I 
111TH CONGRESS 
1ST SESSION H. R. 3003 
To amend the Public Health Service Act to establish the School-Based Health 
Clinic program, and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
JUNE 23, 2009 
Mrs. CAPPS (for herself, Mr. ROGERS of Michigan, Mrs. DAVIS of California, 
Mrs. CAPITO, Mrs. NAPOLITANO, Mr. BERMAN, Mr. HARE, and Ms. 
SCHAKOWSKY) introduced the following bill; which was referred to the 
Committee on Energy and Commerce 
A BILL 
To amend the Public Health Service Act to establish the 
School-Based Health Clinic program, and for other purposes. 
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 ‘‘School-Based Health 
Clinic Establishment Act of 2009’’. 
SEC. 2. FINDINGS AND PURPOSE. 
(a) FINDINGS.—Congress makes the following find-
ings: 
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(1) More than 8,000,000 children in the United 
States have no form of health insurance and are 
therefore unable to access preventive health care 
which may lead to untreated conditions, unnecessary 
diseases, and death. 
(2) The American Medical Association rates 
adolescents aged 13–18 as the group of Americans 
with the poorest health indicators. 
(3) More than 70 percent of the children who 
need psychiatric treatment do not receive services. 
(4) Children who are in poor health or are vic-
tims of child abuse, poverty, malnutrition, alcohol, 
and drug abuse are at risk for academic and social 
failure. 
(5) Without health and social intervention, at- 
risk children are often unable to improve academic 
performance. 
(6) School-based health clinics are effective in 
bringing preventive and primary care to children and 
adolescents. 
(7) School-based health clinics are effective in 
decreasing academic failure resulting from poor 
health. 
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(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, patients, local leaders, and commu-
nity based organizations. 
‘‘(2) COMPREHENSIVE PRIMARY HEALTH SERV-
ICES.—The term ‘comprehensive primary health 
services’ means the core services offered by school- 
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