
ma action plan for each student of 
such school with a diagnosis of asth-
ma; 
‘‘(III) 
asthma 
education 
for 
school staff who are directly respon-
sible for students who have been iden-
tified as asthmatic, such as education 
regarding 
asthma 
basics, 
asthma 
management, 
trigger 
management, 
and comprehensive emergency re-
sponses to asthma attacks; 
‘‘(IV) asthma medication and 
emergency policies that are specific to 
the school; 
‘‘(V) efforts to reduce the pres-
ence of environmental triggers of 
asthma; and 
‘‘(VI) a system to support stu-
dents with a diagnosis of asthma 
through 
coordination 
with 
family 
members of such students, primary 
VerDate Sep 11 2014 
01:11 Mar 03, 2016
Jkt 059200
PO 00000
Frm 00004
Fmt 6652
Sfmt 6201
E:\BILLS\H4662.IH
H4662
emcdonald on DSK67QTVN1PROD with BILLS
care providers of such students, and 
others as necessary.’’; and 
(B) in subparagraph (G), by inserting ‘‘or 
asthma-related rescue medication to a student 
reasonably believed to have an asthma diag-
nosis,’’ after ‘‘epinephrine to a student reason-
ably believed to be having an anaphylactic reac-
tion’’; and 
(2) in paragraph (3)— 
(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 ‘asthma-related rescue 
medication’ means short-acting bronchodilators, 
such as albuterol and levalbuterol.’’; 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 
VerDate Sep 11 2014 
01:11 Mar 03, 2016
Jkt 059200
PO 00000
Frm 00005
Fmt 6652
Sfmt 6201
E:\BILLS\H4662.IH
H4662
emcdonald on DSK67QTVN1PROD with BILLS
(II) by inserting ‘‘and asthma-re-
lated rescue medication’’ after ‘‘epi-
nephrine’’; 
(iii) in clause (ii), by inserting ‘‘and 
asthma-related rescue medication’’ after 
‘‘epinephrine’’; and 
(iv) in clause (iii), by inserting ‘‘and 
asthma-related rescue medication’’ after 
‘‘epinephrine’’. 
Æ 
VerDate Sep 11 2014 
01:11 Mar 03, 2016
Jkt 059200
PO 00000
Frm 00006
Fmt 6652
Sfmt 6301
E:\BILLS\H4662.IH
H4662
emcdonald on DSK67QTVN1PROD with BILLS