[Congressional Bills 110th Congress]
[From the U.S. Government Publishing Office]
[H.R. 2870 Introduced in House (IH)]







110th CONGRESS
  1st Session
                                H. R. 2870

   To amend titles XIX and XXI of the Social Security Act to ensure 
   payment under Medicaid and the State Children's Health Insurance 
  Program (SCHIP) for covered items and services furnished by school-
                         based health clinics.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                             June 26, 2007

  Mr. Towns introduced the following bill; which was referred to the 
                    Committee on Energy and Commerce

_______________________________________________________________________

                                 A BILL


 
   To amend titles XIX and XXI of the Social Security Act to ensure 
   payment under Medicaid and the State Children's Health Insurance 
  Program (SCHIP) for covered items and services furnished by school-
                         based health clinics.

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

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Healthy Schools Act of 2007''.

SEC. 2. ASSURANCE OF PAYMENT UNDER MEDICAID AND SCHIP FOR COVERED ITEMS 
              AND SERVICES FURNISHED BY CERTAIN SCHOOL-BASED HEALTH 
              CLINICS.

    (a) State Plan Requirement.--Section 1902(a) of the Social Security 
Act (42 U.S.C. 1396a(a)) is amended--
            (1) in paragraph (69), by striking ``and'' at the end;
            (2) in paragraph (70)(B)(iv), by striking the period at the 
        end and inserting ``; and''; and
            (3) by inserting after paragraph (70)(B)(iv), the following 
        new paragraph:
            ``(71) provide that the State shall certify to the 
        Secretary that the State has implemented procedures to pay for 
        medical assistance, including care and services described in 
        subsections (a)(4)(B) and (r) of section 1905 and provided in 
        accordance with section 1903(a)(43), furnished in a school-
        based health clinic (as defined in section 1905(y)) if payment 
        would be made under the State plan for the same items and 
        services if furnished in a physician's office or other 
        outpatient clinic (including if such payment would be included 
        in the determination of a prepaid capitation or other risk-
        based rate of payment to an entity under a contract pursuant to 
        section 1903(m)).''.
    (b) Definition of School-Based Health Clinic.--Section 1905 of such 
Act (42 U.S.C. 1396d) is amended by adding at the end the following new 
subsection:
    ``(y)(1) For purposes of this title, the term `school-based health 
clinic' means a health clinic that--
            ``(A) is located in or near a school facility of a school 
        district or board or of an Indian tribe or tribal organization;
            ``(B) is organized through school, community, and health 
        provider relationships;
            ``(C) is administered by a sponsoring facility;
            ``(D) provides through health professionals primary health 
        services to children in accordance with State and local law, 
        including laws relating to licensure and certification; and
            ``(E) satisfies such other requirements as a State may 
        establish for the operation of such a clinic.
    ``(2) For purposes of paragraph (1)(D), the term `primary health 
services' means the core services offered by a school-based health 
clinic, which shall include the following:
            ``(A) Comprehensive health assessments, diagnosis, and 
        treatment of minor, acute, and chronic medical conditions and 
        referrals to, and follow-up for, specialty care.
            ``(B) Mental health assessments, crisis intervention, 
        counseling, treatment, and referral to a continuum of services 
        including emergency psychiatric care, community support 
        programs, inpatient care, and outpatient programs.
            ``(C) Additional services, which may include oral health, 
        social, and health education services.
    ``(3) For purposes of paragraph (1)(C), the term `sponsoring 
facility' is a community-based organization, which may include--
            ``(A) a hospital;
            ``(B) a public health department;
            ``(C) a community health center;
            ``(D) a nonprofit health care agency;
            ``(E) a school or school system; or
            ``(F) a program administered by the Indian Health Service 
        or the Bureau of Indian Affairs or operated by an Indian tribe 
        or a tribal organization under the Indian Self-Determination 
        and Education Assistance Act (25 U.S.C. 450), a Native Hawaiian 
        entity, or an Urban Indian program under title V of the Indian 
        Health Care Improvement Act (25 U.S.C. 1601).''.
    (c) Application to SCHIP.--Section 2107(e)(1) of the Social 
Security Act (42 U.S.C. 1397gg(e)(1)) is amended--
            (1) by redesignating subparagraphs (B) through (D) as 
        subparagraphs (C) through (E), respectively; and
            (2) by inserting after subparagraph (A), the following new 
        subparagraph:
                    ``(B) Section 1902(a)(71) (relating to procedures 
                to ensure payment for covered services furnished in a 
                school-based health clinic, as defined in section 
                1905(y)).''.
    (d) Effective Date.--The amendments made by this section take 
effect on October 1, 2007.
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