By West                                               S.B. No. 1454
         76R5336 KKA-F                           
                                A BILL TO BE ENTITLED
 1-1                                   AN ACT
 1-2     relating to student health centers on public school campuses.
 1-3           BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
 1-4           SECTION 1.  Chapter 38, Education Code, is amended by adding
 1-5     Section 38.011 to read as follows:
 1-6           Sec. 38.011.  SCHOOL-BASED STUDENT HEALTH CENTERS.  (a)  A
 1-7     school district, after consultation with the appropriate
 1-8     campus-level planning and  decision-making committees established
 1-9     under Subchapter F, Chapter 11, may establish a school-based
1-10     student health center at one or more campuses in the district to
1-11     meet the health care needs of students without other access to
1-12     health care.  A school-based student health center may provide
1-13     services in any of the following categories:
1-14                 (1)  mental health care;
1-15                 (2)  physical health care, including immunizations;
1-16                 (3)  family and home support;
1-17                 (4)  health education; or
1-18                 (5)  social services.
1-19           (b)  A school-based student health center may provide
1-20     services to a student only if the district obtains the written
1-21     consent of the student's parent, guardian, or other person having
1-22     legal control of the student on a consent form developed by the
1-23     district.  The consent form must list each category of service
1-24     available at the school-based student health center in a format
 2-1     that allows a person to consent to one or more categories of
 2-2     service.
 2-3           (c)  The staff of a school-based student health center and
 2-4     the person whose consent is obtained under Subsection (b) shall
 2-5     jointly identify any health-related concerns of the student that
 2-6     may be interfering with the student's ability to succeed in school
 2-7     and jointly accept responsibility for addressing those concerns.
 2-8           (d)  A school district may seek assistance in establishing
 2-9     and operating a school-based student health center from any public
2-10     health agency located in the community.  On request, a public
2-11     health agency shall cooperate and provide assistance to a school
2-12     district to the extent possible considering the resources available
2-13     to the public health agency.  A school district and a public health
2-14     agency may, by agreement, jointly establish, operate, and fund a
2-15     school-based student health center.
2-16           (e)  A school district shall seek all available sources of
2-17     funding available to compensate the district for the cost of
2-18     services provided by a student health center, including money
2-19     available under the state Medicaid program or private health
2-20     insurance or health benefits plans.
2-21           (f)  Subject to available appropriations, the agency shall
2-22     award grants to assist school districts with the costs of operating
2-23     school-based student health centers in accordance with this
2-24     section.  The State Board of Education, after consultation with the
2-25     Health and Human Services Commission, by rule shall establish
2-26     procedures for awarding grants under this subsection.  The
2-27     procedures must include a statewide competitive process under which
 3-1     the agency evaluates proposals submitted by school districts
 3-2     according to guidelines and objectives adopted by the State Board
 3-3     of Education with assistance from the Health and Human Services
 3-4     Commission.  The agency may not award more than $250,000 per
 3-5     school-based health center location.
 3-6           (g)  To be eligible to receive a grant under Subsection (f),
 3-7     a school district must furnish local matching funds at least equal
 3-8     to the amount of money received under the grant.  The matching
 3-9     funds may be obtained from any source available to the district,
3-10     including community or foundation donations, individual
3-11     contributions, and local governmental agency operating funds.
3-12           SECTION 2.  The Texas Education Agency, with assistance from
3-13     the Health and Human Services Commission, shall:
3-14                 (1)  evaluate the impact of school-based student health
3-15     centers operating in this state on student health and student
3-16     readiness to learn and succeed in school; and
3-17                 (2)  not later than January 15, 2001, submit to the
3-18     legislature a report on the evaluation required under Subdivision
3-19     (1) of this section that includes recommendations for state funding
3-20     of school-based student health centers.
3-21           SECTION 3.  The importance of this legislation and the
3-22     crowded condition of the calendars in both houses create an
3-23     emergency and an imperative public necessity that the
3-24     constitutional rule requiring bills to be read on three several
3-25     days in each house be suspended, and this rule is hereby suspended,
3-26     and that this Act take effect and be in force from and after its
3-27     passage, and it is so enacted.