based health clinics, which shall include the fol-
lowing: 
‘‘(A) PHYSICAL.—Comprehensive health 
assessments, diagnosis, and treatment of minor, 
acute, and chronic medical conditions and refer-
rals to, and follow-up for, specialty care. 
‘‘(B) MENTAL
HEALTH.—Mental health 
assessments, crisis intervention, counseling, 
treatment, and referral to a continuum of serv-
ices including emergency psychiatric care, com-
munity support programs, inpatient care, and 
outpatient programs. 
‘‘(C) 
OPTIONAL
SERVICES.—Additional 
services, which may include oral health, social, 
and age-appropriate health education services, 
including nutritional counseling. 
‘‘(3) MEDICALLY
UNDERSERVED
CHILDREN 
AND ADOLESCENTS.— 
‘‘(A) IN GENERAL.—The term ‘medically 
underserved children and adolescents’ means a 
population of children and adolescents who are 
residents of an area designated by the Sec-
retary as an area with a shortage of personal 
health services and health infrastructure for 
such children and adolescents. 
VerDate Nov 24 2008 
21:18 Jun 24, 2009
Jkt 079200
PO 00000
Frm 00004
Fmt 6652
Sfmt 6201
E:\BILLS\H3003.IH
H3003
pwalker on PROD1PC71 with BILLS
‘‘(B) CRITERIA.—The Secretary shall pre-
scribe criteria for determining the specific 
shortages of personal health services for medi-
cally underserved children and adolescents 
under subparagraph (A) that shall— 
‘‘(i) take into account any comments 
received by the Secretary from the chief 
executive officer of a State and local offi-
cials in a State; and 
‘‘(ii) include factors indicative of the 
health status of such children and adoles-
cents of an area, including the ability of 
the residents of such area to pay for health 
services, the accessibility of such services, 
the availability of health professionals to 
such children and adolescents, and other 
factors as determined appropriate by the 
Secretary. 
‘‘(4) SCHOOL-BASED
HEALTH
CLINIC.—The 
term ‘school-based health clinic’ means a health clin-
ic that— 
‘‘(A) is located in, or is adjacent to, a 
school facility of a local educational agency; 
‘‘(B) is organized through school, commu-
nity, and health provider relationships; 
VerDate Nov 24 2008 
21:18 Jun 24, 2009
Jkt 079200
PO 00000
Frm 00005
Fmt 6652
Sfmt 6201
E:\BILLS\H3003.IH
H3003
pwalker on PROD1PC71 with BILLS
‘‘(C) is administered by a sponsoring facil-
ity; and 
‘‘(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. 
‘‘(5) SPONSORING FACILITY.—The term ‘spon-
soring facility’ is— 
‘‘(A) a hospital; 
‘‘(B) a public health department; 
‘‘(C) a community health center; 
‘‘(D) a nonprofit health care agency; 
‘‘(E) a local educational agency; or 
‘‘(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 
VerDate Nov 24 2008 
21:18 Jun 24, 2009
Jkt 079200
PO 00000
Frm 00006
Fmt 6652
Sfmt 6201
E:\BILLS\H3003.IH
H3003
pwalker on PROD1PC71 with BILLS
of school-based health clinics (referred to in this section 
as ‘SBHCs’) that meet the requirements of this section. 
‘‘(c) APPLICATIONS.—To be eligible to receive a grant 
under this section, an entity shall— 
‘‘(1) be an SBHC (as defined in subsection 
(a)(4)); and 
‘‘(2) submit to the Secretary an application at 
such time, in such manner, and containing— 
‘‘(A) evidence that the applicant meets all 
criteria necessary to be designated an SBHC; 
‘‘(B) evidence of local need for the services 
to be provided by the SBHC; 
‘‘(C) an assurance that— 
‘‘(i) SBHC services will be provided to 
those children and adolescents for whom 
parental or guardian consent has been ob-
tained in accordance with Federal, State, 
and local laws governing health care serv-
ice provision to children and adolescents; 
‘‘(ii) the SBHC has made and will 
continue to make every reasonable effort to 
establish and maintain collaborative rela-
tionships with other health care providers 
in the catchment area of the SBHC; 
VerDate Nov 24 2008 
21:18 Jun 24, 2009
Jkt 079200
PO 00000
Frm 00007
Fmt 6652
Sfmt 6201
E:\BILLS\H3003.IH
H3003
pwalker on PROD1PC71 with BILLS
‘‘(iii) the SBHC will provide on-site 
access during the academic day when 
school is in session and has an established 
network of support and access to services 
with backup health providers when the 
school or SBHC is closed; 
‘‘(iv) the SBHC 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; 
‘‘(v) the SBHC sponsoring facility as-
sumes all responsibility for the SBHC ad-
ministration, operations, and oversight; 
and 
‘‘(vi) the SBHC will comply with Fed-
eral, State, and local laws concerning pa-
tient privacy and student records, includ-
ing the HIPAA and Section 444 of the 
General Education Provisions Act; and 
‘‘(D) such other information as the Sec-
retary may require. 
