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Asthma EducationEnactedFederal Checked 8/9/2026 Source Active

Asthmatic Schoolchildren's Treatment and Health Management Act of 2004 (ASTHMA Act)

United States P.L. 108-377 (H.R. 2023, 108th Congress) 2004 President George W. Bush
SB
Primary Sponsor
Rep. Stupak, Bart (D-MI) [primary sponsor]
Governor
President George W. Bush
Signed: 2004-10-30
asthmaanaphylaxisself_carryinhalerschool_policyfederalgrant_preferenceeducationallergy

Transparency & Verification

Verified from Official Source
Source AgencyU.S. Congress / Congress.gov
Last Updated2026-08-04
Last Verified2026-08-09
Verified ByPolicyPantry Editorial Team
Last checked: 2026-08-09 Confidence: 100/100 approved

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Summary

The Asthmatic Schoolchildren's Treatment and Health Management Act of 2004 (ASTHMA Act), Public Law 108-377 (H.R. 2023, 108th Congress), signed by President George W. Bush on October 30, 2004, gives federal grant preference to states that require schools to allow students to self-carry and self-administer prescribed quick-relief asthma and anaphylaxis medication.

Legislative Intent

Give states a financial incentive to protect the rights of schoolchildren with asthma and anaphylaxis to carry and self-administer their prescribed quick-relief medication during the school day, reducing emergency room visits and lost school and parental work time.

Key Provisions

Amends federal asthma-related grant programs to give a funding preference to states that require schools to allow students to self-administer medication to treat the student's asthma or anaphylaxis. A state qualifies for the preference if it requires local educational agencies to permit self-administration by a student (permitted to possess and use prescribed asthma/anaphylaxis medication under a licensed practitioner's written direction) provided the parent/guardian and practitioner submit written authorization and the student demonstrates proper use. Defines 'self-administration' as a student's discretionary use of prescribed asthma or anaphylaxis medication pursuant to a health care practitioner's written direction. Protects schools and personnel from liability for injury resulting from self-administration except in cases of gross negligence or misconduct. The preference applies to grants authorized under the Public Health Service Act and other asthma-related federal health programs.

Who This Bill Serves & Who's Backing It

Core Patient Populations

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Children and adults living with asthma.

Advocacy Groups Backing This Legislation

No advocacy organizations are currently tracked as backing this bill.Browse advocacy organizations →

Legislative Timeline

Legislative Session108th Congress (2003-2004)
CommitteeHouse - Energy and Commerce
Passed House
Passed Senate
Signed2004-10-30
Effective Date2004-10-30

Implementation & Enforcement

Funding SourceFederal grant preference under asthma-related public health programs
Enforcement AuthorityU.S. Department of Health and Human Services (grant preference administration)
Rulemaking AuthoritySecretary of Health and Human Services

Votes & Legislative History

Passed House
Passed Senate

Compliance & Requirements

Who Must ComplyStates seeking the federal grant preference must, in turn, require local educational agencies/schools to permit eligible students to possess and self-administer their prescribed asthma or anaphylaxis medication.

Legislative History & Resources

Committee HistoryReferred to House Committee on Energy and Commerce; reported by Senate Report 108-394.
Legislative HistoryIntroduced as H.R. 2023 in the 108th Congress. Passed the House and Senate. Reported by Senate Report 108-394. Signed by President George W. Bush on October 30, 2004, becoming Public Law 108-377.
Related Federal LawsPublic Health Service Act (asthma-related grant programs); Food Allergen Labeling and Consumer Protection Act of 2004 (Pub. L. 108-282)

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Signed Into Law
AnaphylaxisEnacted
Signed into Law
Checked 11/7/2026 Source Active Education

Alex's Law

Prescription Asthma Inhalers and Auto-Injectable Epinephrine in Schools

Authorizes schools to stock epinephrine and albuterol inhalers and allows students to self-carry and self-administer these medications with proper documentation.

Arkansas Act 851 of 2019
Trusted Reference
Trusted Reference
Signed Into Law
AnaphylaxisEnacted
Signed into Law
Checked 11/6/2026 Unrelated Link Education

Alex's Law

Student Self-Carry and Administration

Allows students to carry and self-administer life-saving medication on school premises, school buses, and during school activities with proper medical and parental authorization.

Arkansas Ark. Code § 6-18-707
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Signed Into Law
AnaphylaxisEnacted
Signed into Law
Checked 11/6/2026 Source Active Education

School Stocking Law

School Epinephrine and Albuterol Stocking

Permits schools to stock and administer emergency epinephrine and albuterol, requiring training for designated personnel and established emergency protocols.

Arkansas Act 1108 of 2015; Act 851 of 2019
Trusted Reference
Trusted Reference

While we strive for accuracy, information may change over time. Always double-check and verify against official sources before relying on it.

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