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	Amend HB 281 as follows:                                                     

(1)  On page 3, lines 1-3, strike ", and the results of those 	surveys must be included in the annual report required under 
Section 38.064" and substitute "[, and the results of those surveys 
must be included in the annual report required under Section 
38.064]".
	(2)  Add the following appropriately numbered SECTION and 
renumber subsequent SECTIONS of the bill accordingly:
	SECTION ____.  Section 38.064, Education Code, is amended to 
read as follows:
	Sec. 38.064.  REPORT TO LEGISLATURE.  (a)  Based on 
statistics obtained from every school-based health center in this 
state that receives funding through the Department of State Health 
Services, the Department of State Health Services [commissioner of 
public health] shall issue a biennial [an annual] report to the 
legislature about the [relative efficacy of] services delivered by 
the [school-based health] centers during the preceding two years
[and any increased academic success of students at campuses served 
by those centers, with special emphasis on any:
		[(1)  increased attendance;                                  
		[(2)  decreased drop-out rates;                              
		[(3)  improved student health; and                           
		[(4)  improved performance on student assessment 
instruments administered under Subchapter B, Chapter 39].
	(b)  The report must address the extent to which the services 
provided by the centers are considered by the Department of State 
Health Services to have resulted in:
		(1)  improved school attendance by students with 
chronic illnesses;  
		(2)  increased student immunization rates; and                         
		(3)  increased student participation in preventive 
health measures, including routine physical examinations and 
checkups conducted in accordance with the Texas Health Steps 
program [In obtaining statistics for preparation of the report 
required by this section, the commissioner of public health shall 
ensure that data is collected for each county and aggregated 
appropriately according to geographical region].
	(c)  The Department of State Health Services may modify any 
requirement imposed by this section if necessary to comply with 
federal law regarding confidentiality of medical information.