H. R. 3590—430 
services for medically 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 officials in a State; and 
‘‘(ii) include factors indicative of the health status 
of such children and adolescents 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. 
‘‘(3) SCHOOL-BASED
HEALTH
CENTER.—The term ‘school- 
based health center’ means a health clinic that— 
‘‘(A) meets the definition of a school-based health center 
under section 2110(c)(9)(A) of the Social Security Act and 
is administered by a sponsoring facility (as defined in sec-
tion 2110(c)(9)(B) of the Social Security Act); 
‘‘(B) provides, at a minimum, comprehensive primary 
health services during school hours to children and adoles-
cents by health professionals in accordance with established 
standards, community practice, reporting laws, and other 
State laws, including parental consent and notification laws 
that are not inconsistent with Federal law; and 
‘‘(C) does not perform abortion services. 
‘‘(b) AUTHORITY TO AWARD GRANTS.—The Secretary shall award 
grants for the costs of the operation of school-based health centers 
(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)(3)); and 
‘‘(2) submit to the Secretary an application at such time, 
in such manner, and containing— 
‘‘(A) evidence that the applicant meets all criteria nec-
essary to be designated an SBHC; 
‘‘(B) evidence of local need for the services to be pro-
vided by the SBHC; 
‘‘(C) an assurance that— 
‘‘(i) SBHC services will be provided to those chil-
dren and adolescents for whom parental or guardian 
consent has been obtained in cooperation with Federal, 
State, and local laws governing health care service 
provision to children and adolescents; 
‘‘(ii) the SBHC has made and will continue to 
make every reasonable effort to establish and maintain 
collaborative relationships with other health care pro-
viders in the catchment area of the SBHC; 
‘‘(iii) the SBHC will provide on-site access 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 services 
on a year-round basis when the school or the 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,
H. R. 3590—431 
nurses, counselors, and support personnel, as well as 
with other community providers co-located at the 
school; 
‘‘(v) the SBHC sponsoring facility assumes all 
responsibility for the SBHC administration, operations, 
and oversight; and 
‘‘(vi) the SBHC will comply with Federal, State, 
and local laws concerning patient privacy and student 
records, including regulations promulgated under the 
Health Insurance Portability and Accountability Act 
of 1996 and section 444 of the General Education Provi-
sions Act; and 
‘‘(D) such other information as the Secretary may 
require. 
‘‘(d) PREFERENCES AND CONSIDERATION.—In reviewing applica-
tions: 
‘‘(1) The Secretary may give preference to applicants who 
demonstrate an ability to serve the following: 
‘‘(A) Communities that have evidenced barriers to pri-
mary health care and mental health and substance use 
disorder prevention services for children and adolescents. 
‘‘(B) Communities with high per capita numbers of 
children and adolescents who are uninsured, underinsured, 
or enrolled in public health insurance programs. 
‘‘(C) Populations of children and adolescents that have 
historically demonstrated difficulty in accessing health and 
mental health and substance use disorder prevention serv-
ices. 
‘‘(2) The Secretary may give consideration to whether an 
applicant has received a grant under subsection (a) of section 
4101 of the Patient Protection and Affordable Care Act. 
‘‘(e) WAIVER OF REQUIREMENTS.—The Secretary may— 
‘‘(1) under appropriate circumstances, waive the application 
of all or part of the requirements of this subsection with respect 
to an SBHC for not to exceed 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 designated period of time to be determined 
by the Secretary. 
‘‘(f) USE OF FUNDS.— 
‘‘(1) FUNDS.—Funds awarded under a grant under this 
section— 
‘‘(A) may be used for— 
‘‘(i) acquiring and leasing equipment (including the 
costs of amortizing the principle of, and paying interest 
on, loans for such equipment); 
‘‘(ii) providing training related to the provision of 
required comprehensive primary health services and 
additional health services; 
‘‘(iii) the management and operation of health 
center programs; 
‘‘(iv) the payment of salaries for physicians, nurses, 
and other personnel of the SBHC; and 
‘‘(B) may not be used to provide abortions. 
‘‘(2) CONSTRUCTION.—The Secretary may award grants 
which may be used to pay the costs associated with expanding 
and modernizing existing buildings for use as an SBHC,
H. R. 3590—432 
including the purchase of trailers or manufactured buildings 
to install on the school property. 
‘‘(3) LIMITATIONS.— 
‘‘(A) IN
GENERAL.—Any provider of services that is 
determined by a State to be in violation of a State law 
described in subsection (a)(3)(B) with respect to activities 
carried out at a SBHC shall not be eligible to receive 
additional funding under this section. 
‘‘(B) NO OVERLAPPING GRANT PERIOD.—No entity that 
has received funding under section 330 for a grant period 
shall be eligible for a grant under this section for with 
respect to the same grant period. 
