text: 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''.
target: 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.
feat_title: School-Based Respiratory Health Management Act