,i  #aaeth ,,congress  #ast ,session    
,h4 ,r4 #bbhe  ,,in ,,the ,,house ,,of  
,,representatives  ,may #b1 #bjag,mr4   
,roe of ,tennessee 7for himself and ,mr4
 ,hoyer7 introduced the following bill2 
which was referred to the ,committee on 
,energy and ,commerce  ,a ,,bill  ,to   
amend the ,public ,health ,service ,act 
to increase the preference given1 in    
awarding certain allergies and          
reversible lower airway                 
disorders-related grants1 to ,states    
that allow trained school personnel to  
administer rescue medications for       
allergies and reversible lower airway   
disorders1 and for other purposes4  #a4 
,short title ,this ,act may be cited as 
the ,school-,based ,respiratory ,health 
,management ,act4  #b4 ,additional      
preference to certain ,states that allow
 trained school personnel to administer 
rescue medications for allergies and    
reversible lower airway disorders       
,section #cii,l7d7 of the ,public       
,health ,service ,act 7#db ,u4,s4,c4    

#bhj;g7d77 is amended--  7#a7 in        
paragraph 7#a7-- 7,a7 by amending       
subparagraph 7,f7 to read as follows3   
7,f7 ,school personnel administration of
 rescue medications for allergies and   
reversible lower airway disorders ,in   
determining the preference 7if any7 to  
be given to a ,state under this         
subsection1 the ,secretary shall give   
additional preference to a ,state that  
provides to the ,secretary the          
certification described in subparagraph 
7,g7 and that requires that each public 
elementary school and secondary school  
in the ,state-- 7i7 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 school2 and  7ii7 has  
in place under the direction of a school
 nurse a comprehensive school-based     
allergies and reversible lower airway   
disorders management program that       
includes-- 7,i7 a method to identify all

 students of such school with a         
diagnosis of allergies and reversible   
lower airway disorders2  7,,ii7 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 disorders2      
7,,iii7 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 disorders1 such as education     
regarding basics1 management1 trigger   
management1 and comprehensive emergency 
responses with respect to allergies and 
reversible lower airway disorders2      
7,,iv7 rescue medications for allergies 
or reversible lower airway disorders and
 emergency policies that are specific to
 the school2  7,v7 efforts to reduce the
 presence of environmental triggers of  
allergies and reversible lower airway   
disorders2 and  7,,vi7 a system to      

support students with a diagnosis of    
allergies or reversible lower airway    
disorders through coordination with     
family members of such students1 primary
 care providers of such students1 and   
others as necessary4  2 and  7,b7 in    
subparagraph 7,g71 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 disorders1 after to a      
student reasonably believed to be having
 an anaphylactic reaction2 and  7#b7 in 
paragraph 7#c7-- 7,a7 in subparagraph   
7,c7--  7i7 by striking ,the term and   
inserting 7i7 ,the term2 and  7ii7 by   
adding at the end the following new     
clause3  7ii7 ,the term rescue          
medications for allergies and reversible
 lower airway disorders includes at     
least short-acting bronchodilators4  2  
and  7,b7 in subparagraph 7,e7--  7i7 in
 the matter preceding clause 7i71 by    
inserting 1 such as the school nurse    

after individual2  7ii7 in clause 7i7-- 
7,i7 by inserting school nurse or before
 principal2 and  7,,ii7 by inserting and
 rescue medications for allergies and   
reversible lower airway disorders before
 on a voluntary basis2  7iii7 in clause 
7ii71 by inserting and rescue           
medications for allergies and reversible
 lower airway disorders before the      
semicolon2 and  7iv7 in clause 7iii71 by
 inserting and rescue medications for   
allergies and reversible lower airway   
disorders before meets appropriate      
medical standards4