SA³MPRO™: Comprehensive Asthma Educational Resources
The AAAAI created a central resource [termed the School-based Asthma, Allergy & Anaphylaxis Management Program (SA3MPROTM)], in collaboration with others to assist students with asthma and allergies and their families practice consistent management of their conditions at school. In April 2019, with Congressman Phil Roe (R-TN) and Congressman Steny Hoyer (D-MD), the AAAAI and others initiated the School-Based Allergies and Asthma Management Program Act (H.R. 2468) as bipartisan legislation to support the SA3MPROTM program. Passed by the U.S. House of Representatives on September 29 and the U.S. Senate on December 17, 2020, the legislation awaits President Trump’s signature.
The School-Based Allergies and Asthma Management Program Act (H.R. 2468) 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. The measure will give preference to states that require elementary and secondary schools to have at least one individual, such as a school nurse or other school staff, to direct and apply a comprehensive school-based allergies and asthma management program on a voluntary basis. The program will include a method to identify students with allergies and asthma, have on file an action plan for each individual student, and develop a support system for each such student coordinating school staff, family members, and health care providers. The two most important strategies for preparing schools in the event of an asthma incident are implementing individual action plans and preparing school staff to assist children experiencing an attack.
Its passage by the 116th Congress reflects ongoing AAAAI advocacy efforts, and those of its patient advocacy organizations, including the Asthma and Allergy Foundation of America and the Allergy and Asthma Network, along with the American College of Allergy, Asthma and Immunology.
See more about the history of H.R. 2468, similar legislation introduced last session.
April 6. 2021
AAAAI, H.R. 2468 and H.R. 2885, wrote to the Biden Administration to offer its expertise in implementing Public Law No. 116-292, the School-Based Allergies and Asthma Management Program Act. The measure amends the Public Health Service Act to provide preference to states which ensure a school nurse or other trained staffer is available on the premises, and that students diagnosed with allergies and asthma are identified and have an individualized action plan and coordinated support system. This legislation was based on the School-based Asthma, Allergy & Anaphylaxis Management Program, or SAMPRO™.
January 5, 2021
H.R. 2468, the School-Based Allergies and Asthma Management Program Act became law to enhance the safety of students with allergies and asthma in the school setting. First introduced in support of the AAAAI’s SA3MPRO™ by Majority Leader Steny Hoyer (D-MD) and Representative Phil Roe, MD (R-TN), its passage reflects the efforts of many dedicated physicians and patient advocates who urged its passage.
The measure requires that the Department of Health and Human Services [HHS] award grants first to those states which ensure a school nurse or other trained personnel is available on the premises, and that students diagnosed with allergies and asthma are identified and have an individualized action plan and coordinated support system. The AAAAI will work with HHS and the Centers for Disease Control and Prevention (CDC) to implement this framework.
Improving health and school-related outcomes for children with asthma requires the use of school-based partnerships that focus on integrated care coordination amongst families, clinicians and school nurses.
For asthma care, the SA3MPROTM advocates four components to integrate schools, and specifically school nurses, within the asthma care team. These components are:
1. The creation of a Circle of Support amongst the families, clinicians and schools nurses centered around the child with asthma.
2. The creation and transmission of Asthma Management Plans to schools. This includes an Asthma Emergency Treatment Plan for emergency management of asthma symptoms and an individualized Asthma Action Plan for each child with asthma. A standardized Asthma Action Plan is available.
Asthma Action Plan
Asma - plan de acción
For a downloadable and fillable version please see School-based Asthma Management Program
Asthma Action Plan - Fillable PDF AAAAI does not assume responsibility for how these documents are utilized. Consult with your practice’s IT resources for recommendations on document storage, transmission and HIPAA compliance.
Asma - Plan de Acción (Asthma Action Plan) - Formulario PDF Rellenable La AAAAI no asume ninguna responsabilidad sobre cómo se utilizarán estos documentos. Debe consultar los recursos apropiados de tecnología de la información sobre almacenamiento de documentos, transmisión electrónica y cumplimiento de HIPAA.
