1.This Act may be cited as
the Healthy Schools Act of
2007
.
2.Assurance of
payment under Medicaid and SCHIP for covered items and services furnished by
certain school-based health clinics
(a)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 clinicSection 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)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)The amendments made by this section take effect on October
1, 2007.