a positive impact on immunization rates, with fewer 
parent requested exemptions. 
(11) A recent study showed that students with 
health concerns attended to by school nurses were 
able to return to class 95 percent of time, while stu-
dents attended to by nonlicensed staff were only able 
to return to class 82 percent of the time. 
(12) Using a formula-based approach for deter-
mining a balanced student-to-school nurse ratio of-
fers a reasonable means for achieving better student 
outcomes. 
SEC. 3. REDUCING STUDENT-TO-SCHOOL NURSE RATIOS. 
(a) DEMONSTRATION GRANTS.— 
(1) IN GENERAL.—The Secretary of Education, 
in consultation with the Secretary of Health and 
Human Services and the Director of the Centers for 
Disease Control and Prevention, may make dem-
onstration grants to eligible local educational agen-
cies for the purpose of reducing the student-to- 
school nurse ratio in public elementary schools and 
secondary schools. 
(2) APPLICATION.—To receive a grant under 
this section, an eligible local educational agency shall 
submit to the Secretary of Education an application 
at such time, in such manner, and containing such 
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information as the Secretary of Education may re-
quire, which shall include information with respect 
to the current ratios of students-to-school nurses in 
each of the public elementary secondary and sec-
ondary schools served by the agency. 
(3) PRIORITY.—In awarding grants under this 
section, the Secretary of Education shall give pri-
ority to applications submitted by high-need local 
educational agencies that demonstrate the greatest 
need for new or additional nursing services among 
students in the public elementary secondary and sec-
ondary schools served by the agency. 
(4) MATCHING FUNDS.—The Secretary of Edu-
cation may require recipients of grants under this 
section to provide matching funds from non-Federal 
sources, and shall permit the recipients to match 
funds in whole or in part with in-kind contributions. 
(b) REPORT.—Not later than 24 months after the 
date on which a grant is first made to a local educational 
agency under this section, the Secretary of Education shall 
submit to the Congress a report on the results of the dem-
onstration grant program carried out under this section, 
including an evaluation— 
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(1) of the effectiveness of the program in reduc-
ing the student-to-school nurse ratios described in 
subsection (a)(1); and 
(2) of the impact of any resulting enhanced 
health of students on learning. 
(c) DEFINITIONS.—For purposes of this section: 
(1) The terms ‘‘elementary school’’, ‘‘local edu-
cational agency’’, ‘‘poverty line’’, and ‘‘secondary 
school’’ have the meanings given to those terms in 
section 9101 of the Elementary and Secondary Edu-
cation Act of 1965 (20 U.S.C. 7801). 
(2) The term ‘‘eligible local educational agency’’ 
means a local educational agency in which the stu-
dent-to-school nurse ratio in each public elementary 
and secondary school served by the agency is 750 or 
more students to 1 school nurse. 
(3) The term ‘‘high-need local educational agen-
cy’’ means a local educational agency— 
(A) that serves not fewer than 10,000 chil-
dren from families with incomes below the pov-
erty line; or 
(B) for which not less than 20 percent of 
the children served by the agency are from fam-
ilies with incomes below the poverty line. 
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(4) The term ‘‘nurse’’ means a licensed nurse, 
as defined under State law. 
(d) AUTHORIZATION
OF APPROPRIATIONS.—There 
are authorized to be appropriated such sums as may be 
necessary to carry out this section for each of the fiscal 
years 2012 through 2016. 
Æ 
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