(3) ensures that the child receives any items or 
services that are not available under the HAPI plan 
in which they are enrolled but that the child would 
have received under the Medicaid program of the 
State in which the child resides if the Healthy Amer-
icans Act had not been enacted, including items and 
services described in section 1905(a)(4)(B) (relating 
to early and periodic screening, diagnostic, and 
treatment services defined in section 1905(r) and 
provided in accordance with the requirements of sec-
tion 1902(a)(43)). 
(b) DEFINITION.—In this section, the term ‘‘child’’, 
in addition to the meaning given that term under section 
201(d), includes any individual who would be considered 
a child under the Medicaid program of the State in which 
the individual resides. 
Subtitle B—Service Providers 
SEC. 211. INCLUSION OF PROVIDERS UNDER HAPI PLANS. 
(a) IN GENERAL.—To ensure that children have ac-
cess to health care in their communities, and that such 
care is provided to such children for no cost or on a reim-
bursable basis, a HAPI plan shall ensure that health care 
items and services may be obtained by such children from, 
at a minimum, the providers described in subsection (b) 
if available in the area involved. 
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(b) PROVIDERS
DESCRIBED.—The providers de-
scribed in this subsection include the following: 
(1) A school-based health center (in accordance 
with section 212). 
(2) A health center funded under section 330 of 
the Public Health Service Act (42 U.S.C. 254b). 
(3) A federally qualified health center. 
(4) A rural health clinic under title XVIII of 
the Social Security Act (42 U.S.C. 1395 et seq.). 
(5) An Indian health service facility. 
SEC. 212. USE OF SCHOOL-BASED HEALTH CENTERS. 
(a) DEFINITION.—In this section, the term ‘‘school- 
based health center’’ means a health center that— 
(1) is located within an elementary or secondary 
school facility; 
(2) is operated in collaboration with the school 
in which such center is located; 
(3) is administered by a community-based orga-
nization including a hospital, public health depart-
ment, community health center, or nonprofit health 
care agency; 
(4) at a minimum, provides to school-aged chil-
dren— 
(A) primary health care services, including 
comprehensive health assessments, and diag-
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nosis and treatment of minor, acute, and chron-
ic medical conditions and Healthy Start bene-
fits; 
(B) mental health services, including crisis 
intervention, counseling, and emergency psy-
chiatric care at the school or by referral; 
(C) the availability of services at the school 
when the school is open and 24-hour coverage 
through an on-call system with other providers 
to ensure access when the school or health cen-
ter is closed; 
(D) services through the use of a qualified 
and appropriately credentialed individual, in-
cluding a nurse practitioner or physician assist-
ant, a mental health professional, a physician, 
and a health assistant; and 
(E) by not later than January 1, 2012, an 
electronic medical record relating to the indi-
vidual; and 
(5) may provide optional preventive dental serv-
ices, consistent with State licensure law, through the 
use of dental hygienists or dental assistants that 
provide preventive services such as basic oral exams, 
cleanings, and sealants. 
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(b) ACCESS
TO
SCHOOL-BASED
HEALTH
CEN-
TERS.— 
(1) IN GENERAL.—A school-based health center 
may provide services to students in more than 1 
school if the school district or other supervising 
State entity determined that capacity and geo-
graphic location make such provision of services ap-
propriate. 
(2) ENROLLMENT.—Upon the enrollment of a 
student in a school with a school-based health cen-
ter, the center will provide the student with the op-
portunity to enroll, after parental consent, to receive 
health care from the center. 
(3) REIMBURSEMENT FOR SERVICES.— 
(A) IN GENERAL.—A school-based health 
center may seek reimbursement from a third 
party payer if available, including a HAPI plan, 
if a child receives health care items or services 
through the center. 
(B) USE
OF
FUNDS.—Amounts received 
from a third party payer under subparagraph 
(A) shall be allocated to the school-based health 
center that provided the care for which the re-
imbursement was provided for use by that cen-
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ter for providing additional health care items 
and services. 
(c) COVERAGE BY FEDERAL TORT CLAIMS ACT.—In 
providing health care items and services to students 
through a school-based health care center, a health care 
provider shall be deemed to be an employee of the govern-
ment for purposes of the application of chapter 171 of 
title 28, United States Code (the Federal Tort Claims Act) 
if such provider was acting within the scope of his or her 
license. 
TITLE III—BETTER HEALTH FOR 
OLDER AND DISABLED AMER-
ICANS 
SEC. 301. COORDINATION OF SUPPLEMENTAL COVERAGE 
UNDER THE MEDICAID PROGRAM FOR EL-
DERLY AND DISABLED INDIVIDUALS. 
(a) COORDINATION OF CARE.—The Secretary shall 
provide guidance to States and insurers that— 
(1) takes into account the special health care 
needs of elderly and disabled individuals who are eli-
gible for medical assistance under State Medicaid 
programs, particularly with respect to institutional-
ized care or home and community-based services; 
and 
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