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	Amend HB 281 on third reading by striking the SECTION of the 
bill amending Section 38.064, Education Code, and substituting the 
following appropriately numbered SECTION:
	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, including attendance 
information regarding students with chronic illnesses;
		(2)  decreased drop-out rates;                                                
		(3)  improved student health; [and]                          
		(4)  increased student immunization rates;                             
		(5)  increased student participation in preventive 
health measures, including routine physical examinations and 
checkups conducted in accordance with the Texas Health Steps 
program; and  
		(6)  improved performance on student assessment 
instruments administered under Subchapter B, Chapter 39.
	(b)  The Department of State Health Services may modify any 
requirement imposed by Subsection (a) if necessary to comply with 
federal law regarding confidentiality of student medical or 
educational information, including the Health Insurance 
Portability and Accountability Act of 1996 (42 U.S.C. Section 1320d 
et seq.) and the Family Educational Rights and Privacy Act of 1974 
(20 U.S.C. Section 1232g) [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].