(b) PURPOSE.—The purpose of this Act is to fund 
the development and operation of school-based health clin-
ics— 
(1) to provide comprehensive and accessible pri-
mary health care services to medically underserved 
children, youth, and families; 
(2) to improve the physical health, emotional 
well-being, and academic performance of medically 
underserved children, youth, and families; and 
(3) to work in collaboration with the school to 
integrate health into the overall school environment. 
SEC. 3. SCHOOL-BASED HEALTH CLINICS. 
Part Q of title III of the Public Health Service Act 
(42 U.S.C. 280h et seq.) is amended by adding at the end 
the following: 
‘‘SEC. 399Z–1. SCHOOL-BASED HEALTH CLINICS. 
‘‘(a) DEFINITIONS; ESTABLISHMENT OF CRITERIA.— 
In this section: 
‘‘(1) COMMUNITY.—The term ‘community’ in-
cludes parents, consumers, local leaders, and organi-
zations. 
‘‘(2) COMPREHENSIVE PRIMARY HEALTH SERV-
ICES.—The term ‘comprehensive primary health 
services’ means the core services offered by school- 
based health clinics, which— 
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‘‘(A) shall include physical health services 
and mental health services; and 
‘‘(B) may include optional health services 
such as nutrition, oral health, health education, 
and case management services. 
‘‘(3) MENTAL
HEALTH
SERVICES.—The term 
‘mental health services’ means mental health assess-
ments, crisis intervention, counseling, treatment, and 
referral to a continuum of services including emer-
gency psychiatric care, community support pro-
grams, inpatient care, and outpatient programs. 
‘‘(4) PHYSICAL HEALTH SERVICES.—The term 
‘physical health services’ means comprehensive 
health assessments; diagnosis and treatment of 
minor, acute, and chronic medical conditions; and 
referrals to, and follow-up for, specialty care. 
‘‘(5) SCHOOL-BASED
HEALTH
CLINIC.—The 
term ‘school-based health clinic’ means a health clin-
ic that— 
‘‘(A) is located on school property; 
‘‘(B) is organized through school, commu-
nity, and health provider relationships; 
‘‘(C) is administered by a sponsoring facil-
ity; and 
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‘‘(D) provides, at a minimum, comprehen-
sive primary health services during school hours 
to children and adolescents by health profes-
sionals in accordance with State and local laws 
and regulations, established standards, and 
community practice. 
‘‘(6) SPONSORING FACILITY.—The term ‘spon-
soring facility’ is a community-based organization, 
which may include— 
‘‘(A) a hospital; 
‘‘(B) a public health department; 
‘‘(C) a community health center; 
‘‘(D) a nonprofit health care agency; 
‘‘(E) a school or school system; and 
‘‘(F) a program administered by the In-
dian Health Service or the Bureau of Indian 
Affairs or operated by an Indian tribe or a trib-
al organization under the Indian Self-Deter-
mination and Education Assistance Act, a Na-
tive Hawaiian entity, or an urban Indian pro-
gram under title V of the Indian Health Care 
Improvement Act. 
‘‘(b) AUTHORITY TO AWARD GRANTS.—The Sec-
retary shall award grants for the costs of the operation 
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of school-based health clinics that meet the requirements 
of this section. 
