[Congressional Bills 103th Congress]
[From the U.S. Government Publishing Office]
[S. 632 Introduced in Senate (IS)]

103d CONGRESS
  1st Session
                                 S. 632

  To amend title V of the Social Security Act to encourage States to 
    provide funds for programs to enhance and expand school health 
                               services.


_______________________________________________________________________


                   IN THE SENATE OF THE UNITED STATES

               March 23 (legislative day, March 3), 1993

Mr. Durenberger introduced the following bill; which was read twice and 
                  referred to the Committee on Finance

_______________________________________________________________________

                                 A BILL


 
  To amend title V of the Social Security Act to encourage States to 
    provide funds for programs to enhance and expand school health 
                               services.

    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. FINDINGS.

    The Congress finds that--
            (1) in 1989, there were 12,600,000 children under 18 years 
        of age living in poverty;
            (2) Black or Hispanic children are 3 times more likely to 
        live in poverty than are white children;
            (3) in 1989, 32.5 percent of children living in poverty had 
        no health insurance coverage;
            (4) in 1989, almost 28 percent of all children age 5 
        through 17 did not have a dental visit in the preceding year;
            (5) in 1990, approximately 21 percent of children under 20 
        years of age, or nearly 14,000,000 children, were not seen by a 
        physician during the preceding year;
            (6) estimates indicate that over 1,000,000 teenagers became 
        pregnant in 1987 and 30,000 of these women were younger than 15 
        years of age;
            (7) in 1992, 15.9 percent of children age 12 through 17 
        reported using an illicit drug in the past year;
            (8) the rate of suicide among teenagers has doubled since 
        1970;
            (9) in 1990, it is estimated that more than 400,000 young 
        people either committed or attempted suicide;
            (10) school-based clinics and school-linked clinics are 
        comprehensive health care centers that provide a wide range of 
        health and social services to children where they spend much of 
        their day in school;
            (11) school clinics are designed to overcome barriers to 
        health care for children including lack of insurance coverage, 
        cost, confidentiality, and lack of transportation;
            (12) approximately one-half of all students and three-
        fifths of elementary and junior high school students using 
        school clinics do not have access to other sources of health 
        care; and
            (13) on average, more than one-half of the funding for 
        school clinics is provided by State and Federal sources, 
        including the Maternal and Child Health Services Block Grant 
        under title V of the Social Security Act.

SEC. 2. INCREASE IN AUTHORIZATION FOR MATERNAL AND CHILD HEALTH 
              SERVICES BLOCK GRANTS.

    (a) Increase in Authorization.--Section 501(a) of the Social 
Security Act (42 U.S.C. 701(a)) is amended in the matter preceding 
paragraph (1) by striking ``$686,000,000 for fiscal year 1990'' and 
inserting ``$786,000,000 for fiscal year 1994, $861,000,000 for fiscal 
year 1995, and $936,000,000 for fiscal year 1996''.
    (b) Use of Funds.--Section 501(a)(1) of such Act (42 U.S.C. 
701(a)(1)) is amended--
            (1) by striking ``and'' at the end of subparagraph (C); and
            (2) by adding at the end the following new subparagraphs:
                    ``(E) to provide and promote comprehensive and 
                integrated health, social, and education services for 
                children; and
                    ``(F) to enhance and expand health education and 
                access to primary and preventive health services in or 
                linked to school settings, and to promote a healthy 
                school environment;''.
    (b) Effective Date.--The amendments made by this section shall be 
effective on the date of the enactment of this Act.

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