,,ib ,union ,calendar ,no4 #dcj #aafth  
,,congress  #b;d ,session  ,h4 ,r4 #bdfh
 ,report ,no4 #aaf-ecj ,,in ,,the       
,,house ,,of ,,representatives  ,may #b1
 #bjai,mr4 ,hoyer 7for himself and ,mr4 
,david ,p4 ,roe of ,tennessee7          
introduced the following bill2 which was
 referred to the ,committee on ,energy  
and ,commerce  ,september #bb1          
#bjbj;,additional sponsors3 ,ms4        
,norton1 ,mr4 ,fitzpatrick1 ,mr4 ,cox of
 ,california1 ,ms4 ,wild1 ,mr4 ,khanna1 
,ms4 ,moore1 ,ms4 ,pressley1 ,ms4       
,scanlon1 ,mr4 ,pocan1 ,mr4 ,welch1 ,ms4
 ,clarke of ,new ,york1 ,mr4 ,rush1 ,mr4
 ,tonko1 ,mrs4 ,davis of ,california1   
,mr4 ,crdenas1 ,mr4 ,gonzalez of ,texas1
 ,mr4 ,kinzinger1 ,ms4 ,schakowsky1 ,mr4
 ,collins of ,new ,york1 ,mr4 ,engel1   
,ms4 ,barragn1 ,ms4 ,de,gette1 ,mr4     
,young1 ,mr4 ,serrano1 ,ms4 ,castor of  
,florida1 ,mr4 ,rose of ,new ,york1 ,mr4
 ,cummings1 ,ms4 ,johnson of ,texas1    
,mr4 ,nadler1 ,mr4 ,hastings1 ,mr4      
,lujn1 ,mr4 ,butterfield1 ,mr4 ,harder  

of ,california1 ,mr4 ,lipinski1 ,mr4    
,raskin1 ,ms4 ,blunt ,rochester1 ,mrs4  
,axne1 ,ms4 ,kelly of ,illinois1 ,ms4   
,matsui1 ,mrs4 ,beatty1 ,ms4 ,velzquez1 
,mr4 ,suozzi1 ,mr4 ,keating1 ,mr4       
,pappas1 ,mr4 ,vargas1 and ,mr4 ,van    
,drew  ,september #bb1 #bjbj,reported   
with an amendment1 committed to the     
,committee of the ,whole ,house on the  
,state of the ,union1 and ordered to be 
printed,strike out all after the        
enacting clause and insert the part     
printed in italic,for text of introduced
 bill1 see copy of bill as introduced on
 ,may #b1 #bjai  ,a ,,bill  ,to amend   
the ,public ,health ,service ,act to    
increase the preference given1 in       
awarding certain allergies and          
asthma-related grants1 to ,states that  
require certain public schools to have  
allergies and asthma management         
programs1 and for other purposes4  #a4  
,short title ,this ,act may be cited as 
the ,school-,based ,allergies and       
,asthma ,management ,program ,act4  #b4 

,additional preference to certain       
,states that require certain public     
schools to have allergies and asthma    
management programs ,section #cii,l7d7  
of the ,public ,health ,service ,act    
7#db ,u4,s4,c4 #bhj;g7d77 is amended--  
7#a7 in paragraph 7#a77;,f7-- 7,a7 by   
redesignating clauses 7i71 7ii71 and    
7iii7 as subclauses 7,i71 7,,ii71 and   
7,,iii71 respectively1 and moving each  
of such subclauses 7as so redesignated7 
#b ems to the right2  7,b7 by striking  
epinephrine4--,in determining and       
inserting epinephrine or school         
comprehensive allergies and asthma      
management program4-- 7i7 ,in general   
,in determining  2  7,c7 by striking in 
the ,state-- and inserting in the ,state
 satisfy the criteria described in      
clause 7ii7 or clause 7iii74 7ii7       
,criteria for school personnel          
administration of epinephrine ,for      
purposes of clause 7i71 the criteria    
described in this clause1 with respect  
to each public elementary school and    

secondary school in the ,state1 are that
 each such school--  2 and  7,d7 by     
adding at the end the following new     
clause3  7iii7 ,criteria for school     
comprehensive allergies and asthma      
management program ,for purposes of     
clause 7i71 the criteria described in   
this clause1 with respect to each public
 elementary school and secondary school 
in the ,state1 are that each such       
school-- 7,i7 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 designated by the   
principal 7or other appropriate         
administrative staff7 of the school to  
direct and apply the program described  
in subclause 7,,ii7 on a voluntary basis
 outside their scope of employment2 and 
7,,ii7 has in place1 under the direction
 of a school nurse or other individual  
designated under subclause 7,i71 a      
comprehensive school-based allergies and
 asthma management program that         

includes-- 7aa7 a method to identify all
 students of such school with a         
diagnosis of allergies and asthma2  7bb7
 an individual student allergies and    
asthma action plan for each student of  
such school with a diagnosis of         
allergies and asthma2  7cc7 allergies   
and asthma education for school staff   
who are directly responsible for        
students who have been identified as    
having allergies or asthma1 such as     
education regarding basics1 management1 
trigger management1 and comprehensive   
emergency responses with respect to     
allergies and asthma2  7dd7 efforts to  
reduce the presence of environmental    
triggers of allergies and asthma2 and   
7ee7 a system to support students with a
 diagnosis of allergies or asthma       
through coordination with family members
 of such students1 primary care         
providers of such students1 primary     
asthma or allergy care providers of such
 students1 and others as necessary4  2  
and  7#b7 in paragraph 7#c77;,e7-- 7,a7 

in the matter preceding clause 7i71 by  
inserting 1 such as the school nurse    
after individual2 and  7,b7 in clause   
7i71 by inserting school nurse or before
 principal4  ,september #bb1            
#bjbj,reported with an amendment1       
committed to the ,committee of the      
,whole ,house on the ,state of the      
,union1 and ordered to be printed