Amend CSHB 2 in Article 2 of the bill by inserting the
following new part, appropriately lettered, and relettering the
subsequent parts of Article 2 accordingly:
PART ___. SCHOOL-BASED HEALTH CENTERS
SECTION 2__.01. Section 38.051(a), Education Code, is
amended to read as follows:
(a) A school district in this state may, if the district
identifies the need, design a model in accordance with this
subchapter for the delivery of cooperative health care programs for
students and their families and may compete for grants awarded
under this subchapter. The model may provide for the delivery of
conventional health services, substance abuse counseling, and
disease prevention of emerging health threats that are specific to
the district.
SECTION 2__.02. Sections 38.054 and 38.057, Education Code,
are amended to read as follows:
Sec. 38.054. CATEGORIES OF SERVICES. The permissible
categories of services are:
(1) family and home support;
(2) health care, including immunizations;
(3) dental health care;
(4) health education; [and]
(5) preventive health strategies; and
(6) substance abuse counseling.
Sec. 38.057. IDENTIFICATION OF HEALTH-RELATED CONCERNS.
(a) The staff of a school-based health center and the person whose
consent is obtained under Section 38.053 shall jointly identify any
health-related or substance abuse concerns of a student that may be
interfering with the student's well-being or ability to succeed in
school.
(b) If it is determined that a student is in need of a
referral for mental health or substance abuse counseling services,
the staff of the center shall notify the person whose consent is
required under Section 38.053 verbally and in writing of the basis
for the referral. The referral may not be provided unless the
person provides written consent for the type of service to be
provided and provides specific written consent for each treatment
occasion.
SECTION 2__.03. Section 38.058(b), Education Code, is
amended to read as follows:
(b) A majority of the members of the council must be parents
of students enrolled in the district. In addition to the appointees
who are parents of students, the board of trustees shall also
appoint at least one person from each of the following groups:
(1) teachers;
(2) school administrators;
(3) licensed health care professionals;
(4) licensed chemical dependency counselors;
(5) the clergy;
(6) [(5)] law enforcement;
(7) [(6)] the business community;
(8) [(7)] senior citizens; and
(9) [(8)] students.
SECTION 2__.04. Section 38.060(b), Education Code, is
amended to read as follows:
(b) If a school-based health center is located in an area
described by Subsection (a), the school district and the advisory
council established under Section 38.058 shall make a good faith
effort to identify and coordinate with existing providers to
preserve and protect existing health care and substance abuse
counseling systems and medical relationships in the area.
SECTION 2__.05. Section 38.061(b), Education Code, is
amended to read as follows:
(b) The staff of a school-based health center shall, before
delivering a medical service or substance abuse counseling service
to a person with a primary care physician under the state Medicaid
program, a state children's health plan program, or a private
health insurance or health benefit plan or with an advanced
practice nurse listed as the primary care provider under such a
program or plan, notify the physician or advanced practice nurse
for the purpose of sharing medical and substance abuse information
and obtaining authorization for delivering the medical or substance
abuse counseling service.
SECTION 2__.06. Section 38.063(f), Education Code, is
amended to read as follows:
(f) The commissioner of public health shall adopt rules
establishing standards for health care centers funded through
grants that:
(1) place primary emphasis on delivery of health
services and substance abuse counseling services; and
(2) place secondary emphasis on population-based
models that prevent emerging health threats.