I 
110TH CONGRESS 
1ST SESSION H. R. 2870 
To amend titles XIX and XXI of the Social Security Act to ensure payment 
under Medicaid and the State Children’s Health Insurance Program 
(SCHIP) for covered items and services furnished by school-based health 
clinics. 
IN THE HOUSE OF REPRESENTATIVES 
JUNE 26, 2007 
Mr. TOWNS introduced the following bill; which was referred to the Committee 
on Energy and Commerce 
A BILL 
To amend titles XIX and XXI of the Social Security Act 
to ensure payment under Medicaid and the State Chil-
dren’s Health Insurance Program (SCHIP) for covered 
items and services furnished by school-based health clin-
ics. 
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 ‘‘Healthy Schools Act 
of 2007’’. 
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SEC. 2. ASSURANCE OF PAYMENT UNDER MEDICAID AND 
SCHIP FOR COVERED ITEMS AND SERVICES 
FURNISHED 
BY 
CERTAIN 
SCHOOL-BASED 
HEALTH CLINICS. 
(a) STATE PLAN REQUIREMENT.—Section 1902(a) 
of the Social Security Act (42 U.S.C. 1396a(a)) is amend-
ed— 
(1) in paragraph (69), by striking ‘‘and’’ at the 
end; 
(2) in paragraph (70)(B)(iv), by striking the 
period at the end and inserting ‘‘; and’’; and 
(3) by inserting after paragraph (70)(B)(iv), 
the following new paragraph: 
‘‘(71) provide that the State shall certify to the 
Secretary that the State has implemented proce-
dures to pay for medical assistance, including care 
and services described in subsections (a)(4)(B) and 
(r) of section 1905 and provided in accordance with 
section 1903(a)(43), furnished in a school-based 
health clinic (as defined in section 1905(y)) if pay-
ment would be made under the State plan for the 
same items and services if furnished in a physician’s 
office or other outpatient clinic (including if such 
payment would be included in the determination of 
a prepaid capitation or other risk-based rate of pay-
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ment to an entity under a contract pursuant to sec-
tion 1903(m)).’’. 
(b) DEFINITION OF SCHOOL-BASED HEALTH CLIN-
IC.—Section 1905 of such Act (42 U.S.C. 1396d) is 
amended by adding at the end the following new sub-
section: 
‘‘(y)(1) For purposes of this title, the term ‘school- 
based health clinic’ means a health clinic that— 
‘‘(A) is located in or near a school facility of a 
school district or board or of an Indian tribe or trib-
al organization; 
‘‘(B) is organized through school, community, 
and health provider relationships; 
‘‘(C) is administered by a sponsoring facility; 
‘‘(D) provides through health professionals pri-
mary health services to children in accordance with 
State and local law, including laws relating to licen-
sure and certification; and 
‘‘(E) satisfies such other requirements as a 
State may establish for the operation of such a clin-
ic. 
‘‘(2) For purposes of paragraph (1)(D), the term ‘pri-
mary health services’ means the core services offered by 
a school-based health clinic, which shall include the fol-
lowing: 
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‘‘(A) Comprehensive health assessments, diag-
nosis, and treatment of minor, acute, and chronic 
medical conditions and referrals to, and follow-up 
for, specialty care. 
‘‘(B) Mental health assessments, crisis interven-
tion, counseling, treatment, and referral to a con-
tinuum of services including emergency psychiatric 
care, community support programs, inpatient care, 
and outpatient programs. 
‘‘(C) Additional services, which may include 
oral health, social, and health education services. 
‘‘(3) For purposes of paragraph (1)(C), the term 
‘sponsoring 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; or 
‘‘(F) a program administered by the Indian 
Health Service or the Bureau of Indian Affairs or 
operated by an Indian tribe or a tribal organization 
under the Indian Self-Determination and Education 
Assistance Act (25 U.S.C. 450), a Native Hawaiian 
entity, or an Urban Indian program under title V of 
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the Indian Health Care Improvement Act (25 U.S.C. 
1601).’’. 
(c) APPLICATION TO SCHIP.—Section 2107(e)(1) of 
the Social Security Act (42 U.S.C. 1397gg(e)(1)) is 
amended— 
(1) 
by 
redesignating 
subparagraphs 
(B) 
through (D) as subparagraphs (C) through (E), re-
spectively; and 
(2) by inserting after subparagraph (A), the fol-
lowing new subparagraph: 
‘‘(B) Section 1902(a)(71) (relating to pro-
cedures to ensure payment for covered services 
furnished in a school-based health clinic, as de-
fined in section 1905(y)).’’. 
(d) EFFECTIVE DATE.—The amendments made by 
this section take effect on October 1, 2007. 
Æ 
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