IB 
Union Calendar No. 430 
116TH CONGRESS 
2D SESSION 
H. R. 2468 
[Report No. 116–530] 
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 
SEPTEMBER 22, 2020 
Additional sponsors: Ms. NORTON, Mr. FITZPATRICK, Mr. COX of California, 
Ms. WILD, Mr. KHANNA, Ms. MOORE, Ms. PRESSLEY, Ms. SCANLON, Mr. 
POCAN, Mr. WELCH, Ms. CLARKE of New York, Mr. RUSH, Mr. TONKO, 
Mrs. DAVIS of California, Mr. CA´RDENAS, Mr. GONZALEZ of Texas, Mr. 
KINZINGER, Ms. SCHAKOWSKY, Mr. COLLINS of New York, Mr. ENGEL, 
Ms. BARRAGA´N, Ms. DEGETTE, Mr. YOUNG, Mr. SERRANO, Ms. CASTOR 
of Florida, Mr. ROSE of New York, Mr. CUMMINGS, Ms. JOHNSON of 
Texas, Mr. NADLER, Mr. HASTINGS, Mr. LUJA´N, Mr. BUTTERFIELD, Mr. 
HARDER of California, Mr. LIPINSKI, Mr. RASKIN, Ms. BLUNT ROCH-
ESTER, Mrs. AXNE, Ms. KELLY of Illinois, Ms. MATSUI, Mrs. BEATTY, 
Ms. VELA´ZQUEZ, Mr. SUOZZI, Mr. KEATING, Mr. PAPPAS, Mr. VARGAS, 
and Mr. VAN DREW 
SEPTEMBER 22, 2020 
Reported with an amendment, committed to the Committee of the Whole 
House on the State of the Union, and ordered to be printed 
[Strike out all after the enacting clause and insert the part printed in italic] 
[For text of introduced bill, see copy of bill as introduced on May 2, 2019] 
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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. 
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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’’. 
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 ASTH-
MA MANAGEMENT PROGRAM.— 
‘‘(i) IN GENERAL.—In determining’’; 
(C) by striking ‘‘in the State—’’ and insert-
ing ‘‘in the State satisfy the criteria described in 
clause (ii) or clause (iii). 
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‘‘(ii) CRITERIA
FOR
SCHOOL
PER-
SONNEL
ADMINISTRATION
OF
EPINEPH-
RINE.—For purposes of clause (i), the cri-
teria described in this clause, with respect 
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 MAN-
AGEMENT
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 indi-
viduals who are designated by the 
principal (or other appropriate admin-
istrative staff) of the school to direct 
and apply the program described in 
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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-
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 students 
who have been identified as hav-
ing allergies or asthma, such as 
education regarding basics, man-
agement, 
trigger 
management, 
and comprehensive emergency re-
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sponses 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 aller-
gies or asthma through coordina-
tion with family members of such 
students, primary care providers 
of such students, primary asthma 
or allergy care providers of such 
students, 
and 
others 
as 
nec-
essary.’’; 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’’. 
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Union Calendar No. 430 
116TH CONGRESS 
2D SESSION 
H. R. 2468 
[Report No. 116–530] 
A BILL 
To amend the Public Health Service Act to increase 
the preference given, in awarding certain aller-
gies and asthma-related grants, to States that re-
quire certain public schools to have allergies and 
asthma management programs, and for other 
purposes. 
SEPTEMBER 22, 2020 
Reported with an amendment, committed to the Com-
mittee of the Whole House on the State of the Union, 
and ordered to be printed 
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