VerDate Nov 24 2008 
21:18 Jun 24, 2009
Jkt 079200
PO 00000
Frm 00008
Fmt 6652
Sfmt 6201
E:\BILLS\H3003.IH
H3003
pwalker on PROD1PC71 with BILLS
‘‘(d) PREFERENCES.—In reviewing applications, the 
Secretary may give preference to applicants who dem-
onstrate an ability to serve the following: 
‘‘(1) Communities that have evidenced barriers 
to primary health care and mental health services 
for children and adolescents. 
‘‘(2) Communities with high percentages of chil-
dren and adolescents who are uninsured, under-
insured, or enrolled in public health insurance pro-
grams. 
‘‘(3) Populations of children and adolescents 
that have historically demonstrated difficulty in ac-
cessing health and mental health services. 
‘‘(e) WAIVER
OF REQUIREMENTS.—The Secretary 
may— 
‘‘(1) under appropriate circumstances, waive 
the application of all or part of the requirements of 
this section with respect to an SBHC for no more 
than 2 years; and 
‘‘(2) upon a showing of good cause, waive the 
requirement that the SBHC provide all required 
comprehensive primary health services for a des-
ignated period of time to be determined by the Sec-
retary. 
‘‘(f) USE OF FUNDS.— 
VerDate Nov 24 2008 
21:18 Jun 24, 2009
Jkt 079200
PO 00000
Frm 00009
Fmt 6652
Sfmt 6201
E:\BILLS\H3003.IH
H3003
pwalker on PROD1PC71 with BILLS
‘‘(1) FUNDS.—Funds awarded under a grant 
under this section may be used for— 
‘‘(A) acquiring and leasing equipment (in-
cluding the costs of amortizing the principle of, 
and paying interest on, loans for such equip-
ment), 
‘‘(B) providing training related to the pro-
vision of required comprehensive primary health 
services and additional health services, 
‘‘(C) the management and operation of 
health center programs, and 
‘‘(D) the payment of salaries for physi-
cians, nurses, and other personnel of the 
SBHC. 
‘‘(2) 
CONSTRUCTION.—The 
Secretary 
may 
award grants which may be used to pay the costs as-
sociated with expanding and modernizing existing 
buildings for use as an SBHC, including the pur-
chase of trailers or manufactured building to install 
on the school property. 
‘‘(3) AMOUNT.—The amount of any grant made 
in any fiscal year to an SBHC shall be determined 
by the Secretary, taking into account— 
‘‘(A) the financial need of the SBHC; 
VerDate Nov 24 2008 
21:18 Jun 24, 2009
Jkt 079200
PO 00000
Frm 00010
Fmt 6652
Sfmt 6201
E:\BILLS\H3003.IH
H3003
pwalker on PROD1PC71 with BILLS
‘‘(B) State, local, or other operation fund-
ing provided to the SBHC; and 
‘‘(C) other factors as determined appro-
priate by the Secretary. 
‘‘(g) MATCHING REQUIREMENT.— 
‘‘(1) REQUIREMENT.—Each recipient of a grant 
under this section shall provide, from non-Federal 
sources, an amount equal to 20 percent of the 
amount of the grant (which may be provided in cash 
or in kind) to carry out the activities supported by 
the grant. 
‘‘(2) WAIVER.—The Secretary may waive all or 
part of the matching requirement described in para-
graph (1) for any fiscal year for an SBHC if the 
Secretary determines that applying the matching re-
quirement to the SBHC would result in serious 
hardship or an inability to carry out the purposes of 
this section. 
‘‘(h) SUPPLEMENT, NOT SUPPLANT.—Grant funds 
provided under this section shall be used to supplement, 
not supplant, other Federal or State funds. 
‘‘(i) TECHNICAL ASSISTANCE.—The Secretary shall 
establish a program through which the Secretary shall 
provide (either through the Department of Health and 
Human Services or by grant or contract) technical and 
VerDate Nov 24 2008 
21:18 Jun 24, 2009
Jkt 079200
PO 00000
Frm 00011
Fmt 6652
Sfmt 6201
E:\BILLS\H3003.IH
H3003
pwalker on PROD1PC71 with BILLS
other assistance to SBHCs to assist such SBHCs to meet 
the requirements of subsection (c)(2)(C). Services pro-
vided 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. 
‘‘(j) EVALUATION.—The Secretary shall develop and 
implement a plan for evaluating SBHCs and monitoring 
quality performances under the awards made under this 
section. 
‘‘(k) AUTHORIZATION
OF
APPROPRIATIONS.—For 
purposes of carrying out this section, there are authorized 
to be appropriated $50,000,000 for fiscal year 2010 and 
such sums as may be necessary for each of the fiscal years 
2011 through 2014.’’. 
Æ 
VerDate Nov 24 2008 
21:18 Jun 24, 2009
Jkt 079200
PO 00000
Frm 00012
Fmt 6652
Sfmt 6301
E:\BILLS\H3003.IH
H3003
pwalker on PROD1PC71 with BILLS