[Congressional Bills 114th Congress]
[From the U.S. Government Publishing Office]
[H.R. 4662 Introduced in House (IH)]

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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 Representatives 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''.

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 administration 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 
                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) 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 epinephrine in 
                        a secure location that is easily accessible to 
                        trained personnel of the school 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 
                        diagnosis;
                            ``(iv) maintains a supply of asthma-related 
                        rescue medication and modes of delivery, such 
                        as spacers or nebulizers, in a secure location 
                        that is easily accessible to trained personnel 
                        of the school for the purpose 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 operating 
                        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--
                                    ``(I) a method to identify all 
                                students of such school with a 
                                diagnosis of asthma;
                                    ``(II) an individual student asthma 
                                action plan for each student of such 
                                school with a diagnosis of asthma;
                                    ``(III) asthma education for school 
                                staff who are directly responsible for 
                                students who have been identified as 
                                asthmatic, such as education regarding 
                                asthma basics, asthma management, 
                                trigger management, and comprehensive 
                                emergency responses to asthma attacks;
                                    ``(IV) asthma medication and 
                                emergency policies that are specific to 
                                the school;
                                    ``(V) efforts to reduce the 
                                presence of environmental triggers of 
                                asthma; and
                                    ``(VI) a system to support students 
                                with a diagnosis of asthma 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 asthma-
                related rescue medication to a student reasonably 
                believed to have an asthma diagnosis,'' after 
                ``epinephrine 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 `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
                                    (II) by inserting ``and asthma-
                                related rescue medication'' after 
                                ``epinephrine'';
                            (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''.
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