School personnel administration of epinephrine or school comprehensive allergies and asthma management program
(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—
(I)
permits trained personnel of the school to administer epinephrine to any student of the school reasonably believed to be having an anaphylactic reaction;
(II)
maintains a supply of epinephrine in a secure location that is easily accessible to trained personnel of the school for the purpose of administration to any student of the school reasonably believed to be having an anaphylactic reaction; and
(III)
has in place a plan for having on the premises of the school during all operating hours of the school one or more individuals who are trained personnel of the school.
(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—
(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
(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—
(aa)
a method to identify all students of such school with a diagnosis of allergies and asthma;
(bb)
an individual student allergies and asthma action plan for each student of such school with a diagnosis of allergies and asthma;
(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;
(dd)
efforts to reduce the presence of environmental triggers of allergies and asthma; and
(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.