I 
110TH CONGRESS 
1ST SESSION H. R. 4230 
To amend the Public Health Service Act to establish a school-based health 
clinic program, and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
NOVEMBER 15, 2007 
Ms. HOOLEY (for herself, Mrs. CAPITO, Mr. ALLEN, Mr. BLUMENAUER, Ms. 
BORDALLO, Mr. CLEAVER, Mr. COURTNEY, Mr. ENGEL, Mr. HONDA, Mr. 
MCGOVERN, Mr. MICHAUD, Mr. VAN HOLLEN, Mr. WYNN, Mr. WU, Ms. 
KILPATRICK, Mr. AL
GREEN
of Texas, Mr. KILDEE, and Ms. 
SCHAKOWSKY) introduced the following bill; which was referred to the 
Committee on Energy and Commerce 
A BILL 
To amend the Public Health Service Act to establish a 
school-based health clinic program, and for other purposes. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘School-Based Health 
Clinic Act of 2007’’. 
SEC. 2. FINDINGS; PURPOSE. 
(a) FINDINGS.—The Congress finds as follows: 
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(1) Nearly 8,700,000 children in the United 
States have no health insurance, including an in-
crease of over 600,000 in the past year. 
(2) The American Medical Association rates 
adolescents aged 13 to 18 as the group of Americans 
with the poorest health indicators. 
(3) More than 70 percent of children who need 
psychiatric treatment do not receive services. 
(4) School-based health centers are located in 
over 1,700 schools in 43 States, the District of Co-
lumbia, and Puerto Rico. 
(5) School-based health centers ensure access to 
health care by providing care regardless of a child’s 
ability to pay. 
(6) Forty-five percent of children and adoles-
cents treated at school-based health centers have no 
insurance. 
(7) Forty-four percent of children and adoles-
cents treated at school-based health centers are en-
rolled in Medicaid, SCHIP, or other public coverage. 
(8) School-based health centers promote access 
to providers for many children and adolescents who 
otherwise would have difficulty seeing a provider. 
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(9) School-based health centers effectively pro-
vide primary, preventative, and mental health serv-
ices to children and adolescents. 
(10) School-based health centers effectively uti-
lize resources by often leveraging State and local 
government funds, private contributions, and Med-
icaid, SCHIP, and private insurance payments. 
(11) For school-based health centers’ target de-
mographic (students with public insurance or who 
are uninsured), data show that school-based health 
centers decrease school absences. 
(12) School-based health centers identify stu-
dents at risk for health and behavioral problems, 
thus reducing obstacles to the learning process. 
(13) School-based health centers administer 
medication to students with chronic illness, which re-
duces absences as well as disciplinary action for stu-
dents with behavioral health problems. 
(14) Empirical analyses show that school-based 
health centers reduce Medicaid costs by providing 
cost-effective and timely care. 
(15) School-based health centers encourage pa-
rental involvement to increase family participation in 
school- and education-oriented activities. 
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