SEC. 2. SCHOOL-BASED HEALTH CENTERS. 
Title XXI of the Social Security Act (42 U.S.C. 
1397aa et seq.) is amended by adding at the end the fol-
lowing new section: 
‘‘SEC. 2114. GRANTS AND PROGRAMS TO IMPROVE ACCESS 
TO, AND THE DELIVERY OF, CHILDREN’S 
HEALTH SERVICES THROUGH SCHOOL-BASED 
HEALTH CENTERS. 
‘‘(a) GRANTS TO SCHOOL-BASED HEALTH CENTERS 
TO ENCOURAGE CHILDREN TO ADOPT HEALTHY BEHAV-
IORS.— 
‘‘(1) ESTABLISHMENT.—Not later than 18 
months after the date of enactment of this sub-
section, the Secretary shall publish criteria to enable 
school-based health centers to apply for grants for 
the purpose of assisting eligible children under this 
title and title XIX and other children by providing 
funding for community health workers to facilitate 
children’s access to services that encourage children 
to adopt healthy behaviors and to improve the qual-
ity and cultural competence of the delivery of such 
services. Not later than 2 years after such date, the 
Secretary shall award grants to school-based health 
centers for such purposes. 
‘‘(2) REQUIREMENTS.—A school-based health 
center that employs individuals who meet the Bu-
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reau of Labor Statistics standard occupational defi-
nition of ‘health educator’ (21–1091 or any suc-
cessor classification number) or ‘community health 
worker’ (21–1094 or any successor classification 
number) shall be eligible for a grant under this sub-
section. 
‘‘(3) REPORTING.— 
‘‘(A) BY GRANTEES.—A grantee under this 
subsection shall annually submit to the Sec-
retary a report containing a description of the 
services provided under the grant, the data col-
lected with respect to such services, a descrip-
tion of the efficacy of such services, any other 
information determined appropriate by the Sec-
retary. 
‘‘(B) BY SECRETARY.—The Secretary bi-
ennially shall submit to Congress a report on 
the efficacy of the grant program established 
under this subsection. 
‘‘(4) AUTHORIZATION
OF
APPROPRIATIONS.— 
There are authorized to be appropriated such sums 
as may be necessary to carry out this subsection. 
Funds appropriated under the preceding sentence 
shall remain available until expended.’’. 
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SEC. 3. ESTABLISHMENT AND EXPANSION OF DEMONSTRA-
TION PROGRAMS TO PROVIDE TELE-HEALTH 
SERVICES AT SCHOOL-BASED HEALTH CEN-
TERS. 
Section 2114 of the Social Security Act (as added by 
section 2), is amended by adding at the end the following 
new subsection: 
‘‘(b) ESTABLISHMENT AND EXPANSION OF TELE- 
HEALTH SERVICES DEMONSTRATION PROGRAMS.— 
‘‘(1) ESTABLISHMENT.—Not later than 18 
months after the date of enactment of this sub-
section, the Secretary shall publish criteria for the 
establishment of a demonstration program to provide 
new tele-health services, or to expand existing tele- 
health service programs, located at school-based 
health centers. A school-based health center’s receipt 
of funds under the demonstration program under 
this subsection shall not preclude the school-based 
health center from being reimbursed by public or 
private health insurance programs according to 
State law and regulation for items and services fur-
nished by or through the center. 
‘‘(2) AUTHORIZATION
OF
APPROPRIATIONS.— 
There are authorized to be appropriated such sums 
as may be necessary to carry out this subsection. 
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Funds appropriated under the preceding sentence 
shall remain available until expended.’’. 
SEC. 4. ASSURANCE OF PAYMENT UNDER MEDICAID AND 
CHIP FOR COVERED ITEMS AND SERVICES 
FURNISHED 
BY 
CERTAIN 
SCHOOL-BASED 
HEALTH CENTERS. 
