article: SECTION 1. SHORT TITLE. This Act may be cited as the ``School-Based Respiratory Health Management Act''. SEC. 2. ADDITIONAL PREFERENCE TO CERTAIN STATES THAT ALLOW TRAINED SCHOOL PERSONNEL TO ADMINISTER RESCUE MEDICATIONS FOR ALLERGIES AND REVERSIBLE LOWER AIRWAY DISORDERS. 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 rescue medications for allergies and reversible lower airway disorders.--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) 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 ``(ii) has in place under the direction of a school nurse a comprehensive school-based allergies and reversible lower airway disorders management program that includes-- ``(I) a method to identify all students of such school with a diagnosis of allergies and reversible lower airway disorders; ``(II) 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 disorders; ``(III) 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 disorders, such as education regarding basics, management, trigger management, and comprehensive emergency responses with respect to allergies and reversible lower airway disorders; ``(IV) rescue medications for allergies or reversible lower airway disorders and emergency policies that are specific to the school; ``(V) efforts to reduce the presence of environmental triggers of allergies and reversible lower airway disorders; and ``(VI) a system to support students with a diagnosis of allergies or reversible lower airway disorders 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 rescue medication for allergies or reversible lower airway disorders to a student reasonably believed to have a diagnosis of allergies or reversible lower airway disorders,'' after ``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 `rescue medications for allergies and reversible lower airway disorders' includes at least short-acting bronchodilators.''; 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 rescue medications for allergies and reversible lower airway disorders'' before ``on a voluntary basis''; (iii) in clause (ii), by inserting ``and rescue medications for allergies and reversible lower airway disorders'' before the semicolon; and (iv) in clause (iii), by inserting ``and rescue medications for allergies and reversible lower airway disorders'' before ``meets appropriate medical standards''.
summary: School-Based Respiratory Health Management Act This bill amends the Public Health Service Act to revise the conditions under which the Department of Health and Human Services, in making asthma-related grants, gives preference to a state. A preference is given to states that require elementary and secondary schools to have: (1) on the premises during operating hours at least one individual trained in the administration of rescue medications for allergies and reversible lower airway disorders, and (2) an allergies and reversible lower airway disorders management program. Currently, this preference is given to states that require schools to have on the premises an individual trained in the administration of epinephrine to a student having a severe allergic reaction. To be eligible for this preference, a state must have civil liability protections for trained individuals who administer rescue medications for allergies and reversible lower airway disorders.