SA3MPROTM picture-based asthma action plan
School Supplementary Treatment Orders Form (To be Sent with the Asthma Action Plan)
Órdenes de Tratamiento Complementarias para la Escuela (Se enviarán con el plan de acción contra el asma)
3. A comprehensive Asthma Education Plan for school personnel.
4. A comprehensive Environmental Asthma Plan to assess and remediate asthma triggers at home and in school.
SA3MPROTM, developed by multiple stakeholders, standardizes recommendations for school based asthma, and provides websites and resources useful for the care of children with asthma in the school setting.
How to use this toolkit:
This toolkit will provide information for feasible implementation of SA3MPROTM into local communities. We encourage users to complete the free registration process to allow for full downloads of available material. Information requested from the user will be used to update users on toolkit updates and study usage patterns of the toolkits by school nurses and clinicians.
Slidesets (Page 3)
Downloadable Asthma Action Plans in English and Spanish (Pages 6-9)
Checklists for Clinicians, Families and School Nurses (Pages 10, 14 and 15)
Online Asthma Education Videos, Education Links and Much More (Pages 22-26)
Links to Indoor Quality Management Tools and Education (pages 27-28)
Note: The page numbers correspond to the toolkit zip file.
See below to learn where registrants have accessed the SA3MPROTM toolbox from. (UW HIPxChange)
Registrations by Geography and By Position
Creation and implementation of SAMPRO™: A school-based asthma management program* - The Journal of Allergy and Clinical Immunology (JACI) September 2016
Allergy & Asthma Network
American Academy of Pediatrics
American College of Allergy, Asthma & Immunology
American Thoracic Society
Association of Asthma Educators
Asthma and Allergy Foundation of America
National Association of Pediatric Nurse Practitioners
National Association of School Nurses
Watch this video to learn more about SA3MPROTM.
Anaphylaxis and Food Allergy Tools
State Action Plans
Florida Asthma Action Plan
School Attendance, Asthma and COVID-19
With so many important aspects pertaining to a return to in-person learning, issues specific to asthma management inside the school setting are more important than ever. In this episode Robert Lemanske, Jr., MD, FAAAAI, and Liz Clark, MSN, RN, NCSN, FNASN, discuss recommendations for parents, schools, and healthcare professionals to consider this autumn. (September 21, 2020)
Click here to listen to the podcast.
AAP Allergy and Anaphylaxis Emergency Plan in English »
AAP Allergy and Anaphylaxis Emergency Plan in Spanish »
Learn from and network with asthma programs nationwide »
The American Academy of Allergy, Asthma & Immunology and National Association of School Nurses Guidance on School Attendance, Asthma and COVID-19. This document summarizes the overall recommendations for treating students with asthma at school during the ongoing pandemic. »
Asistencia escolar, asma y COVID-19. Consideraciones para las enfermeras escolares (The American Academy of Allergy, Asthma & Immunology and National Association of School Nurses Guidance on School Attendance, Asthma and COVID-19.) »
The American Academy of Allergy, Asthma & Immunology and National Association of School Nurses Food Allergy and Anaphylaxis in School during COVID-19 »
Indoor Air Quality Tools for Schools: Preventive Maintenance Guidance Documents »
Topics in School Environmental Health: Overview of State Laws »
Database of State IAQ Laws: Schools Excerpt »
SA3MPROTM: Improving Asthma Management in Schools - A Practice Improvement Module »
EPA Asthma Management in Schools, Indoor Air Quality Webinar Series:
EPA Indoor Air Quality Tools for Schools Action Kit »
IAQ Master Class Professional Training Webinar Series »
How Schools Work & How to Work with Schools »
The 2019 State Honor Roll of Asthma and Allergy Policies for Schools ranks the states with the best public policies for people with asthma, food allergies, anaphylaxis and related allergic diseases in U.S. elementary, middle and high schools.
Overview of state legislation related to Stocking Albuterol in Schools
(from the Asthma and Allergy Foundation of America)