(b) PURPOSE.—The purpose of this Act is to fund 
the development and operation of school-based health clin-
ics to— 
(1) provide comprehensive and accessible pri-
mary health care services to medically underserved 
children, youth, and families; 
(2) improve the physical health, emotional well- 
being, and academic performance of medically un-
derserved children, youth, and families; and 
(3) work in collaboration with the school to in-
tegrate health into the overall school environment. 
SEC. 3. SCHOOL-BASED HEALTH CLINICS. 
Part Q of title III of the Public Health Service Act 
(42 U.S.C. 280h et seq.) is amended by adding at the end 
the following: 
‘‘SEC. 399Z–1. SCHOOL-BASED HEALTH CLINICS. 
‘‘(a) DEFINITIONS; ESTABLISHMENT OF CRITERIA.— 
In this section: 
‘‘(1) COMMUNITY.—The term ‘community’ in-
cludes parents, consumers, local leaders, and organi-
zations. 
‘‘(2) COMPREHENSIVE PRIMARY HEALTH SERV-
ICES.—The term ‘comprehensive primary health 
services’ means the core services offered by school- 
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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) PRIMARY CARE EPSDT SERVICES.— 
Any other primary care services included within 
early and periodic screening, diagnostic, and 
treatment services (as defined in section 
1905(r) of the Social Security Act, as applied 
without regard to whether the individual receiv-
ing such services is eligible for medical assist-
ance with respect to such services under a State 
plan under title XIX of such Act). 
‘‘(D) 
OPTIONAL
SERVICES.—Additional 
services, which may include oral health, social, 
and health education services. 
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‘‘(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. 
‘‘(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 
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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 near a school facility 
of a school district or board; 
‘‘(B) is organized through school, commu-
nity, and health provider relationships; 
‘‘(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 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; or 
‘‘(E) a school or school system. 
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