(a) STATE PLAN REQUIREMENT.—Section 1902(a) 
of the Social Security Act (42 U.S.C. 1396a(a)) is amend-
ed by inserting after paragraph (77) the following new 
paragraph: 
‘‘(78) provide that the State shall certify to the 
Secretary that the State has implemented proce-
dures to pay for medical assistance (including care 
and services described in subsections (a)(4)(B) and 
(r) of section 1905 and provided in accordance with 
section 1902(a)(43)) furnished in a school-based 
health center (as defined in section 2110(c)(9)), if 
payment would be made under the State plan for the 
same items and services if furnished in a physician’s 
office or other outpatient clinic (including if such 
payment would be included in the determination of 
a prepaid capitation or other risk-based rate of pay-
ment to an entity under a contract pursuant to sec-
tion 1903(m));’’. 
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(b) APPLICATION TO CHIP.—Section 2107(e)(1) of 
the Social Security Act (42 U.S.C. 1397gg(e)(1)) is 
amended— 
(1) 
by 
redesignating 
subparagraphs 
(E) 
through (O) as subparagraphs (F) through (P), re-
spectively; and 
(2) by inserting after subparagraph (D), the 
following new subparagraph: 
‘‘(E) Section 1902(a)(78) (relating to pro-
cedures to ensure payment for covered services 
furnished in a school-based health center).’’. 
(c) EFFECTIVE DATE.—The amendments made by 
this section take effect on October 1, 2016. 
SEC. 5. OTHER IMPROVEMENTS. 
(a) IN GENERAL.—Section 399Z–1 of the Public 
Health Service Act (42 U.S.C. 280h–5) is amended— 
(1) in subsection (a)(1), in the matter pre-
ceding subparagraph (A), by inserting ‘‘either in 
person or via telehealth,’’ after ‘‘health centers,’’; 
(2) in subsection (a)(3)(A), by inserting before 
the semicolon the following: ‘‘, and include univer-
sities, accountable care organizations, and behavioral 
health organizations’’; 
(3) in subsection (c)(2)(C)(4), by inserting 
‘‘and health education’’ after ‘‘health services’’; 
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(4) in subsection (e), by striking ‘‘may—’’ and 
all that follows through the end and inserting ‘‘may, 
upon a showing of good cause, waive the require-
ment that the SBHC provide all required com-
prehensive primary health services for a period of 
not to exceed 2 years.’’; 
(5) in subsection (i), by inserting before the pe-
riod the following: ‘‘, including using existing quality 
performance measures funded by the Federal Gov-
ernment for such entities’’; 
(6) in subsection (l)— 
(A) by striking ‘‘2014’’ and inserting 
‘‘2021’’; and 
(B) by redesignating such subsection as 
subsection (n); and 
(7) by inserting after subsection (k), the fol-
lowing: 
‘‘(l) TECHNICAL ASSISTANCE.—The Secretary, act-
ing directly or through the awarding of grants or contracts 
to private, nonprofit entities shall establish or support ex-
isting State school-based health center resource centers 
that— 
‘‘(1) provide advocacy, training, and technical 
assistance to school-based health centers, including 
maximizing Federal and State resources; 
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‘‘(2) support the development of school-based 
health centers; and 
‘‘(3) enhance the operations and performance of 
school-based health centers. 
‘‘(m) AUTHORIZATION
OF APPROPRIATIONS.—For 
purposes of carrying out this section, there are authorized 
to be appropriated such sums as may be necessary.’’. 
(b) COVERED ENTITY.—Section 340B(a)(4) of the 
Public Health Service Act (42 U.S.C. 256b(a)(4)) is 
amended by adding at the end the following: 
‘‘(P) A school-based health center.’’. 
(c) 
QUALIFIED
HEALTH
PLANS.—Section 
1311(c)(1)(C) of the Patient Protection and Affordable 
Care Act (42 U.S.C. 18031(c)(1)(C)) is amended by in-
serting ‘‘, providers defined in section 2110(c)(9) of the 
Social Security Act,’’ after ‘‘Public Health Service Act’’. 
Æ 
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