School-Based Respiratory Health Management Act

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``School-Based Respiratory Health 
Management Act''.

SEC. 2. ADDITIONAL PREFERENCE TO CERTAIN STATES THAT ALLOW TRAINED 
              SCHOOL PERSONNEL TO ADMINISTER RESCUE MEDICATIONS FOR 
              ALLERGIES AND REVERSIBLE LOWER AIRWAY 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 administration of rescue 
                medications for allergies and reversible lower airway 
                disorders.--In determining the preference (if any) to 
                be given to a State under this subsection, the 
                Secretary shall give additional preference 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 operating 
                        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 reversible lower airway disorders 
                        management program that includes--
                                    ``(I) a method to identify all 
                                students of such school with a 
                                diagnosis of allergies and reversible 
                                lower airway disorders;
                                    ``(II) an individual student 
                                allergies and reversible lower airway 
                                disorders action plan for each student 
                                of such school with a diagnosis of 
                                allergies and reversible lower airway 
                                disorders;
                                    ``(III) allergies and reversible 
                                lower airway disorders education for 
                                school staff who are directly 
                                responsible for students who have been 
                                identified as having allergies or 
                                reversible lower airway disorders, such 
                                as education regarding basics, 
                                management, trigger management, and 
                                comprehensive emergency responses with 
                                respect to allergies and reversible 
                                lower airway disorders;
                                    ``(IV) rescue medications for 
                                allergies or reversible lower airway 
                                disorders and emergency policies that 
                                are specific to the school;
                                    ``(V) efforts to reduce the 
                                presence of environmental triggers of 
                                allergies and reversible lower airway 
                                disorders; and
                                    ``(VI) a system to support students 
                                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 reversible lower airway 
                disorders,'' after ``to a student reasonably believed 
                to be having an anaphylactic reaction''; and
            (2) in paragraph (3)--
                    (A) in subparagraph (C)--
                            (i) by striking ``The term'' and inserting 
                        ``(i) The term''; and
                            (ii) by adding at the end the following new 
                        clause:
                    ``(ii) The term `rescue medications for allergies 
                and reversible lower airway disorders' includes 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 
                                reversible lower airway disorders'' 
                                before ``on a voluntary basis'';
                            (iii) in clause (ii), by inserting ``and 
                        rescue medications for allergies and reversible 
                        lower airway disorders'' before the semicolon; 
                        and
                            (iv) in clause (iii), by inserting ``and 
                        rescue medications for allergies and reversible 
                        lower airway disorders'' before ``meets 
                        appropriate medical standards''.

Summary: School-Based Respiratory Health Management Act This bill amends the Public Health Service Act to revise the conditions under which the Department of Health and Human Services, in making asthma-related grants, gives preference to a state. A preference is given to states that require elementary and secondary schools to have: (1) on the premises during operating hours at least one individual trained in the administration of rescue medications for allergies and reversible lower airway disorders, and (2) an allergies and reversible lower airway disorders management program. Currently, this preference is given to states that require schools to have on the premises an individual trained in the administration of epinephrine to a student having a severe allergic reaction. To be eligible for this preference, a state must have civil liability protections for trained individuals who administer rescue medications for allergies and reversible lower airway disorders.