,,ii  #aad? ,,congress  #a/ ,session    
,s4 #ajfe  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,april #bc1 #bjae,mrs4 
,gillibr& introduc$ ! foll[+ bill2 :i* 0
 read twice & ref]r$ to ! ,committee on 
,heal?1 ,education1 ,labor1 & ,p5sions  
,a ,,bill  ,to am5d title ,,iv ( !      
,elem5t>y & ,second>y ,education ,act ( 
#aife to provide grants = ! developm5t (
 a/hma managem5t plans & ! pur*ase (    
a/hma inhal]s & spac]s = em]g5cy use1 z 
necess>y4  #a4 ,%ort title ,?is ,act may
 be cit$ z ! ,s*ool ,a/hma ,managem5t   
,plan ,act4  #b4 ,s*ool a/hma managem5t 
plans  7a7 ,am5dm5t ,title ,,iv ( !     
,elem5t>y & ,second>y ,education ,act ( 
#aife 7#bj ,u4,s4,c4 #gaja et seq47 is  
am5d$ by add+ at ! end ! foll[+3  ,d    
,s*ool ,a/hma ,managem5t ,plans  #ddja4 
,s*ool a/hma managem5t plans  7a7       
,grants ,au?oriz$  7#a7 ,9 g5]al ,!     
,secret>y is au?oriz$ to aw>d grants to 
local educational ag5cies to enable     
public elem5t>y s*ools & second>y s*ools
 s]v$ by ! local educational ag5cies    

to--  7,a7 develop & implem5t a s*ool   
a/hma managem5t plan2 &  7,b7 if ! s*ool
 *ooses1 pur*ase drugs & devices =      
em]g5cy use t are approv$ or cle>$ by ! 
,food & ,drug ,adm9i/ration1 includ+    
bron*odilators1 spac]s1 & inhal]s1 & o!r
 supplies det]m9$ necess>y by !         
,secret>y1 = /ud5ts s]v$ by ! s*ool1 z  
ne$$1 z well z devices t measure        
pulmon>y function or a/hma education    
tools1 or bo?4  7#b7 ,alt]native        
grantees ,! ,secret>y may aw>d a grant  
"u ?is section to a local heal? or      
education dep>tm5t to c>ry out !        
activities describ$ 9 ?is section if !  
,secret>y det]m9es t 9 su* local area   
su* dep>tm5t is ! entity t w\ld r\t9ely 
c>ry out su* activities4  7b7           
,application ,a local educational ag5cy 
or dep>tm5t t desires to receive a grant
 "u ?is section %all submit an          
application at su* "t1 9 su* mann]1 &   
accompani$ by su* in=mation z !         
,secret>y may require4  7c7 ,priority ,9
 aw>d+ grants "u ?is section1 !         

,secret>y %all give a priority to-- 7#a7
 any local educational ag5cy t w use    
grant funds to assi/ a public elem5t>y  
s*ool or second>y s*ool t has a high    
burd5 ( a/hma1 z det]m9$ by ! ,secret>y2
 &  7#b7 if ! ,secret>y elects to aw>d  
grants describ$ 9 subsection 7a77#b71   
any dep>tm5t t proposes to c>ry out !   
grant activities at a s*ool describ$ 9  
p>agraph 7#a74  7d7 ,use ( grant funds  
,a local educational ag5cy or dep>tm5t t
 receives a grant "u ?is section %all   
develop & implem5t a compreh5sive s*ool 
a/hma managem5t plan bas$ on national   
guidel9es at ea* s*ool to be s]v$ "u !  
grant1 & may pur*ase drugs & devices =  
em]g5cy use t are approv$ or cle>$ by ! 
,food & ,drug ,adm9i/ration1 includ+    
bron*odilators1 spac]s1 & inhal]s1 & o!r
 supplies det]m9$ necess>y by !         
,secret>y1 = /ud5ts s]v$ by ! s*ool or  
dep>tm5t1 z ne$$1 z well z devices t    
measure pulmon>y function or a/hma      
education tools1 or bo?4 ,su* managem5t 
plan %all include ! foll[+3  7#a7 ,a    

me?od to id5tify all /ud5ts ) a         
diagnosis ( a/hma4  7#b7 ,an a/hma      
action plan = ea* /ud5t ) a diagnosis ( 
a/hma4  7#c7 ,a/hma education = all     
s*ool /aff1 su* z education reg>d+ a/hma
 basics1 a/hma managem5t1 trigg]        
managem5t1 & compreh5sive em]g5cy       
responses to a/hma attacks4  7#d7       
,access to m$ication & to me?ods to     
adm9i/] m$ication1 = all /ud5ts s]v$ by 
! s*ool or dep>tm5t :o h a/hma1 bas$ on 
! /ud5t's prescription & individual     
ne$s4  7#e7 ,a/hma m$ication & em]g5cy  
policies t are specific to ! s*ool4     
7#f7 ,protocols & tra9+ to support      
cl9ical managem5t ( acute symptoms (    
a/hma & ongo+ managem5t ( a/hma4  7#g7  
,a sy/em to support ongo+ coord9ation ( 
a/hma c>e ) ! family1 ! prim>y c>e      
provid]1 & o!rs z necess>y4  7#h7 ,a    
me?od to monitor ! quality & outcomes ( 
! c>e provid$ to ea* /ud5t s]v$ by !    
s*ool or dep>tm5t :o has a/hma1 includ+ 
h[ (t5 treatm5t is ne$$ & :at treatm5t  
/ud5ts get4  7#i7 ,successful completion

 ( ! ,environm5tal ,protection ,ag5cy's 
,indoor ,air ,quality ,tools = ,s*ools  
,indoor ,air ,quality ,pr(ile4  7e7     
,grant recipi5t actions ,a s*ool or     
dep>tm5t t receives a grant "u ?is      
section %all--  7#a7 utilize exi/+      
sy/ems1 :5 possible1 includ+ ! use ( =ms
 develop$ 9 accordance ) section #ejd ( 
! ,rehabilitation ,act ( #aigc 7#bj     
,u4,s4,c4 #gid72  7#b7 f9d innovative   
ways--  7,a7 to enc\rage bidirectional  
communication betwe5 s*ools & /ud5ts'   
physicians 9 a rapid mann]2 &  7,b7 to  
enc\rage adh]5ce to a/hma treatm5t by   
/ud5ts2  7#c7 ensure t a nurse or ano!r 
individual :o is tra9$ to adm9i/]       
em]g5cy a/hma c>e is on /aff2  7#d7     
ensure t all /ud5t a/hma action plans   
include a/hma trigg]s1 bo? all]g5s &    
irritants1 = ! /ud5t2 &  7#e7 ensure t  
ea* s*ool s]v$ "u ! grant report a/hma  
em]g5cy ev5ts involv+ /ud5ts to ! ,/ate 
heal? dep>tm5t by s*ool id5tifi]4  7f7  
,au?orization ( appropriations ,!re are 
au?oriz$ to be appropriat$ to c>ry out  

?is section su* sums z may be necess>y =
 fiscal ye> #bjaf & ea* ( ! #d succe$+  
fiscal ye>s4  4  7b7 ,table ( cont5ts ,!
 table ( cont5ts 9 section #b ( su* ,act
 is am5d$ by ins]t+ aft] ! item relat+  
to section #dcjd ! foll[+3  ,,"p        
,d--,s*ool ,a/hma ,managem5t ,plans     
,sec4 #ddja4 ,s*ool a/hma managem5t     
plans4  4