‘‘(g) MATCHING REQUIREMENT.— 
‘‘(1) IN GENERAL.—Each eligible entity that receives 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 paragraph (1) for any fiscal 
year for the SBHC if the Secretary determines that applying 
the matching requirement 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) EVALUATION.—The Secretary shall develop and implement 
a plan for evaluating SBHCs and monitoring quality performance 
under the awards made under this section. 
‘‘(j) AGE APPROPRIATE SERVICES.—An eligible entity receiving 
funds under this section shall only provide age appropriate services 
through a SBHC funded under this section to an individual. 
‘‘(k) PARENTAL CONSENT.—An eligible entity receiving funds 
under this section shall not provide services through a SBHC funded 
under this section to an individual without the consent of the 
parent or guardian of such individual if such individual is consid-
ered a minor under applicable State law. 
‘‘(l) AUTHORIZATION OF APPROPRIATIONS.—For purposes of car-
rying out this section, there are authorized to be appropriated 
such sums as may be necessary for each of the fiscal years 2010 
through 2014.’’. 
SEC. 4102. ORAL HEALTHCARE PREVENTION ACTIVITIES. 
(a) IN GENERAL.—Title III of the Public Health Service Act 
(42 U.S.C. 241 et seq.), as amended by section 3025, is amended 
by adding at the end the following: 
‘‘PART T—ORAL HEALTHCARE PREVENTION 
ACTIVITIES 
‘‘SEC. 399LL. ORAL HEALTHCARE PREVENTION EDUCATION CAMPAIGN. 
‘‘(a) ESTABLISHMENT.—The Secretary, acting through the 
Director of the Centers for Disease Control and Prevention and 
in consultation with professional oral health organizations, shall, 
subject to the availability of appropriations, establish a 5-year 
national, public education campaign (referred to in this section
H. R. 3590—433 
as the ‘campaign’) that is focused on oral healthcare prevention 
and education, including prevention of oral disease such as early 
childhood and other caries, periodontal disease, and oral cancer. 
‘‘(b) REQUIREMENTS.—In establishing the campaign, the Sec-
retary shall— 
‘‘(1) ensure that activities are targeted towards specific 
populations such as children, pregnant women, parents, the 
elderly, individuals with disabilities, and ethnic and racial 
minority populations, including Indians, Alaska Natives and 
Native Hawaiians (as defined in section 4(c) of the Indian 
Health Care Improvement Act) in a culturally and linguistically 
appropriate manner; and 
‘‘(2) utilize science-based strategies to convey oral health 
prevention messages that include, but are not limited to, 
community water fluoridation and dental sealants. 
‘‘(c) PLANNING AND IMPLEMENTATION.—Not later than 2 years 
after the date of enactment of this section, the Secretary shall 
begin implementing the 5-year campaign. During the 2-year period 
referred to in the previous sentence, the Secretary shall conduct 
planning activities with respect to the campaign. 
‘‘SEC. 399LL–1. RESEARCH-BASED DENTAL CARIES DISEASE MANAGE-
MENT. 
‘‘(a) IN GENERAL.—The Secretary, acting through the Director 
of the Centers for Disease Control and Prevention, shall award 
demonstration grants to eligible entities to demonstrate the 
effectiveness of research-based dental caries disease management 
activities. 
‘‘(b) ELIGIBILITY.—To be eligible for a grant under this section, 
an entity shall— 
‘‘(1) be a community-based provider of dental services (as 
defined by the Secretary), including a Federally-qualified health 
center, a clinic of a hospital owned or operated by a State 
(or by an instrumentality or a unit of government within a 
State), a State or local department of health, a dental program 
of the Indian Health Service, an Indian tribe or tribal organiza-
tion, or an urban Indian organization (as such terms are defined 
in section 4 of the Indian Health Care Improvement Act), 
a health system provider, a private provider of dental services, 
medical, dental, public health, nursing, nutrition educational 
institutions, or national organizations involved in improving 
children’s oral health; and 
‘‘(2) submit to the Secretary an application at such time, 
in such manner, and containing such information as the Sec-
retary may require. 
‘‘(c) USE OF FUNDS.—A grantee shall use amounts received 
under a grant under this section to demonstrate the effectiveness 
of research-based dental caries disease management activities. 
‘‘(d) USE OF INFORMATION.—The Secretary shall utilize informa-
tion generated from grantees under this section in planning and 
implementing the public education campaign under section 399LL. 
‘‘SEC. 399LL–2. AUTHORIZATION OF APPROPRIATIONS. 
‘‘There is authorized to be appropriated to carry out this part, 
such sums as may be necessary.’’. 
(b) SCHOOL-BASED SEALANT PROGRAMS.—Section 317M(c)(1) of 
the Public Health Service Act (42 U.S.C. 247b–14(c)(1)) is amended 
by striking ‘‘may award grants to States and Indian tribes’’ and