‘‘(c) APPLICATIONS.—To be eligible to receive a grant 
under this section, an entity shall— 
‘‘(1) be a school-based health clinic; and 
‘‘(2) submit to the Secretary an application at 
such time and in such manner as the Secretary may 
require containing— 
‘‘(A) evidence that the applicant meets all 
criteria necessary to be designated as a school- 
based health clinic; 
‘‘(B) evidence of local need for the services 
to be provided by the clinic; 
‘‘(C) an assurance that— 
‘‘(i) school-based health clinic services 
will be provided to those children and ado-
lescents for whom parental or guardian 
consent has been obtained in cooperation 
with Federal, State, and local laws gov-
erning health care services provision to 
children and adolescents; 
‘‘(ii) the clinic has made and will con-
tinue to make every reasonable effort to es-
tablish and maintain collaborative relation-
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ships with other health care providers in 
the catchment area of the clinic; 
‘‘(iii) the clinic will provide on-site ac-
cess during the academic day when school 
is in session and 24-hour coverage through 
an on-call system and through its backup 
health providers to ensure access to serv-
ices on a year-round basis when the clinic 
is closed; 
‘‘(iv) the clinic will be integrated into 
the school environment and will coordinate 
health services with school personnel, such 
as administrators, teachers, nurses, coun-
selors, and support personnel, as well as 
with other community providers co-located 
at the school; and 
‘‘(v) the clinic sponsoring facility as-
sumes all responsibility for the clinic’s ad-
ministration, operations, and oversight; 
and 
‘‘(D) such other information as the Sec-
retary may require. 
‘‘(d) 
PREFERENCES.—In 
reviewing 
applications 
under this section, the Secretary may give preference to 
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applicants who demonstrate an ability to serve the fol-
lowing: 
‘‘(1) Communities with evidence of barriers to 
primary health care and mental health services for 
children and adolescents. 
‘‘(2) Communities that have consistently scored 
poorly on child and adolescent standardized health 
indicator reports. 
‘‘(3) Communities with high percentages of chil-
dren and adolescents who are uninsured, under-
insured, or enrolled in public health insurance pro-
grams. 
‘‘(4) Populations of children and adolescents 
that have demonstrated difficulty historically in ac-
cessing physical and mental health services. 
‘‘(e) WAIVER
OF REQUIREMENTS.—The Secretary 
may, under appropriate circumstances, waive the applica-
tion of all or part of the requirements of this section with 
respect to a school-based health clinic for a designated pe-
riod of time to be determined by the Secretary. 
‘‘(f) USE OF FUNDS.— 
‘‘(1) FUNDS.—Funds awarded under a grant 
under this section may be used for— 
‘‘(A) acquiring and leasing buildings and 
equipment (including the costs of amortizing 
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the principle of, and paying interest on, loans 
for such buildings and equipment); 
‘‘(B) providing training related to the pro-
vision of comprehensive primary health services 
and additional health services; 
‘‘(C) managing a school-based health clin-
ic; 
‘‘(D) paying the salaries of physicians and 
other personnel; and 
‘‘(E) purchasing medical supplies, medical 
equipment, office supplies, and office equip-
ment. 
‘‘(2) AMOUNT.—The amount of any grant made 
under this section in any fiscal year to a school- 
based health clinic shall be determined by the Sec-
retary, taking into account— 
‘‘(A) the financial need of the clinic; 
‘‘(B) State, local, or other operation fund-
ing provided to the clinic; and 
‘‘(C) other factors as determined appro-
priate by the Secretary. 
‘‘(g) TECHNICAL ASSISTANCE.—The Secretary shall 
establish a program through which the Secretary provides 
(either through the Department of Health and Human 
Services or by grant or contract) technical and other as-
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sistance to school-based health clinics to assist such clinics 
to meet the requirements of subsection (c)(2)(C). Services 
provided through the program may include necessary tech-
nical and nonfinancial assistance, including fiscal and pro-
gram management assistance, training in fiscal and pro-
gram management, operational and administrative sup-
port, and the provision of information to the entities of 
the variety of resources available under this title and how 
those resources can be best used to meet the health needs 
of the communities served by the entities. 
‘‘(h) EVALUATION.—The Secretary shall develop and 
implement a plan for evaluating school-based health clinics 
receiving funds under this section and monitoring the 
quality of their performance. 
‘‘(i) AUTHORIZATION
OF
APPROPRIATIONS.—For 
purposes of carrying out this section, there are authorized 
to be appropriated $50,000,000 for fiscal year 2009, 
$55,000,000 for fiscal year 2010, $60,500,000 for fiscal 
year 2011, $66,550,000 for fiscal year 2012, and 
$73,200,000 for fiscal year 2013.’’. 
Æ 
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