H.R. 2468 — what changed

Section 399L(d) of the Public Health Service Act (42 U.S.C. 280g(d)) is amended—

added “(i) In general—In determining”

added “(ii) Criteria for school personnel administration of epinephrine—For purposes of clause (i), the criteria described in this clause, with respect to each public elementary school and secondary school in the State, are that each such school—”

added “(iii) Criteria for school comprehensive allergies and asthma management program—For purposes of clause (i), the criteria described in this clause, with respect to each public elementary school and secondary school in the State, are that each such school—

added “(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 designated by the principal (or other appropriate administrative staff) of the school to direct and apply the program described in subclause (II) on a voluntary basis outside their scope of employment; and

added “(II) has in place, under the direction of a school nurse or other individual designated under subclause (I), a comprehensive school-based allergies and asthma management program that includes—

added “(aa) a method to identify all students of such school with a diagnosis of allergies and asthma;

added “(bb) an individual student allergies and asthma action plan for each student of such school with a diagnosis of allergies and asthma;

added “(cc) allergies and asthma education for school staff who are directly responsible for students who have been identified as having allergies or asthma, such as education regarding basics, management, trigger management, and comprehensive emergency responses with respect to allergies and asthma;

added “(dd) efforts to reduce the presence of environmental triggers of allergies and asthma; and

added “(ee) a system to support students with a diagnosis of allergies or asthma through coordination with family members of such students, primary care providers of such students, primary asthma or allergy care providers of such students, and others as necessary.”

removed “(F) School personnel administration of rescue medications for allergies and asthma—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—

removed “(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

removed “(ii) has in place under the direction of a school nurse a comprehensive school-based allergies and asthma management program that includes—

removed “(I) a method to identify all students of such school with a diagnosis of allergies and asthma;

removed “(II) an individual student allergies and asthma action plan for each student of such school with a diagnosis of allergies and asthma;

removed “(III) allergies and asthma education for school staff who are directly responsible for students who have been identified as having allergies or asthma, such as education regarding basics, management, trigger management, and comprehensive emergency responses with respect to allergies and asthma;

removed “(IV) efforts to reduce the presence of environmental triggers of allergies and asthma; and

removed “(V) a system to support students with a diagnosis of allergies or asthma through coordination with family members of such students, primary care providers of such students, and others as necessary.”